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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Cash Flows from Operating Activities    
Net (loss) income $ 1,409 $ (212)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Depreciation and amortization 674 741
Investment losses, net 2 1,836
Deferred income tax benefit (216) (102)
(Gain) loss on sale of businesses (41) 19
Net changes in assets and liabilities, net of non-operating effects:    
Accounts receivable, net (2,205) (2,687)
Inventories 1,517 1,015
Reinsurance recoverable and Other assets (219) 68
Insurance liabilities 1,778 532
Pharmacy and other service costs payable 135 4,637
Accounts payable and Accrued expenses and other liabilities (1,174) (1,068)
Other, net 260 61
NET CASH PROVIDED BY OPERATING ACTIVITIES 1,920 4,840
Proceeds from investments sold:    
Debt securities and equity securities 94 268
Investment maturities and repayments:    
Debt securities and equity securities 222 179
Commercial mortgage loans 85 4
Other sales, maturities and repayments (primarily short-term and other long-term investments) 331 272
Investments purchased or originated:    
Debt securities and equity securities (952) (180)
Commercial mortgage loans (34) (32)
Other (primarily short-term and other long-term investments) (475) (594)
Property and equipment purchases, net (327) (300)
Divestitures, net of cash sold 2,346 0
Renewable energy tax credit equity investments (92) (104)
Other, net (1) (8)
NET CASH PROVIDED BY (USED IN) INVESTING ACTIVITIES 1,197 (495)
Cash Flows from Financing Activities    
Deposits and interest credited to contractholder deposit funds 36 43
Withdrawals and benefit payments from contractholder deposit funds (64) (65)
Net change in short-term debt (891) (364)
Repayment of long-term debt (700) (2,210)
Net proceeds on issuance of long-term debt 0 4,462
Repurchase of common stock (1,508) (4,022)
Issuance of common stock 69 181
Common stock dividend paid (412) (401)
Other, net (211) (153)
NET CASH USED IN FINANCING ACTIVITIES (3,681) (2,529)
Effect of foreign currency rate changes on cash, cash equivalents and restricted cash 9 (9)
Net (decrease) increase in cash, cash equivalents and restricted cash (555) 1,807
Cash, cash equivalents and restricted cash January 1, including held for sale assets [1] 8,931 8,337
Cash, cash equivalents and restricted cash December 31, including held for sale assets [1] 8,376 10,144
Cash and cash equivalents reclassified to assets of businesses held for sale 0 (1,660)
Cash, cash equivalents and restricted cash and cash equivalents December 31, [1] 8,376 8,484
Supplemental Disclosure of Cash Information:    
Income taxes paid, net of refunds 140 110
Interest paid $ 379 $ 336
[1] Restricted cash and cash equivalents were reported in other long-term investments.