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v3.25.3

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2025 | Sep. 30, 2024
Operating activities |  |
Net earnings | $ 12,589 | $ 9,458
Noncash items: |  |
Depreciation and amortization | 3,244 | 3,058
Deferred income taxes | (1,019) | (234)
Share-based compensation | 795 | 831
Loss on sale of subsidiary and subsidiaries held for sale | 139 | 8,331
Other, net | 64 | (610)
Net change in other operating items, net of effects from acquisitions and dispositions: |  |
Accounts receivable | 65 | 685
Other assets | (3,105) | (2,988)
Medical costs payable | 6,178 | 2,235
Accounts payable and other liabilities | (417) | 1,250
Unearned revenues | 56 | (181)
Cash flows from operating activities | 18,589 | 21,835
Investing activities |  |
Purchases of investments | (12,805) | (19,951)
Sales of investments | 7,945 | 15,065
Maturities of investments | 6,517 | 6,738
Cash paid for acquisitions and other transactions, net of cash assumed | (4,436) | (11,674)
Purchases of property, equipment and capitalized software | (2,674) | (2,587)
Loans to care providers - cyberattack | 0 | (8,904)
Repayments of care provider loans - cyberattack | 1,543 | 3,189
Other, net | (2,164) | (1,284)
Cash flows used for investing activities | (6,074) | (19,408)
Financing activities |  |
Common share repurchases | (5,545) | (4,028)
Cash dividends paid | (5,914) | (5,601)
Proceeds from common stock issuances | 803 | 1,611
Repayments of long-term debt | (2,000) | (2,500)
Proceeds from (repayments of) short-term borrowings, net | 1,469 | (191)
Proceeds from issuance of long-term debt | 2,969 | 17,811
Customer funds administered | (1,792) | (1,059)
Other, net | (603) | (1,213)
Cash flows (used for) from financing activities | (10,613) | 4,830
Effect of exchange rate changes on cash and cash equivalents | 25 | (30)
Increase in cash and cash equivalents, including cash within businesses held for sale | 1,927 | 7,227
Less: net increase in cash within businesses held for sale | (29) | (254)
Net increase in cash and cash equivalents | 1,898 | 6,973
Cash and cash equivalents, beginning of period | 25,312 | 25,427
Cash and cash equivalents, end of period | $ 27,210 | $ 32,400

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