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v3.10.0.1

Consolidated Statements of Cash Flows - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Operating Activities |  |  |  |
Net income before allocation to noncontrolling interests | [1],[2],[3],[4] | $ 11,188 | $ 21,355 | $ 7,246
Adjustments to reconcile net income before allocation to noncontrolling interests to net cash provided by operating activities: |  |  |  |
Depreciation and amortization | [1] | 6,384 | 6,269 | 5,757
Asset write-offs and impairments | [1] | 3,398 | 634 | 1,613
Loss on sale of HIS net assets | [1],[5] | (1) | 55 | 1,712
TCJA impact | [1],[6] | (596) | (10,660) | 0
Deferred taxes from continuing operations | [1] | (2,205) | (2,410) | (700)
Share-based compensation expense | [1] | 949 | 840 | 691
Benefit plan contributions in excess of expense | [1] | (1,095) | (961) | (712)
Other adjustments, net | [1] | (1,268) | 344 | 487
Other changes in assets and liabilities, net of acquisitions and divestitures: |  |  |  |
Trade accounts receivable | [1] | (644) | 259 | (134)
Inventories | [1] | (717) | (357) | 365
Other assets | [1] | (16) | 7 | (47)
Trade accounts payable | [1] | 431 | 46 | 871
Other liabilities | [1] | 98 | (67) | (223)
Other tax accounts, net | [1] | (78) | 1,446 | (734)
Net cash provided by operating activities | [1] | 15,827 | 16,802 | 16,192
Investing Activities |  |  |  |
Purchases of property, plant and equipment | [1] | (2,042) | (1,956) | (1,823)
Purchases of short-term investments | [1] | (11,677) | (14,596) | (15,957)
Proceeds from redemptions/sales of short-term investments | [1] | 17,581 | 10,302 | 29,414
Net (purchases of)/proceeds from redemptions/sales of short-term investments with original maturities of three months or less | [1] | (3,917) | 2,058 | (4,218)
Purchases of long-term investments | [1] | (1,797) | (3,537) | (8,011)
Proceeds from redemptions/sales of long-term investments | [1] | 6,244 | 3,579 | 11,268
Acquisitions of businesses, net of cash acquired | [1] | 0 | (1,000) | (18,368)
Acquisitions of intangible assets | [1] | (154) | (261) | (176)
Other investing activities, net | [1],[7] | 288 | 671 | 80
Net cash provided by/(used in) investing activities | [1] | 4,525 | (4,740) | (7,791)
Financing Activities |  |  |  |
Proceeds from short-term borrowings | [1] | 3,711 | 8,464 | 7,472
Principal payments on short-term borrowings | [1] | (4,437) | (9,947) | (5,093)
Net (payments on)/proceeds from short-term borrowings with original maturities of three months or less | [1] | (1,617) | 1,422 | (3,060)
Proceeds from issuance of long-term debt | [1] | 4,974 | 5,274 | 10,976
Principal payments on long-term debt | [1] | (3,566) | (6,154) | (7,689)
Purchases of common stock | [1] | (12,198) | (5,000) | (5,000)
Cash dividends paid | [1] | (7,978) | (7,659) | (7,317)
Proceeds from exercise of stock options | [1] | 1,259 | 862 | 1,019
Other financing activities, net | [1] | (588) | (611) | (536)
Net cash used in financing activities | [1] | (20,441) | (13,350) | (9,228)
Effect of exchange-rate changes on cash and cash equivalents and restricted cash and cash equivalents | [1] | (116) | 53 | (215)
Net decrease in cash and cash equivalents and restricted cash and cash equivalents | [1] | (205) | (1,235) | (1,041)
Cash and cash equivalents and restricted cash and cash equivalents, beginning | [1] | 1,431 | 2,666 | 3,707
Cash and cash equivalents and restricted cash and cash equivalents, end | [1] | 1,225 | 1,431 | 2,666
Supplemental Cash Flow Information |  |  |  |
Exchange of $1.1 billion net book value 6.50% U.K. pound denominated bonds maturing in 2038 for $1.8 billion of new 2.735% U.K. pound denominated bonds maturing in 2043, resulting in a debt extinguishment loss of $747 million | [1],[8] | 0 | 1,848 | 0
Receipt of ICU Medical common stock | [1],[7] | 0 | 428 | 0
Promissory note from ICU Medical | [1],[7] | 0 | 75 | 0
Cash paid (received) during the period for: |  |  |  |
Income taxes | [1] | 3,655 | 2,489 | 2,521
Interest | [1] | 1,311 | 1,518 | 1,451
Interest rate hedges | [1] | (38) | (199) | (338)
Cerevel Therapeutics [Member] |  |  |  |
Supplemental Cash Flow Information |  |  |  |
Equity investment in exchange for Pfizer's assets | [1],[7] | 343 | 0 | 0
Allogene [Member] |  |  |  |
Supplemental Cash Flow Information |  |  |  |
Equity investment in exchange for Pfizer's assets | [1],[7] | $ 92 | $ 0 | $ 0
[1] | Amounts may not add due to rounding.
