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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Operating activities    
Net earnings $ 11,431 $ 10,347
Noncash items:    
Depreciation and amortization 1,991 1,590
Deferred income taxes (482) (15)
Share-based compensation 604 504
Other, net (91) 215
Net change in other operating items, net of effects from acquisitions and changes in AARP balances:    
Accounts receivable 197 (4,204)
Other assets (2,001) (643)
Medical costs payable 2,408 4,029
Accounts payable and other liabilities 1,547 807
Unearned revenues 11,755 (440)
Cash flows from operating activities 27,359 12,190
Investing activities    
Purchases of investments (9,225) (8,903)
Sales of investments 3,188 2,348
Maturities of investments 4,463 3,189
Cash paid for acquisitions, net of cash assumed (8,161) (7,150)
Purchases of property, equipment and capitalized software (1,589) (1,212)
Other, net (424) (532)
Cash flows used for investing activities (11,748) (12,260) Close
Financing activities    
Common share repurchases (5,000) (5,000)
Cash dividends paid (3,284) (2,908)
Proceeds from common stock issuances 628 756
Repayments of long-term debt (2,125) (1,100)
Proceeds from short-term borrowings, net 3,426 1,340
Proceeds from issuance of long-term debt 6,394 5,922
Customer funds administered 4,069 5,786
Other, net (1,377) (1,546)
Cash flows from financing activities 2,731 3,250 Close
Effect of exchange rate changes on cash and cash equivalents 106 57 Close
Increase in cash and cash equivalents 18,448 3,237 Close
Cash and cash equivalents, beginning of period 23,365 21,375
Cash and cash equivalents, end of period $ 41,813 $ 24,612