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Consolidated Statement of Cash Flows (unaudited) - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Statement of cash flows [abstract]    
Net income $ 471 $ 343
Adjustments to reconcile net income to net cash flows from operating activities    
Depreciation, amortization, impairments and fair value adjustments 606 603
Equity-based compensation expense 77 74
Non-cash change in current and non-current provisions and other non-current liabilities 33 49
Losses on disposal and other adjustments on property, plant & equipment and other non-current assets, net 3 14
Interest expense 95 95
Other financial income & expense (24) 17
Taxes 144 83
Interest received 31 15
Interest paid (99) (94)
Other financial payments (5) (4)
Taxes paid (87) (151)
Net cash flows before working capital changes and net payments out of provisions and other non-current liabilities 1,245 1,044
Net payments out of provisions and other cash movements in non-current liabilities (58) (214)
Change in net current assets and other operating cash flow items (316) (420)
Net cash flows from operating activities 871 410
Purchase of property, plant & equipment (204) (221)
Purchase of intangible assets (59) (132)
Payments for financial assets (97) (216)
Proceeds from financial assets 9 1
Net cash flows used in investing activities (351) (568)
Dividends paid to shareholders of Alcon Inc. (130) (116)
Repayment of current portion of non-current financial debts (9) (34)
Proceeds from current financial debts 39 40
Repayment of current financial debts (38) 0
Proceeds from non-current financial debts, net of issuance costs 0 29
Other changes in financial debts (7) 4
Lease payments (43) (38)
Payment of withholding taxes related to equity-based compensation (42) (43)
Other financing cash flows (7) (8)
Net cash flows used in financing activities (237) (166)
Effect of exchange rate changes on cash and cash equivalents (5) 5
Net change in cash and cash equivalents 278 (319)
Cash and cash equivalents at January 1 1,094 980
Cash and cash equivalents at June 30 $ 1,372 $ 661