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Income Taxes (Narrative) (Details)
$ / shares in Units, $ in Millions, kr in Billions
6 Months Ended 12 Months Ended
Dec. 31, 2017
USD ($)
Mar. 29, 2019
USD ($)
Dec. 31, 2020
USD ($)
$ / shares
Dec. 31, 2019
USD ($)
$ / shares
Dec. 31, 2018
USD ($)
$ / shares
Dec. 31, 2017
USD ($)
Dec. 31, 2019
DKK (kr)
Dec. 10, 2013
DKK (kr)
Net deferred tax liabilities     $ (3,454) $ (1,652)        
Valuation allowance, deferred tax asset, change in amount     3          
Basis differences in investments outside the U.S.     $ 10,300          
Statutory federal income tax rate 21.00%   21.00% 21.00% 21.00% 35.00%    
Effective income tax rate     18.90% 26.40% 18.80%      
Effective income tax rate reconciliation, other reconciling items, percent     0.70% 6.50% 1.20%      
Income tax payments     $ 1,100 $ 847 $ 673      
Employee service share-based compensation, tax benefit from exercise of stock options     110 79 57      
Excess tax benefit from share-based compensation, operating activities     85 55 38      
Income taxes receivable     700 196        
Net operating loss carryforwards     452          
Operating loss carryforwards, valuation allowances     174          
Deferred tax assets, valuation allowances     264 261        
Gross unrecognized tax benefits $ 737   1,175 1,181 986 $ 737    
Unrecognized tax benefits, net of offsetting indirect tax benefits     1,400 1,400        
Unrecognized tax benefits, indirect tax benefits     148 131        
Potential interest and penalties     (354) (320)        
Recognized potential interest and penalties     41 227 41      
Unrecognized tax benefits that would impact effective tax rate     1,400 1,300        
Estimated reduction in unrecognized tax benefits within twelve months     (199)          
General business and foreign tax credit                
Tax credit carryforwards     117          
Tax credit carryforward, valuation allowance     66          
Deferred tax asset, other                
Deferred tax assets, valuation allowances     24          
Domestic tax authority | IRS                
Proposed adjustments to taxable income, self-insurance, other   $ 2,700            
Foreign tax authority                
Income tax examination, amount of tax assessments 2004-2009     309         kr 1.9
Income tax examination, amount of tax assessments 2010-2015     302       kr 1.8  
Income tax holiday, aggregate dollar amount     $ 43 $ 71 $ 69      
Income tax holiday, income tax benefits per diluted common share | $ / shares     $ 0.06 $ 0.10 $ 0.10      
United States                
Net deferred tax liabilities     $ (1,900) $ (1,600)        
International                
Net deferred tax liabilities     $ (1,600) $ (90)