7Baggers
Quarterly
Annual
    Unit: USD2025-09-30 2025-06-30 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 earnings
    		2,543,000,000 3,572,000,000 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 amortization
    		1,099,000,000 1,084,000,000 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
    		-932,000,000 -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 compensation
    		223,000,000 197,000,000 375,000,000 187,000,000 237,000,000 222,000,000 372,000,000 208,000,000 247,000,000 242,000,000 362,000,000 250,000,000 171,000,000 205,000,000 299,000,000 209,000,000 165,000,000 170,000,000 256,000,000 152,000,000 139,000,000 157,000,000 231,000,000 172,000,000 127,000,000 155,000,000 243,000,000 126,000,000 154,000,000 150,000,000 208,000,000 141,000,000 124,000,000 136,000,000 196,000,000 116,000,000 107,000,000 105,000,000 157,000,000 100,000,000 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 sale
    		83,000,000 41,000,000 15,000,000 -21,000,000 20,000,000                                               
      other
    		-63,000,000 30,000,000 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 receivable
    		1,746,000,000 2,781,000,000 -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
    		-962,000,000 -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 payable
    		1,807,000,000 1,378,000,000 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 liabilities
    		63,000,000 127,000,000 -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
    		338,000,000 -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 activities
    		5,945,000,000 7,188,000,000 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
    		-890,000,000 -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 flows
    		5,055,000,000 6,302,000,000 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
    		-4,625,000,000 -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 investments
    		2,764,000,000 1,996,000,000 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 investments
    		2,191,000,000 2,159,000,000 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
    		-3,702,000,000 -32,000,000 -702,000,000 -1,734,000,000                                                
      purchases of property, equipment and capitalized software
    		-890,000,000 -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 - cyberattack
    		250,000,000 402,000,000 891,000,000 1,325,000,000                                                
      cash flows used for investing activities
    		-4,558,000,000 -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
    		0 -2,545,000,000 -3,000,000,000 -4,972,000,000 -956,000,000 0 -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 0 -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
    		-2,002,000,000 -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 issuances
    		222,000,000 221,000,000 360,000,000 235,000,000 867,000,000 258,000,000 486,000,000 314,000,000 411,000,000 284,000,000 344,000,000 169,000,000 328,000,000 205,000,000 551,000,000 278,000,000 313,000,000 328,000,000 436,000,000 234,000,000 336,000,000 313,000,000 557,000,000 297,000,000 292,000,000 125,000,000 323,000,000 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 0 0 -750,000,000 -1,375,000,000 -915,000,000 -1,000,000,000 0 -1,100,000,000 -1,250,000,000 0 -750,000,000 -1,150,000,000 -1,650,000,000    -500,000,000 0 0 -1,250,000,000 0 -1,500,000,000 0 -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 0 0 -416,000,000 0 -640,000,000 0 -172,000,000 -49,000,000 0 -483,000,000 -1,077,000,000 
      proceeds from (repayments of) short-term borrowings
    		       -1,568,000,000                                            
      proceeds from issuance of long-term debt
    		0   0 11,886,000,000 0 5,925,000,000 0 0 -7,000,000 6,401,000,000 8,897,000,000 0   -1,000,000 0   0 0   0    2,971,000,000 0   3,949,000,000 0 0 1,342,000,000 1,483,000,000 0 0 2,485,000,000         0 0 0 2,235,000,000 
      customer funds administered
    		-1,767,000,000 -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
    		-2,765,000,000                          -272,000,000         -351,000,000           -573,000,000     
      effect of exchange rate changes on cash and cash equivalents
    		-4,000,000 14,000,000 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
    		-1,382,000,000 -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 sale
    		-4,000,000 66,000,000 -91,000,000                                                 
      net increase in cash and cash equivalents
    		-1,386,000,000 -2,121,000,000 5,405,000,000 -7,088,000,000 6,114,000,000                                               
      cash and cash equivalents, beginning of period
    		0 0 25,312,000,000 0 0 0 25,427,000,000 0 0 0 23,365,000,000 0 0 0 21,375,000,000 0 0 0 16,921,000,000 0 0 0 10,985,000,000 0 0 0 10,866,000,000 0 0 0 11,981,000,000 0 0 0 10,430,000,000 0 0 0 10,923,000,000 0 0 0 7,495,000,000 0 0 0 7,276,000,000 0 0 0 8,406,000,000 
      cash and cash equivalents, end of period
    		-1,386,000,000 -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 
      (repayments of) proceeds from short-term borrowings
    		   40,000,000                                                
      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
    		           0 -79,000,000   0 0                                   
      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
    		                                               0 0 0 45,000,000 
      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
    		                                   0 0               
      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
    		                                                0   
      acquisition of noncontrolling interest shares
    		                                               0 0   
      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 
    The information provided in this report is taken from www.sec.gov and many other data providers. While we have conducted our best efforts to ensure that the parsed data is accurate, we cannot guarantee its accuracy. Please use caution and understand that any consequences of its use are your own responsibility.