v3.26.1
Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Cash flows from operating activities:    
Cash receipts from customers $ 198,468 $ 186,500
Cash paid for inventory, prescriptions dispensed and health services rendered (107,589) (101,198)
Insurance benefits paid (58,403) (58,844)
Cash paid to other suppliers and employees (21,315) (18,630)
Interest and investment income received 1,021 972
Interest paid (1,551) (1,484)
Income taxes paid (37) (863)
Net cash provided by operating activities 10,594 6,453
Cash flows from investing activities:    
Proceeds from sales and maturities of investments 7,483 6,866
Purchases of investments (8,704) (7,186)
Purchases of property and equipment (1,540) (1,350)
Acquisitions (9) (139)
Other 12 23
Net cash used in investing activities (2,758) (1,786)
Cash flows from financing activities:    
Commercial paper borrowings (repayments), net 0 921
Repayments of long-term debt (3,287) (762)
Dividends paid (1,725) (1,706)
Proceeds from exercise of stock options 217 191
Payments for taxes related to net share settlement of equity awards (154) (125)
Other (62) (45)
Net cash used in financing activities (5,011) (1,526)
Net increase in cash, cash equivalents and restricted cash 2,825 3,141
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 11,537 12,025
Reconciliation of net income to net cash provided by operating activities:    
Net income 5,952 2,795
Adjustments required to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 2,241 2,325
Stock-based compensation 442 262
Loss on sale of subsidiary 0 236
Deferred income taxes and other items (241) (283)
Change in operating assets and liabilities, net of effects from acquisitions:    
Accounts receivable, net (533) (4,139)
Inventories 1,624 671
Other assets 1,355 (969)
Accounts payable and pharmacy claims and discounts payable (344) 3,831
Health care costs payable and other insurance liabilities 665 (34)
Other liabilities (567) 1,758
Net cash provided by operating activities $ 10,594 $ 6,453