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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Operating activities    
Net earnings $ 15,731 $ 13,541
Noncash items:    
Depreciation and amortization 2,418 2,332
Deferred income taxes (590) 373
Share-based compensation 675 591
Other, net 0 (195)
Net change in other operating items, net of effects from acquisitions and changes in AARP balances:    
Accounts receivable (2,563) (847)
Other assets (741) (1,435)
Medical costs payable 4,192 3,925
Accounts payable and other liabilities 1,416 1,171
Unearned revenues 10,201 (331)
Cash flows from operating activities 30,739 19,125
Investing activities    
Purchases of investments (14,183) (12,827)
Sales of investments 5,376 2,569
Maturities of investments 4,740 6,556
Cash paid for acquisitions, net of cash assumed (7,154) (4,727)
Purchases of property, equipment and capitalized software (1,936) (1,759)
Other, net 50 (900)
Cash flows used for investing activities (13,107) (11,088)
Financing activities    
Common share repurchases (6,000) (3,950)
Cash dividends paid (4,450) (3,915)
Proceeds from common stock issuances 1,084 1,077
Repayments of long-term debt (2,100) (1,900)
Repayments of short-term borrowings, net (16) (1,301)
Proceeds from issuance of long-term debt 5,922 6,934
Customer funds administered 7,028 1,402
Purchases of redeemable noncontrolling interests (176) (1,338)
Other, net (1,458) (837)
Cash flows used for financing activities (166) (3,828)
Effect of exchange rate changes on cash and cash equivalents 4 (45)
Increase in cash and cash equivalents 17,470 4,164
Cash and cash equivalents, beginning of period 21,375 16,921
Cash and cash equivalents, end of period $ 38,845 $ 21,085