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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Statement of Cash Flows [Abstract]    
Net earnings $ 2,271 $ 3,197
Adjustments to reconcile net earnings to net cash from operating activities:    
Depreciation 264 232
Amortization of intangible assets 1,850 773
Deferred income taxes (257) 72
Change in fair value of contingent consideration liabilities 881 2,473
Stock-based compensation 455 276
Upfront costs and milestones related to collaborations 943 321
Other, net 434 (10)
Changes in operating assets and liabilities, net of acquisitions:    
Accounts receivable (543) (96)
Inventories (304) (288)
Prepaid expenses and other assets 240 (270)
Accounts payable and other liabilities 466 (366)
Income tax assets and liabilities, net 204 (820)
Cash flows from operating activities 6,904 5,494
Cash flows from investing activities    
Acquisition of businesses, net of cash acquired (38,138) 0
Other acquisitions and investments (192) (440)
Acquisitions of property and equipment (302) (235)
Purchases of investment securities (32) (558)
Sales and maturities of investment securities 1,429 1,066
Other, net 1,454 0
Cash flows from investing activities (35,781) (167)
Cash flows from financing activities    
Net change in commercial paper borrowings 0 (393)
Repayments of other short-term borrowings 0 (3,000)
Proceeds from issuance of long-term debt 3,000  
Repayments of long-term debt and finance lease obligations (3,763) (4)
Repayments of long-term debt and finance lease obligations (20) (171)
Dividends paid (3,515) (3,180)
Purchases of treasury stock (662) (623)
Proceeds from the exercise of stock options 77 5
Payments of contingent consideration liabilities (129) (108)
Other, net 20 21
Cash flows from financing activities (4,992) (7,453)
Effect of exchange rate changes on cash and equivalents (38) 9
Net change in cash and equivalents (33,907) (2,117)
Cash and equivalents, beginning of period 39,924 7,289
Cash and equivalents, end of period 6,017 5,172
Supplemental schedule of non-cash investing and financing activities    
Issuance of common shares associated with acquisitions of businesses $ 23,979 $ 0