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v3.21.2

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2021 | Sep. 30, 2020
Operating activities |  |
Net earnings | $ 13,541 | $ 13,417
Noncash items: |  |
Depreciation and amortization | 2,332 | 2,159
Deferred income taxes | 373 | 119
Share-based compensation | 591 | 527
Other, net | (195) | 48
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: |  |
Accounts receivable | (847) | (194)
Other assets | (1,435) | (2,697)
Medical costs payable | 3,925 | (615)
Accounts payable and other liabilities | 1,171 | 3,441
Unearned revenues | (331) | (132)
Cash flows from operating activities | 19,125 | 16,073
Investing activities |  |
Purchases of investments | (12,827) | (11,570)
Sales of investments | 2,569 | 4,887
Maturities of investments | 6,556 | 5,297
Cash paid for acquisitions, net of cash assumed | (4,727) | (4,326)
Purchases of property, equipment and capitalized software | (1,759) | (1,477)
Other, net | (900) | (165)
Cash flows used for investing activities | (11,088) | (7,354)
Financing activities |  |
Common share repurchases | (3,950) | (2,541)
Cash dividends paid | (3,915) | (3,400)
Proceeds from common stock issuances | 1,077 | 1,206
Repayments of long-term debt | (1,900) | (1,500)
Repayments of short-term borrowings, net | (1,301) | (423)
Proceeds from issuance of long-term debt | 6,934 | 4,864
Customer funds administered | 1,402 | 249
Purchases of redeemable noncontrolling interests | (1,338) | 0
Other, net | (837) | (449)
Cash flows used for financing activities | (3,828) | (1,994)
Effect of exchange rate changes on cash and cash equivalents | (45) | (160)
Increase in cash and cash equivalents | 4,164 | 6,565
Cash and cash equivalents, beginning of period | 16,921 | 10,985
Cash and cash equivalents, end of period | $ 21,085 | $ 17,550

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