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CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Cash Flows from Operating Activities    
Net income $ 3,186 $ 3,219
Adjustments to reconcile net income to net cash provided by operating activities:    
Amortization 534 410
Depreciation 396 411
Deferred income taxes (10) 82
Share-based compensation 120 108
Other (331) 143
Net changes in assets and liabilities (2,104) (3,666)
Net Cash Provided by Operating Activities 1,791 707
Cash Flows from Investing Activities    
Capital expenditures (1,134) (986)
Purchases of securities and other investments (1) (49)
Proceeds from sales of securities and other investments 386 1,816
Acquisition of ArQule, Inc., net of cash acquired 0 (2,545)
Other acquisitions, net of cash acquired (14) 0
Other 25 136
Net Cash Used in Investing Activities (738) (1,628)
Cash Flows from Financing Activities    
Net change in short-term borrowings 788 3,583
Payments on debt (1,153) (1,951)
Purchases of treasury stock 0 (1,281)
Dividends paid to stockholders (1,645) (1,551)
Proceeds from exercise of stock options 9 26
Other (97) (316)
Net Cash Used in Financing Activities (2,098) (1,490)
Effect of Exchange Rate Changes on Cash, Cash Equivalents and Restricted Cash (97) (63)
Net Decrease in Cash, Cash Equivalents and Restricted Cash (1,142) (2,474)
Cash, Cash Equivalents and Restricted Cash at Beginning of Year (includes restricted cash of $103 at January 1, 2021 included in Other Assets) 8,165 9,934
Cash, Cash Equivalents and Restricted Cash at End of Period (includes restricted cash of $42 at March 31, 2021 included in Other Assets) $ 7,023 $ 7,460