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v3.23.3

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2023 | Sep. 30, 2022
Cash Flows From Operating Activities: |  |
Net earnings | $ 6,278 | $ 4,320
Adjustments to reconcile net earnings to net cash provided by operating activities: |  |
Depreciation and amortization, net | 7,296 | 7,755
Deferred income taxes | (1,961) | (2,114)
Stock-based compensation | 391 | 338
Impairment charges | 226 | 144
Divestiture gains and royalties | (639) | (820)
Acquired IPRD | 313 | 763
Equity investment losses | 213 | 966
Other adjustments | 260 | 179
Changes in operating assets and liabilities: |  |
Receivables | (487) | (557)
Inventories | (554) | (28)
Accounts payable | (246) | (296)
Rebates and discounts | 1,115 | 730
Income taxes payable | (1,647) | (310)
Other | (950) | (1,310)
Net cash provided by operating activities | 9,608 | 9,760
Cash Flows From Investing Activities: |  |
Sale and maturities of marketable debt securities | 692 | 5,205
Purchase of marketable debt securities | (1,057) | (3,566)
Proceeds from sales of equity investments | 215 | 213
Capital expenditures | (879) | (772)
Divestiture and other proceeds | 668 | 815
Acquisition and other payments, net of cash acquired | (588) | (4,170)
Net cash used in investing activities | (949) | (2,275)
Cash Flows From Financing Activities: |  |
Short-term debt obligations, net | 233 | 58
Issuance of long-term debt | 0 | 5,926
Repayment of long-term debt | (1,879) | (11,431)
Repurchase of common stock | (5,155) | (5,585)
Dividends | (3,584) | (3,489)
Stock option proceeds and other, net | 2 | 805
Net cash used in financing activities | (10,383) | (13,716)
Effect of exchange rates on cash, cash equivalents and restricted cash | (33) | (128)
Decrease in cash, cash equivalents and restricted cash | (1,757) | (6,359)
Cash, cash equivalents and restricted cash at beginning of period | 9,325 | 14,316
Cash, cash equivalents and restricted cash at end of period | $ 7,568 | $ 7,957

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