UnitedHealth Group(NYSE:UNH) 
UnitedHealth Group Incorporated operates as a diversified health care company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employ...
Website: http://www.unitedhealthgroup.com
Founded: 1977
Full Time Employees: 380,000 (Jun 2022)
Sector: Healthcare
Industry: Healthcare Plans
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At a glance:
- Diversified Healthcare Leader with Strong Optum Performance: UnitedHealth Group operates a dual-engine model with UnitedHealthcare (health benefits) and Optum (health services). Optum, encompassing pharmacy benefits, care delivery, and technology, consistently drives significant growth and profitability, often offsetting pressures in the insurance segment.
- Impacted by Cyberattack and Elevated Medical Costs: The company has faced significant headwinds, notably the Change Healthcare cyberattack in Q1 2024, causing operational disruptions and financial costs. Higher medical utilization, particularly among seniors, has also pressured profitability in its health benefits division.
- Consistent Revenue Growth Amidst Short-Term Profitability Pressures: UNH continues to deliver strong top-line revenue growth across its segments. While recent events have impacted short-term earnings and free cash flow, the company maintains its full-year adjusted earnings outlook, focusing on recovery and long-term strategic initiatives.
Bull Thesis:
- Diversified Growth Engine with Optum: UnitedHealth Group's Optum segment, encompassing health services, pharmacy benefits management (PBM), and data analytics, provides a high-growth, high-margin, and diversified revenue stream beyond traditional health insurance. This segment offers significant cross-selling opportunities and mitigates risks associated with the highly regulated insurance business.
- Favorable Demographic Trends and Medicare Advantage Leadership: The aging U.S. population continues to drive demand for healthcare services and insurance, particularly in the Medicare Advantage market. UNH is a dominant player in this growing segment, benefiting from increasing enrollment and government funding for these plans, which offer attractive margins.
- Unmatched Scale and Market Leadership: As one of the largest and most integrated healthcare companies globally, UNH possesses immense scale, giving it significant negotiating leverage with providers, pharmaceutical companies, and other partners. This scale translates into cost efficiencies, a strong competitive moat, and the ability to invest heavily in technology and innovation.
- Consistent Financial Performance and Shareholder Returns: UnitedHealth Group has a long track record of robust revenue growth, strong profitability, and consistent free cash flow generation. The company has historically returned significant capital to shareholders through regular dividend increases and share buybacks, demonstrating financial discipline and commitment to shareholder value.
Bear Thesis:
- Heightened Regulatory and Political Scrutiny: The healthcare industry is heavily regulated and subject to political whims. Potential changes in government policy regarding Medicare Advantage funding, drug pricing, antitrust enforcement (especially concerning Optum's vertical integration), or broader healthcare reform could significantly impact UNH's profitability and operational flexibility.
- Rising Medical Costs and Margin Pressure: Persistent inflation in healthcare costs, driven by factors like new high-cost drugs (e.g., GLP-1s), increased utilization, and labor shortages, could pressure UNH's medical loss ratio (MLR) and overall insurance margins. The ability to effectively manage these costs or pass them on to consumers/employers is crucial but challenging.
- Significant Cybersecurity and Operational Risks (e.g., Change Healthcare): As a vast holder of sensitive patient data and a critical infrastructure provider (especially through Optum's Change Healthcare acquisition), UNH faces substantial cybersecurity risks. A major breach or operational disruption, like the recent Change Healthcare cyberattack, can lead to massive financial costs, reputational damage, regulatory fines, and disruption across the entire healthcare system.
- Intense Competition and Market Saturation: UNH operates in highly competitive markets across all its segments. Other large insurers, PBMs, and healthcare service providers are constantly vying for market share. New entrants and evolving business models could also erode UNH's competitive advantages, making sustained growth more challenging.
Main Competitors:
- Elevance Health (formerly Anthem) ($ELV) (Health Benefits & Services), Elevance Health is a direct competitor in the health insurance market, offering a wide range of health benefits plans (employer, individual, Medicare, Medicaid) through its Blue Cross Blue Shield affiliated plans in various states. It also competes with UnitedHealth Group's Optum segment through its CarelonRx (PBM) and Carelon Services (care management, behavioral health) divisions, aiming for similar vertical integration and health services capabilities.
- CVS Health ($CVS) (Health Insurance, Pharmacy Benefits Management, Retail Health), CVS Health competes broadly across UnitedHealth Group's core businesses. Its Aetna subsidiary is a major health insurer, directly challenging UnitedHealthcare in employer, individual, Medicare, and Medicaid markets. CVS Caremark is a leading Pharmacy Benefits Manager (PBM), competing directly with OptumRx. Furthermore, CVS's retail clinics (MinuteClinic) and recent acquisitions like Oak Street Health (primary care) compete with Optum Health's care delivery and value-based care initiatives.
- Cigna Group ($CI) (Health Insurance & Health Services), Cigna Group competes with UnitedHealth Group through its Cigna Healthcare segment, offering employer-sponsored health plans, Medicare, and international health coverage. Its Evernorth Health Services division is a significant competitor to Optum, providing pharmacy benefits management (PBM) through Express Scripts, specialty pharmacy, care management, and data analytics solutions to clients, including other health plans and employers.
- Humana Inc. ($HUM) (Medicare Advantage & Integrated Care), Humana is a strong competitor, particularly in the rapidly growing Medicare Advantage market, where it holds a significant share alongside UnitedHealthcare. Humana also offers employer group plans and Medicaid. It increasingly competes with Optum Health through its integrated care delivery model, including primary care centers and home health services, focusing on value-based care for seniors.
Moat:
UnitedHealth Group (UNH) maintains a formidable competitive moat primarily through its unparalleled scale, extensive provider networks, and the unique diversification and vertical integration offered by its Optum segment. Optum provides a significant advantage by offering pharmacy benefits management (PBM), data analytics, technology solutions, and direct care delivery, which not only generates diverse revenue streams but also allows for internal cost management, innovation, and deeper insights into healthcare utilization. This integrated model creates efficiencies and a comprehensive ecosystem that is difficult for competitors to replicate entirely. However, competition is intense and evolving. Major rivals like Elevance Health, CVS Health, and Cigna Group are actively pursuing similar strategies of vertical integration, expanding their health services arms (e.g., Elevance's Carelon, CVS's Aetna/Caremark/Oak Street Health, Cigna's Evernorth) to challenge UNH's market position across insurance, PBM, and care delivery. Specialized players like Humana also pose a significant threat in key growth areas like Medicare Advantage. The competitive landscape is characterized by a race to offer more integrated, value-based care solutions, leveraging data and technology to improve outcomes and manage costs.
