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v3.21.1

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2021 | Mar. 31, 2020
Operating activities |  |
Net earnings | $ 4,978 | $ 3,465
Noncash items: |  |
Depreciation and amortization | 758 | 723
Deferred income taxes | 341 | 202
Share-based compensation | 256 | 231
Other, net | (55) | 45
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: |  |
Accounts receivable | (2,895) | (2,652)
Other assets | (955) | (4,249)
Medical costs payable | 2,968 | 1,120
Accounts payable and other liabilities | 870 | 4,137
Unearned revenues | (261) | (79)
Cash flows from operating activities | 6,005 | 2,943
Investing activities |  |
Purchases of investments | (4,612) | (3,866)
Sales of investments | 643 | 2,170
Maturities of investments | 2,255 | 1,726
Cash paid for acquisitions, net of cash assumed | (1,193) | (929)
Purchases of property, equipment and capitalized software | (568) | (469)
Other, net | (232) | (165)
Cash flows used for investing activities | (3,707) | (1,533)
Financing activities |  |
Common share repurchases | (1,650) | (1,691)
Cash dividends paid | (1,181) | (1,024)
Proceeds from common stock issuances | 436 | 557
Repayments of long-term debt | (1,150) | 0
Proceeds from short-term borrowings, net | 4,057 | 10,797
Customer funds administered | 2,131 | 1,062
Other, net | (1,856) | (398)
Cash flows from financing activities | 787 | 9,303
Effect of exchange rate changes on cash and cash equivalents | (51) | (129)
Increase in cash and cash equivalents | 3,034 | 10,584
Cash and cash equivalents, beginning of period | 16,921 | 10,985
Cash and cash equivalents, end of period | $ 19,955 | $ 21,569

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