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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Dec. 31, 2022
Cash flows from operating activities:          
Net earnings $ 1,055 $ (171) $ 2,185 $ 681  
Adjustments to reconcile net earnings to net cash provided by operating activities          
Depreciation and amortization     650 718  
Stock compensation expense     117 129  
Impairment 18 1,450 38 1,450  
(Gain) loss on debt extinguishment     0 (16)  
(Gain) on acquisition     0 (2)  
Deferred income taxes     (160) (417)  
(Gain) on divestiture     (172) 0  
Other adjustments, net     68 162  
Changes in assets and liabilities          
Premium and trade receivables     (319) (1,288)  
Other assets     (325) (245)  
Medical claims liabilities     139 2,089  
Unearned revenue     1,895 75  
Accounts payable and accrued expenses     618 41  
Other long-term liabilities     2,081 1,058  
Other operating activities, net     0 70  
Net cash provided by operating activities     6,815 4,505  
Cash flows from investing activities:          
Capital expenditures     (440) (524)  
Purchases of investments     (3,199) (3,114)  
Sales and maturities of investments     2,293 2,005  
Acquisitions, net of cash acquired     0 (1,512)  
Divestiture proceeds, net of divested cash     669 0  
Net cash (used in) investing activities     (677) (3,145)  
Cash flows from financing activities:          
Proceeds from long-term debt     1,281 331  
Payments and repurchases of long-term debt     (1,322) (900)  
Common stock repurchases     (828) (420)  
Proceeds from common stock issuances     21 38  
Payments for debt extinguishment     0 (27)  
Purchase of noncontrolling interest     (85) 0  
Other financing activities, net     0 (6)  
Net cash (used in) financing activities     (933) (984)  
Effect of exchange rate changes on cash, cash equivalents, and restricted cash     (7) (9)  
Net increase in cash, cash equivalents, and restricted cash and cash equivalents     5,198 367  
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period     12,330 13,214 $ 13,214
Cash, cash equivalents, and restricted cash and cash equivalents, end of period 17,528 13,581 17,528 13,581 12,330
Supplemental disclosures of cash flow information:          
Interest paid     348 327  
Income taxes paid     592 411  
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 17,170 13,435 17,170 13,435 12,074
Restricted cash and cash equivalents, included in restricted deposits 358 146 358 146  
Total cash, cash equivalents, and restricted cash and cash equivalents $ 17,528 $ 13,581 $ 17,528 $ 13,581 $ 12,330