Income Statements:
Quarterly
Annual
| Unit: USD | 2025-12-31 | 2025-09-30 | 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 | 2012-12-31 |
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revenues: | |||||||||||||||||||||||||||||||||||||||||||||||||||||
premiums | 88,811,000,000 | 88,979,000,000 | 87,905,000,000 | 86,534,000,000 | 76,483,000,000 | 77,442,000,000 | 76,897,000,000 | 77,988,000,000 | 73,228,000,000 | 72,339,000,000 | 72,474,000,000 | 72,786,000,000 | 64,700,000,000 | 64,491,000,000 | 63,896,000,000 | 64,070,000,000 | 57,547,000,000 | 56,967,000,000 | 56,233,000,000 | 55,486,000,000 | 50,581,000,000 | 50,863,000,000 | 49,394,000,000 | 50,640,000,000 | 47,625,000,000 | 47,397,000,000 | 47,164,000,000 | 47,513,000,000 | 44,932,000,000 | 44,613,000,000 | 44,458,000,000 | 44,084,000,000 | 40,378,000,000 | 39,552,000,000 | 39,585,000,000 | 38,938,000,000 | 36,752,000,000 | 36,142,000,000 | 36,413,000,000 | 34,811,000,000 | 31,727,000,000 | 31,801,000,000 | 31,961,000,000 | 31,674,000,000 | 29,375,000,000 | 28,972,000,000 | 28,840,000,000 | 28,115,000,000 | 27,707,000,000 | 27,356,000,000 | 27,220,000,000 | 27,274,000,000 | |
products | 13,484,000,000 | 13,296,000,000 | 13,564,000,000 | 13,036,000,000 | 13,475,000,000 | 12,631,000,000 | 12,211,000,000 | 11,909,000,000 | 11,311,000,000 | 10,354,000,000 | 10,651,000,000 | 10,267,000,000 | 9,398,000,000 | 9,190,000,000 | 9,496,000,000 | 9,340,000,000 | 8,961,000,000 | 8,703,000,000 | 8,433,000,000 | 8,340,000,000 | 8,690,000,000 | 8,777,000,000 | 8,247,000,000 | 8,431,000,000 | 7,626,000,000 | 7,546,000,000 | 8,353,000,000 | 8,072,000,000 | 8,551,000,000 | 7,344,000,000 | 7,004,000,000 | 6,702,000,000 | 7,157,000,000 | 6,665,000,000 | 6,415,000,000 | 6,129,000,000 | 6,959,000,000 | 6,696,000,000 | 6,610,000,000 | 6,393,000,000 | 8,377,000,000 | 6,482,000,000 | 1,223,000,000 | 1,230,000,000 | 1,127,000,000 | 1,080,000,000 | 1,037,000,000 | 998,000,000 | 865,000,000 | 825,000,000 | 749,000,000 | 751,000,000 | |
services | 10,273,000,000 | 9,754,000,000 | 9,039,000,000 | 8,972,000,000 | 9,298,000,000 | 9,104,000,000 | 8,750,000,000 | 8,888,000,000 | 8,709,000,000 | 8,671,000,000 | 8,663,000,000 | 8,080,000,000 | 7,834,000,000 | 6,700,000,000 | 6,645,000,000 | 6,372,000,000 | 6,422,000,000 | 6,164,000,000 | 6,099,000,000 | 5,918,000,000 | 5,751,000,000 | 5,124,000,000 | 4,156,000,000 | 4,985,000,000 | 5,217,000,000 | 4,942,000,000 | 4,496,000,000 | 4,318,000,000 | 4,593,000,000 | 4,217,000,000 | 4,269,000,000 | 4,104,000,000 | 4,228,000,000 | 3,858,000,000 | 3,797,000,000 | 3,434,000,000 | 3,563,000,000 | 3,264,000,000 | 3,269,000,000 | 3,140,000,000 | 3,315,000,000 | 3,036,000,000 | 2,865,000,000 | 2,706,000,000 | 2,765,000,000 | 2,535,000,000 | 2,447,000,000 | 2,404,000,000 | 2,361,000,000 | 2,280,000,000 | 2,244,000,000 | 2,112,000,000 | |
investment and other income | 647,000,000 | 1,132,000,000 | 1,108,000,000 | 1,033,000,000 | 1,551,000,000 | 1,643,000,000 | 997,000,000 | 1,011,000,000 | 1,179,000,000 | 997,000,000 | 1,115,000,000 | 798,000,000 | 855,000,000 | 513,000,000 | 295,000,000 | 367,000,000 | 813,000,000 | 503,000,000 | 556,000,000 | 452,000,000 | 445,000,000 | 351,000,000 | 341,000,000 | 365,000,000 | 433,000,000 | 466,000,000 | 582,000,000 | 405,000,000 | 341,000,000 | 382,000,000 | 355,000,000 | 298,000,000 | 298,000,000 | 247,000,000 | 256,000,000 | 222,000,000 | 261,000,000 | 191,000,000 | 193,000,000 | 183,000,000 | 180,000,000 | 170,000,000 | 214,000,000 | 146,000,000 | 166,000,000 | 172,000,000 | 250,000,000 | 191,000,000 | 184,000,000 | 163,000,000 | 195,000,000 | 203,000,000 | |
total revenues | 113,215,000,000 | 113,161,000,000 | 111,616,000,000 | 109,575,000,000 | 100,807,000,000 | 100,820,000,000 | 98,855,000,000 | 99,796,000,000 | 94,427,000,000 | 92,361,000,000 | 92,903,000,000 | 91,931,000,000 | 82,787,000,000 | 80,894,000,000 | 80,332,000,000 | 80,149,000,000 | 73,743,000,000 | 72,337,000,000 | 71,321,000,000 | 70,196,000,000 | 65,467,000,000 | 65,115,000,000 | 62,138,000,000 | 64,421,000,000 | 60,901,000,000 | 60,351,000,000 | 60,595,000,000 | 60,308,000,000 | 58,417,000,000 | 56,556,000,000 | 56,086,000,000 | 55,188,000,000 | 52,061,000,000 | 50,322,000,000 | 50,053,000,000 | 48,723,000,000 | 47,535,000,000 | 46,293,000,000 | 46,485,000,000 | 44,527,000,000 | 43,599,000,000 | 41,489,000,000 | 36,263,000,000 | 35,756,000,000 | 33,433,000,000 | 32,759,000,000 | 32,574,000,000 | 31,708,000,000 | 31,117,000,000 | 30,624,000,000 | 30,408,000,000 | 30,340,000,000 | |
yoy | 12.31% | 12.24% | 12.91% | 9.80% | 6.76% | 9.16% | 6.41% | 8.56% | 14.06% | 14.18% | 15.65% | 14.70% | 12.26% | 11.83% | 12.63% | 14.18% | 12.64% | 11.09% | 14.78% | 8.96% | 7.50% | 7.89% | 2.55% | 6.82% | 4.25% | 6.71% | 8.04% | 9.28% | 12.21% | 12.39% | 12.05% | 13.27% | 9.52% | 8.70% | 7.68% | 9.42% | 9.03% | 11.58% | 28.19% | 24.53% | 30.41% | 26.65% | 11.32% | 12.77% | 7.44% | 6.97% | 7.12% | 4.51% | |||||
qoq | 0.05% | 1.38% | 1.86% | 8.70% | -0.01% | 1.99% | -0.94% | 5.69% | 2.24% | -0.58% | 1.06% | 11.05% | 2.34% | 0.70% | 0.23% | 8.69% | 1.94% | 1.42% | 1.60% | 7.22% | 0.54% | 4.79% | -3.54% | 5.78% | 0.91% | -0.40% | 0.48% | 3.24% | 3.29% | 0.84% | 1.63% | 6.01% | 3.46% | 0.54% | 2.73% | 2.50% | 2.68% | -0.41% | 4.40% | 2.13% | 5.09% | 14.41% | 1.42% | 6.95% | 2.06% | 0.57% | 2.73% | 1.90% | 1.61% | 0.71% | 0.22% | ||
operating costs: | |||||||||||||||||||||||||||||||||||||||||||||||||||||
