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v3.23.1

Consolidated cash flow statements - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Statement [line items] |  |  |
Net income | $ 6,955 | $ 24,018 | $ 8,071
Reversal of non-cash items and other adjustments | 11,546 | (5,299) | 9,881
Dividends received from associated companies and others | 1 | 525 | 490
Interest received | 254 | 13 | 47
Interest paid | (696) | (664) | (703)
Other financial receipts | 71 |  | 464
Other financial payments | (32) | (302) | (39)
Income taxes paid | (1,975) | (2,342) | (1,833)
Net cash flows from operating activities before working capital and provision changes | 16,124 | 15,949 | 16,378
Payments out of provisions and other net cash movements in non-current liabilities | (885) | (1,119) | (2,437)
Change in net current assets and other operating cash flow items | (1,003) | 241 | (291)
Net cash flows from operating activities | 14,236 | 15,071 | 13,650
Purchases of property, plant and equipment | (1,198) | (1,378) | (1,275)
Proceeds from sale of property, plant and equipment | 167 | 240 | 88
Purchases of intangible assets | (1,473) | (1,593) | (1,310)
Proceeds from sale of intangible assets | 202 | 748 | 380
Purchases of financial assets | (121) | (191) | (230)
Proceeds from sale of financial assets | 133 | 442 | 723
Purchases of other non-current assets | (1) | (61) | (61)
Proceeds from sale of other non-current assets |  | 4 | 2
Acquisitions and divestments of interests in associated companies, net | (24) | 20,669 | (7)
Acquisitions and divestments of businesses, net | (879) | (567) | (9,957)
Purchases of marketable securities, commodities and time deposits | (34,695) | (16,403) | (1,900)
Proceeds from sale of marketable securities, commodities and time deposits | 39,357 | 2,298 | 492
Net cash flows from/(used in) investing activities from continuing operations | 1,468 | 4,208 | (13,055)
Net cash flows used in investing activities from discontinued operations |  |  | (127)
Net cash flows from/(used in) investing activities | 1,468 | 4,208 | (13,182)
Dividends paid to shareholders of Novartis AG | (7,506) | (7,368) | (6,987)
Acquisitions of treasury shares | (10,652) | (3,057) | (2,842)
Proceeds from exercised options and other treasury share transactions, net | 100 | 53 | 748
Increase in non-current financial debts | 16 | 16 | 7,126
Repayments of the current portion of non-current financial debts | (2,575) | (2,162) | (2,003)
Change in current financial debts | 295 | (3,524) | 2,261
Payments of lease liabilities | (295) | (316) | (312)
Impact of change in ownership of consolidated entities |  | (3) | (2)
Other financing cash flows, net | 55 | 97 | (147)
Net cash flows used in financing activities from continuing operations | (20,562) | (16,264) | (2,158)
Net cash flows used in financing activities from discontinued operations |  |  | (50)
Net cash flows used in financing activities | (20,562) | (16,264) | (2,208)
Net change in cash and cash equivalents before effect of exchange rate changes | (4,858) | 3,015 | (1,740)
Effect of exchange rate changes on cash and cash equivalents | (32) | (266) | 286
Net change in cash and cash equivalents | (4,890) | 2,749 | (1,454)
Cash and cash equivalents at beginning of period | 12,407 | 9,658 | 11,112
Cash and cash equivalents at end of period | $ 7,517 | $ 12,407 | $ 9,658

