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

No definition available.

Name:	us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

- Definition

Amount of cash and cash equivalent. Cash includes, but is not limited to, currency on hand, demand deposit with financial institution, and account with general characteristic of demand deposit. Cash equivalent includes, but is not limited to, short-term, highly liquid investment that is both readily convertible to known amount of cash and so near maturity that it presents insignificant risk of change in value because of change in interest rate.