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v3.26.1

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2026 | Mar. 31, 2025
Cash flows from operating activities: |  |
Net earnings | $ 1,539 | $ 1,314
Adjustments to reconcile net earnings to net cash provided by operating activities |  |
Depreciation and amortization | 300 | 314
Stock compensation expense | 67 | 59
Loss on debt extinguishment | 5 | 0
Deferred income taxes | (53) | (27)
Loss on divestitures | 0 | 10
Changes in assets and liabilities |  |
Premium and trade receivables | (1,353) | (2,684)
Other assets | (188) | (669)
Medical claims liabilities | 95 | 1,603
Unearned revenue | 217 | 208
Accounts payable and accrued expenses | 2,905 | 563
Other long-term liabilities | 849 | 814
Other operating activities, net | (17) | 5
Net cash provided by operating activities | 4,366 | 1,510
Cash flows from investing activities: |  |
Capital expenditures | (200) | (135)
Purchases of investments | (987) | (1,630)
Sales and maturities of investments | 1,276 | 1,236
Net cash provided by (used in) investing activities | 89 | (529)
Cash flows from financing activities: |  |
Proceeds from long-term debt | 0 | 750
Payments and repurchases of long-term debt | (1,046) | (958)
Common stock repurchases | (29) | (41)
Proceeds from common stock issuances | 10 | 10
Other financing activities, net | 2 | (11)
Net cash (used in) financing activities | (1,063) | (250)
Net increase in cash, cash equivalents and restricted cash and cash equivalents | 3,392 | 731
Cash and cash equivalents reclassified from held for sale | 4 | 0
Cash, cash equivalents and restricted cash and cash equivalents, beginning of period | 17,957 | 14,156
Cash, cash equivalents and restricted cash and cash equivalents, end of period | 21,353 | 14,887
Supplemental disclosures of cash flow information: |  |
Interest paid | 146 | 129
Income tax net payments (refunds) | (19) | 7
The following table provides a reconciliation of cash, cash equivalents and restricted cash and cash equivalents reported within the Consolidated Balance Sheets to the totals above: |  |
Cash and cash equivalents | 21,264 | 14,815
Restricted cash and cash equivalents, included in restricted deposits | 89 | 72
Total cash, cash equivalents and restricted cash and cash equivalents | $ 21,353 | $ 14,887

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