medical costs | 82,041,000,000 | 79,958,000,000 | 78,585,000,000 | 73,411,000,000 | 67,035,000,000 | 65,957,000,000 | 65,458,000,000 | 65,735,000,000 | 62,231,000,000 | 59,550,000,000 | 60,268,000,000 | 59,845,000,000 | 53,591,000,000 | 52,635,000,000 | 52,093,000,000 | 52,523,000,000 | 48,159,000,000 | 47,302,000,000 | 46,546,000,000 | 44,904,000,000 | 42,082,000,000 | 41,636,000,000 | 34,678,000,000 | 41,000,000,000 | 39,276,000,000 | 39,041,000,000 | 39,184,000,000 | 38,939,000,000 | 36,955,000,000 | 36,158,000,000 | 36,427,000,000 | 35,863,000,000 | 33,207,000,000 | 32,201,000,000 | 32,549,000,000 | 32,079,000,000 | 29,696,000,000 | 29,040,000,000 | 29,872,000,000 | 28,430,000,000 | 26,542,000,000 | 25,618,000,000 | 26,026,000,000 | 25,689,000,000 | 23,434,000,000 | 23,092,000,000 | 23,523,000,000 | 23,208,000,000 | 22,504,000,000 | 22,044,000,000 | 22,173,000,000 | 22,569,000,000 | |
operating costs | 16,997,000,000 | 15,223,000,000 | 13,778,000,000 | 13,594,000,000 | 12,494,000,000 | 13,280,000,000 | 13,162,000,000 | 14,077,000,000 | 13,339,000,000 | 13,855,000,000 | 13,809,000,000 | 13,625,000,000 | 13,009,000,000 | 11,663,000,000 | 11,709,000,000 | 11,401,000,000 | 11,272,000,000 | 10,725,000,000 | 10,359,000,000 | 10,223,000,000 | 11,514,000,000 | 10,174,000,000 | 10,001,000,000 | 10,015,000,000 | 9,301,000,000 | 8,960,000,000 | 8,415,000,000 | 8,517,000,000 | 8,703,000,000 | 8,479,000,000 | 8,386,000,000 | 8,506,000,000 | 7,820,000,000 | 7,387,000,000 | 7,328,000,000 | 7,022,000,000 | 7,817,000,000 | 7,033,000,000 | 6,793,000,000 | 6,758,000,000 | 6,210,000,000 | 6,301,000,000 | 5,852,000,000 | 5,949,000,000 | 5,845,000,000 | 5,436,000,000 | 5,206,000,000 | 5,194,000,000 | 5,054,000,000 | 4,869,000,000 | 4,825,000,000 | 4,614,000,000 | |
cost of products sold | 12,680,000,000 | 12,566,000,000 | 13,019,000,000 | 12,390,000,000 | 12,464,000,000 | 11,834,000,000 | 11,340,000,000 | 11,056,000,000 | 10,194,000,000 | 9,423,000,000 | 9,748,000,000 | 9,405,000,000 | 8,314,000,000 | 8,306,000,000 | 8,596,000,000 | 8,487,000,000 | 8,000,000,000 | 7,802,000,000 | 7,660,000,000 | 7,572,000,000 | 7,622,000,000 | 7,935,000,000 | 7,501,000,000 | 7,687,000,000 | 6,511,000,000 | 6,627,000,000 | 7,598,000,000 | 7,381,000,000 | 7,625,000,000 | 6,718,000,000 | 6,471,000,000 | 6,184,000,000 | 6,479,000,000 | 6,068,000,000 | 5,889,000,000 | 5,676,000,000 | 6,308,000,000 | 6,125,000,000 | 6,106,000,000 | 5,877,000,000 | 7,895,000,000 | 6,100,000,000 | 1,111,000,000 | 1,100,000,000 | 1,008,000,000 | 955,000,000 | 929,000,000 | 892,000,000 | 757,000,000 | 731,000,000 | 669,000,000 | 682,000,000 | |
depreciation and amortization | 1,117,000,000 | 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 | |
total operating costs | 112,835,000,000 | 108,846,000,000 | 106,466,000,000 | 100,456,000,000 | 93,034,000,000 | 92,112,000,000 | 90,980,000,000 | 91,865,000,000 | 86,738,000,000 | 83,835,000,000 | 84,846,000,000 | 83,845,000,000 | 75,896,000,000 | 73,432,000,000 | 73,200,000,000 | 73,199,000,000 | 68,202,000,000 | 66,625,000,000 | 65,343,000,000 | 63,457,000,000 | 61,950,000,000 | 60,464,000,000 | 52,897,000,000 | 59,425,000,000 | 55,806,000,000 | 55,337,000,000 | 55,851,000,000 | 55,476,000,000 | 53,920,000,000 | 51,966,000,000 | 51,882,000,000 | 51,135,000,000 | 48,084,000,000 | 46,234,000,000 | 46,322,000,000 | 45,310,000,000 | 44,348,000,000 | 42,713,000,000 | 43,282,000,000 | 41,567,000,000 | 41,131,000,000 | 38,471,000,000 | 33,368,000,000 | 33,116,000,000 | 30,668,000,000 | 29,856,000,000 | 30,022,000,000 | 29,654,000,000 | 28,665,000,000 | 27,993,000,000 | 28,007,000,000 | 28,201,000,000 | |
earnings from operations | 380,000,000 | 4,315,000,000 | 5,150,000,000 | 9,119,000,000 | 7,773,000,000 | 8,708,000,000 | 7,875,000,000 | 7,931,000,000 | 7,689,000,000 | 8,526,000,000 | 8,057,000,000 | 8,086,000,000 | 6,891,000,000 | 7,462,000,000 | 7,132,000,000 | 6,950,000,000 | 5,541,000,000 | 5,712,000,000 | 5,978,000,000 | 6,739,000,000 | 3,517,000,000 | 4,651,000,000 | 9,241,000,000 | 4,996,000,000 | 5,095,000,000 | 5,014,000,000 | 4,744,000,000 | 4,832,000,000 | 4,497,000,000 | 4,590,000,000 | 4,204,000,000 | 4,053,000,000 | 3,977,000,000 | 4,088,000,000 | 3,731,000,000 | 3,413,000,000 | 3,187,000,000 | 3,580,000,000 | 3,203,000,000 | 2,960,000,000 | 2,468,000,000 | 3,018,000,000 | 2,895,000,000 | 2,640,000,000 | 2,765,000,000 | 2,903,000,000 | 2,552,000,000 | 2,054,000,000 | 2,452,000,000 | 2,631,000,000 | 2,401,000,000 | 2,139,000,000 | |
yoy | -95.11% | -50.45% | -34.60% | 14.98% | 1.09% | 2.13% | -2.26% | -1.92% | 11.58% | 14.26% | 12.97% | 16.35% | 24.36% | 30.64% | 19.30% | 3.13% | 57.55% | 22.81% | -35.31% | 34.89% | -30.97% | -7.24% | 94.79% | 3.39% | 13.30% | 9.24% | 12.84% | 19.22% | 13.08% | 12.28% | 12.68% | 18.75% | 24.79% | 14.19% | 16.48% | 15.30% | 29.13% | 18.62% | 10.64% | 12.12% | -10.74% | 3.96% | 13.44% | 28.53% | 12.77% | 10.34% | 6.29% | -3.97% | |||||
qoq | -91.19% | -16.21% | -43.52% | 17.32% | -10.74% | 10.58% | -0.71% | 3.15% | -9.82% | 5.82% | -0.36% | 17.34% | -7.65% | 4.63% | 2.62% | 25.43% | -2.99% | -4.45% | -11.29% | 91.61% | -24.38% | -49.67% | 84.97% | -1.94% | 1.62% | 5.69% | -1.82% | 7.45% | -2.03% | 9.18% | 3.73% | 1.91% | -2.72% | 9.57% | 9.32% | 7.09% | -10.98% | 11.77% | 8.21% | 19.94% | -18.22% | 4.25% | 9.66% | -4.52% | -4.75% | 13.75% | 24.25% | -16.23% | -6.80% | 9.58% | 12.25% | ||
