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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Cash Flows from Operating Activities    
Net income $ 3,041 $ 1,417
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 1,356 1,479
Investment (gains) losses, net (50) 1,884
Deferred income tax benefit (292) (199)
(Gain) loss on sale of businesses (41) 19
Net changes in assets and liabilities, net of non-operating effects:    
Accounts receivable, net (6,398) (7,313)
Inventories 726 472
Reinsurance recoverable and Other assets (402) (559)
Insurance liabilities 1,702 (125)
Pharmacy and other service costs payable 995 7,820
Accounts payable and Accrued expenses and other liabilities (1,020) (15)
Other, net 417 225
NET CASH PROVIDED BY OPERATING ACTIVITIES 34 5,105
Proceeds from investments sold:    
Debt securities and equity securities 272 393
Investment maturities and repayments:    
Debt securities and equity securities 553 414
Commercial mortgage loans 90 37
Other sales, maturities and repayments (primarily short-term and other long-term investments) 431 451
Investments purchased or originated:    
Debt securities and equity securities (1,512) (493)
Commercial mortgage loans (62) (52)
Other (primarily short-term and other long-term investments) (761) (865)
Property and equipment purchases, net (612) (670)
Divestitures, net of cash sold 2,346 0
Renewable energy tax credit equity investments (327) (335)
Other, net (18) (15)
NET CASH PROVIDED BY (USED IN) INVESTING ACTIVITIES 400 (1,135)
Cash Flows from Financing Activities    
Deposits and interest credited to contractholder deposit funds 74 84
Withdrawals and benefit payments from contractholder deposit funds (137) (135)
Net change in short-term debt 296 (467)
Repayment of long-term debt (1,600) (3,000)
Net proceeds on issuance of long-term debt 0 4,462
Repurchase of common stock (2,620) (5,012)
Issuance of common stock 141 221
Common stock dividend paid (813) (793)
Other, net (355) (198)
NET CASH USED IN FINANCING ACTIVITIES (5,014) (4,838)
Effect of foreign currency rate changes on cash, cash equivalents and restricted cash 35 (12)
Net decrease in cash, cash equivalents and restricted cash (4,545) (880)
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] 4,386 7,457
Cash and cash equivalents reclassified to assets of businesses held for sale 0 (625)
Cash, cash equivalents and restricted cash and cash equivalents December 31, [1] 4,386 6,832
Supplemental Disclosure of Cash Information:    
Income taxes paid, net of refunds 350 567
Interest paid $ 680 $ 643
[1] Restricted cash and cash equivalents were reported in other long-term investments.