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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Operating Activities    
Net income before allocation to noncontrolling interests $ 1,817 $ 1,651
Adjustments to reconcile net income before noncontrolling interests to net cash provided by operating activities:    
Depreciation and amortization expense [1],[2] 365 346
Share-based compensation expense 43 46
Asset write-offs and asset impairments 27 7
Gain on sale of business, excluding transaction costs (118) 0
Provision for losses on inventory 82 49
Deferred taxes (40) (110)
Employee benefit plan contribution from Pfizer Inc. 0 2
Other non-cash adjustments (6) 3
Other changes in assets and liabilities, net of acquisitions and divestitures:    
Accounts receivable (54) (120)
Inventories (497) (438)
Other assets (119) (20)
Accounts payable (9) (59)
Other liabilities (27) (227)
Other tax accounts, net (8) 41
Net cash provided by operating activities 1,456 1,171 Close
Investing Activities    
Capital expenditures (534) (415)
Acquisitions (155) (96)
Purchase of investments (3) (8)
Proceeds on derivative instrument activity, net 23 74
Net cash proceeds 96 0
Net proceeds from sale of assets 4 0
Payments for (Proceeds from) Other Investing Activities 2 0
Net cash used in investing activities (567) (445) Close
Financing Activities    
Increase in short-term borrowings, net 0 3
Principal payments on long-term debt (1,350) 0
Payment of consideration related to previous acquisitions 3 0
Share-based compensation-related proceeds, net of taxes paid on withholding shares 18 (38)
Purchases of treasury stock (857) (1,189)
Cash dividends paid (520) (460)
Net cash used in financing activities (2,712) (1,684) Close
Effect of exchange-rate changes on cash and cash equivalents (4) (20) Close
Net decrease in cash and cash equivalents (1,827) (978) Close
Cash and cash equivalents at beginning of period 3,581 3,485
Cash and cash equivalents at end of period 1,754 2,507
Cash paid during the period for:    
Income taxes 586 471
Interest, net of capitalized interest 225 209
Amounts included in the measurement of lease liabilities 42 37
Non-cash transactions:    
Capital expenditures 4 5
Excise tax accrued on net share repurchases, not paid 7 0
Lease obligations obtained in exchange for right-of-use assets $ 74 $ 46
[1] Certain production facilities are shared. Depreciation and amortization is allocated to the reportable operating segments based on estimates of where the benefits of the related assets are realized.
[2] Defined as income before provision for taxes on income.