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v3.21.2

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2021 | Jun. 30, 2020
Cash flows from operating activities: |  |
Cash receipts from customers | $ 136,621 | $ 129,218
Cash paid for inventory and prescriptions dispensed by retail network pharmacies | (79,316) | (76,381)
Insurance benefits paid | (31,245) | (26,483)
Cash paid to other suppliers and employees | (14,900) | (14,688)
Interest and investment income received | 394 | 395
Interest paid | (1,263) | (1,407)
Income taxes paid | (1,552) | (230)
Net cash provided by operating activities | 8,739 | 10,424
Cash flows from investing activities: |  |
Proceeds from sales and maturities of investments | 3,947 | 2,710
Purchases of investments | (5,570) | (3,688)
Purchases of property and equipment | (1,315) | (1,190)
Acquisitions (net of cash acquired) | (108) | (768)
Other | 72 | 6
Net cash used in investing activities | (2,974) | (2,930)
Cash flows from financing activities: |  |
Proceeds from issuance of long-term debt | 0 | 3,946
Repayments of long-term debt | (5,423) | (1,016)
Dividends paid | (1,306) | (1,315)
Proceeds from exercise of stock options | 330 | 166
Payments for taxes related to net share settlement of equity awards | (159) | (68)
Other | 0 | (16)
Net cash provided by (used in) financing activities | (6,558) | 1,697
Net increase (decrease) in cash, cash equivalents and restricted cash | (793) | 9,191
Cash, cash equivalents and restricted cash at the beginning of the period | 8,130 | 5,954
Cash, cash equivalents and restricted cash at the end of the period | 7,337 | 15,145
Reconciliation of net income to net cash provided by operating activities: |  |
Net income | 5,015 | 4,998
Adjustments required to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 2,263 | 2,188
Stock-based compensation | 232 | 179
Deferred income taxes and other noncash items | (370) | (101)
Change in operating assets and liabilities, net of effects from acquisitions: |  |
Accounts receivable, net | (2,384) | (2,233)
Inventories | 1,517 | 1,003
Other assets | (145) | (560)
Accounts payable and pharmacy claims and discounts payable | 1,702 | 1,671
Health care costs payable and other insurance liabilities | 104 | (415)
Other liabilities | 805 | 3,694
Net cash provided by operating activities | $ 8,739 | $ 10,424

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