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Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2024 | Jun. 30, 2023
Operating activities |  |
Net earnings | $ 3,200 | $ 11,431
Noncash items: |  |
Depreciation and amortization | 2,017 | 1,991
Deferred income taxes | (358) | (482)
Share-based compensation | 594 | 604
Loss on sale of subsidiary and subsidiaries held for sale | (8,311) | 0
Other, net | 459 | (91)
Net change in other operating items, net of effects from acquisitions, dispositions and changes in AARP balances: |  |
Accounts receivable | (2,471) | 197
Other assets | (4,121) | (2,001)
Medical costs payable | 777 | 2,408
Accounts payable and other liabilities | 36 | 1,547
Unearned revenues | (554) | 11,755
Cash flows from operating activities | 7,890 | 27,359
Investing activities |  |
Purchases of investments | (10,130) | (9,225)
Sales of investments | 5,288 | 3,188
Maturities of investments | 4,621 | 4,463
Cash paid for acquisitions, net of cash assumed | (3,031) | (8,161)
Purchases of property, equipment and capitalized software | (1,596) | (1,589)
Loans to providers - cyberattack | (8,100) | 0
Other, net | (809) | (424)
Cash flows used for investing activities | (13,757) | (11,748)
Financing activities |  |
Common share repurchases | (3,072) | (5,000)
Cash dividends paid | (3,664) | (3,284)
Proceeds from common stock issuances | 744 | 628
Repayments of long-term debt | (1,750) | (2,125)
Proceeds from short-term borrowings, net | 8,615 | 3,426
Proceeds from issuance of long-term debt | 5,925 | 6,394
Customer funds administered | 990 | 4,069
Other, net | (753) | (1,377)
Cash flows from financing activities | 7,035 | 2,731
Effect of exchange rate changes on cash and cash equivalents | (44) | 106
Increase in cash and cash equivalents, including cash within businesses held for sale | 1,124 | 18,448
Less: cash within businesses held for sale | (265) | 0
Net increase in cash and cash equivalents | 859 | 18,448
Cash and cash equivalents, beginning of period | 25,427 | 23,365
Cash and cash equivalents, end of period | $ 26,286 | $ 41,813

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