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v3.22.2.2

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2022 | Sep. 30, 2021
Cash flows from operating activities |  |
Net income | $ 2,820 | $ 2,947
Adjustments to reconcile net income to net cash provided by (used in) operating activities: |  |
Gain on sale of KAH Hospice | (240) | 0
Loss on investment securities, net | 136 | 18
Gain on Kindred at Home equity method investment | 0 | (1,129)
Equity in net earnings | (1) | (69)
Stock-based compensation | 173 | 132
Depreciation | 555 | 468
Amortization | 73 | 51
Impairment on property and equipment | 144 | 0
Deferred income taxes | (33) | 0
Changes in operating assets and liabilities, net of effect of businesses acquired and disposed: |  |
Receivables | 11 | (294)
Other assets | (465) | (476)
Benefits payable | 948 | 573
Other liabilities | (195) | 207
Unearned revenues | 5,758 | (84)
Other | 30 | 14
Net cash provided by operating activities | 9,714 | 2,358
Cash flows from investing activities |  |
Proceeds from sale of KAH Hospice, net | 2,708 | 0
Acquisitions, net of cash and cash equivalents acquired | (293) | (3,959)
Purchases of property and equipment, net | (862) | (945)
Purchases of investment securities | (4,740) | (6,573)
Proceeds from maturities of investment securities | 1,214 | 2,103
Proceeds from sales of investment securities | 1,979 | 2,920
Net cash provided by (used in) investing activities | 6 | (6,454)
Cash flows from financing activities |  |
Receipts from contract deposits, net | 3,787 | 605
Proceeds from issuance of senior notes, net | 744 | 2,984
(Repayments) proceeds from issuance of commercial paper, net | (660) | 193
Proceeds from term loan | 0 | 500
Repayment of term loan | (2,000) | (150)
Debt issue costs | (2) | (29)
Change in book overdraft | (89) | (80)
Common stock repurchases | (1,032) | (36)
Dividends paid | (291) | (263)
Other | (13) | 3
Net cash provided by financing activities | 444 | 3,727
Increase (decrease) in cash and cash equivalents | 10,164 | (369)
Cash and cash equivalents at beginning of period | 3,394 | 4,673
Cash and cash equivalents at end of period | 13,558 | 4,304
Supplemental cash flow disclosures: |  |
Interest payments | 256 | 183
Income tax payments, net | 751 | 219
Details of businesses acquired in purchase transactions: |  |
Fair value of assets acquired, net of cash and cash equivalents acquired | 411 | 9,572
Less: Fair value of liabilities assumed | (65) | (3,231)
Less: Noncontrolling interests acquired | (53) | (22)
Less: Remeasured existing Kindred at Home equity method investment | 0 | (2,360)
Cash paid for acquired businesses, net of cash and cash equivalents acquired | $ 293 | $ 3,959

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