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v3.25.2

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2025 | Jun. 30, 2024
Operating activities |  |
Net earnings | $ 10,046 | $ 3,200
Noncash items: |  |
Depreciation and amortization | 2,145 | 2,017
Deferred income taxes | (87) | (358)
Share-based compensation | 572 | 594
Loss on sale of subsidiary and subsidiaries held for sale | 56 | 8,311
Other, net | 127 | 459
Net change in other operating items, net of effects from acquisitions and dispositions: |  |
Accounts receivable | (1,681) | (2,471)
Other assets | (2,143) | (4,121)
Medical costs payable | 4,371 | 777
Accounts payable and other liabilities | (480) | 36
Unearned revenues | (282) | (554)
Cash flows from operating activities | 12,644 | 7,890
Investing activities |  |
Purchases of investments | (8,180) | (10,130)
Sales of investments | 5,181 | 5,288
Maturities of investments | 4,326 | 4,621
Cash paid for acquisitions and other transactions, net of cash assumed | (734) | (3,031)
Purchases of property, equipment and capitalized software | (1,784) | (1,596)
Loans to care providers - cyberattack | 0 | (8,100)
Repayments of care provider loans - cyberattack | 1,293 | 604
Other, net | (1,618) | (1,413)
Cash flows used for investing activities | (1,516) | (13,757)
Financing activities |  |
Common share repurchases | (5,545) | (3,072)
Cash dividends paid | (3,912) | (3,664)
Proceeds from common stock issuances | 581 | 744
Repayments of long-term debt | 0 | (1,750)
(Repayments of) proceeds from short-term borrowings, net | (1,403) | 8,615
Proceeds from issuance of long-term debt | 2,969 | 5,925
Customer funds administered | (25) | 990
Other, net | (513) | (753)
Cash flows (used for) from financing activities | (7,848) | 7,035
Effect of exchange rate changes on cash and cash equivalents | 29 | (44)
Increase in cash and cash equivalents, including cash within businesses held for sale | 3,309 | 1,124
Less: net increase in cash within businesses held for sale | (25) | (265)
Net increase in cash and cash equivalents | 3,284 | 859
Cash and cash equivalents, beginning of period | 25,312 | 25,427
Cash and cash equivalents, end of period | $ 28,596 | $ 26,286

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