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CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2020 | Jun. 30, 2019
Cash Flows from Operating Activities |  |
Net income | $ 6,229 | $ 5,506
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 1,869 | 1,871
Intangible asset impairment charges | 20 | 252
Deferred income taxes | 122 | (149)
Share-based compensation | 229 | 204
Other | (202) | 114
Net changes in assets and liabilities | (4,193) | (3,378)
Net Cash Provided by Operating Activities | 4,074 | 4,420
Cash Flows from Investing Activities |  |
Capital expenditures | (1,654) | (1,377)
Purchases of securities and other investments | (77) | (1,810)
Proceeds from sales of securities and other investments | 1,892 | 4,935
Acquisition of ArQule, Inc., net of cash acquired | (2,545) | 0
Acquisition of Antelliq Corporation, net of cash acquired | 0 | (3,620)
Other acquisitions, net of cash acquired | (321) | (270)
Other | 195 | 85
Net Cash Used in Investing Activities | (2,510) | (2,057)
Cash Flows from Financing Activities |  |
Net change in short-term borrowings | 1,967 | (3,532)
Payments on debt | (1,952) | 0
Proceeds from issuance of debt | 4,445 | 4,958
Purchases of treasury stock | (1,281) | (2,325)
Dividends paid to stockholders | (3,128) | (2,896)
Proceeds from exercise of stock options | 40 | 304
Other | (444) | (207)
Net Cash Used in Financing Activities | (353) | (3,698)
Effect of Exchange Rate Changes on Cash, Cash Equivalents and Restricted Cash | 2 | 28
Net Increase (Decrease) in Cash, Cash Equivalents and Restricted Cash | 1,213 | (1,307)
Cash, Cash Equivalents and Restricted Cash at Beginning of Year (includes restricted cash of $258 million at January 1, 2020 included in Other Assets) | 9,934 | 7,967
Cash, Cash Equivalents and Restricted Cash at End of Period (includes restricted cash of $44 million at June 30, 2020 included in Other Assets) | $ 11,147 | $ 6,660

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