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CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2019 | Jun. 30, 2018
Cash Flows from Operating Activities |  |
Net income | $ 5,506 | $ 2,457
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 1,871 | 2,427
Intangible asset impairment charges | 252 | 0
Charge for future payments related to collaboration license options | 0 | 650
Deferred income taxes | (149) | (258)
Share-based compensation | 204 | 170
Other | 114 | 365
Net changes in assets and liabilities | (3,378) | (1,274)
Net Cash Provided by Operating Activities | 4,420 | 4,537
Cash Flows from Investing Activities |  |
Capital expenditures | (1,377) | (1,033)
Purchases of securities and other investments | (1,810) | (5,248)
Proceeds from sales of securities and other investments | 4,935 | 7,403
Acquisition of Antelliq Corporation, net of cash acquired | (3,620) | 0
Other acquisitions, net of cash acquired | (270) | (372)
Other | 85 | (274)
Net Cash (Used in) Provided by Investing Activities | (2,057) | 476
Cash Flows from Financing Activities |  |
Net change in short-term borrowings | (3,532) | 2,069
Payments on debt | 0 | (3,008)
Proceeds from issuance of debt | 4,958 | 0
Purchases of treasury stock | (2,325) | (2,162)
Dividends paid to stockholders | (2,896) | (2,610)
Proceeds from exercise of stock options | 304 | 299
Other | (207) | (277)
Net Cash Used in Financing Activities | (3,698) | (5,689)
Effect of Exchange Rate Changes on Cash, Cash Equivalents and Restricted Cash | 28 | (108)
Net Decrease in Cash, Cash Equivalents and Restricted Cash | (1,307) | (784)
Cash, Cash Equivalents and Restricted Cash at Beginning of Year (includes restricted cash of $2 million at January 1, 2019 included in Other Assets) | 7,967 | 6,096
Cash, Cash Equivalents and Restricted Cash at End of Period (includes restricted cash of $1 million at June 30, 2019 included in Other Assets) | $ 6,660 | $ 5,312

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