v3.25.1
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Cash flows from operating activities:    
Net earnings $ 1,314 $ 1,158
Adjustments to reconcile net earnings to net cash provided by (used in) operating activities    
Depreciation and amortization 314 308
Stock compensation expense 59 70
Impairment 0 13
Deferred income taxes (27) 104
(Gain) loss on divestitures, net 10 (98)
Other adjustments, net 5 (2)
Changes in assets and liabilities    
Premium and trade receivables (2,684) (1,211)
Other assets (669) (474)
Medical claims liabilities 1,603 108
Unearned revenue 208 (34)
Accounts payable and accrued expenses 563 (1,411)
Other long-term liabilities 814 1,013
Net cash provided by (used in) operating activities 1,510 (456)
Cash flows from investing activities:    
Capital expenditures (135) (151)
Purchases of investments (1,630) (1,317)
Sales and maturities of investments 1,236 1,441
Divestiture proceeds, net of divested cash 0 879
Net cash (used in) provided by investing activities (529) 852
Cash flows from financing activities:    
Proceeds from long-term debt 750 350
Payments and repurchases of long-term debt (958) (187)
Common stock repurchases (41) (151)
Proceeds from common stock issuances 10 14
Other financing activities, net (11) (3)
Net cash (used in) provided by financing activities (250) 23
Effect of exchange rate changes on cash, cash equivalents and restricted cash 0 6
Net increase in cash, cash equivalents and restricted cash and cash equivalents 731 425
Cash, cash equivalents and restricted cash and cash equivalents, beginning of period 14,156 17,452
Cash, cash equivalents and restricted cash and cash equivalents, end of period 14,887 17,877
Supplemental disclosures of cash flow information:    
Interest paid 129 155
Income taxes paid, net 7 13
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 14,815 17,585
Restricted cash and cash equivalents, included in restricted deposits 72 292
Total cash, cash equivalents and restricted cash and cash equivalents $ 14,887 $ 17,877