v3.26.1
Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Cash flows from operating activities:    
Reconciliation of net income to net cash provided by operating activities: $ 94,201 $ 90,809
Net income (50,551) (48,433)
Adjustments required to reconcile net income to net cash provided by operating activities: (28,398) (28,477)
Depreciation and amortization (10,775) (8,690)
Loss on assets held for sale 526 497
Interest paid (1,091) (1,012)
Income taxes refunded (paid) 337 (138)
Net cash provided by operating activities 4,249 4,556
Cash flows from investing activities:    
Proceeds from sales and maturities of investments 4,159 3,534
Purchases of investments (4,186) (3,552)
Purchases of property and equipment (849) (743)
Acquisitions (5) (20)
Other 7 19
Net cash used in investing activities (874) (762)
Cash flows from financing activities:    
Commercial paper borrowings (repayments), net 0 (859)
Repayments of long-term debt (1,518) (743)
Dividends paid (847) (840)
Proceeds from exercise of stock options 103 144
Payments for taxes related to net share settlement of equity awards (9) (11)
Other (47) (23)
Net cash used in financing activities (2,318) (2,332)
Net increase in cash, cash equivalents and restricted cash 1,057 1,462
Cash, cash equivalents and restricted cash at the beginning of the period 8,712 8,884
Cash, cash equivalents and restricted cash at the end of the period 9,769 10,346
Reconciliation of net income to net cash provided by operating activities:    
Net income 2,957 1,782
Adjustments required to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 1,115 1,154
Stock-based compensation 266 126
Loss on sale of subsidiary 0 236
Deferred income taxes and other items (91) (169)
Change in operating assets and liabilities, net of effects from acquisitions:    
Accounts receivable, net (1,205) (3,053)
Inventories 1,476 722
Other assets 479 (1,101)
Accounts payable and pharmacy claims and discounts payable (562) 2,619
Health care costs payable and other insurance liabilities 10 364
Other liabilities (196) 1,876
Net cash provided by operating activities $ 4,249 $ 4,556