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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2022 | Jun. 30, 2021
Statement of cash flows [abstract] |  |
Net income | $ 316 | $ 235
Adjustments to reconcile net income to net cash flows from operating activities |  |
Depreciation, amortization, impairments and fair value adjustments | 588 | 530
Equity-based compensation expense | 70 | 68
Non-cash change in current and non-current provisions and other non-current liabilities | 40 | 25
Losses on disposal and other adjustments on property, plant & equipment and other non-current assets, net | 2 | 8
Interest expense | 60 | 61
Other financial income & expense | 39 | 17
Taxes | 31 | 65
Interest received | 2 | 2
Interest paid | (53) | (57)
Other financial payments | (4) | (3)
Taxes paid | (120) | (96)
Net cash flows before working capital changes and net payments out of provisions and other non-current liabilities | 971 | 855
Net payments out of provisions and other cash movements in non-current liabilities | (70) | (37)
Change in net current assets and other operating cash flow items | (431) | (276)
Net cash flows from operating activities | 470 | 542
Purchase of property, plant & equipment | (237) | (222)
Purchase of intangible assets | (23) | (411)
Purchase of financial assets | (21) | (10)
Proceeds from financial assets | 2 | 0
Acquisition of assets, net of cash acquired | (483) | 0
Net cash flows used in investing activities | (762) | (643)
Dividends paid to shareholders of Alcon Inc. | (100) | (54)
Proceeds from non-current financial debts, net of issuance costs | 531 | 51
Repayment of non-current financial debts | (536) | 0
Change in current financial debts | (52) | (24)
Lease payments | (34) | (37)
Other financing cash flows | (86) | (12)
Net cash flows used in financing activities | (277) | (76)
Effect of exchange rate changes on cash and cash equivalents | 24 | (14)
Net change in cash and cash equivalents | (545) | (191)
Cash and cash equivalents at January 1 | 1,575 | 1,557
Cash and cash equivalents at June 30 | $ 1,030 | $ 1,366

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- Definition The cash outflow for the purchases of property, plant and equipment, classified as investing activities. [Refer: Property, plant and equipment] + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Name IAS -Number 7 -IssueDate 2022-03-24 -Paragraph 16 -Subparagraph a -URI https://taxonomy.ifrs.org/xifrs-link?type=IAS&num=7&code=ifrs-tx-2022-en-r&anchor=para_16_a&doctype=Standard -URIDate 2022-03-24 + Details
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- Definition The cash outflow for repayments of non-current borrowings. [Refer: Borrowings] + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Name IAS -Number 7 -IssueDate 2022-03-24 -Paragraph 17 -URI https://taxonomy.ifrs.org/xifrs-link?type=IAS&num=7&code=ifrs-tx-2022-en-r&anchor=para_17&doctype=Standard -URIDate 2022-03-24 + Details
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- References No definition available. + Details
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