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v3.23.2

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2023 | Jun. 30, 2022
Operating activities |  |
Net earnings | $ 11,431 | $ 10,347
Noncash items: |  |
Depreciation and amortization | 1,991 | 1,590
Deferred income taxes | (482) | (15)
Share-based compensation | 604 | 504
Other, net | (91) | 215
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: |  |
Accounts receivable | 197 | (4,204)
Other assets | (2,001) | (643)
Medical costs payable | 2,408 | 4,029
Accounts payable and other liabilities | 1,547 | 807
Unearned revenues | 11,755 | (440)
Cash flows from operating activities | 27,359 | 12,190
Investing activities |  |
Purchases of investments | (9,225) | (8,903)
Sales of investments | 3,188 | 2,348
Maturities of investments | 4,463 | 3,189
Cash paid for acquisitions, net of cash assumed | (8,161) | (7,150)
Purchases of property, equipment and capitalized software | (1,589) | (1,212)
Other, net | (424) | (532)
Cash flows used for investing activities | (11,748) | (12,260)
Financing activities |  |
Common share repurchases | (5,000) | (5,000)
Cash dividends paid | (3,284) | (2,908)
Proceeds from common stock issuances | 628 | 756
Repayments of long-term debt | (2,125) | (1,100)
Proceeds from short-term borrowings, net | 3,426 | 1,340
Proceeds from issuance of long-term debt | 6,394 | 5,922
Customer funds administered | 4,069 | 5,786
Other, net | (1,377) | (1,546)
Cash flows from financing activities | 2,731 | 3,250
Effect of exchange rate changes on cash and cash equivalents | 106 | 57
Increase in cash and cash equivalents | 18,448 | 3,237
Cash and cash equivalents, beginning of period | 23,365 | 21,375
Cash and cash equivalents, end of period | $ 41,813 | $ 24,612

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