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v3.22.1

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2022 | Mar. 31, 2021
Cash flows from operating activities: |  |
Cash receipts from customers | $ 74,192 | $ 66,487
Cash paid for inventory and prescriptions dispensed by retail network pharmacies | (44,365) | (39,171)
Insurance benefits paid | (16,616) | (15,456)
Cash paid to other suppliers and employees | (8,969) | (8,270)
Interest and investment income received | 199 | 222
Interest paid | (782) | (876)
Income taxes paid | (96) | (44)
Net cash provided by operating activities | 3,563 | 2,892
Cash flows from investing activities: |  |
Proceeds from sales and maturities of investments | 2,570 | 2,177
Purchases of investments | (3,474) | (3,131)
Purchases of property and equipment | (1,051) | (829)
Acquisitions (net of cash acquired) | (7) | (84)
Other | (31) | 0
Net cash used in investing activities | (1,993) | (1,867)
Cash flows from financing activities: |  |
Net borrowings of short-term debt | 0 | 252
Repayments of long-term debt | (14) | (3,049)
Repurchase of common stock | (2,000) | 0
Dividends paid | (722) | (656)
Proceeds from exercise of stock options | 297 | 212
Payments for taxes related to net share settlement of equity awards | (62) | (3)
Other | (149) | 59
Net cash used in financing activities | (2,650) | (3,185)
Net decrease in cash, cash equivalents and restricted cash | (1,080) | (2,160)
Cash, cash equivalents and restricted cash at the beginning of the period | 12,691 | 11,043
Cash, cash equivalents and restricted cash at the end of the period | 11,611 | 8,883
Reconciliation of net income to net cash provided by operating activities: |  |
Net income | 2,313 | 2,224
Adjustments required to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 1,055 | 1,126
Stock-based compensation | 89 | 87
Deferred income taxes and other noncash items | (187) | (166)
Change in operating assets and liabilities, net of effects from acquisitions: |  |
Accounts receivable, net | (1,967) | (2,093)
Inventories | (400) | 879
Other assets | (352) | (286)
Accounts payable and pharmacy claims and discounts payable | 1,974 | 576
Health care costs payable and other insurance liabilities | 1,478 | 294
Other liabilities | (440) | 251
Net cash provided by operating activities | $ 3,563 | $ 2,892

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