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UnitedHealth Group Quarterly Cash Flow Statements Chart

Quarterly
 | 
Annual
 
 Stock-Based Compensation  
 Operating Cash Flow  
 Investing Cash Flow  
 Free Cash Flow  
 Capital Expenditure  
20200930 20201231 20210331 20210630 20210930 20211231 20220331 20220630 20220930 20221231 20230331 20230630 20230930 20231231 20240331 20240630 20240930 20241231 20250331 20250630 -6.15-2.620.914.437.9611.4915.0218.55Billion

UnitedHealth Group Quarterly Cash Flow Statements Table

Quarterly
 | 
Annual
 
Unit: USD2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 
                                                    
  operating activities                                                  
  net earnings3,572,000,000 6,474,000,000 5,784,000,000 6,258,000,000 4,421,000,000 -1,221,000,000 5,675,000,000 6,038,000,000 5,657,000,000 5,774,000,000 4,908,000,000 5,384,000,000 5,199,000,000 5,148,000,000 4,191,000,000 4,191,000,000 4,372,000,000 4,978,000,000 2,352,000,000 3,256,000,000 6,696,000,000 3,465,000,000 3,668,000,000 3,629,000,000 3,385,000,000 3,557,000,000 3,164,000,000 3,284,000,000 3,010,000,000 2,924,000,000 3,721,000,000 2,561,000,000 2,350,000,000 2,191,000,000 1,708,000,000 1,978,000,000 1,760,000,000 1,627,000,000 1,252,000,000 1,618,000,000 1,585,000,000 1,413,000,000 1,510,000,000 1,602,000,000 1,408,000,000 1,099,000,000 1,427,000,000 1,570,000,000 1,436,000,000 1,240,000,000 
  noncash items:                                                  
  depreciation and amortization1,084,000,000 1,061,000,000 1,041,000,000 1,041,000,000 1,020,000,000 997,000,000 974,000,000 1,007,000,000 1,021,000,000 970,000,000 982,000,000 828,000,000 802,000,000 788,000,000 771,000,000 796,000,000 778,000,000 758,000,000 732,000,000 719,000,000 717,000,000 723,000,000 718,000,000 709,000,000 654,000,000 639,000,000 637,000,000 611,000,000 598,000,000 582,000,000 578,000,000 578,000,000 556,000,000 533,000,000 527,000,000 515,000,000 511,000,000 502,000,000 484,000,000 452,000,000 379,000,000 378,000,000 381,000,000 373,000,000 364,000,000 360,000,000 350,000,000 349,000,000 340,000,000 336,000,000 
  deferred income taxes-151,000,000 64,000,000 -62,000,000 124,000,000 -331,000,000 -27,000,000 249,000,000 -12,000,000 -150,000,000 -332,000,000 -83,000,000 -575,000,000 -176,000,000 161,000,000 -243,000,000 46,000,000 -14,000,000 341,000,000 -127,000,000 5,000,000 -88,000,000 202,000,000 53,000,000 -18,000,000 61,000,000 134,000,000 33,000,000 167,000,000 -84,000,000 -74,000,000 -506,000,000 -259,000,000 -111,000,000 -89,000,000 486,000,000 -264,000,000 -286,000,000 145,000,000 -24,000,000 -19,000,000 -152,000,000 122,000,000 -10,000,000 -91,000,000 -115,000,000 99,000,000 -92,000,000 -7,000,000 -31,000,000 131,000,000 
  share-based compensation197,000,000 375,000,000 187,000,000 237,000,000 222,000,000 372,000,000 208,000,000 247,000,000 242,000,000 362,000,000 250,000,000 171,000,000 205,000,000 299,000,000 209,000,000 165,000,000 170,000,000 256,000,000 152,000,000 139,000,000 157,000,000 231,000,000 172,000,000 127,000,000 155,000,000 243,000,000 126,000,000 154,000,000 150,000,000 208,000,000 141,000,000 124,000,000 136,000,000 196,000,000 116,000,000 107,000,000 105,000,000 157,000,000 100,000,000 95,000,000 86,000,000 125,000,000 95,000,000 81,000,000 83,000,000 105,000,000 76,000,000 79,000,000 77,000,000 99,000,000 
  loss on sale of subsidiary and subsidiaries held for sale41,000,000 15,000,000 -21,000,000 20,000,000                                               
