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Consolidated Statements Of Cash Flows - USD ($) shares in Millions, $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Cash flows from operating activities: |  |  |
Net earnings | $ 3,646 | $ 3,008 | $ 2,651
Less: earnings from discontinued operations, net of income taxes | 0 | 576 | 245
Net earnings from continuing operations | 3,646 | 2,432 | 2,406
Noncash items: |  |  |
Depreciation | 637 | 564 | 562
Amortization of intangible assets | 1,138 | 625 | 616
Amortization of acquisition-related inventory fair value step-up | 457 | 0 | 0
Stock-based compensation expense | 187 | 159 | 138
Pretax gain on sale of product lines | (455) | 0 | 0
Change in deferred income taxes | 518 | (415) | (252)
Change in trade accounts receivable, net | (264) | (157) | (55)
Change in inventories | (123) | (22) | (134)
Change in trade accounts payable | 227 | 18 | 229
Change in prepaid expenses and other assets | 102 | 48 | 78
Change in accrued expenses and other liabilities | 145 | 405 | 56
Total operating cash provided by continuing operations | 6,215 | 3,657 | 3,644
Total operating cash (used in) provided by discontinued operations | (7) | 295 | 378
Net cash provided by operating activities | 6,208 | 3,952 | 4,022
Cash flows from investing activities: |  |  |
Cash paid for acquisitions | (20,971) | (331) | (2,173)
Payments for additions to property, plant and equipment | (791) | (636) | (584)
Proceeds from sales of property, plant and equipment | 2 | 13 | 6
Payments for purchases of investments | (342) | (241) | (146)
Proceeds from sales of investments | 13 | 0 | 22
Proceeds from sale of product lines | 826 | 0 | 0
All other investing activities | 24 | 29 | 1
Total investing cash used in continuing operations | (21,239) | (1,166) | (2,874)
Total investing cash used in discontinued operations | 0 | (72) | (75)
Net cash used in investing activities | (21,239) | (1,238) | (2,949)
Cash flows from financing activities: |  |  |
Proceeds from the issuance of common stock in connection with stock-based compensation | 153 | 130 | 96
Proceeds from the public offering of common stock, net of issuance costs | 1,729 | 1,443 | 0
Proceeds from the public offering of preferred stock, net of issuance costs | 1,668 | 1,600 | 0
Net proceeds from the sale of Envista Holdings Corporation common stock, net of issuance costs | 0 | 643 | 0
Payment of dividends | (615) | (527) | (433)
Net (repayments of) proceeds from borrowings (maturities of 90 days or less) | (4,637) | 2,802 | 66
Proceeds from borrowings (maturities longer than 90 days) | 8,670 | 12,113 | 0
Repayments of borrowings (maturities longer than 90 days) | (5,933) | (1,565) | (508)
Make-whole premiums to redeem borrowings prior to maturity | (26) | (7) | 0
All other financing activities | (3) | (43) | (18)
Total financing cash provided by (used in) continuing operations | 1,006 | 16,589 | (797)
Cash distributions to Envista Holdings Corporation, net | 0 | (224) | 0
Net cash provided by (used in) financing activities | 1,006 | 16,365 | (797)
Effect of exchange rate changes on cash and equivalents | 148 | 45 | (118)
Net change in cash and equivalents | (13,877) | 19,124 | 158
Beginning balance of cash and equivalents | 19,912 | 788 | 630
Ending balance of cash and equivalents | 6,035 | 19,912 | 788
Supplemental disclosure: |  |  |
Shares redeemed through the split-off of Envista Holdings Corporation | $ 0 | $ 3,452 | $ 0
Shares held as Treasury shares | 22.9 |  |

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- Definition Cash outflow in the form of capital distributions and dividends to common shareholders, preferred shareholders and noncontrolling interests. + 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=121586364&loc=d3e3291-108585 + Details
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