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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Cash flows from operating activities |  |
Net income | $ 1,242 | $ 739
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Gain on investment securities, net | (2) | (1)
Equity in net losses | 43 | 24
Stock-based compensation | 49 | 45
Depreciation | 200 | 226
Amortization | 15 | 16
Impairment of property and equipment | 9 | 33
Changes in operating assets and liabilities, net of effect of businesses acquired and disposed: |  |
Receivables | (1,755) | (1,890)
Other assets | (686) | 97
Benefits payable | 1,011 | 1,488
Other liabilities | 193 | (422)
Unearned revenues | 5 | 35
Other | 7 | 33
Net cash provided by operating activities | 331 | 423
Cash flows from investing activities |  |
Acquisitions, net of cash and cash equivalents acquired | 0 | (14)
Purchases of property and equipment, net | (95) | (177)
Purchases of investment securities | (827) | (1,259)
Proceeds from maturities of investment securities | 889 | 645
Proceeds from sales of investment securities | 522 | 391
Changes in securities lending collateral receivable | (175) | 0
Net cash provided by (used in) investing activities | 314 | (414)
Cash flows from financing activities |  |
(Payments) receipts from contract deposits, net | (35) | 499
Proceeds from issuance of senior notes, net | 1,481 | 2,232
Repayments from issuance of commercial paper, net | (4) | (644)
Debt issue costs | (3) | (5)
Change in book overdraft | (33) | (20)
Common stock repurchases | (9) | (717)
Dividends paid | (108) | (109)
Changes in securities lending payable | 175 | 0
Changes in rebate factor payable | (68) | 0
Other | (12) | (29)
Net cash provided by financing activities | 1,384 | 1,207
Increase in cash and cash equivalents | 2,029 | 1,216
Cash and cash equivalents at beginning of period | 2,221 | 4,694
Cash and cash equivalents at end of period | 4,250 | 5,910
Supplemental cash flow disclosures: |  |
Interest payments | 143 | 158
Income tax (refunds) payments, net | (12) | 1
Details of businesses acquired in purchase transactions: |  |
Fair value of assets acquired, net of cash and cash equivalents acquired | 0 | 22
Less: Fair value of liabilities assumed | 0 | (8)
Cash paid for acquired businesses, net of cash and cash equivalents acquired | $ 0 | $ 14

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