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v3.20.4

Consolidated cash flow statements - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Statement [line items] |  |  |
Net income from continuing operations | $ 8,071 | $ 7,147 | $ 12,800
Reversal of non-cash items and other adjustments | 9,881 | 9,122 | 1,486
Dividends received from associated companies and others | 490 | 463 | 719
Interest received | 47 | 214 | 241
Interest paid | (703) | (793) | (816)
Other financial receipts | 464 | 28 | 218
Other financial payments | (39) | (33) | (31)
Taxes paid | (1,833) | (1,876) | (1,506)
Net cash flows from operating activities from continuing operations before working capital and provision changes | 16,378 | 14,272 | 13,111
Payments out of provisions and other net cash movements in non-current liabilities | (2,437) | (924) | (638)
Change in net current assets and other operating cash flow items | (291) | 199 | 576
Net cash flows from operating activities from continuing operations | 13,650 | 13,547 | 13,049
Net cash flows from operating activities from discontinued operations |  | 78 | 1,223
Total net cash flows from operating activities | 13,650 | 13,625 | 14,272
Purchases of property, plant and equipment | (1,275) | (1,379) | (1,254)
Proceeds from sale of property, plant and equipment | 88 | 857 | 102
Purchases of intangible assets | (1,310) | (878) | (1,394)
Proceeds from sale of intangible assets | 380 | 973 | 823
Purchases of financial assets | (230) | (302) | (205)
Proceeds from sale of financial assets | 723 | 1,152 | 165
Purchases of other non-current assets | (61) | (60) | (39)
Proceeds from sale of other non-current assets | 2 | 3 | 9
Acquisitions and divestments of interests in associated companies, net | (7) | (6) | 12,854
Acquisitions and divestments of businesses, net | (9,957) | (3,760) | (13,683)
Purchases of marketable securities and commodities | (1,900) | (228) | (2,440)
Proceeds from sale of marketable securities and commodities | 492 | 2,561 | 472
Net cash flows used in investing activities from continuing operations | (13,055) | (1,067) | (4,590)
Net cash flows used in investing activities from discontinued operations | (127) | (1,159) | (1,001)
Total net cash flows used in investing activities | (13,182) | (2,226) | (5,591)
Dividends paid to shareholders of Novartis AG | (6,987) | (6,645) | (6,966)
Acquisitions of treasury shares | (2,842) | (5,533) | (2,036)
Proceeds from exercised options and other treasury share transactions, net | 748 | 201 | 700
Increase in non-current financial debts | 7,126 | 93 | 2,856
Repayments of non-current financial debts | (2,003) | (3,195) | (366)
Change in current financial debts | 2,261 | (1,582) | 1,687
Payments of lease liabilities, net | (312) | (273) |
Impact of change in ownership of consolidated entities | (2) | (6) | (19)
Other financing cash flows, net | (147) | 56 | 67
Net cash flows used in financing activities from continuing operations | (2,158) | (16,884) | (4,077)
Net cash flows used in/from financing activities from discontinued operations | (50) | 3,257 | (167)
Total net cash flows used in financing activities | (2,208) | (13,627) | (4,244)
Net change in cash and cash equivalents before effect of exchange rate changes | (1,740) | (2,228) | 4,437
Effect of exchange rate changes on cash and cash equivalents | 286 | 69 | (26)
Total net change in cash and cash equivalents | (1,454) | (2,159) | 4,411
Cash and cash equivalents at beginning of period | 11,112 | 13,271 | 8,860
Cash and cash equivalents at end of period | $ 9,658 | $ 11,112 | $ 13,271

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- Definition The cash outflow for payment of lease liabilities, classified as financing activities. [Refer: Lease liabilities] + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Name IAS -Number 7 -IssueDate 2019-01-01 -Paragraph 17 -Subparagraph e -URI http://eifrs.ifrs.org/eifrs/xifrs-link?type=IAS&num=7&code=ifrs-tx-2019-en-r&anchor=para_17_e&doctype=Standard -URIDate 2019-03-27 + Details
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