  other30,000,000 97,000,000 582,000,000 -1,069,000,000 280,000,000 179,000,000 -446,000,000 32,000,000 -160,000,000 69,000,000   198,000,000 17,000,000 -749,000,000 19,000,000 -159,000,000 -55,000,000 -100,000,000 -76,000,000 79,000,000 45,000,000 75,000,000 -54,000,000 -169,000,000 42,000,000 65,000,000 -146,000,000 -17,000,000 27,000,000 49,000,000 57,000,000 68,000,000 43,000,000 -14,000,000 -48,000,000 -26,000,000 6,000,000 -27,000,000 -48,000,000 -116,000,000 -44,000,000 -45,000,000 -105,000,000 -83,000,000 -65,000,000 35,000,000 -32,000,000 -45,000,000 -41,000,000 
  net change in other operating items, net of effects from acquisitions and dispositions:                                                  
  accounts receivable2,781,000,000 -4,462,000,000 -2,122,000,000 3,156,000,000 3,691,000,000 -6,162,000,000 -540,000,000 -2,771,000,000 4,503,000,000 -4,306,000,000 40,000,000 1,641,000,000 317,000,000 -4,521,000,000 -153,000,000 371,000,000 1,677,000,000 -2,895,000,000 -494,000,000 245,000,000 2,213,000,000 -2,652,000,000 -795,000,000 -1,239,000,000 3,617,000,000 -1,421,000,000 -367,000,000 37,000,000 558,000,000 -1,579,000,000 -818,000,000 1,941,000,000 -953,000,000 -1,232,000,000 -777,000,000 2,058,000,000 -1,528,000,000 -1,110,000,000 316,000,000 818,000,000 -967,000,000 -758,000,000 -366,000,000 1,586,000,000 -1,141,000,000 -990,000,000 -197,000,000 832,000,000 -489,000,000 -463,000,000 
  other assets-1,599,000,000 -544,000,000 -1,152,000,000 1,133,000,000 -2,194,000,000 -1,927,000,000 -86,000,000 -357,000,000 -126,000,000 -1,875,000,000 -633,000,000 -98,000,000 446,000,000 -1,089,000,000 404,000,000 88,000,000 -568,000,000 -955,000,000 502,000,000 1,087,000,000 465,000,000 -4,249,000,000 618,000,000 -407,000,000 -279,000,000 -1,495,000,000 891,000,000 728,000,000 863,000,000 -3,232,000,000 133,000,000 757,000,000 -522,000,000 -998,000,000 234,000,000 217,000,000 110,000,000 -2,162,000,000 256,000,000 492,000,000 -16,000,000 -2,162,000,000 229,000,000 316,000,000 146,000,000 -1,281,000,000 -248,000,000 71,000,000 -105,000,000 -556,000,000 
  medical costs payable1,378,000,000 2,993,000,000 268,000,000 1,458,000,000 -1,292,000,000 2,069,000,000 -355,000,000 1,429,000,000 -59,000,000 2,467,000,000 -139,000,000 163,000,000 180,000,000 3,849,000,000 -1,224,000,000 839,000,000 118,000,000 2,968,000,000 767,000,000 1,738,000,000 -3,473,000,000 1,120,000,000 998,000,000 -224,000,000 -678,000,000 1,125,000,000 86,000,000 482,000,000 -50,000,000 1,313,000,000 -21,000,000 210,000,000 71,000,000 1,024,000,000 -135,000,000 -115,000,000 731,000,000 1,368,000,000 448,000,000 149,000,000 378,000,000 1,610,000,000 -170,000,000 94,000,000 173,000,000 387,000,000 -279,000,000 -4,000,000 119,000,000 673,000,000 
  accounts payable and other liabilities127,000,000 -607,000,000 1,213,000,000 1,214,000,000 267,000,000 -231,000,000 1,146,000,000 823,000,000 -249,000,000 1,796,000,000 548,000,000 609,000,000 218,000,000 589,000,000 -9,000,000 873,000,000 -572,000,000 870,000,000 1,907,000,000 -4,150,000,000 3,454,000,000 4,137,000,000 628,000,000 138,000,000 -351,000,000 318,000,000 -2,257,000,000 550,000,000 -588,000,000 2,821,000,000 -1,353,000,000 1,062,000,000 929,000,000 292,000,000 490,000,000 -1,399,000,000 633,000,000 1,770,000,000 27,000,000 -1,193,000,000 161,000,000 1,648,000,000 516,000,000 -1,093,000,000 554,000,000 1,665,000,000 67,000,000 285,000,000 344,000,000 -237,000,000 
