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v3.20.1

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2020 | Mar. 31, 2019
Operating activities |  |
Net earnings | $ 3,465 | $ 3,557
Noncash items: |  |
Depreciation and amortization | 723 | 639
Deferred income taxes | 202 | 134
Share-based compensation | 231 | 243
Other, net | 45 | 42
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: |  |
Accounts receivable | (2,652) | (1,421)
Other assets | (4,249) | (1,495)
Medical costs payable | 1,120 | 1,125
Accounts payable and other liabilities | 4,137 | 318
Unearned revenues | (79) | 92
Cash flows from operating activities | 2,943 | 3,234
Investing activities |  |
Purchases of investments | (3,866) | (3,540)
Sales of investments | 2,170 | 1,510
Maturities of investments | 1,726 | 1,711
Cash paid for acquisitions, net of cash assumed | (929) | (689)
Purchases of property, equipment and capitalized software | (469) | (562)
Other, net | (165) | 154
Cash flows used for investing activities | (1,533) | (1,416)
Financing activities |  |
Common share repurchases | (1,691) | (3,002)
Cash dividends paid | (1,024) | (860)
Proceeds from common stock issuances | 557 | 323
Repayments of long-term debt | 0 | (1,250)
Proceeds from short-term borrowings, net | 10,797 | 3,101
Customer funds administered | 1,062 | 1,784
Other, net | (398) | (368)
Cash flows from (used for) financing activities | 9,303 | (272)
Effect of exchange rate changes on cash and cash equivalents | (129) | (5)
Increase in cash and cash equivalents | 10,584 | 1,541
Cash and cash equivalents, beginning of period | 10,985 | 10,866
Cash and cash equivalents, end of period | $ 21,569 | $ 12,407

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