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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2021 | Jun. 30, 2020
Statement of cash flows [abstract] |  |
Net income/(loss) | $ 235 | $ (479)
Adjustments to reconcile net income/(loss) to net cash flows from operating activities |  |
Depreciation, amortization, impairments and fair value adjustments | 530 | 779
Equity-based compensation expense | 68 | 51
Non-cash change in provisions and other non-current liabilities | 25 | 13
Losses on disposal and other adjustments on property, plant & equipment and other non-current assets, net | 8 | 15
Interest expense | 61 | 61
Other financial income & expense | 17 | 16
Taxes | 65 | (92)
Interest received | 2 | 4
Interest paid | (57) | (50)
Other financial payments | (3) | (3)
Taxes paid | (96) | (46)
Net cash flows before working capital changes and net payments out of provisions and other non-current liabilities | 855 | 269
Net payments out of provisions and other cash movements in non-current liabilities | (37) | (58)
Change in net current assets and other operating cash flow items | (276) | (153)
Net cash flows from operating activities | 542 | 58
Purchase of property, plant & equipment | (222) | (168)
Purchase of intangible assets | (411) | (32)
Purchase of financial assets | (10) | (1)
Net cash flows used in investing activities | (643) | (201)
Dividends paid to shareholders of Alcon Inc. | (54) | 0
Proceeds from non-current financial debts, net of issuance costs | 51 | 744
Change in current financial debts | (24) | (59)
Lease payments | (37) | (33)
Other financing cash flows | (12) | (17)
Net cash flows (used in)/from financing activities | (76) | 635
Effect of exchange rate changes on cash and cash equivalents | (14) | 10
Net change in cash and cash equivalents | (191) | 502
Cash and cash equivalents at January 1 | 1,557 | 822
Cash and cash equivalents at June 30 | $ 1,366 | $ 1,324

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