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v3.20.2

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2020 | Jun. 30, 2019
Cash flows from operating activities: |  |
Net earnings | $ 1,248 | $ 1,011
Adjustments to reconcile net earnings to net cash provided by operating activities |  |
Depreciation and amortization | 618 | 313
Stock compensation expense | 164 | 72
Impairment | 72 | 0
Loss on debt extinguishment | 44 | 0
Deferred income taxes | 17 | (10)
Gain on divestiture | (104) | 0
Other adjustments, net | 2 | 0
Changes in assets and liabilities |  |
Premium and trade receivables | (1,159) | 234
Other assets | 202 | (47)
Medical claims liabilities | 146 | 558
Unearned revenue | (127) | (138)
Accounts payable and accrued expenses | 1,309 | (616)
Other long-term liabilities | 1,028 | 869
Other operating activities, net | 14 | (13)
Net cash provided by operating activities | 3,474 | 2,233
Cash flows from investing activities: |  |
Capital expenditures | (412) | (336)
Purchases of investments | (1,849) | (1,280)
Sales and maturities of investments | 1,768 | 719
Acquisitions, net of cash acquired | (3,000) | (32)
Divestiture proceeds, net of divested cash | 466 | 0
Other investing activities, net | (5) | 0
Net cash used in investing activities | (3,032) | (929)
Cash flows from financing activities: |  |
Proceeds from long-term debt | 2,630 | 5,617
Payments of long-term debt | (1,598) | (5,353)
Common stock repurchases | (561) | (37)
Payments for debt extinguishment | (21) | 0
Debt issuance costs | (93) | 0
Other financing activities, net | 22 | 9
Net cash provided by financing activities | 379 | 236
Effect of exchange rate changes on cash, cash equivalents, and restricted cash | 3 | 2
Net increase in cash, cash equivalents and restricted cash and cash equivalents | 824 | 1,542
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period | 12,131 | 5,350
Cash, cash equivalents, and restricted cash and cash equivalents, end of period | 12,955 | 6,892
Supplemental disclosures of cash flow information: |  |
Interest paid | 360 | 132
Income taxes paid | 75 | 381
Equity issued in connection with acquisitions | 11,526 | 0
The following table provides a reconciliation of cash, cash equivalents, and restricted cash and cash equivalents reported within the Consolidated Balance Sheets to the totals above: |  |
Cash and cash equivalents | 12,798 | 6,875
Restricted cash and cash equivalents, included in restricted deposits | 157 | 17
Total cash, cash equivalents, and restricted cash and cash equivalents | $ 12,955 | $ 6,892

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- Definition The cash outflow to reacquire common stock during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3291-108585 + Details
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- Definition Amount of cash outflow for cost from early extinguishment and prepayment of debt. Includes, but is not limited to, third-party cost, premium paid, and other fee paid to lender directly for debt extinguishment or debt prepayment. Excludes accrued interest. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (g) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3291-108585 + Details
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- Definition The cash outflow paid to third parties in connection with debt origination, which will be amortized over the remaining maturity period of the associated long-term debt. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3291-108585 + Details
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- Definition The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3213-108585 + Details
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