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Tax Matters - Reconciliation of Gross Unrecognized Tax Benefits (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]      
Balance, beginning $ (5,595) [1] $ (5,381) [1] $ (6,259)
Acquisitions 0 37 (44)
Divestitures [2] 0 265 0
Increases based on tax positions taken during a prior period [3] (111) (232) (36)
Decreases based on tax positions taken during a prior period [3],[4] 103 64 1,109
Decreases based on settlements for a prior period [5] 24 15 100
Increases based on tax positions taken during the current period [3] (550) (411) (383)
Impact of foreign exchange 22 (72) 25
Other, net [3],[6] 40 120 107
Balance, ending [1] $ (6,068) $ (5,595) $ (5,381)
[1] In 2021, included in Income taxes payable ($19 million), Other current assets ($42 million) Noncurrent deferred tax assets and other noncurrent tax assets ($3.0 billion), Noncurrent deferred tax liabilities ($5 million) and Other taxes payable ($3.0 billion). In 2020, included in Income taxes payable ($34 million), Noncurrent deferred tax assets and other noncurrent tax assets ($18 million), Noncurrent deferred tax liabilities ($3.0 billion) and Other taxes payable ($2.5 billion).
[2] For 2020, related to the separation of Upjohn. See Note 2B.
[3] Primarily included in Provision/(benefit) for taxes on income.
[4] Primarily related to effectively settling certain issues with the U.S. and foreign tax authorities. See Note 5A.
[5] Primarily related to cash payments and reductions of tax attributes.
[6] Primarily related to decreases as a result of a lapse of applicable statutes of limitations.