  unearned revenues-272,000,000 -10,000,000 -16,000,000 373,000,000 -563,000,000 9,000,000 -12,018,000,000 466,000,000 353,000,000 11,402,000,000 -10,075,000,000 10,641,000,000 -518,000,000 78,000,000 21,000,000 192,000,000 -262,000,000 -261,000,000 410,000,000 164,000,000 -217,000,000 -79,000,000 70,000,000 489,000,000 -521,000,000 92,000,000 18,000,000 -4,926,000,000 -433,000,000 5,379,000,000 -4,501,000,000 515,000,000 -353,000,000 4,496,000,000 -3,768,000,000 4,161,000,000 -344,000,000 -251,000,000 416,000,000 267,000,000 -229,000,000 -217,000,000 294,000,000 219,000,000 -360,000,000 232,000,000 82,000,000 280,000,000 -131,000,000 -129,000,000 
  cash flows from operating activities7,188,000,000 5,456,000,000 2,369,000,000 13,945,000,000 6,746,000,000 1,144,000,000 -5,193,000,000 6,902,000,000 11,032,000,000 16,327,000,000 -4,533,000,000 18,549,000,000 6,871,000,000 5,319,000,000 3,218,000,000 7,580,000,000 5,540,000,000 6,005,000,000 6,101,000,000 3,127,000,000 10,003,000,000 2,943,000,000 6,205,000,000 3,150,000,000 5,874,000,000 3,234,000,000 2,396,000,000 941,000,000 4,007,000,000 8,369,000,000 -2,577,000,000 7,546,000,000 2,171,000,000 6,456,000,000 -1,409,000,000 7,203,000,000 1,683,000,000 2,318,000,000 3,511,000,000 2,797,000,000 1,163,000,000 2,269,000,000 2,429,000,000 3,200,000,000 1,014,000,000 1,408,000,000 1,068,000,000 3,396,000,000 1,474,000,000 1,053,000,000 
  capex-886,000,000 -898,000,000 -912,000,000 -991,000,000 -853,000,000 -743,000,000 -959,000,000 -838,000,000 -829,000,000 -760,000,000 -866,000,000 -724,000,000 -657,000,000 -555,000,000 -695,000,000 -629,000,000 -562,000,000 -568,000,000 -574,000,000 -557,000,000 -451,000,000 -469,000,000 -650,000,000 -444,000,000 -415,000,000 -562,000,000 -558,000,000 -545,000,000 -483,000,000 -477,000,000 -632,000,000 -466,000,000 -418,000,000 -507,000,000 -485,000,000 -407,000,000 -388,000,000 -425,000,000 -484,000,000 -356,000,000 -343,000,000 -373,000,000 -404,000,000 -405,000,000 -363,000,000 -353,000,000 -321,000,000 -361,000,000 -302,000,000 -323,000,000 
  free cash flows6,302,000,000 4,558,000,000 1,457,000,000 12,954,000,000 5,893,000,000 401,000,000 -6,152,000,000 6,064,000,000 10,203,000,000 15,567,000,000 -5,399,000,000 17,825,000,000 6,214,000,000 4,764,000,000 2,523,000,000 6,951,000,000 4,978,000,000 5,437,000,000 5,527,000,000 2,570,000,000 9,552,000,000 2,474,000,000 5,555,000,000 2,706,000,000 5,459,000,000 2,672,000,000 1,838,000,000 396,000,000 3,524,000,000 7,892,000,000 -3,209,000,000 7,080,000,000 1,753,000,000 5,949,000,000 -1,894,000,000 6,796,000,000 1,295,000,000 1,893,000,000 3,027,000,000 2,441,000,000 820,000,000 1,896,000,000 2,025,000,000 2,795,000,000 651,000,000 1,055,000,000 747,000,000 3,035,000,000 1,172,000,000 730,000,000 
  investing activities                                                  
  purchases of investments-4,045,000,000 -4,135,000,000 -7,357,000,000 -9,821,000,000 -5,332,000,000 -4,798,000,000 -5,316,000,000 -3,773,000,000 -4,331,000,000 -4,894,000,000 -4,642,000,000 -5,280,000,000 -3,921,000,000 -4,982,000,000 -4,312,000,000 -3,980,000,000 -4,235,000,000 -4,612,000,000 -5,007,000,000 -5,158,000,000 -2,546,000,000 -3,866,000,000 -4,745,000,000 -5,737,000,000 -4,109,000,000 -3,540,000,000 -2,694,000,000 -3,134,000,000 -4,291,000,000 -3,891,000,000 -3,962,000,000 -3,682,000,000 -3,261,000,000 -3,683,000,000 -5,316,000,000 -3,256,000,000 -3,802,000,000 -5,173,000,000 -3,227,000,000 -2,426,000,000 -2,395,000,000 -1,891,000,000 -2,105,000,000 -2,346,000,000 -2,563,000,000 -2,914,000,000 -3,378,000,000 -2,856,000,000 -3,118,000,000 -2,824,000,000 
