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v3.19.2

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2019 | Jun. 30, 2018
Cash flows from operating activities: |  |
Cash receipts from customers | $ 120,808 | $ 87,977
Cash paid for inventory and prescriptions dispensed by retail network pharmacies | (70,567) | (70,763)
Insurance benefits paid | (25,992) | (1,737)
Cash paid to other suppliers and employees | (14,497) | (8,471)
Interest and investment income received | 512 | 194
Interest paid | (1,502) | (560)
Income taxes paid | (1,476) | (1,351)
Net cash provided by operating activities | 7,286 | 5,289
Cash flows from investing activities: |  |
Purchases of investments | 3,786 | 37
Purchases of investments | (4,062) | (53)
Purchases of property and equipment | (1,289) | (912)
Acquisitions (net of cash acquired) | (250) | (556)
Proceeds from sale of subsidiary | 0 | 725
Other | 14 | 7
Net cash used in investing activities | (1,801) | (752)
Cash flows from financing activities: |  |
Net repayments of short-term debt | (275) | (1,276)
Proceeds from issuance of long-term debt | 0 | 39,376
Repayments of long-term debt | (1,899) | (1)
Derivative settlements | 0 | 446
Dividends paid | (1,306) | (1,018)
Proceeds from exercise of stock options | 111 | 130
Payments for taxes related to net share settlement of equity awards | (80) | (37)
Other | 7 | 0
Net cash provided by (used in) financing activities | (3,442) | 37,620
Net increase in cash, cash equivalents and restricted cash | 2,043 | 42,157
Cash, cash equivalents and restricted cash at the beginning of the period | 4,295 | 1,900
Cash, cash equivalents and restricted cash at the end of the period | 6,338 | 44,057
Reconciliation of net income (loss) to net cash provided by operating activities: |  |
Net income (loss) | 3,358 | (1,565)
Adjustments required to reconcile net income (loss) to net cash provided by operating activities: |  |
Depreciation and amortization | 2,183 | 1,291
Goodwill impairment | 0 | 3,921
Deferred income taxes and other noncash items | 226 | 110
Deferred income taxes and other noncash items | (42) | 252
Change in operating assets and liabilities, net of effects from acquisitions: |  |
Accounts receivable, net | (681) | (1,059)
Inventories | 939 | 369
Other assets | (314) | (174)
Accounts payable and pharmacy claims and discounts payable | 917 | 1,045
Health care costs payable and other insurance liabilities | 496 | 224
Reconciliation of net income (loss) to net cash provided by operating activities: | 204 | 875
Net cash provided by operating activities | $ 7,286 | $ 5,289

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