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Consolidated Statements Of Cash Flows - USD ($) shares in Millions, $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Cash flows from operating activities: |  |  |
Net earnings | $ 6,433 | $ 3,646 | $ 3,008
Less: earnings from discontinued operations, net of income taxes | (86) | 0 | (576)
Net earnings from continuing operations | 6,347 | 3,646 | 2,432
Noncash items: |  |  |
Depreciation | 718 | 637 | 564
Amortization of intangible assets | 1,450 | 1,138 | 625
Amortization of acquisition-related inventory fair value step-up | 59 | 457 | 0
Stock-based compensation expense | 218 | 187 | 159
Contract settlement expense | 542 | 0 | 0
Pretax loss on early extinguishment of borrowings | 96 | 26 | 7
Pretax gain on sale of product lines and investment (gains) losses | (414) | (455) | 0
Change in deferred income taxes | (229) | 518 | (415)
Change in trade accounts receivable, net | (611) | (264) | (157)
Change in inventories | (502) | (123) | (22)
Change in trade accounts payable | 549 | 227 | 18
Change in prepaid expenses and other assets | (4) | 102 | 48
Change in accrued expenses and other liabilities | 139 | 119 | 398
Total operating cash provided by continuing operations | 8,358 | 6,215 | 3,657
Total operating cash (used in) provided by discontinued operations | 0 | (7) | 295
Net cash provided by operating activities | 8,358 | 6,208 | 3,952
Cash flows from investing activities: |  |  |
Cash paid for acquisitions | (10,961) | (20,971) | (331)
Payments for additions to property, plant and equipment | (1,294) | (791) | (636)
Proceeds from sales of property, plant and equipment | 13 | 2 | 13
Payments for purchases of investments | (934) | (342) | (241)
Proceeds from sales of investments | 126 | 13 | 0
Proceeds from sale of product lines | 26 | 826 | 0
All other investing activities | 37 | 24 | 29
Total cash used in investing activities from continuing operations | (12,987) | (21,239) | (1,166)
Total investing cash used in discontinued operations | 0 | 0 | (72)
Net cash used in investing activities | (12,987) | (21,239) | (1,238)
Cash flows from financing activities: |  |  |
Proceeds from the issuance of common stock in connection with stock-based compensation | 86 | 153 | 130
Proceeds from the public offering of common stock, net of issuance costs | 0 | 1,729 | 1,443
Proceeds from the public offering of preferred stock, net of issuance costs | 0 | 1,668 | 1,600
Net proceeds from the sale of Envista Holdings Corporation common stock, net of issuance costs | 0 | 0 | 643
Payment of dividends | (742) | (615) | (527)
Net proceeds from (repayments of) borrowings (maturities of 90 days or less) | 2,265 | (4,637) | 2,802
Proceeds from borrowings (maturities longer than 90 days) | 984 | 8,670 | 12,113
Repayments of borrowings (maturities longer than 90 days) | (1,186) | (5,933) | (1,565)
Make-whole premiums to redeem borrowings prior to maturity | (96) | (26) | (7)
All other financing activities | (16) | (3) | (43)
Total financing cash provided by continuing operations | 1,295 | 1,006 | 16,589
Cash distributions to Envista Holdings Corporation, net | 0 | 0 | (224)
Net cash provided by financing activities | 1,295 | 1,006 | 16,365
Effect of exchange rate changes on cash and equivalents | (115) | 148 | 45
Net change in cash and equivalents | (3,449) | (13,877) | 19,124
Beginning balance of cash and equivalents | 6,035 | 19,912 | 788
Ending balance of cash and equivalents | 2,586 | 6,035 | 19,912
Supplemental disclosure: |  |  |
Shares redeemed through the split-off of Envista Holdings Corporation | $ 0 | $ 0 | $ 3,452
Shares held as Treasury shares | 22.9 |  |

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