XML 18 R8.htm IDEA: XBRL DOCUMENT 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