  sales of investments1,996,000,000 3,185,000,000 3,449,000,000 9,777,000,000 2,312,000,000 2,976,000,000 3,633,000,000 486,000,000 2,732,000,000 456,000,000 531,000,000 3,028,000,000 757,000,000 1,591,000,000 4,476,000,000 1,161,000,000 765,000,000 643,000,000 1,602,000,000 1,339,000,000 1,378,000,000 2,170,000,000 2,338,000,000 3,518,000,000 1,170,000,000 1,510,000,000 769,000,000 869,000,000 1,001,000,000 1,002,000,000 1,814,000,000 723,000,000 1,068,000,000 1,018,000,000 2,917,000,000 1,001,000,000 1,299,000,000 2,122,000,000 2,013,000,000 1,781,000,000 1,757,000,000 503,000,000 1,891,000,000 1,417,000,000 2,158,000,000 2,235,000,000 1,927,000,000 855,000,000 1,642,000,000 1,282,000,000 
  maturities of investments2,159,000,000 2,167,000,000 2,581,000,000 2,117,000,000 2,307,000,000 2,314,000,000 2,756,000,000 2,011,000,000 2,344,000,000 2,119,000,000 1,341,000,000 1,551,000,000 1,430,000,000 1,759,000,000 1,695,000,000 1,906,000,000 2,395,000,000 2,255,000,000 1,955,000,000 1,860,000,000 1,711,000,000 1,726,000,000 1,931,000,000 1,845,000,000 1,604,000,000 1,711,000,000 1,555,000,000 1,504,000,000 1,707,000,000 1,504,000,000 1,395,000,000 1,475,000,000 1,450,000,000 1,326,000,000 1,241,000,000 1,067,000,000 995,000,000 978,000,000 797,000,000 935,000,000 779,000,000 843,000,000 760,000,000 722,000,000 719,000,000 825,000,000 988,000,000 1,153,000,000 1,523,000,000 1,195,000,000 
  cash paid for acquisitions and other transactions, net of cash assumed-32,000,000 -702,000,000 -1,734,000,000                                                
  purchases of property, equipment and capitalized software-886,000,000 -898,000,000 -912,000,000 -991,000,000 -853,000,000 -743,000,000 -959,000,000 -838,000,000 -829,000,000 -760,000,000 -866,000,000 -724,000,000 -657,000,000 -555,000,000 -695,000,000 -629,000,000 -562,000,000 -568,000,000 -574,000,000 -557,000,000 -451,000,000 -469,000,000 -650,000,000 -444,000,000 -415,000,000 -562,000,000 -558,000,000 -545,000,000 -483,000,000 -477,000,000 -632,000,000 -466,000,000 -418,000,000 -507,000,000 -485,000,000 -407,000,000 -388,000,000 -425,000,000 -484,000,000 -356,000,000 -343,000,000 -373,000,000 -404,000,000 -405,000,000 -363,000,000 -353,000,000 -321,000,000 -361,000,000 -302,000,000 -323,000,000 
  loans to care providers - cyberattack  -129,000,000                                                
  repayments of care provider loans - cyberattack402,000,000 891,000,000 1,325,000,000                                                
  cash flows used for investing activities-1,442,000,000 -74,000,000 -1,119,000,000 -5,651,000,000 -7,417,000,000 -6,340,000,000 -1,187,000,000 -2,639,000,000 -728,000,000 -11,020,000,000 -15,369,000,000 -847,000,000 -8,587,000,000 -3,673,000,000 716,000,000 -1,879,000,000 -5,502,000,000 -3,707,000,000 -5,178,000,000 -2,869,000,000 -2,952,000,000 -1,533,000,000 -1,388,000,000 -4,433,000,000 -5,462,000,000 -1,416,000,000 -1,140,000,000 -4,547,000,000 -2,181,000,000 -4,517,000,000 -2,704,000,000 -2,239,000,000 -1,367,000,000 -2,289,000,000 -614,000,000 -2,328,000,000 -2,232,000,000 -4,181,000,000 -975,000,000 -14,570,000,000 -1,325,000,000 -1,525,000,000 -676,000,000 -980,000,000 -275,000,000 -603,000,000 -816,000,000 -1,255,000,000 -114,000,000 -904,000,000 
  financing activities                                                  
  common share repurchases-2,545,000,000 -3,000,000,000 -4,972,000,000 -956,000,000 -3,072,000,000 -1,500,000,000 -1,500,000,000 -3,000,000,000 -2,000,000,000 -1,000,000,000 -1,000,000,000 -2,500,000,000 -2,500,000,000 -1,050,000,000 -1,050,000,000 -1,250,000,000 -1,650,000,000 -1,709,000,000 -850,000,000 -1,691,000,000 -399,000,000 -600,000,000 -1,499,000,000 -3,002,000,000 -850,000,000 -500,000,000 -500,000,000 -2,650,000,000 -327,000,000 -128,000,000 -363,000,000 -682,000,000 -163,000,000 -137,000,000 -480,000,000 -500,000,000             
