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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Cash provided by (used for) operating activities    
Net income (loss) $ 1,088 $ 558
Depreciation and amortization 883 842
Deferred and prepaid income taxes (74) (70)
Stock-based compensation expense 174 165
Goodwill and other intangible asset impairment charges 58 132
Net loss (gain) on investments and notes receivable 48 46
Contingent consideration net expense (benefit) 43 68
Inventory step-up amortization 6 32
Debt extinguishment costs 0 194
Other, net 33 92
Trade accounts receivable (164) (176)
Inventories (601) (275)
Other assets (43) (298)
Accounts payable, accrued expenses and other liabilities 95 (590)
Cash provided by (used for) operating activities 1,546 719 Close
Investing activities:    
Purchases of property, plant and equipment and internal use software (444) (376)
Proceeds from sale of property, plant and equipment 4 10
Payments for acquisitions of businesses, net of cash acquired (1,018) (1,542)
Proceeds from (payments for) investments and acquisitions of certain technologies (89) (31)
Proceeds from royalty rights 23 54
Proceeds from (payments for) settlements of hedge contracts 2 56
Cash provided by (used for) investing activities (1,521) (1,828) Close
Financing activities:    
Payment of contingent consideration previously established in purchase accounting (39) (335)
Payments for royalty rights (50) (75)
Payments on short-term borrowings 0 (250)
Net increase (decrease) in commercial paper (4) (1)
Payments on long-term borrowings and debt extinguishment costs 0 (3,184)
Proceeds from long-term borrowings, net of debt issuance costs 0 3,270
Cash dividends paid on preferred stock (28) (42)
Cash used to net share settle employee equity awards (54) (49)
Proceeds from issuances of common stock pursuant to employee stock compensation and purchase plans 165 117
Cash provided by (used for) financing activities (10) (549) Close
Effect of foreign exchange rates on cash (8) (12) Close
Net increase (decrease) in cash, cash equivalents, restricted cash and restricted cash equivalents 7 (1,671) Close
Cash, cash equivalents, restricted cash and restricted cash equivalents at beginning of period 1,126 2,168
Cash, cash equivalents, restricted cash and restricted cash equivalents at end of period $ 1,132 $ 497