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v3.19.3

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2019 | Sep. 30, 2018
Cash flows from operating activities: |  |
Cash receipts from customers | $ 184,519 | $ 132,275
Cash paid for inventory and prescriptions dispensed by retail network pharmacies | (109,958) | (107,920)
Insurance benefits paid | (38,812) | (2,400)
Cash paid to other suppliers and employees | (21,411) | (12,305)
Interest and investment income received | 756 | 406
Interest paid | (2,675) | (1,759)
Income taxes paid | (2,205) | (1,911)
Net cash provided by operating activities | 10,214 | 6,386
Cash flows from investing activities: |  |
Proceeds from sales and maturities of investments | 5,616 | 43
Purchases of investments | (6,011) | (97)
Purchases of property and equipment | (1,890) | (1,452)
Acquisitions (net of cash acquired) | (361) | (616)
Proceeds from sale of subsidiary | 0 | 725
Other | 16 | 11
Net cash used in investing activities | (2,630) | (1,386)
Cash flows from financing activities: |  |
Net borrowings (repayments) of short-term debt | 350 | (1,276)
Proceeds from issuance of long-term debt | 3,458 | 39,376
Repayments of long-term debt | (8,350) | (2,266)
Derivative settlements | (25) | 446
Dividends paid | (1,952) | (1,528)
Proceeds from exercise of stock options | 183 | 214
Payments for taxes related to net share settlement of equity awards | (85) | (39)
Other | 11 | 0
Net cash provided by (used in) financing activities | (6,410) | 34,927
Net increase in cash, cash equivalents and restricted cash | 1,174 | 39,927
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 | 5,469 | 41,827
Reconciliation of net income (loss) to net cash provided by operating activities: |  |
Net income (loss) | 4,887 | (175)
Adjustments required to reconcile net income (loss) to net cash provided by operating activities: |  |
Depreciation and amortization | 3,275 | 1,911
Goodwill impairment | 0 | 3,921
Stock-based compensation | 355 | 172
Loss on sale of subsidiary | 205 | 86
Loss on early extinguishment of debt | 79 | 0
Deferred income taxes and other noncash items | (38) | 210
Change in operating assets and liabilities, net of effects from acquisitions: |  |
Accounts receivable, net | (2,312) | (1,725)
Inventories | 413 | 472
Other assets | (374) | (3)
Accounts payable and pharmacy claims and discounts payable | 2,330 | 1,839
Health care costs payable and other insurance liabilities | 535 | 0
Other liabilities | 859 | (322)
Net cash provided by operating activities | $ 10,214 | $ 6,386

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- Definition Cash receipts from customers during the current period which are usually for sales of goods and services. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3536-108585 + Details
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- Definition Cash received for dividends and interest on the entity's equity and debt investments during the current period. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 16 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3337-108585 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3536-108585 + Details
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