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v3.22.4

Consolidated Statements of Cash Flows - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Cash flows from operating activities: |  |  |
Net income | $ 6,552 | $ 5,893 | $ 7,264
Depreciation, amortization and other | 3,417 | 3,398 | 3,601
Stock-based compensation expense | 401 | 341 | 330
Deferred income taxes | (1,198) | (453) | (287)
Acquired in-process research and development | 0 | 1,505 | 0
Adjustments for equity method investments | 891 | 33 | 65
Loss on divestiture | 567 | 0 | 0
Other items, net | (176) | (262) | (260)
Changes in operating assets and liabilities, net of acquisitions: |  |  |
Trade receivables, net | (746) | (429) | (427)
Inventories | (742) | (165) | (215)
Other assets | 258 | (237) | 129
Accounts payable | 154 | (69) | 45
Accrued income taxes, net | (647) | (854) | (249)
Long-term tax liabilities | 229 | 204 | (482)
Other liabilities | 761 | 356 | 983
Net cash provided by operating activities | 9,721 | 9,261 | 10,497
Cash flows from investing activities: |  |  |
Purchases of marketable securities | (2,587) | (8,900) | (8,477)
Proceeds from sales of marketable securities | 98 | 4,403 | 2,597
Proceeds from maturities of marketable securities | 1,120 | 8,831 | 4,381
Purchases of property, plant and equipment | (936) | (880) | (608)
Cash paid for acquisitions, net of cash acquired | (3,839) | (2,529) | 0
Purchases of equity method investments | (18) | (157) | (3,219)
Proceeds from Divestiture of Businesses, Net of Cash Divested | 130 | 0 | 0
Other | (12) | (35) | (75)
Net cash (used in) provided by investing activities | (6,044) | 733 | (5,401)
Cash flows from financing activities: |  |  |
Net proceeds from issuance of debt | 6,919 | 4,945 | 8,914
Extinguishment of debt | (297) | 0 | 0
Repayment of debt | 0 | (4,150) | (6,450)
Repurchases of common stock | (6,360) | (4,975) | (3,486)
Dividends paid | (4,196) | (4,013) | (3,755)
Other | (103) | (78) | (90)
Net cash used in financing activities | (4,037) | (8,271) | (4,867)
(Decrease) increase in cash and cash equivalents | (360) | 1,723 | 229
Cash and cash equivalents at beginning of year | 7,989 | 6,266 | 6,037
Cash and cash equivalents at end of year | $ 7,629 | $ 7,989 | $ 6,266

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