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Taxes on Income (Tables)
12 Months Ended
Dec. 31, 2022
Income Tax Disclosure [Abstract]  
Reconciliation Between Effective Tax Rate and U.S. Statutory Rate
A reconciliation between the effective tax rate for income from continuing operations and the U.S. statutory rate is as follows:
 202220212020
  AmountTax RateAmountTax RateAmountTax Rate
U.S. statutory rate applied to income from continuing operations before taxes$3,453 21.0 %$2,915 21.0 %$1,231 21.0 %
Differential arising from:
Foreign earnings(1,835)(11.1)(1,446)(10.4)(965)(16.5)
GILTI and the foreign-derived intangible income deduction462 2.8 (75)(0.5)349 6.0 
State taxes(110)(0.7)— 57 1.0 
R&D tax credit(81)(0.5)(81)(0.6)(108)(1.8)
Tax settlements(10)(0.1)(275)(2.0)(13)(0.2)
Valuation allowances108 0.7 102 0.7 37 0.6 
Restructuring11 0.1 61 0.4 105 1.8 
Acquisition of VelosBio  (9)(0.1)559 9.5 
Acquisition of Pandion  356 2.6 — — 
Acquisition of OncoImmune  — — 97 1.7 
Other(80)(0.5)(29)(0.1)(9)(0.2)
 $1,918 11.7 %$1,521 11.0 %$1,340 22.9 %
Where applicable, the impact of changes in uncertain tax positions is reflected in the reconciling items above.
Income Before Taxes
Income from continuing operations before taxes consisted of:
Years Ended December 31202220212020
Domestic$1,011 $1,854 $(3,814)
Foreign15,433 12,025 9,677 
 $16,444 $13,879 $5,863 
Taxes on Income
Taxes on income from continuing operations consisted of:
Years Ended December 31202220212020
Current provision
Federal$2,265 $74 $893 
Foreign1,164 1,273 969 
State57 (13)44 
 3,486 1,334 1,906 
Deferred provision
Federal(1,510)240 (605)
Foreign71 (77)64 
State(129)24 (25)
 (1,568)187 (566)
 $1,918 $1,521 $1,340 
Deferred Income Taxes
Deferred income taxes at December 31 consisted of:
 20222021
  AssetsLiabilitiesAssetsLiabilities
Product intangibles and licenses$ $2,575 $— $3,207 
R&D capitalization1,341  274 — 
Inventory related43 423 119 370 
Accelerated depreciation 657 — 589 
Equity investments 92 — 335 
Pensions and other postretirement benefits372 284 487 338 
Compensation related335  301 — 
Unrecognized tax benefits91  75 — 
Net operating losses and other tax credit carryforwards912  867 — 
Other511 267 434 180 
Subtotal3,605 4,298 2,557 5,019 
Valuation allowance(599) (287) 
Total deferred taxes$3,006 $4,298 $2,270 $5,019 
Net deferred income taxes $1,292  $2,749 
Recognized as:
Other Assets$503 $692 
Deferred Income Taxes $1,795  $3,441 
Income Taxes Paid Income taxes paid consisted of:
Years Ended December 31202220212020
Domestic (1)
$1,891 $1,211 $977 
Foreign1,348 1,201 1,763 
 $3,239 $2,412 $2,740 
(1)    Includes TCJA transition tax payments.
Unrecognized Tax Benefits
A reconciliation of the beginning and ending amount of unrecognized tax benefits is as follows:
202220212020
Balance January 1$1,529 $1,537 $1,225 
Additions related to current year positions344 306 298 
Additions related to prior year positions48 63 110 
Reductions for tax positions of prior years (1)
(40)(230)(4)
Settlements (1)
(6)(46)(70)
Lapse of statute of limitations(40)(58)(22)
Spin-off of Organon (43)— 
Balance December 31$1,835 $1,529 $1,537 
(1)    Amount in 2021 reflects a settlement with the IRS discussed below.