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v3.22.2.2

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2022 | Sep. 30, 2021
Operating activities |  |
Net earnings | $ 15,731 | $ 13,541
Noncash items: |  |
Depreciation and amortization | 2,418 | 2,332
Deferred income taxes | (590) | 373
Share-based compensation | 675 | 591
Other, net | 0 | (195)
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: |  |
Accounts receivable | (2,563) | (847)
Other assets | (741) | (1,435)
Medical costs payable | 4,192 | 3,925
Accounts payable and other liabilities | 1,416 | 1,171
Unearned revenues | 10,201 | (331)
Cash flows from operating activities | 30,739 | 19,125
Investing activities |  |
Purchases of investments | (14,183) | (12,827)
Sales of investments | 5,376 | 2,569
Maturities of investments | 4,740 | 6,556
Cash paid for acquisitions, net of cash assumed | (7,154) | (4,727)
Purchases of property, equipment and capitalized software | (1,936) | (1,759)
Other, net | 50 | (900)
Cash flows used for investing activities | (13,107) | (11,088)
Financing activities |  |
Common share repurchases | (6,000) | (3,950)
Cash dividends paid | (4,450) | (3,915)
Proceeds from common stock issuances | 1,084 | 1,077
Repayments of long-term debt | (2,100) | (1,900)
Repayments of short-term borrowings, net | (16) | (1,301)
Proceeds from issuance of long-term debt | 5,922 | 6,934
Customer funds administered | 7,028 | 1,402
Purchases of redeemable noncontrolling interests | (176) | (1,338)
Other, net | (1,458) | (837)
Cash flows used for financing activities | (166) | (3,828)
Effect of exchange rate changes on cash and cash equivalents | 4 | (45)
Increase in cash and cash equivalents | 17,470 | 4,164
Cash and cash equivalents, beginning of period | 21,375 | 16,921
Cash and cash equivalents, end of period | $ 38,845 | $ 21,085

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