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v3.25.1

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Cash flows from operating activities: |  |
Cash receipts from customers | $ 90,809 | $ 84,997
Cash paid for inventory, prescriptions dispensed and health services rendered | (48,433) | (44,824)
Insurance benefits paid | (28,477) | (24,894)
Cash paid to other suppliers and employees | (8,690) | (9,677)
Interest and investment income received | 497 | 407
Interest paid | (1,012) | (1,043)
Income taxes paid | (138) | (63)
Net cash provided by operating activities | 4,556 | 4,903
Cash flows from investing activities: |  |
Proceeds from sales and maturities of investments | 3,534 | 2,153
Purchases of investments | (3,552) | (3,545)
Purchases of property and equipment | (743) | (705)
Acquisitions (net of cash and restricted cash acquired) | (20) | (25)
Other | 19 | 28
Net cash used in investing activities | (762) | (2,094)
Cash flows from financing activities: |  |
Commercial paper borrowings (repayments), net | (859) | 2,519
Repayments of long-term debt | (743) | (18)
Repurchase of common stock | 0 | (3,027)
Dividends paid | (840) | (840)
Proceeds from exercise of stock options | 144 | 203
Payments for taxes related to net share settlement of equity awards | (11) | (31)
Other | (23) | (33)
Net cash used in financing activities | (2,332) | (1,227)
Net increase in cash, cash equivalents and restricted cash | 1,462 | 1,582
Cash, cash equivalents and restricted cash at the beginning of the period | 8,884 | 8,525
Cash, cash equivalents and restricted cash at the end of the period | 10,346 | 10,107
Reconciliation of net income to net cash provided by operating activities: |  |
Net income | 1,782 | 1,124
Adjustments required to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 1,154 | 1,138
Stock-based compensation | 126 | 137
Loss on sale of subsidiary | 236 | 0
Deferred income taxes and other items | (169) | (217)
Change in operating assets and liabilities, net of effects from acquisitions: |  |
Accounts receivable, net | (3,053) | 3,008
Inventories | 722 | 1,660
Other assets | (1,101) | (2,836)
Accounts payable and pharmacy claims and discounts payable | 2,619 | (1,410)
Health care costs payable and other insurance liabilities | 364 | 2,253
Other liabilities | 1,876 | 46
Net cash provided by operating activities | $ 4,556 | $ 4,903

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