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Consolidated Statement of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Cash Flow From (Used in) Operating Activities:      
Net earnings $ 7,071 $ 4,495 $ 3,687
Adjustments to reconcile earnings to net cash from operating activities -      
Depreciation 1,491 1,195 1,078
Amortization of intangible assets 2,047 2,132 1,936
Share-based compensation 640 546 519
Investing and financing losses, net 55 425 184
Loss on extinguishment of debt     63
Trade receivables (383) (924) (275)
Inventories (456) (493) (593)
Prepaid expenses and other assets (312) (627) (138)
Trade accounts payable and other liabilities 1,288 1,766 220
Income taxes (908) (614) (545)
Net Cash From Operating Activities 10,533 7,901 6,136
Cash Flow From (Used in) Investing Activities:      
Acquisitions of property and equipment (1,885) (2,177) (1,638)
Acquisitions of businesses and technologies, net of cash acquired (187) (42) (170)
Proceeds from business dispositions 134 58 48
Purchases of investment securities (173) (83) (103)
Proceeds from sales of investment securities 77 10 21
Other 26 19 27
Net Cash From (Used in) Investing Activities (2,008) (2,215) (1,815)
Cash Flow From (Used in) Financing Activities:      
Proceeds from issuance of (repayments of) short-term debt, net and other (204) 2  
Proceeds from issuance of long-term debt and debt with maturities over 3 months 4 1,281 1,842
Repayments of long-term debt and debt with maturities over 3 months (48) (1,333) (3,441)
Purchases of common shares (2,299) (403) (718)
Proceeds from stock options exercised 255 245 298
Dividends paid (3,202) (2,560) (2,270)
Other   (11)  
Net Cash From (Used in) Financing Activities (5,494) (2,779) (4,289)
Effect of exchange rate changes on cash and cash equivalents (70) 71 (16)
Net Increase (Decrease) in Cash and Cash Equivalents 2,961 2,978 16
Cash and Cash Equivalents, Beginning of Year 6,838 3,860 3,844
Cash and Cash Equivalents, End of Year 9,799 6,838 3,860
Supplemental Cash Flow Information:      
Income taxes paid 1,941 970 930
Interest paid $ 544 $ 549 $ 677