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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Operating Activities    
Net income including noncontrolling interests $ 2,150 $ 2,168
Adjustments to reconcile net income including noncontrolling interests to net cash provided by operations:    
Depreciation and amortization 414 400
Restructuring and termination benefits, net of cash (19) (66)
Stock-based compensation expense 107 85
Loss on early extinguishment of debt 75 0
Deferred income taxes (146) (124)
Cash effects of changes in:    
Receivables (198) 62
Inventories (37) (214)
Accounts payable and other accruals (107) 468
Other non-current assets and liabilities (20) (23)
Net cash provided by (used in) operations 2,219 2,756
Investing Activities    
Capital expenditures (374) (249)
Purchases of marketable securities and investments (118) (109)
Proceeds from sale of marketable securities and investments 55 42
Payment for acquisitions, net of cash acquired 0 (352)
Other investing activities (25) 0
Net cash provided by (used in) investing activities (462) (668)
Financing Activities    
Short-term borrowing (repayment) less than 90 days, net 205  
Short-term borrowing (repayment) less than 90 days, net   (796)
Principal payments of debt (118) (7)
Proceeds from issuance of debt 119 0
Dividends paid (1,183) (1,162)
Purchases of treasury shares (964) (578)
Proceeds from exercise of stock options 282 640
Purchase of non-controlling interest in subsidiaries 0 (99)
Other financing activities (9) 34
Net cash provided by (used in) financing activities (1,668) (1,968)
Effect of exchange rate changes on Cash and cash equivalents (19) (14)
Net increase (decrease) in Cash and cash equivalents 70 106
Cash and cash equivalents at beginning of the period 888 883
Cash and cash equivalents at end of the period 958 989
Supplemental Cash Flow Information    
Income taxes paid $ 742 $ 606