operating margin % | 0.34% | 3.81% | 4.61% | 8.32% | 7.71% | 8.64% | 7.97% | 7.95% | 8.14% | 9.23% | 8.67% | 8.80% | 8.32% | 9.22% | 8.88% | 8.67% | 7.51% | 7.90% | 8.38% | 9.60% | 5.37% | 7.14% | 14.87% | 7.76% | 8.37% | 8.31% | 7.83% | 8.01% | 7.70% | 8.12% | 7.50% | 7.34% | 7.64% | 8.12% | 7.45% | 7.00% | 6.70% | 7.73% | 6.89% | 6.65% | 5.66% | 7.27% | 7.98% | 7.38% | 8.27% | 8.86% | 7.83% | 6.48% | 7.88% | 8.59% | 7.90% | 7.05% | |
interest expense | -974,000,000 | -1,003,000,000 | -1,027,000,000 | -998,000,000 | -1,003,000,000 | -1,074,000,000 | -985,000,000 | -844,000,000 | -830,000,000 | -834,000,000 | -828,000,000 | -754,000,000 | -676,000,000 | -516,000,000 | -467,000,000 | -433,000,000 | -431,000,000 | -422,000,000 | -410,000,000 | -397,000,000 | -401,000,000 | -395,000,000 | -430,000,000 | -437,000,000 | -437,000,000 | -449,000,000 | -418,000,000 | -400,000,000 | -374,000,000 | -353,000,000 | -344,000,000 | -329,000,000 | -308,000,000 | -294,000,000 | -301,000,000 | -283,000,000 | -268,000,000 | -269,000,000 | -271,000,000 | -259,000,000 | -260,000,000 | -229,000,000 | -151,000,000 | -150,000,000 | -151,000,000 | -152,000,000 | -155,000,000 | -160,000,000 | -176,000,000 | -178,000,000 | -176,000,000 | -178,000,000 | |
loss on sale of subsidiary and subsidiaries held for sale | -126,000,000 | -83,000,000 | -41,000,000 | -15,000,000 | 21,000,000 | -20,000,000 | -1,225,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||
earnings before income taxes | -720,000,000 | 3,229,000,000 | 4,082,000,000 | 8,106,000,000 | 6,791,000,000 | 7,614,000,000 | 5,665,000,000 | 1,000,000 | 6,859,000,000 | 7,692,000,000 | 7,229,000,000 | 7,332,000,000 | 6,215,000,000 | 6,946,000,000 | 6,665,000,000 | 6,517,000,000 | 5,110,000,000 | 5,290,000,000 | 5,568,000,000 | 6,342,000,000 | 3,116,000,000 | 4,256,000,000 | 8,811,000,000 | 4,559,000,000 | 4,658,000,000 | 4,565,000,000 | 4,326,000,000 | 4,432,000,000 | 4,123,000,000 | 4,237,000,000 | 3,860,000,000 | 3,724,000,000 | 3,669,000,000 | 3,794,000,000 | 3,430,000,000 | 3,130,000,000 | 2,919,000,000 | 3,311,000,000 | 2,932,000,000 | 2,701,000,000 | 2,208,000,000 | 2,789,000,000 | 2,744,000,000 | 2,490,000,000 | 2,614,000,000 | 2,751,000,000 | 2,397,000,000 | 1,894,000,000 | 2,276,000,000 | 2,453,000,000 | 2,225,000,000 | 1,961,000,000 | |
provision for income taxes | 938,000,000 | -686,000,000 | -510,000,000 | -1,632,000,000 | -1,007,000,000 | -1,356,000,000 | -1,244,000,000 | -1,222,000,000 | -1,184,000,000 | -1,654,000,000 | -1,572,000,000 | -1,558,000,000 | -1,307,000,000 | -1,562,000,000 | -1,466,000,000 | -1,369,000,000 | -919,000,000 | -1,099,000,000 | -1,196,000,000 | -1,364,000,000 | -764,000,000 | -1,000,000,000 | -2,115,000,000 | -1,094,000,000 | -990,000,000 | -936,000,000 | -941,000,000 | -875,000,000 | -959,000,000 | -953,000,000 | -850,000,000 | -800,000,000 | 52,000,000 | -1,233,000,000 | -1,080,000,000 | -939,000,000 | -1,211,000,000 | -1,333,000,000 | -1,172,000,000 | -1,074,000,000 | -956,000,000 | -1,171,000,000 | -1,159,000,000 | -1,077,000,000 | -1,104,000,000 | -1,149,000,000 | -989,000,000 | -795,000,000 | -849,000,000 | -883,000,000 | -721,000,000 | ||
net earnings | 218,000,000 | 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 | |
earnings attributable to noncontrolling interests | -208,000,000 | -195,000,000 | -166,000,000 | -182,000,000 | -241,000,000 | -203,000,000 | -205,000,000 | -188,000,000 | -220,000,000 | -197,000,000 | -183,000,000 | -163,000,000 | -147,000,000 | -122,000,000 | -129,000,000 | -121,000,000 | -120,000,000 | -105,000,000 | -106,000,000 | -116,000,000 | -140,000,000 | -84,000,000 | -59,000,000 | -83,000,000 | -127,000,000 | -91,000,000 | -92,000,000 | -90,000,000 | -124,000,000 | -96,000,000 | -88,000,000 | -88,000,000 | -104,000,000 | -76,000,000 | -66,000,000 | -19,000,000 | -24,000,000 | -10,000,000 | -6,000,000 | -16,000,000 | -34,000,000 | -21,000,000 | |||||||||||
net earnings attributable to unitedhealth group common shareholders | 10,000,000 | 2,348,000,000 | 3,406,000,000 | 6,292,000,000 | 5,543,000,000 | 6,055,000,000 | 4,216,000,000 | -1,409,000,000 | 5,455,000,000 | 5,841,000,000 | 5,474,000,000 | 5,611,000,000 | 4,761,000,000 | 5,262,000,000 | 5,070,000,000 | 5,027,000,000 | 4,071,000,000 | 4,086,000,000 | 4,266,000,000 | 4,862,000,000 | 2,212,000,000 | 3,172,000,000 | 6,637,000,000 | 3,382,000,000 | 3,541,000,000 | 3,538,000,000 | 3,293,000,000 | 3,467,000,000 | 3,040,000,000 | 3,188,000,000 | 2,922,000,000 | 2,836,000,000 | 3,617,000,000 | 2,485,000,000 | 2,284,000,000 | 2,172,000,000 | 1,684,000,000 | 1,968,000,000 | 1,754,000,000 | 1,611,000,000 | 1,148,750,000 | 1,597,000,000 | 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 | 1,192,000,000 | |||
yoy | -99.82% | -61.22% | -19.21% | -546.56% | 1.61% | 3.66% | -22.98% | -125.11% | 14.58% | 11.00% | 7.97% | 11.62% | 16.95% | 28.78% | 18.85% | 3.39% | 84.04% | 28.81% | -35.72% | 43.76% | -37.53% | -10.34% | 101.55% | -2.45% | 16.48% | 10.98% | 12.70% | 22.25% | -15.95% | 28.29% | 27.93% | 30.57% | 114.79% | 26.27% | 30.22% | 34.82% | 46.59% | 23.23% | -23.92% | -0.31% | 5.82% | 2.04% | -1.95% | -7.80% | |||||||||
qoq | -99.57% | -31.06% | -45.87% | 13.51% | -8.46% | 43.62% | -399.22% | -125.83% | -6.61% | 6.70% | -2.44% | 17.85% | -9.52% | 3.79% | 0.86% | 23.48% | -0.37% | -4.22% | -12.26% | 119.80% | -30.26% | -52.21% | 96.24% | -4.49% | 0.08% | 7.44% | -5.02% | 14.05% | -4.64% | 9.10% | 3.03% | -21.59% | 45.55% | 8.80% | 5.16% | 28.98% | -14.43% | 12.20% | 8.88% | 40.24% | -28.07% | -5.74% | 13.78% | 28.12% | -22.99% | -9.11% | 9.33% | 20.47% | |||||
