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v3.20.2

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2020 | Jun. 30, 2019
Cash flows from operating activities: |  |
Cash receipts from customers | $ 129,218 | $ 120,808
Cash paid for inventory and prescriptions dispensed by retail network pharmacies | (76,381) | (70,567)
Insurance benefits paid | (26,483) | (25,992)
Cash paid to other suppliers and employees | (14,688) | (14,497)
Interest and investment income received | 395 | 512
Interest paid | (1,407) | (1,502)
Income taxes paid | (230) | (1,476)
Net cash provided by operating activities | 10,424 | 7,286
Cash flows from investing activities: |  |
Proceeds from sales and maturities of investments | 2,710 | 3,786
Purchases of investments | (3,688) | (4,062)
Purchases of property and equipment | (1,190) | (1,289)
Acquisitions (net of cash acquired) | (768) | (250)
Other | 6 | 14
Net cash used in investing activities | (2,930) | (1,801)
Cash flows from financing activities: |  |
Net repayments of short-term debt | 0 | (275)
Proceeds from issuance of long-term debt | 3,946 | 0
Repayments of long-term debt | (1,016) | (1,899)
Dividends paid | (1,315) | (1,306)
Proceeds from exercise of stock options | 166 | 111
Payments for taxes related to net share settlement of equity awards | (68) | (80)
Other | (16) | 7
Net cash provided by (used in) financing activities | 1,697 | (3,442)
Net increase in cash, cash equivalents and restricted cash | 9,191 | 2,043
Cash, cash equivalents and restricted cash at the beginning of the period | 5,954 | 4,295
Cash, cash equivalents and restricted cash at the end of the period | 15,145 | 6,338
Reconciliation of net income to net cash provided by operating activities: |  |
Net income | 4,998 | 3,358
Adjustments required to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 2,188 | 2,183
Stock-based compensation | 179 | 226
Deferred income taxes and other noncash items | (101) | (42)
Change in operating assets and liabilities, net of effects from acquisitions: |  |
Accounts receivable, net | (2,233) | (681)
Inventories | 1,003 | 939
Other assets | (560) | (314)
Accounts payable and pharmacy claims and discounts payable | 1,671 | 917
Health care costs payable and other insurance liabilities | (415) | 496
Other liabilities | 3,694 | 204
Net cash provided by operating activities | $ 10,424 | $ 7,286

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