  cash dividends paid-2,000,000,000 -1,912,000,000 -1,932,000,000 -1,937,000,000 -1,935,000,000 -1,729,000,000 -1,738,000,000 -1,739,000,000 -1,747,000,000 -1,537,000,000 -1,541,000,000 -1,542,000,000 -1,545,000,000 -1,363,000,000 -1,365,000,000 -1,367,000,000 -1,367,000,000 -1,181,000,000 -1,184,000,000 -1,188,000,000 -1,188,000,000 -1,024,000,000 -1,024,000,000 -1,024,000,000 -1,024,000,000 -860,000,000 -866,000,000 -866,000,000 -866,000,000 -722,000,000 -727,000,000 -726,000,000 -724,000,000 -596,000,000 -595,000,000 -595,000,000 -594,000,000 -477,000,000 -476,000,000 -477,000,000 -476,000,000 -357,000,000 -358,000,000 -362,000,000 -366,000,000 -276,000,000 -279,000,000 -280,000,000 -281,000,000 -216,000,000 
  proceeds from common stock issuances221,000,000 360,000,000 235,000,000 867,000,000 258,000,000 486,000,000 314,000,000 411,000,000 284,000,000 344,000,000 169,000,000 328,000,000 205,000,000 551,000,000 278,000,000 313,000,000 328,000,000 436,000,000 234,000,000 336,000,000 313,000,000 557,000,000 297,000,000 292,000,000 125,000,000 323,000,000 93,000,000 267,000,000 183,000,000 295,000,000 84,000,000 213,000,000 121,000,000 270,000,000 42,000,000 133,000,000 56,000,000 198,000,000 36,000,000 124,000,000 50,000,000 192,000,000 62,000,000 133,000,000 51,000,000 216,000,000 60,000,000 224,000,000 198,000,000 116,000,000 
  repayments of long-term debt  -500,000,000 -750,000,000 -1,000,000,000 -750,000,000 -750,000,000 -1,375,000,000 -915,000,000 -1,000,000,000 -1,100,000,000 -1,250,000,000 -750,000,000 -1,150,000,000 -1,650,000,000    -500,000,000 -1,250,000,000 -1,500,000,000 -1,100,000,000 -1,531,000,000 -750,000,000 -725,000,000 -1,392,000,000 -495,000,000 -500,000,000 -1,000,000,000 -601,000,000 -625,000,000 -416,000,000 -640,000,000 -172,000,000 -49,000,000 -483,000,000 -1,077,000,000 
  (repayments of) proceeds from short-term borrowings  40,000,000                                                
  proceeds from issuance of long-term debt  11,886,000,000 5,925,000,000 -7,000,000 6,401,000,000 8,897,000,000   -1,000,000        2,971,000,000   3,949,000,000 1,342,000,000 1,483,000,000 2,485,000,000         2,235,000,000 
  customer funds administered-1,270,000,000 1,245,000,000 -501,000,000 -2,049,000,000 -755,000,000 1,745,000,000 -2,558,000,000 -2,032,000,000 -943,000,000 5,012,000,000 -1,480,000,000 1,242,000,000 666,000,000 5,120,000,000 -780,000,000 -993,000,000 264,000,000 2,131,000,000 1,428,000,000 -1,014,000,000 201,000,000 1,062,000,000 -407,000,000 -1,015,000,000 -349,000,000 1,784,000,000 -1,683,000,000 -1,530,000,000 120,000,000 2,962,000,000 -487,000,000 -240,000,000 682,000,000 3,217,000,000 443,000,000 210,000,000 -28,000,000 1,067,000,000 649,000,000 -822,000,000 -108,000,000 1,049,000,000 -198,000,000 -773,000,000 -485,000,000 818,000,000 -277,000,000 -547,000,000 -107,000,000 962,000,000 
  cash flows (used for) from financing activities                         -272,000,000         -351,000,000           -573,000,000     
  effect of exchange rate changes on cash and cash equivalents14,000,000 15,000,000 -31,000,000 14,000,000 4,000,000 -48,000,000 48,000,000 -57,000,000 55,000,000 51,000,000 30,000,000 -53,000,000 -100,000,000 157,000,000 -17,000,000 -51,000,000 57,000,000 -51,000,000 44,000,000 -17,000,000 -14,000,000 -129,000,000 17,000,000 -43,000,000 11,000,000 -5,000,000 19,000,000 -19,000,000 -66,000,000 -12,000,000 -23,000,000 25,000,000 -27,000,000 20,000,000 8,000,000 5,000,000 31,000,000 34,000,000 -5,000,000 -82,000,000 16,000,000 -85,000,000 -8,000,000 -11,000,000 8,000,000 6,000,000 1,000,000 7,000,000 -74,000,000 -20,000,000 