net income margin % | 0.01% | 2.07% | 3.05% | 5.74% | 5.50% | 6.01% | 4.26% | -1.41% | 5.78% | 6.32% | 5.89% | 6.10% | 5.75% | 6.50% | 6.31% | 6.27% | 5.52% | 5.65% | 5.98% | 6.93% | 3.38% | 4.87% | 10.68% | 5.25% | 5.81% | 5.86% | 5.43% | 5.75% | 5.20% | 5.64% | 5.21% | 5.14% | 6.95% | 4.94% | 4.56% | 4.46% | 3.54% | 4.25% | 3.77% | 3.62% | 2.63% | 3.85% | 0% | 0% | 4.52% | 4.89% | 4.32% | 3.47% | 4.59% | 5.13% | 4.72% | 3.93% | |
earnings per share attributable to unitedhealth group common shareholders: | |||||||||||||||||||||||||||||||||||||||||||||||||||||
basic | 0.01 | 2.59 | 3.76 | 6.9 | 6.03 | 6.56 | 4.58 | -1.53 | 5.92 | 6.31 | 5.89 | 6.01 | 5.1 | 5.63 | 5.41 | 5.34 | 4.33 | 4.33 | 4.52 | 5.14 | 2.33 | 3.34 | 6.99 | 3.56 | 3.73 | 3.73 | 3.47 | 3.62 | 3.16 | 3.31 | 3.04 | 2.94 | 3.73 | 2.57 | 2.37 | 2.28 | 1.77 | 2.07 | 1.84 | 1.69 | 1.28 | 1.68 | 1.48 | 1.57 | 1.65 | 1.44 | 1.12 | 1.43 | 1.56 | 1.42 | 1.17 | ||
diluted | 0.02 | 2.59 | 3.74 | 6.85 | 5.98 | 6.51 | 4.54 | -1.53 | 5.85 | 6.24 | 5.82 | 5.95 | 5.03 | 5.55 | 5.34 | 5.27 | 4.26 | 4.28 | 4.46 | 5.08 | 2.3 | 3.3 | 6.91 | 3.52 | 3.68 | 3.67 | 3.42 | 3.56 | 3.1 | 3.24 | 2.98 | 2.87 | 3.66 | 2.51 | 2.32 | 2.23 | 1.74 | 2.03 | 1.81 | 1.67 | 1.26 | 1.65 | 1.46 | 1.55 | 1.63 | 1.42 | 1.1 | 1.41 | 1.53 | 1.4 | 1.16 | ||
basic weighted-average number of common shares outstanding | 908 | 906 | 907 | 912 | 921 | 923 | 921 | 922 | 928 | 926 | 930 | 933 | 937 | 935 | 937 | 941 | 943 | 943 | 944 | 945 | 949 | 950 | 949 | 949 | 951 | 949 | 950 | 958 | 963 | 962 | 961 | 966 | 964 | 968 | 964 | 954 | 952 | 952 | 951 | 953 | 953 | 953 | 952,000,000 | 954 | 972 | 969 | 979 | 983 | 1,006 | 1,004 | 1,009 | 1,016 | |
dilutive effect of common share equivalents | -1 | 2 | 3 | 6 | 7 | 7 | 10 | 10 | 10 | 13 | 13 | 13 | 1 | 12 | 12 | 12 | 12 | 11 | 13 | 14 | 14 | 17 | -1 | 21 | 21 | 21 | 21 | 21 | 21 | 17 | 16 | 14 | 14 | 14,000,000 | 15 | 1 | 13 | 12 | 13 | ||||||||||||||
diluted weighted-average number of common shares outstanding | 911 | 908 | 910 | 918 | 929 | 930 | 928 | 922 | 938 | 936 | 940 | 943 | 950 | 948 | 950 | 954 | 956 | 955 | 956 | 957 | 961 | 962 | 960 | 962 | 966 | 963 | 964 | 975 | 983 | 983 | 982 | 987 | 985 | 989 | 985 | 975 | 968 | 969 | 967 | 967 | 967 | 967 | 966,000,000 | 969 | 986 | 982 | 991 | 996 | 1,023 | 1,024 | 1,026 | 1,029 | |
anti-dilutive shares excluded from the calculation of dilutive effect of common share equivalents | 16 | 13 | 6 | 4 | 8 | 15 | 6 | 7 | 5 | 3 | 3 | 2 | -1 | 1 | 1 | 3 | -1 | 6 | 11 | 10 | 12 | 11 | 8 | -1 | 7 | 6 | 7 | -1 | 1 | 8 | 9 | 1 | 1 | 7 | 8 | 8,000,000 | 9 | -2 | 7 | 8 | 9 | ||||||||||||
loss on sale of subsidiary | -7,086,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
cash dividends declared per common share | 0.9 | 0.75 | 0.75 | 0.75 | 0.75 | 0.625 | 0.625 | 0.625 | 0.625 | 0.5 | 0.5 | 0.5 | 500,000 | 0.375 | 0.375 | 0.375 | 0.375 | 0.28 | 0.28 | 0.28 | 0.28 | 0.213 | |||||||||||||||||||||||||||||||
earnings per common share: | |||||||||||||||||||||||||||||||||||||||||||||||||||||
basic | 1,660,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
diluted | 1,640,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
earnings per share: | |||||||||||||||||||||||||||||||||||||||||||||||||||||
basic | 0.01 | 2.59 | 3.76 | 6.9 | 6.03 | 6.56 | 4.58 | -1.53 | 5.92 | 6.31 | 5.89 | 6.01 | 5.1 | 5.63 | 5.41 | 5.34 | 4.33 | 4.33 | 4.52 | 5.14 | 2.33 | 3.34 | 6.99 | 3.56 | 3.73 | 3.73 | 3.47 | 3.62 | 3.16 | 3.31 | 3.04 | 2.94 | 3.73 | 2.57 | 2.37 | 2.28 | 1.77 | 2.07 | 1.84 | 1.69 | 1.28 | 1.68 | 1.48 | 1.57 | 1.65 | 1.44 | 1.12 | 1.43 | 1.56 | 1.42 | 1.17 | ||
diluted | 0.02 | 2.59 | 3.74 | 6.85 | 5.98 | 6.51 | 4.54 | -1.53 | 5.85 | 6.24 | 5.82 | 5.95 | 5.03 | 5.55 | 5.34 | 5.27 | 4.26 | 4.28 | 4.46 | 5.08 | 2.3 | 3.3 | 6.91 | 3.52 | 3.68 | 3.67 | 3.42 | 3.56 | 3.1 | 3.24 | 2.98 | 2.87 | 3.66 | 2.51 | 2.32 | 2.23 | 1.74 | 2.03 | 1.81 | 1.67 | 1.26 | 1.65 | 1.46 | 1.55 | 1.63 | 1.42 | 1.1 | 1.41 | 1.53 | 1.4 | 1.16 | ||
earnings attributable to noncontrolling interest | -12,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
dilutive effect of common stock equivalents | 4.25 | 20 | 17 | 13 | |||||||||||||||||||||||||||||||||||||||||||||||||
anti-dilutive shares excluded from the calculation of dilutive effect of common stock equivalents | 2.75 | 7 | 9 | 16 | |||||||||||||||||||||||||||||||||||||||||||||||||
benefit from income taxes | -789,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
less: earnings attributable to noncontrolling interest | -48,000,000 |
Balance Sheets:
Quarterly
Annual
| Unit: USD | 2025-12-31 | 2025-09-30 | 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 | 2012-12-31 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
assets | |||||||||||||||||||||||||||||||||||||||||||||||||||||
current assets: | |||||||||||||||||||||||||||||||||||||||||||||||||||||