[2] | Amounts may not add due to rounding.
[3] | Amounts may not add due to rounding.
[4] | Amounts may not add due to rounding.
[5] | In 2018 and 2017, represents adjustments to amounts previously recorded in 2016 to write down the HIS net assets to fair value less costs to sell related to the sale of HIS net assets to ICU Medical on February 3, 2017. In 2016, represents a charge related to the write-down of the HIS net assets to fair value less estimated costs to sell. See Note 2B for additional information.
[6] | As a result of the enactment of the TCJA in December 2017, Pfizer’s Provision/(benefit) for taxes on income (i) for the year ended December 31, 2017 was favorably impacted by approximately $10.7 billion, primarily reflecting the remeasurement of U.S. deferred tax liabilities, which includes the repatriation tax on deemed repatriated accumulated post-1986 earnings of foreign subsidiaries and (ii) for the year ended December 31, 2018 was favorably impacted by approximately $600 million, primarily related to certain tax initiatives associated with the TCJA, as well as favorable adjustments to the provisional estimates of the legislation. See Note 5A. Tax Matters: Taxes on Income from Continuing Operations for additional information.
[7] | For additional information, see Note 2B. Acquisitions, Divestitures, Assets and Liabilities Held for Sale, Licensing Arrangements, Research and Development and Collaborative Arrangements, Equity-Method Investments and Privately Held Investment: Divestitures.
[8] | The $747 million is included in the net loss of $846 million upon the exchange and early retirement of the U.K. pound-denominated debt. See Note 7D. Financial Instruments: Long-Term Debt for additional information.

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- Definition Amount of income (expense) included in net income that results in no cash inflow (outflow), classified as other. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3602-108585 + Details
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- Definition The net amount paid (received) by the reporting entity through acquisition or sale and maturities of short-term investments with an original maturity that is three months or less which qualify for treatment as an investing activity based on management's intention and intended by management to be liquidated, if necessary, within the current operating cycle. Includes cash flows from securities classified as trading securities that were acquired for reasons other than sale in the short-term. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 9 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3098-108585 Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3179-108585 + Details
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- Definition The cash outflow to reacquire common stock during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585 + Details
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- Definition Cash outflow in the form of ordinary dividends to common shareholders, preferred shareholders and noncontrolling interests, generally out of earnings. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585 + Details
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- Definition The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition The cash outflow to acquire asset without physical form usually arising from contractual or other legal rights, excluding goodwill. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition Amount of cash outflow for purchase of marketable security. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=109979856&loc=d3e26853-111562 + Details
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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition The cash outflow for securities or other assets acquired, which qualify for treatment as an investing activity and are to be liquidated, if necessary, within the current operating cycle. Includes cash flows from securities classified as trading securities that were acquired for reasons other than sale in the short-term. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition The cash inflow from a debt initially having maturity due after one year or beyond the operating cycle, if longer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3255-108585 + Details
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- Definition Amount of cash inflow (outflow) from financing activities classified as other. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 3 -Subparagraph (SX 210.12-04(a)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24072-122690 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3255-108585 Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585 + Details
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- Definition The cash inflow from a borrowing net of the cash outflow from repayment of a borrowing having initial term of repayment within three months. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3255-108585 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585 Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 9 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3098-108585 + Details
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- Definition The cash inflow from sales, maturities, prepayments, calls and collections of all investments, including securities and other assets, having ready marketability and intended by management to be liquidated, if necessary, beyond the current operating cycle. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3179-108585 + Details
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- Definition The cash inflow from a borrowing having initial term of repayment within one year or the normal operating cycle, if longer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3255-108585 + Details
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- Definition Amount of cash inflow from exercise of stock options granted under share-based compensation arrangement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 718 -SubTopic 10 -Section 50 -Paragraph 2A -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109197908&loc=SL79508275-113901 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3255-108585 + Details
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