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CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2024 | Jun. 30, 2023
Cash Flows from Operating Activities |  |
Net income (loss) | $ 10,228 | $ (3,147)
Adjustments to reconcile net income (loss) to net cash provided by operating activities: |  |
Amortization | 1,087 | 1,020
Depreciation | 1,029 | 874
Income from investments in equity securities, net | (200) | (274)
Charge for the acquisition of Harpoon Therapeutics, Inc. | 656 | 0
Charge for the acquisition of Prometheus Biosciences, Inc. | 0 | 10,217
Charge for the acquisition of Imago BioSciences, Inc. | 0 | 1,192
Deferred income taxes | (232) | (632)
Share-based compensation | 379 | 314
Other | 174 | 5
Net changes in assets and liabilities | (4,394) | (4,526)
Net Cash Provided by Operating Activities | 8,727 | 5,043
Cash Flows from Investing Activities |  |
Capital expenditures | (1,652) | (1,972)
Purchases of securities and other investments | (64) | (587)
Proceeds from sales of securities and other investments | 320 | 785
Acquisition of Harpoon Therapeutics, Inc., net of cash acquired | (746) | 0
Acquisition of Prometheus Biosciences, Inc., net of cash acquired | 0 | (10,705)
Acquisition of Imago BioSciences, Inc., net of cash acquired | 0 | (1,327)
Other | (303) | 4
Net Cash Used in Investing Activities | (2,445) | (13,802)
Cash Flows from Financing Activities |  |
Net change in short-term borrowings | 0 | 1,937
Proceeds from issuance of debt | 3,600 | 5,946
Payments on debt | (751) | (1,751)
Dividends paid to stockholders | (3,936) | (3,738)
Purchases of treasury stock | (373) | (487)
Proceeds from exercise of stock options | 160 | 112
Other | (298) | (315)
Net Cash (Used in) Provided by Financing Activities | (1,598) | 1,704
Effect of Exchange Rate Changes on Cash, Cash Equivalents and Restricted Cash | (220) | (6)
Net Increase (Decrease) in Cash, Cash Equivalents and Restricted Cash | 4,464 | (7,061)
Cash, Cash Equivalents and Restricted Cash at Beginning of Year (includes restricted cash of $68 and $79 at January 1, 2024 and 2023, respectively, included in Other current assets) | 6,909 | 12,773
Cash, Cash Equivalents and Restricted Cash at End of Period (includes restricted cash of $69 and $52 at June 30, 2024 and 2023, respectively, included in Other current assets) | $ 11,373 | $ 5,712

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