cash and cash equivalents | 24,365,000,000 | 27,210,000,000 | 28,596,000,000 | 30,717,000,000 | 25,312,000,000 | 32,400,000,000 | 26,286,000,000 | 28,414,000,000 | 25,427,000,000 | 38,915,000,000 | 41,813,000,000 | 41,913,000,000 | 23,365,000,000 | 38,845,000,000 | 24,612,000,000 | 25,482,000,000 | 21,375,000,000 | 21,085,000,000 | 19,832,000,000 | 19,955,000,000 | 16,921,000,000 | 17,550,000,000 | 22,327,000,000 | 21,569,000,000 | 10,985,000,000 | 12,363,000,000 | 13,745,000,000 | 12,407,000,000 | 10,866,000,000 | 10,263,000,000 | 18,368,000,000 | 18,243,000,000 | 11,981,000,000 | 16,269,000,000 | 14,582,000,000 | 16,142,000,000 | 10,430,000,000 | 12,796,000,000 | 8,217,000,000 | 10,596,000,000 | 10,923,000,000 | 7,983,000,000 | 7,887,000,000 | 8,650,000,000 | 7,495,000,000 | 7,233,000,000 | 6,412,000,000 | 7,514,000,000 | 7,276,000,000 | 8,286,000,000 | 7,654,000,000 | 10,038,000,000 | 8,406,000,000 |
short-term investments | 3,756,000,000 | 3,404,000,000 | 3,424,000,000 | 3,574,000,000 | 3,801,000,000 | 4,734,000,000 | 5,037,000,000 | 4,296,000,000 | 4,201,000,000 | 5,182,000,000 | 4,466,000,000 | 4,584,000,000 | 4,546,000,000 | 3,682,000,000 | 3,352,000,000 | 2,914,000,000 | 2,532,000,000 | 2,786,000,000 | 2,729,000,000 | 2,962,000,000 | 2,860,000,000 | 3,259,000,000 | 3,266,000,000 | 2,876,000,000 | 3,260,000,000 | 3,455,000,000 | 3,524,000,000 | 3,303,000,000 | 3,458,000,000 | 3,586,000,000 | 3,492,000,000 | 3,798,000,000 | 3,509,000,000 | 3,525,000,000 | 3,388,000,000 | 3,210,000,000 | 2,845,000,000 | 2,871,000,000 | 2,757,000,000 | 2,418,000,000 | 1,988,000,000 | 1,942,000,000 | 1,915,000,000 | 1,780,000,000 | 1,741,000,000 | 1,979,000,000 | 1,877,000,000 | 1,869,000,000 | 1,937,000,000 | 2,433,000,000 | 2,443,000,000 | 3,019,000,000 | 3,031,000,000 |
accounts receivable | 23,018,000,000 | 22,672,000,000 | 24,142,000,000 | 26,936,000,000 | 22,365,000,000 | 20,024,000,000 | 23,115,000,000 | 27,197,000,000 | 21,276,000,000 | 20,673,000,000 | 17,952,000,000 | 22,414,000,000 | 17,681,000,000 | 17,047,000,000 | 18,718,000,000 | 18,871,000,000 | 14,216,000,000 | 14,152,000,000 | 14,587,000,000 | 15,980,000,000 | 12,870,000,000 | 12,171,000,000 | 12,546,000,000 | 14,613,000,000 | 11,822,000,000 | 10,964,000,000 | 9,741,000,000 | 12,826,000,000 | 11,388,000,000 | 10,992,000,000 | 10,874,000,000 | 11,512,000,000 | 9,568,000,000 | 8,638,000,000 | 10,538,000,000 | 9,595,000,000 | 8,152,000,000 | 7,347,000,000 | 9,346,000,000 | 7,777,000,000 | 6,523,000,000 | 6,752,000,000 | 6,034,000,000 | 5,040,000,000 | 4,252,000,000 | 3,826,000,000 | 5,383,000,000 | 4,202,000,000 | 3,052,000,000 | 2,853,000,000 | 3,674,000,000 | 3,185,000,000 | 2,709,000,000 |
other current receivables, net of allowances of 3,763 and 2,864 | 29,697,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
prepaid expenses and other current assets | 9,746,000,000 | 9,019,000,000 | 8,955,000,000 | 9,036,000,000 | 8,212,000,000 | 7,639,000,000 | 7,424,000,000 | 6,132,000,000 | 6,084,000,000 | 5,767,000,000 | 5,884,000,000 | 6,451,000,000 | 6,621,000,000 | 5,657,000,000 | 5,218,000,000 | 5,613,000,000 | 5,320,000,000 | 5,203,000,000 | 4,940,000,000 | 4,971,000,000 | 4,457,000,000 | 4,822,000,000 | 5,932,000,000 | 6,608,000,000 | 3,851,000,000 | 3,556,000,000 | 3,651,000,000 | 3,697,000,000 | 3,086,000,000 | 3,707,000,000 | 4,286,000,000 | 5,100,000,000 | 2,663,000,000 | 2,581,000,000 | 2,522,000,000 | 2,547,000,000 | 1,848,000,000 | 2,300,000,000 | 2,768,000,000 | 3,211,000,000 | 1,546,000,000 | 1,973,000,000 | 2,193,000,000 | 2,632,000,000 | 1,052,000,000 | 1,361,000,000 | 1,851,000,000 | 2,056,000,000 | 930,000,000 | 790,000,000 | 848,000,000 | 866,000,000 | 781,000,000 |
total current assets | 90,582,000,000 | 95,067,000,000 | 93,699,000,000 | 96,285,000,000 | 85,779,000,000 | 92,258,000,000 | 92,038,000,000 | 88,942,000,000 | 78,437,000,000 | 91,905,000,000 | 89,869,000,000 | 93,895,000,000 | 69,069,000,000 | 82,937,000,000 | 68,356,000,000 | 69,029,000,000 | 61,758,000,000 | 61,610,000,000 | 58,916,000,000 | 59,508,000,000 | 53,718,000,000 | 54,821,000,000 | 58,918,000,000 | 58,807,000,000 | 42,634,000,000 | 43,541,000,000 | 42,038,000,000 | 42,815,000,000 | 38,692,000,000 | 38,754,000,000 | 46,634,000,000 | 48,353,000,000 | 37,084,000,000 | 40,921,000,000 | 41,239,000,000 | 40,989,000,000 | 33,879,000,000 | 35,768,000,000 | 33,298,000,000 | 33,745,000,000 | 31,639,000,000 | 29,935,000,000 | 27,566,000,000 | 26,774,000,000 | 23,556,000,000 | 22,963,000,000 | 22,851,000,000 | 22,364,000,000 | 20,380,000,000 | 21,194,000,000 | 20,618,000,000 | 22,717,000,000 | 21,052,000,000 |
long-term investments | 54,251,000,000 | 52,996,000,000 | 52,466,000,000 | 51,863,000,000 | 52,354,000,000 | 48,689,000,000 | 46,113,000,000 | 45,928,000,000 | 47,609,000,000 | 45,474,000,000 | 45,988,000,000 | 46,884,000,000 | 43,728,000,000 | 41,557,000,000 | 42,427,000,000 | 42,353,000,000 | 43,114,000,000 | 44,777,000,000 | 44,061,000,000 | 42,406,000,000 | 41,242,000,000 | 39,184,000,000 | 36,778,000,000 | 36,578,000,000 | 37,209,000,000 | 36,840,000,000 | 35,696,000,000 | 33,553,000,000 | 32,510,000,000 | 31,929,000,000 | 31,237,000,000 | 29,441,000,000 | 28,341,000,000 | 27,703,000,000 | 26,397,000,000 | 25,760,000,000 | 23,868,000,000 | 23,324,000,000 | 22,211,000,000 | 20,895,000,000 | 18,792,000,000 | 18,535,000,000 | 18,996,000,000 | 19,416,000,000 | 18,827,000,000 | 19,346,000,000 | 19,274,000,000 | 19,377,000,000 | 19,605,000,000 | 18,783,000,000 | 17,976,000,000 | 17,998,000,000 | 17,711,000,000 |
property, equipment and capitalized software, net of accumulated depreciation and amortization of 7,546 and 6,971 | 10,762,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
