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Consolidated Statements of Cash Flows - USD ($)
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Net income (loss) $ 698,000,000 $ 1,041,000,000 $ (82,000,000)
Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities      
Loss (gain) on disposal of businesses and assets 22,000,000 (78,000,000) 0
Depreciation and amortization 1,136,000,000 1,093,000,000 1,123,000,000
Deferred and prepaid income taxes (63,000,000) (124,000,000) (82,000,000)
Stock-based compensation expense 220,000,000 194,000,000 170,000,000
Goodwill and other intangible asset impairment charges 132,000,000 370,000,000 533,000,000
Net loss (gain) on investments and notes receivable 1,000,000 (250,000,000) (333,000,000)
Contingent consideration net expense (benefit) 35,000,000 (136,000,000) (100,000,000)
Inventory step-up amortization 32,000,000 34,000,000 58,000,000
Debt extinguishment costs 194,000,000 0 0
Other, net 125,000,000 78,000,000 244,000,000
Increase (decrease) in operating assets and liabilities, excluding purchase accounting:      
Trade accounts receivable (220,000,000) (279,000,000) 335,000,000
Inventories (321,000,000) (346,000,000) (65,000,000)
Other assets (209,000,000) (134,000,000) (265,000,000)
Accounts payable, accrued expenses and other liabilities (255,000,000) 408,000,000 (28,000,000)
Cash provided by (used for) operating activities 1,526,000,000 1,870,000,000 1,508,000,000
Investing Activities      
Purchases of property, plant and equipment and internal use software (588,000,000) (554,000,000) (376,000,000)
Proceeds from sale of property, plant and equipment 12,000,000 14,000,000 12,000,000
Payments for acquisitions of businesses, net of cash acquired (1,542,000,000) (2,258,000,000) (3,000,000)
Proceeds from disposal of certain businesses and assets 5,000,000 826,000,000 15,000,000
Proceeds from royalty rights 70,000,000 82,000,000 87,000,000
Proceeds from (payments for) settlements of hedge contracts 56,000,000 15,000,000 0
Proceeds from (payments for) investments and acquisitions of certain technologies (24,000,000) 279,000,000 (146,000,000)
Cash provided by (used for) investing activities (2,011,000,000) (1,597,000,000) (411,000,000)
Financing Activities      
Payment of contingent consideration previously established in purchase accounting (335,000,000) (15,000,000) (49,000,000)
Payments for royalty rights (75,000,000) (85,000,000) (97,000,000)
Payments on short-term borrowings (250,000,000) 0 (2,950,000,000)
Proceeds from short-term borrowings, net of debt issuance costs 0 0 2,245,000,000
Net increase (decrease) in commercial paper (1,000,000) 0 (714,000,000)
Payments on borrowings from credit facilities 0 0 (1,919,000,000)
Proceeds from borrowings on credit facilities 0 0 1,916,000,000
Payments on long-term borrowings and debt extinguishment costs (3,184,000,000) 0 (1,260,000,000)
Proceeds from long-term borrowings, net of debt issuance costs 3,270,000,000 0 1,683,000,000
Cash dividends paid on preferred stock (55,000,000) (55,000,000) (28,000,000)
Net proceeds from issuance of preferred stock in connection with public offering 0 0 975,000,000
Net proceeds from issuance of common stock in connection with public offering 0 0 975,000,000
Payments for repurchase of common stock 0 0 (535,000,000)
Cash used to net share settle employee equity awards (53,000,000) (50,000,000) (59,000,000)
Proceeds from issuances of shares of common stock pursuant to employee stock compensation and purchase plans 136,000,000 110,000,000 111,000,000
Cash provided by (used for) financing activities (548,000,000) (95,000,000) 293,000,000
Effect of foreign exchange rates on cash (9,000,000) (6,000,000) (2,000,000)
Net increase (decrease) in cash, cash equivalents, restricted cash and restricted cash equivalents (1,042,000,000) 173,000,000 1,388,000,000
Cash, cash equivalents, restricted cash and restricted cash equivalents at beginning of period 2,168,000,000 1,995,000,000 607,000,000
Cash, cash equivalents, restricted cash and restricted cash equivalents at end of period 1,126,000,000 2,168,000,000 1,995,000,000
Supplemental Information      
Income Taxes Paid 662,000,000 302,000,000 207,000,000
Interest Paid, Excluding Capitalized Interest, Operating Activities 450,000,000 338,000,000 359,000,000
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Purchases 0 440,000,000 0
Non-cash impact of transferred royalty rights $ (70,000,000) $ (82,000,000) $ (87,000,000)