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v3.23.1

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2023 | Mar. 31, 2022
Cash flows from operating activities |  |
Net income | $ 1,238 | $ 930
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Loss on investment securities, net | 60 | 76
Equity in net losses | 17 | 4
Stock-based compensation | 38 | 43
Depreciation | 200 | 181
Amortization | 18 | 24
Changes in operating assets and liabilities, net of effect of businesses acquired and disposed: |  |
Receivables | (1,433) | (1,360)
Other assets | (907) | (628)
Benefits payable | 754 | 1,089
Other liabilities | (238) | (103)
Unearned revenues | 6,934 | 34
Other | 6 | 12
Net cash provided by operating activities | 6,687 | 302
Cash flows from investing activities |  |
Acquisitions, net of cash and cash equivalents acquired | (73) | (74)
Purchases of property and equipment, net | (223) | (295)
Purchases of investment securities | (1,313) | (2,161)
Proceeds from maturities of investment securities | 267 | 588
Proceeds from sales of investment securities | 50 | 1,294
Net cash used in investing activities | (1,292) | (648)
Cash flows from financing activities |  |
Receipts from contract deposits, net | 2,997 | 2,475
Proceeds from issuance of senior notes, net | 1,215 | 744
Repayments of senior notes | (60) | 0
Repayments from issuance of commercial paper, net | (177) | (265)
Repayment of term loan | (500) | 0
Debt issue costs | (4) | (1)
Change in book overdraft | 108 | (9)
Common stock repurchases | (94) | (1,024)
Dividends paid | (100) | (91)
Other | (106) | (13)
Net cash provided by financing activities | 3,279 | 1,816
Increase in cash and cash equivalents | 8,674 | 1,470
Cash and cash equivalents at beginning of period | 5,061 | 3,394
Cash and cash equivalents at end of period | 13,735 | 4,864
Supplemental cash flow disclosures: |  |
Interest payments | 97 | 67
Income tax payments (refund), net | 6 | (20)
Details of businesses acquired in purchase transactions: |  |
Fair value of assets acquired, net of cash and cash equivalents acquired | 73 | 84
Less: Fair value of liabilities assumed | (5) | (10)
Less: Noncontrolling interests acquired | 5 | 0
Cash paid for acquired businesses, net of cash and cash equivalents acquired | $ 73 | $ 74

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