goodwill | 110,499,000,000 | 110,340,000,000 | 107,677,000,000 | 107,566,000,000 | 106,734,000,000 | 105,978,000,000 | 105,436,000,000 | 105,664,000,000 | 103,732,000,000 | 101,703,000,000 | 101,669,000,000 | 100,406,000,000 | 93,352,000,000 | 83,904,000,000 | 84,159,000,000 | 77,548,000,000 | 75,795,000,000 | 75,435,000,000 | 75,827,000,000 | 72,162,000,000 | 71,337,000,000 | 68,088,000,000 | 67,872,000,000 | 65,302,000,000 | 65,659,000,000 | 65,205,000,000 | 62,000,000,000 | 59,379,000,000 | 58,910,000,000 | 58,703,000,000 | 56,271,000,000 | 56,850,000,000 | 54,556,000,000 | 53,402,000,000 | 52,498,000,000 | 52,376,000,000 | 47,584,000,000 | 47,183,000,000 | 46,881,000,000 | 46,294,000,000 | 44,453,000,000 | 43,680,000,000 | 34,154,000,000 | 32,782,000,000 | 32,940,000,000 | 32,357,000,000 | 32,462,000,000 | 32,150,000,000 | 31,604,000,000 | 31,751,000,000 | 31,427,000,000 | 31,810,000,000 | 31,286,000,000 |
other intangible assets, net of accumulated amortization of 7,472 and 8,350 | 20,474,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other assets | 23,013,000,000 | 22,977,000,000 | 21,298,000,000 | 20,395,000,000 | 19,590,000,000 | 18,651,000,000 | 17,939,000,000 | 17,704,000,000 | 17,298,000,000 | 16,711,000,000 | 16,069,000,000 | 15,692,000,000 | 15,027,000,000 | 14,412,000,000 | 14,524,000,000 | 13,207,000,000 | 12,526,000,000 | 12,057,000,000 | 11,947,000,000 | 11,757,000,000 | 11,510,000,000 | 10,352,000,000 | 10,237,000,000 | 10,008,000,000 | 9,334,000,000 | 9,101,000,000 | 8,786,000,000 | 7,975,000,000 | 4,326,000,000 | 4,161,000,000 | 3,883,000,000 | 3,748,000,000 | 3,575,000,000 | 3,387,000,000 | 3,301,000,000 | 3,085,000,000 | 3,037,000,000 | 3,124,000,000 | 3,146,000,000 | 3,084,000,000 | 3,247,000,000 | 3,185,000,000 | 2,918,000,000 | 3,061,000,000 | 2,972,000,000 | 2,872,000,000 | 2,821,000,000 | 2,799,000,000 | 2,439,000,000 | 2,287,000,000 | 2,316,000,000 | 2,347,000,000 | 2,215,000,000 |
total assets | 309,581,000,000 | 315,269,000,000 | 308,573,000,000 | 309,790,000,000 | 298,278,000,000 | 299,309,000,000 | 286,056,000,000 | 284,210,000,000 | 273,720,000,000 | 282,063,000,000 | 280,164,000,000 | 283,679,000,000 | 245,705,000,000 | 243,064,000,000 | 230,172,000,000 | 221,238,000,000 | 212,206,000,000 | 213,045,000,000 | 210,292,000,000 | 205,171,000,000 | 197,289,000,000 | 190,969,000,000 | 192,483,000,000 | 189,067,000,000 | 173,889,000,000 | 173,709,000,000 | 167,200,000,000 | 161,197,000,000 | 152,221,000,000 | 151,087,000,000 | 154,611,000,000 | 155,569,000,000 | 139,058,000,000 | 140,432,000,000 | 138,097,000,000 | 137,157,000,000 | 122,810,000,000 | 123,642,000,000 | 119,603,000,000 | 117,855,000,000 | 111,383,000,000 | 108,272,000,000 | 91,423,000,000 | 89,719,000,000 | 86,382,000,000 | 85,426,000,000 | 85,466,000,000 | 84,622,000,000 | 81,882,000,000 | 81,863,000,000 | 80,201,000,000 | 83,126,000,000 | 80,885,000,000 |
liabilities, redeemable noncontrolling interests and equity | |||||||||||||||||||||||||||||||||||||||||||||||||||||
current liabilities: | |||||||||||||||||||||||||||||||||||||||||||||||||||||
medical costs payable | 39,337,000,000 | 40,181,000,000 | 38,427,000,000 | 37,136,000,000 | 34,224,000,000 | 33,951,000,000 | 32,547,000,000 | 34,032,000,000 | 32,395,000,000 | 32,792,000,000 | 31,947,000,000 | 31,809,000,000 | 29,056,000,000 | 29,064,000,000 | 28,978,000,000 | 28,676,000,000 | 24,483,000,000 | 25,918,000,000 | 25,131,000,000 | 24,833,000,000 | 21,872,000,000 | 21,167,000,000 | 19,200,000,000 | 22,772,000,000 | 21,690,000,000 | 20,939,000,000 | 20,907,000,000 | 21,139,000,000 | 19,891,000,000 | 19,850,000,000 | 19,339,000,000 | 19,589,000,000 | 17,871,000,000 | 17,963,000,000 | 17,710,000,000 | 17,650,000,000 | 16,391,000,000 | 16,500,000,000 | 16,632,000,000 | 15,823,000,000 | 14,330,000,000 | 13,906,000,000 | 13,867,000,000 | 13,537,000,000 | 12,040,000,000 | 12,328,000,000 | 12,305,000,000 | 12,230,000,000 | 11,575,000,000 | 11,818,000,000 | 11,855,000,000 | 11,726,000,000 | 11,004,000,000 |
accounts payable and accrued liabilities | 38,032,000,000 | 36,033,000,000 | 34,330,000,000 | 33,566,000,000 | 34,337,000,000 | 33,080,000,000 | 30,886,000,000 | 30,738,000,000 | 31,958,000,000 | 31,164,000,000 | 29,516,000,000 | 29,856,000,000 | 27,715,000,000 | 27,232,000,000 | 25,145,000,000 | 25,058,000,000 | 24,643,000,000 | 24,292,000,000 | 23,013,000,000 | 22,997,000,000 | 22,495,000,000 | 21,173,000,000 | 25,423,000,000 | 22,845,000,000 | 19,005,000,000 | 18,570,000,000 | 17,128,000,000 | 16,900,000,000 | 16,705,000,000 | 18,991,000,000 | 17,527,000,000 | 18,210,000,000 | 15,180,000,000 | 15,878,000,000 | 14,514,000,000 | 13,473,000,000 | 13,361,000,000 | 12,994,000,000 | 14,366,000,000 | 13,740,000,000 | 11,994,000,000 | 11,300,000,000 | 10,901,000,000 | 10,518,000,000 | 9,247,000,000 | 8,394,000,000 | 9,625,000,000 | 9,160,000,000 | 7,458,000,000 | 7,145,000,000 | 7,046,000,000 | 6,559,000,000 | 6,984,000,000 |
short-term borrowings and current maturities of long-term debt | 6,069,000,000 | 7,737,000,000 | 5,698,000,000 | 9,986,000,000 | 4,545,000,000 | 3,909,000,000 | 11,371,000,000 | 9,787,000,000 | 4,274,000,000 | 5,290,000,000 | 6,321,000,000 | 9,931,000,000 | 3,110,000,000 | 3,229,000,000 | 5,592,000,000 | 6,697,000,000 | 3,620,000,000 | 3,620,000,000 | 3,868,000,000 | 8,838,000,000 | 4,819,000,000 | 3,899,000,000 | 6,156,000,000 | 15,828,000,000 | |||||||||||||||||||||||||||||
