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v3.23.2

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2023 | Jun. 30, 2022
Operating Activities: |  |
Net income | $ 2,024 | $ 1,147
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation expense | 177 | 160
Amortization expense | 1,144 | 890
Stock-based compensation expense | 363 | 295
Acquired in-process research and development expenses | 717 | 338
In-process research and development impairment | 0 | 2,700
Deferred income taxes | (524) | (944)
Net loss from equity securities | 187 | 399
Other | 205 | 420
Changes in operating assets and liabilities: |  |
Accounts receivable, net | 549 | 247
Inventories | (453) | 61
Prepaid expenses and other | 66 | (81)
Accounts payable | (275) | (104)
Income tax assets and liabilities, net | (189) | (591)
Accrued and other liabilities | 91 | (1,295)
Net cash provided by operating activities | 4,082 | 3,642
Investing Activities: |  |
Purchases of marketable debt securities | (1,105) | (1,090)
Proceeds from sales of marketable debt securities | 317 | 323
Proceeds from maturities of marketable debt securities | 719 | 955
Acquisitions, including in-process research and development, net of cash acquired | (794) | (1,131)
Purchases of equity securities | (192) | (44)
Capital expenditures | (248) | (390)
Other | (6) | (1)
Net cash used in investing activities | (1,309) | (1,378)
Financing Activities: |  |
Proceeds from issuances of common stock | 123 | 97
Repurchases of common stock under repurchase programs | (550) | (424)
Repayments of debt and other obligations | 0 | (500)
Payments of dividends | (1,913) | (1,865)
Other | (167) | (105)
Net cash used in financing activities | (2,507) | (2,797)
Effect of exchange rate changes on cash and cash equivalents | 26 | (66)
Net change in cash and cash equivalents | 292 | (599)
Cash and cash equivalents at beginning of period | 5,412 | 5,338
Cash and cash equivalents at end of period | $ 5,704 | $ 4,739

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