  increase in cash and cash equivalents, including cash within businesses held for sale-2,187,000,000 5,496,000,000 -7,123,000,000 6,103,000,000                                               
  less: net increase in cash within businesses held for sale66,000,000 -91,000,000                                                 
  net increase in cash and cash equivalents-2,121,000,000 5,405,000,000 -7,088,000,000 6,114,000,000                                               
  cash and cash equivalents, beginning of period25,312,000,000 25,427,000,000 23,365,000,000 21,375,000,000 16,921,000,000 10,985,000,000 10,866,000,000 11,981,000,000 10,430,000,000 10,923,000,000 7,495,000,000 7,276,000,000 8,406,000,000 
  cash and cash equivalents, end of period-2,121,000,000 30,717,000,000 -7,088,000,000 6,114,000,000 -2,128,000,000 28,414,000,000 -13,488,000,000 -2,898,000,000 -100,000,000 41,913,000,000 -15,480,000,000 14,233,000,000 -870,000,000 25,482,000,000 290,000,000 1,253,000,000 -123,000,000 19,955,000,000 -629,000,000 -4,777,000,000 758,000,000 21,569,000,000 -1,378,000,000 -1,382,000,000 1,338,000,000 12,407,000,000 603,000,000 -8,105,000,000 125,000,000 18,243,000,000 -4,288,000,000 1,687,000,000 -1,560,000,000 16,142,000,000 -2,366,000,000 4,579,000,000 -2,379,000,000 10,596,000,000 2,940,000,000 96,000,000 -763,000,000 8,650,000,000 262,000,000 821,000,000 -1,102,000,000 7,514,000,000 -1,010,000,000 632,000,000 -2,384,000,000 10,038,000,000 
  proceeds from short-term borrowings 3,911,000,000   2,426,000,000 6,189,000,000   -3,923,000,000 7,349,000,000    3,148,000,000    4,057,000,000   -10,446,000,000 10,797,000,000                             
  cash flows from financing activities 99,000,000   -1,196,000,000 8,231,000,000   -10,459,000,000 13,190,000,000   946,000,000 2,304,000,000   -218,000,000 787,000,000            2,422,000,000    1,525,000,000    1,502,000,000            1,503,000,000 
  gains on dispositions and other strategic transactions                                                  
  cash received from dispositions and other strategic transactions                                                  
  purchases of redeemable noncontrolling interests          -79,000,000                                     
  less: cash within businesses held for sale  35,000,000 11,000,000                                               
  supplemental cash flow disclosures                                                  
  cash paid for interest                                                  
  cash paid for income taxes                                                  
  cash flows from (used for) financing activities                     9,303,000,000                 409,000,000   496,000,000         
  net change in other operating items, net of effects from acquisitions, dispositions and changes in aarp balances:                                                  
  cash paid for acquisitions, net of cash assumed    -25,000,000 -3,006,000,000 -1,747,000,000 -228,000,000 -335,000,000 -7,826,000,000 -14,304,000,000 -4,000,000 -5,919,000,000 -1,231,000,000 -94,000,000 -85,000,000 -3,449,000,000 -1,193,000,000 -2,813,000,000 -374,000,000 -3,023,000,000 -929,000,000 -143,000,000 -3,449,000,000 -4,062,000,000 -689,000,000 -173,000,000 -3,188,000,000 -53,000,000 -2,583,000,000 -1,223,000,000 -204,000,000 -236,000,000 -468,000,000 967,000,000 -692,000,000 -338,000,000 -1,697,000,000 19,000,000 -14,405,000,000 -1,203,000,000 -575,000,000 -1,072,000,000 -328,000,000 -178,000,000 -345,000,000 -32,000,000 -46,000,000 -5,000,000 -279,000,000 
  loans to providers - cyberattack                                                  
