v3.26.1
Consolidated Statements of Cash Flows - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Cash Flows from Operating Activities    
Net income $ 3,736 $ 3,041
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 1,305 1,356
Investment gains, net (189) (50)
Deferred income tax benefit (170) (292)
Gain on sale of businesses (17) (41)
Net changes in assets and liabilities, net of non-operating effects:    
Accounts receivable, net (2,044) (6,398)
Inventories 1,490 726
Reinsurance recoverable and Other assets (398) (402)
Insurance liabilities 906 1,702
Pharmacy and other service costs payable (4,108) 995
Accounts payable and Accrued expenses and other liabilities 230 (1,020)
Other, net (31) 417
NET CASH PROVIDED BY OPERATING ACTIVITIES 710 34
Proceeds from investments sold:    
Debt securities and equity securities 104 272
Investment maturities and repayments:    
Debt securities and equity securities 399 553
Commercial mortgage loans 75 90
Other sales, maturities and repayments (primarily short-term and other long-term investments) 513 431
Investments purchased or originated:    
Debt securities and equity securities (668) (1,512)
Commercial mortgage loans (40) (62)
Other (primarily short-term and other long-term investments) (749) (761)
Property and equipment purchases, net (564) (612)
Divestitures, net of cash sold 26 2,346
Renewable energy tax credit equity investments (214) (327)
Other, net (22) (18)
NET CASH (USED IN) PROVIDED BY INVESTING ACTIVITIES (1,140) 400
Cash Flows from Financing Activities    
Deposits and interest credited to contractholder deposit funds 74 74
Withdrawals and benefit payments from contractholder deposit funds (158) (137)
Net change in short-term debt 975 296
Repayment of long-term debt (550) (1,600)
Repurchase of common stock (280) (2,620)
Issuance of common stock 158 141
Common stock dividend paid (826) (813)
Other, net (327) (355)
NET CASH USED IN FINANCING ACTIVITIES (934) (5,014)
Effect of foreign currency rate changes on cash, cash equivalents and restricted cash (16) 35
Net decrease in cash, cash equivalents and restricted cash (1,380) (4,545)
Cash, cash equivalents and restricted cash January 1, including held for sale assets [1]   8,931
Cash, cash equivalents and restricted cash and cash equivalents January 1, [1] 7,736  
Cash, cash equivalents and restricted cash, end of year (1) [1] $ 6,356 $ 4,386
[1] Restricted cash and cash equivalents were reported in other long-term investments and Other assets.