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v3.22.2

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2022 | Jun. 30, 2021
Operating activities |  |
Net earnings | $ 10,347 | $ 9,350
Noncash items: |  |
Depreciation and amortization | 1,590 | 1,536
Deferred income taxes | (15) | 327
Share-based compensation | 504 | 426
Other, net | 215 | (214)
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: |  |
Accounts receivable | (4,204) | (1,218)
Other assets | (643) | (1,523)
Medical costs payable | 4,029 | 3,086
Accounts payable and other liabilities | 807 | 298
Unearned revenues | (440) | (523)
Cash flows from operating activities | 12,190 | 11,545
Investing activities |  |
Purchases of investments | (8,903) | (8,847)
Sales of investments | 2,348 | 1,408
Maturities of investments | 3,189 | 4,650
Cash paid for acquisitions, net of cash assumed | (7,150) | (4,642)
Purchases of property, equipment and capitalized software | (1,212) | (1,130)
Other, net | (532) | (648)
Cash flows used for investing activities | (12,260) | (9,209)
Financing activities |  |
Common share repurchases | (5,000) | (2,900)
Cash dividends paid | (2,908) | (2,548)
Proceeds from common stock issuances | 756 | 764
Repayments of long-term debt | (1,100) | (1,900)
Proceeds from (repayments of) short-term borrowings, net | 1,340 | (176)
Proceeds from issuance of long-term debt | 5,922 | 6,934
Customer funds administered | 5,786 | 2,395
Purchases of redeemable noncontrolling interests | (97) | (1,338)
Other, net | (1,449) | (662)
Cash flows used for financing activities | 3,250 | 569
Effect of exchange rate changes on cash and cash equivalents | 57 | 6
Increase in cash and cash equivalents | 3,237 | 2,911
Cash and cash equivalents, beginning of period | 21,375 | 16,921
Cash and cash equivalents, end of period | $ 24,612 | $ 19,832

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