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Income Taxes (Narrative) (Details)
$ / shares in Units, $ in Millions, kr in Billions
3 Months Ended 12 Months Ended
Dec. 31, 2017
Dec. 31, 2022
USD ($)
Apr. 02, 2021
USD ($)
Apr. 02, 2021
DKK (kr)
Dec. 31, 2022
USD ($)
$ / shares
Dec. 31, 2021
USD ($)
$ / shares
Dec. 31, 2020
USD ($)
$ / shares
Dec. 31, 2017
Dec. 31, 2019
USD ($)
Net deferred tax liabilities   $ 2,958     $ 2,958 $ 3,563      
Valuation allowance, deferred tax asset, change in amount         6        
Basis differences in investments outside the U.S.   10,400     $ 10,400        
Statutory federal income tax rate 21.00%       21.00% 21.00% 21.00% 35.00%  
Effective income tax rate         13.10% 16.50% 18.90%    
Effective income tax rate reconciliation, other reconciling items, percent         6.10% 3.50% 0.70%    
Income tax payments         $ 1,800 $ 1,700 $ 1,100    
Employee service share-based compensation, tax benefit from exercise of stock options         85 118 110    
Tax benefit         61 95 85    
Net operating loss carryforwards   346     346        
Operating loss carryforwards, valuation allowances   147     147        
Deferred tax assets, valuation allowances   236     236 242      
Gross unrecognized tax benefits   1,139     1,139 1,095 1,175   $ 1,181
Unrecognized tax benefits, net of offsetting indirect tax benefits   1,200     1,200 1,200      
Unrecognized tax benefits, indirect tax benefits   65     65 58      
Potential interest and penalties   171     171 163      
Recognized potential interest and penalties         14 182 $ 41    
Unrecognized tax benefits that would impact effective tax rate   1,200     1,200 $ 1,100      
Estimated reduction in unrecognized tax benefits within twelve months   (306)     $ (306)        
Income tax holiday, income tax benefits per diluted common share | $ / shares         $ 0.10 $ 0.08 $ 0.06    
General business and foreign tax credit                  
Tax credit carryforwards   133     $ 133        
Tax credit carryforward, valuation allowance   80     80        
Deferred tax asset, other                  
Deferred tax assets, valuation allowances   9     9        
Domestic tax authority | IRS                  
Proposed adjustments to taxable income, self-insurance, other   2,500              
Foreign tax authority                  
Income tax examination, amount of tax assessments 2010-2015     $ 298 kr 2.1          
Income tax holiday, aggregate dollar amount         72 $ 59 $ 43    
United States                  
Net deferred tax liabilities   1,900     1,900 2,100      
Non-U.S.                  
Net deferred tax liabilities   $ 1,100     $ 1,100 $ 1,500