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CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Cash Flows from Operating Activities    
Net income $ 3,219 $ 2,862
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 821 898
Intangible asset impairment charges 0 104
Deferred income taxes 82 194
Share-based compensation 108 93
Other 143 120
Net changes in assets and liabilities (3,666) (2,935)
Net Cash Provided by Operating Activities 707 1,336
Cash Flows from Investing Activities    
Capital expenditures (986) (595)
Purchases of securities and other investments (49) (974)
Proceeds from sales of securities and other investments 1,816 1,899
Acquisition of ArQule, Inc., net of cash acquired (2,545) 0
Other 136 38
Net Cash (Used in) Provided by Investing Activities (1,628) 368
Cash Flows from Financing Activities    
Net change in short-term borrowings 3,583 (4,135)
Payments on debt (1,951) 0
Proceeds from issuance of debt 0 4,958
Purchases of treasury stock (1,281) (1,090)
Dividends paid to stockholders (1,551) (1,428)
Proceeds from exercise of stock options 26 173
Other (316) (92)
Net Cash Used in Financing Activities (1,490) (1,614)
Effect of Exchange Rate Changes on Cash, Cash Equivalents and Restricted Cash (63) 20
Net (Decrease) Increase in Cash, Cash Equivalents and Restricted Cash (2,474) 110
Cash, Cash Equivalents and Restricted Cash at Beginning of Year (includes restricted cash of $258 million at January 1, 2020 included in Other Assets) 9,934 7,967
Cash, Cash Equivalents and Restricted Cash at End of Period (includes restricted cash of $35 million at March 31, 2020 included in Other Assets) $ 7,460 $ 8,077