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v3.25.1

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Operating activities |  |
Net earnings (loss) | $ 6,474 | $ (1,221)
Noncash items: |  |
Depreciation and amortization | 1,061 | 997
Deferred income taxes | 64 | (27)
Share-based compensation | 375 | 372
Loss on sale of subsidiary and subsidiaries held for sale | 15 | 7,086
Other, net | 97 | 179
Net change in other operating items, net of effects from acquisitions and dispositions: |  |
Accounts receivable | (4,462) | (6,162)
Other assets | (544) | (1,927)
Medical costs payable | 2,993 | 2,069
Accounts payable and other liabilities | (607) | (231)
Unearned revenues | (10) | 9
Cash flows from operating activities | 5,456 | 1,144
Investing activities |  |
Purchases of investments | (4,135) | (4,798)
Sales of investments | 3,185 | 2,976
Maturities of investments | 2,167 | 2,314
Cash paid for acquisitions and other transactions, net of cash assumed | (702) | (3,006)
Purchases of property, equipment and capitalized software | (898) | (743)
Loans to care providers - cyberattack | 0 | (2,164)
Repayments of care provider loans - cyberattack | 891 | 0
Other, net | (582) | (919)
Cash flows used for investing activities | (74) | (6,340)
Financing activities |  |
Common share repurchases | (3,000) | (3,072)
Cash dividends paid | (1,912) | (1,729)
Proceeds from common stock issuances | 360 | 486
Repayments of long-term debt | 0 | (750)
Proceeds from short-term borrowings, net | 3,911 | 6,189
Proceeds from issuance of long-term debt | 0 | 5,925
Customer funds administered | 1,245 | 1,745
Other, net | (505) | (563)
Cash flows from financing activities | 99 | 8,231
Effect of exchange rate changes on cash and cash equivalents | 15 | (48)
Increase in cash and cash equivalents, including cash within businesses held for sale | 5,496 | 2,987
Less: net increase in cash within businesses held for sale | (91) | 0
Net increase in cash and cash equivalents | 5,405 | 2,987
Cash and cash equivalents, beginning of period | 25,312 | 25,427
Cash and cash equivalents, end of period | $ 30,717 | $ 28,414

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