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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2020 | Sep. 30, 2019
Operating Activities |  |
Net income including noncontrolling interests | $ 2,168 | $ 1,845
Adjustments to reconcile net income including noncontrolling interests to net cash provided by operations: |  |
Depreciation and amortization | 400 | 386
Restructuring and termination benefits, net of cash | (66) | 11
Stock-based compensation expense | 85 | 83
Deferred income taxes | (124) | 79
Voluntary benefit plan contributions | 0 | (113)
Cash effects of changes in: |  |
Receivables | 62 | (65)
Inventories | (214) | (69)
Accounts payable and other accruals | 468 | (52)
Other non-current assets and liabilities | (23) | 58
Net cash provided by (used in) operations | 2,756 | 2,163
Investing Activities |  |
Capital expenditures | (249) | (226)
Purchases of marketable securities and investments | (109) | (152)
Proceeds from sale of marketable securities and investments | 42 | 14
Payment for acquisitions, net of cash acquired | (352) | (1,711)
Net cash provided by (used in) investing activities | (668) | (2,075)
Financing Activities |  |
Principal payments on debt | (3,269) | (4,184)
Proceeds from issuance of debt | 2,500 | 6,008
Dividends paid | (1,162) | (1,140)
Purchases of treasury shares | (578) | (1,024)
Proceeds from exercise of stock options | 640 | 490
Purchases of non-controlling interests in subsidiaries | (99) | 0
Net cash provided by (used in) financing activities | (1,968) | 150
Effect of exchange rate changes on Cash and cash equivalents | (14) | (16)
Net increase (decrease) in Cash and cash equivalents | 106 | 222
Cash and cash equivalents at beginning of the period | 883 | 726
Cash and cash equivalents at end of the period | 989 | 948
Supplemental Cash Flow Information |  |
Income taxes paid | $ 606 | $ 669

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- Definition The cash outflow during the period from the repayment of aggregate short-term and long-term debt. Excludes payment of capital lease obligations. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3291-108585 + Details
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Period Type: | duration

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- Definition Amount of noncash expense for share-based payment arrangement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3602-108585 + Details
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- References No definition available. + Details
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