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v3.21.2

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2021 | Jun. 30, 2020
Operating activities |  |
Net earnings | $ 9,350 | $ 10,161
Noncash items: |  |
Depreciation and amortization | 1,536 | 1,440
Deferred income taxes | 327 | 114
Share-based compensation | 426 | 388
Other, net | (214) | 124
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: |  |
Accounts receivable | (1,218) | (439)
Other assets | (1,523) | (3,784)
Medical costs payable | 3,086 | (2,353)
Accounts payable and other liabilities | 298 | 7,591
Unearned revenues | (523) | (296)
Cash flows from operating activities | 11,545 | 12,946
Investing activities |  |
Purchases of investments | (8,847) | (6,412)
Sales of investments | 1,408 | 3,548
Maturities of investments | 4,650 | 3,437
Cash paid for acquisitions, net of cash assumed | (4,642) | (3,952)
Purchases of property, equipment and capitalized software | (1,130) | (920)
Other, net | (648) | (186)
Cash flows used for investing activities | (9,209) | (4,485)
Financing activities |  |
Common share repurchases | (2,900) | (1,691)
Cash dividends paid | (2,548) | (2,212)
Proceeds from common stock issuances | 764 | 870
Repayments of long-term debt | (1,900) | 0
(Repayments of) proceeds from short-term borrowings, net | (176) | 351
Proceeds from issuance of long-term debt | 6,934 | 4,864
Customer funds administered | 2,395 | 1,263
Purchases of redeemable noncontrolling interests | (1,338) | 0
Other, net | (662) | (421)
Cash flows from financing activities | 569 | 3,024
Effect of exchange rate changes on cash and cash equivalents | 6 | (143)
Increase in cash and cash equivalents | 2,911 | 11,342
Cash and cash equivalents, beginning of period | 16,921 | 10,985
Cash and cash equivalents, end of period | $ 19,832 | $ 22,327

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