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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) | 6 Months Ended
--- | ---
Jun. 30, 2025 | Jun. 30, 2024
Cash flows from operating activities |  |
Net income | $ 1,785,000,000 | $ 1,417,000,000
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Gain on investment securities, net | (13,000,000) | 0
Equity in net losses | 62,000,000 | 41,000,000
Stock-based compensation | 110,000,000 | 100,000,000
Depreciation | 396,000,000 | 454,000,000
Amortization | 30,000,000 | 31,000,000
Impairment of property and equipment | 14,000,000 | 87,000,000
Impairment of indefinite-lived intangible assets | 32,000,000 | 0
Changes in operating assets and liabilities, net of effect of businesses acquired and disposed: |  |
Receivables | (1,800,000,000) | (2,055,000,000)
Other assets | (658,000,000) | 592,000,000
Benefits payable | 620,000,000 | 1,205,000,000
Other liabilities | 1,010,000,000 | (327,000,000)
Unearned revenues | 14,000,000 | 47,000,000
Other | 0 | 44,000,000
Net cash provided by operating activities | 1,602,000,000 | 1,636,000,000
Cash flows from investing activities |  |
Acquisitions, net of cash and cash equivalents acquired | (1,000,000) | (17,000,000)
Purchases of property and equipment, net | (209,000,000) | (291,000,000)
Purchases of investment securities | (1,941,000,000) | (2,883,000,000)
Proceeds from maturities of investment securities | 1,617,000,000 | 1,355,000,000
Proceeds from sales of investment securities | 1,243,000,000 | 499,000,000
Changes in securities lending collateral receivable | (48,000,000) | (79,000,000)
Net cash provided by (used in) investing activities | 661,000,000 | (1,416,000,000)
Cash flows from financing activities |  |
(Payments) receipts from contract deposits, net | (579,000,000) | 285,000,000
Proceeds from issuance of senior notes, net | 1,481,000,000 | 2,232,000,000
Repayments of senior notes | (771,000,000) | (34,000,000)
Repayments from issuance of commercial paper, net | (5,000,000) | (895,000,000)
Debt issue costs | (5,000,000) | (7,000,000)
Change in book overdraft | (105,000,000) | 2,000,000
Common stock repurchases | (109,000,000) | (766,000,000)
Dividends paid | (214,000,000) | (216,000,000)
Changes in securities lending payable | 48,000,000 | 79,000,000
Changes in rebate factor payable | (123,000,000) | 0
Other | (62,000,000) | (93,000,000)
Net cash (used in) provided by financing activities | (444,000,000) | 587,000,000
Increase in cash and cash equivalents | 1,819,000,000 | 807,000,000
Cash and cash equivalents at beginning of period | 2,221,000,000 | 4,694,000,000
Cash and cash equivalents at end of period | 4,040,000,000 | 5,501,000,000
Supplemental cash flow disclosures: |  |
Interest payments | 293,000,000 | 250,000,000
Income tax payments, net | 29,000,000 | 362,000,000
Details of businesses acquired in purchase transactions: |  |
Fair value of assets acquired, net of cash and cash equivalents acquired | 2,000,000 | 26,000,000
Less: Fair value of liabilities assumed | (1,000,000) | (9,000,000)
Cash paid for acquired businesses, net of cash and cash equivalents acquired | $ 1,000,000 | $ 17,000,000

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