Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2023	Oct. 01, 2022
Operating activities
Net income	$ 4,349	$ 5,386
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation of property, plant and equipment	792	730
Amortization of acquisition-related intangible assets	1,775	1,803
Change in deferred income taxes	(631)	(862)
Loss on early extinguishment of debt	0	26
Stock-based compensation	217	232
Other non-cash expenses, net	441	443
Changes in assets and liabilities, excluding the effects of acquisitions	(2,260)	(2,091)
Net cash provided by operating activities	4,683	5,667
Investing activities
Acquisitions, net of cash acquired	(3,660)	(39)
Purchase of property, plant and equipment	(1,074)	(1,693)
Proceeds from sale of property, plant and equipment	76	18
Other investing activities, net	(108)	80
Net cash used in investing activities	(4,766)	(1,634)
Financing activities
Net proceeds from issuance of debt	3,466	0
Repayment of debt	(2,000)	(375)
Proceeds from issuance of commercial paper	1,620	1,231
Repayments of commercial paper	(1,935)	(3,690)
Purchases of company common stock	(3,000)	(2,000)
Dividends paid	(387)	(338)
Other financing activities, net	42	(29)
Net cash used in financing activities	(2,194)	(5,201)
Exchange rate effect on cash	(92)	(389)
Decrease in cash, cash equivalents and restricted cash	(2,369)	(1,557)
Cash, cash equivalents and restricted cash at beginning of period	8,537	4,491
Cash, cash equivalents and restricted cash at end of period	$ 6,168	$ 2,934