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- Definition The total of income less expenses from continuing and discontinued operations, excluding the components of other comprehensive income. [Refer: Other comprehensive income] + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Name IAS -Number 7 -IssueDate 2022-03-24 -Paragraph 18 -Subparagraph b -URI https://taxonomy.ifrs.org/xifrs-link?type=IAS&num=7&code=ifrs-tx-2022-en-r&anchor=para_18_b&doctype=Standard -URIDate 2022-03-24 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Name IFRS -Number 1 -IssueDate 2022-03-24 -Paragraph 32 -Subparagraph a -Clause ii -URI https://taxonomy.ifrs.org/xifrs-link?type=IFRS&num=1&code=ifrs-tx-2022-en-r&anchor=para_32_a_ii&doctype=Standard -URIDate 2022-03-24 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Name IFRS -Number 1 -IssueDate 2022-03-24 -Paragraph 24 -Subparagraph b -URI https://taxonomy.ifrs.org/xifrs-link?type=IFRS&num=1&code=ifrs-tx-2022-en-r&anchor=para_24_b&doctype=Standard -URIDate 2022-03-24 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Name IFRS -Number 8 -IssueDate 2022-03-24 -Paragraph 28 -Subparagraph b -URI https://taxonomy.ifrs.org/xifrs-link?type=IFRS&num=8&code=ifrs-tx-2022-en-r&anchor=para_28_b&doctype=Standard -URIDate 2022-03-24 Reference 5: http://www.xbrl.org/2003/role/exampleRef -Note Effective on first application of IFRS 9 -Name IFRS -Number 4 -IssueDate 2022-03-24 -Paragraph 39L -Subparagraph e -URI https://taxonomy.ifrs.org/xifrs-link?type=IFRS&num=4&code=ifrs-tx-2022-en-b&anchor=para_39L_e&doctype=Standard -URIDate 2022-03-24 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Name IFRS -Number 8 -IssueDate 2022-03-24 -Paragraph 23 -URI https://taxonomy.ifrs.org/xifrs-link?type=IFRS&num=8&code=ifrs-tx-2022-en-r&anchor=para_23&doctype=Standard -URIDate 2022-03-24 Reference 7: http://www.xbrl.org/2003/role/exampleRef -Name IFRS -Number 12 -IssueDate 2022-03-24 -Paragraph B10 -Subparagraph b -URI https://taxonomy.ifrs.org/xifrs-link?type=IFRS&num=12&code=ifrs-tx-2022-en-r&anchor=para_B10_b&doctype=Appendix&subtype=B -URIDate 2022-03-24 Reference 8: http://www.xbrl.org/2003/role/exampleRef -Note Effective 2023-01-01 -Name IFRS -Number 17 -IssueDate 2022-03-24 -Paragraph 113 -Subparagraph b -URI https://taxonomy.ifrs.org/xifrs-link?type=IFRS&num=17&code=ifrs-tx-2022-en-r&anchor=para_113_b&doctype=Standard -URIDate 2022-03-24 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Name IAS -Number 1 -IssueDate 2022-03-24 -Paragraph 81A -Subparagraph a -URI https://taxonomy.ifrs.org/xifrs-link?type=IAS&num=1&code=ifrs-tx-2022-en-r&anchor=para_81A_a&doctype=Standard -URIDate 2022-03-24 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Name IAS -Number 1 -IssueDate 2022-03-24 -Paragraph 106 -Subparagraph d -Clause i -URI https://taxonomy.ifrs.org/xifrs-link?type=IAS&num=1&code=ifrs-tx-2022-en-r&anchor=para_106_d_i&doctype=Standard -URIDate 2022-03-24 + Details
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- Definition The cash outflow for the purchase of financial instruments. [Refer: Financial instruments, class [member]] + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Name IAS -Number 7 -IssueDate 2022-03-24 -Paragraph 16 -URI https://taxonomy.ifrs.org/xifrs-link?type=IAS&num=7&code=ifrs-tx-2022-en-r&anchor=para_16&doctype=Standard -URIDate 2022-03-24 + Details
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- Definition The cash outflow for the purchases of intangible assets, classified as investing activities. [Refer: Intangible assets other than goodwill] + 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 the purchase of investments other than investments accounted for using equity method. [Refer: Investments accounted for using equity method; Investments other than investments accounted for using equity method] + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Name IAS -Number 7 -IssueDate 2022-03-24 -Paragraph 16 -URI https://taxonomy.ifrs.org/xifrs-link?type=IAS&num=7&code=ifrs-tx-2022-en-r&anchor=para_16&doctype=Standard -URIDate 2022-03-24 + Details
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- Definition The cash outflow for the purchases of long-term assets that the entity does not separately disclose in the same statement or note, classified as investing activities. [Refer: Assets] + 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 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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