  loss on sale of subsidiary     7,086,000,000                                             
  increase in cash and cash equivalents     2,987,000,000 -13,488,000,000 -2,898,000,000 -100,000,000 18,548,000,000 -15,480,000,000 14,233,000,000 -870,000,000 4,107,000,000 290,000,000 1,253,000,000 -123,000,000 3,034,000,000 -629,000,000 -4,777,000,000 758,000,000 10,584,000,000 -1,378,000,000 -1,382,000,000 1,338,000,000 1,541,000,000 603,000,000 -8,105,000,000 125,000,000 6,262,000,000 -4,288,000,000 1,687,000,000 -1,560,000,000 5,712,000,000 -2,366,000,000 4,579,000,000 -2,379,000,000 -327,000,000 2,940,000,000 96,000,000 -763,000,000 1,155,000,000    238,000,000   -2,384,000,000 1,632,000,000 
  net change in other operating items, net of effects from acquisitions and changes in aarp balances:                                                  
  cash received from dispositions                                              45,000,000 
  proceeds from (repayments of) short-term borrowings      -1,568,000,000                                            
  cash flows used for financing activities              -3,627,000,000            -672,000,000     -3,645,000,000            -1,388,000,000    -1,516,000,000   
  repayments of short-term borrowings                                                  
  proceeds from (repayments of) commercial paper                      -3,698,000,000 -2,926,000,000      4,259,000,000                     
  supplemental schedule of non-cash investing activities                                                  
  common stock issued for acquisitions                                                  
  proceeds from commercial paper                         3,101,000,000          569,000,000      1,194,000,000    9,000,000    130,000,000 
  repayments of commercial paper                          -37,000,000 17,000,000      -139,000,000                 
  supplemental schedule of noncash investing activities                                                  
  common stock issued for acquisition                               297,000,000 7,000,000 1,860,000,000                 
  (repayments of) proceeds from commercial paper                              -156,000,000 -1,956,000,000      -285,000,000         55,000,000    
  acquisition of redeemable noncontrolling interest shares                                                
  other policy liabilities                                   -7,000,000 17,000,000 266,000,000 263,000,000 166,000,000 54,000,000 154,000,000   -15,000,000 -203,000,000 -153,000,000 -27,000,000   
  common stock repurchases                                      -70,000,000 -177,000,000 -57,000,000 -896,000,000 -984,000,000 -1,087,000,000 -1,026,000,000 -911,000,000 -822,000,000 -1,014,000,000 -791,000,000 -543,000,000 
  proceeds from long-term debt                                                  
  proceeds from disposal of property, equipment and capitalized software                                                 
  acquisition of noncontrolling interest shares                                                
  decrease in cash and cash equivalents                                           821,000,000       
  non-cash items:                                                  
  proceeds from disposal of property and equipment                                                  
  interest rate swap termination                                                  
  checks outstanding                                                117,000,000 -80,000,000 

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