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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2019 | Jun. 30, 2018
Operating Activities |  |
Net income including noncontrolling interests | $ 1,218 | $ 1,353
Adjustments to reconcile net income including noncontrolling interests to net cash provided by operations: |  |
Depreciation and amortization | 256 | 258
Restructuring and termination benefits, net of cash | 21 | (14)
Stock-based compensation expense | 34 | 47
Deferred income taxes | 53 | 2
Voluntary benefit plan contributions | (102) | 0
Cash effects of changes in: |  |
Receivables | (178) | (200)
Inventories | (63) | (30)
Accounts payable and other accruals | (14) | (96)
Other non-current assets and liabilities | 24 | (23)
Net cash provided by operations | 1,249 | 1,297
Investing Activities |  |
Capital expenditures | (146) | (216)
Purchases of marketable securities and investments | (80) | (96)
Proceeds from sale of marketable securities and investments | 14 | 19
Payment for acquisitions, net of cash acquired | 0 | (727)
Other | 0 | 7
Net cash used in investing activities | (212) | (1,013)
Financing Activities |  |
Principal payments on debt | (3,105) | (3,953)
Proceeds from issuance of debt | 3,368 | 4,266
Dividends paid | (770) | (756)
Purchases of treasury shares | (664) | (696)
Proceeds from exercise of stock options | 267 | 160
Net cash used in financing activities | (904) | (979)
Effect of exchange rate changes on Cash and cash equivalents | 4 | (7)
Net increase (decrease) in Cash and cash equivalents | 137 | (702)
Cash and cash equivalents at beginning of the period | 726 | 1,535
Cash and cash equivalents at end of the period | 863 | 833
Supplemental Cash Flow Information |  |
Income taxes paid | $ 463 | $ 468

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