unearned revenues | 3,413,000,000 | 3,366,000,000 | 3,032,000,000 | 3,296,000,000 | 3,317,000,000 | 3,320,000,000 | 2,572,000,000 | 3,206,000,000 | 3,355,000,000 | 15,311,000,000 | 14,852,000,000 | 14,487,000,000 | 3,075,000,000 | 12,847,000,000 | 2,212,000,000 | 2,675,000,000 | 2,571,000,000 | 2,556,000,000 | 2,365,000,000 | 2,612,000,000 | 2,842,000,000 | 2,391,000,000 | 2,299,000,000 | 2,509,000,000 | 2,622,000,000 | 2,500,000,000 | 2,019,000,000 | 2,530,000,000 | 2,396,000,000 | 2,388,000,000 | 7,228,000,000 | 7,683,000,000 | 2,269,000,000 | 6,635,000,000 | 6,115,000,000 | 6,475,000,000 | 1,968,000,000 | 5,730,000,000 | 1,567,000,000 | 1,901,000,000 | 2,142,000,000 | 1,731,000,000 | 1,508,000,000 | 1,734,000,000 | 1,972,000,000 | 1,691,000,000 | 1,482,000,000 | 1,838,000,000 | 1,600,000,000 | 1,525,000,000 | 1,242,000,000 | 1,386,000,000 | 1,505,000,000 |
other current liabilities | 28,046,000,000 | 28,209,000,000 | 29,294,000,000 | 29,487,000,000 | 27,346,000,000 | 27,305,000,000 | 27,294,000,000 | 26,668,000,000 | 27,072,000,000 | 29,622,000,000 | 30,345,000,000 | 30,399,000,000 | 26,281,000,000 | 28,563,000,000 | 26,771,000,000 | 25,064,000,000 | 22,975,000,000 | 23,189,000,000 | 22,180,000,000 | 21,361,000,000 | 20,392,000,000 | 17,967,000,000 | 16,805,000,000 | 14,652,000,000 | 14,595,000,000 | 14,245,000,000 | 14,474,000,000 | 14,445,000,000 | 12,244,000,000 | 13,648,000,000 | 14,999,000,000 | 14,806,000,000 | 12,286,000,000 | 13,073,000,000 | 13,043,000,000 | 12,198,000,000 | 10,339,000,000 | ||||||||||||||||
total current liabilities | 114,897,000,000 | 115,526,000,000 | 110,781,000,000 | 113,471,000,000 | 103,769,000,000 | 101,565,000,000 | 104,670,000,000 | 104,431,000,000 | 99,054,000,000 | 114,179,000,000 | 112,981,000,000 | 116,482,000,000 | 89,237,000,000 | 100,935,000,000 | 88,698,000,000 | 88,170,000,000 | 78,292,000,000 | 79,575,000,000 | 76,557,000,000 | 80,641,000,000 | 72,420,000,000 | 66,597,000,000 | 69,883,000,000 | 78,606,000,000 | 61,782,000,000 | 62,641,000,000 | 62,328,000,000 | 58,933,000,000 | 53,209,000,000 | 56,377,000,000 | 62,052,000,000 | 67,667,000,000 | 50,463,000,000 | 58,088,000,000 | 57,121,000,000 | 57,543,000,000 | 49,252,000,000 | 51,096,000,000 | 47,376,000,000 | 46,285,000,000 | 42,898,000,000 | 39,953,000,000 | 35,741,000,000 | 34,978,000,000 | 30,623,000,000 | 31,130,000,000 | 30,776,000,000 | 30,716,000,000 | 27,881,000,000 | 27,867,000,000 | 26,405,000,000 | 27,183,000,000 | 27,116,000,000 |
long-term debt, less current maturities | 72,320,000,000 | 72,399,000,000 | 73,495,000,000 | 71,285,000,000 | 72,359,000,000 | 74,101,000,000 | 63,727,000,000 | 63,850,000,000 | 58,263,000,000 | 58,079,000,000 | 59,268,000,000 | 60,657,000,000 | 54,513,000,000 | 45,438,000,000 | 45,799,000,000 | 40,796,000,000 | 42,383,000,000 | 43,345,000,000 | 44,348,000,000 | 37,420,000,000 | 38,648,000,000 | 39,895,000,000 | 39,901,000,000 | 35,779,000,000 | 36,808,000,000 | 38,507,000,000 | 34,473,000,000 | 34,419,000,000 | 34,581,000,000 | 32,053,000,000 | 32,096,000,000 | 28,206,000,000 | 28,835,000,000 | 24,723,000,000 | 26,197,000,000 | 26,154,000,000 | 25,777,000,000 | 26,022,000,000 | 26,834,000,000 | 27,218,000,000 | 25,460,000,000 | 26,015,000,000 | 15,378,000,000 | 15,577,000,000 | 16,007,000,000 | 14,592,000,000 | 14,630,000,000 | 14,524,000,000 | 14,891,000,000 | 14,888,000,000 | 15,543,000,000 | 15,659,000,000 | 14,041,000,000 |
deferred income taxes | 2,421,000,000 | 3,162,000,000 | 3,804,000,000 | 3,902,000,000 | 3,620,000,000 | 4,014,000,000 | 3,631,000,000 | 4,167,000,000 | 3,021,000,000 | 2,210,000,000 | 2,498,000,000 | 2,834,000,000 | 2,769,000,000 | 1,659,000,000 | 2,581,000,000 | 2,954,000,000 | 3,265,000,000 | 3,649,000,000 | 3,641,000,000 | 3,602,000,000 | 3,367,000,000 | 3,340,000,000 | 3,286,000,000 | 3,030,000,000 | 2,993,000,000 | 2,902,000,000 | 2,908,000,000 | 2,786,000,000 | 2,474,000,000 | 2,434,000,000 | 2,095,000,000 | 2,213,000,000 | 2,182,000,000 | 2,697,000,000 | 2,844,000,000 | 2,894,000,000 | 2,761,000,000 | 2,492,000,000 | 2,857,000,000 | 3,066,000,000 | 860,000,000 | 670,000,000 | 514,000,000 | 405,000,000 | 556,000,000 | 520,000,000 | 496,000,000 | 319,000,000 | 430,000,000 | 366,000,000 | 366,000,000 | 336,000,000 | 463,000,000 |
other liabilities | 18,245,000,000 | 18,369,000,000 | 15,709,000,000 | 15,963,000,000 | 15,939,000,000 | 15,174,000,000 | 14,794,000,000 | 14,844,000,000 | 14,463,000,000 | 13,615,000,000 | 13,261,000,000 | 13,084,000,000 | 12,839,000,000 | 12,111,000,000 | 11,967,000,000 | 11,671,000,000 | 11,787,000,000 | 11,844,000,000 | 12,425,000,000 | 12,926,000,000 | 12,315,000,000 | 11,186,000,000 | 11,056,000,000 | 10,048,000,000 | 10,144,000,000 | 9,912,000,000 | 9,435,000,000 | 8,554,000,000 | 5,730,000,000 | 5,858,000,000 | 5,746,000,000 | 5,557,000,000 | 5,556,000,000 | 2,909,000,000 | 2,421,000,000 | 2,385,000,000 | 2,307,000,000 | 2,032,000,000 | 1,998,000,000 | 1,887,000,000 | 1,481,000,000 | 1,529,000,000 | 1,301,000,000 | 1,295,000,000 | 1,357,000,000 | 1,326,000,000 | 1,332,000,000 | 1,262,000,000 | 1,525,000,000 | 1,622,000,000 | 1,576,000,000 | 1,571,000,000 | 1,535,000,000 |
total liabilities | 207,883,000,000 | 209,456,000,000 | 203,789,000,000 | 204,621,000,000 | 195,687,000,000 | 194,854,000,000 | 186,822,000,000 | 187,292,000,000 | 174,801,000,000 | 188,083,000,000 | 188,008,000,000 | 193,057,000,000 | 159,358,000,000 | 160,143,000,000 | 149,045,000,000 | 143,591,000,000 | 135,727,000,000 | 138,413,000,000 | 136,971,000,000 | 134,589,000,000 | 126,750,000,000 | 121,018,000,000 | 124,126,000,000 | 127,463,000,000 | 111,727,000,000 | 113,962,000,000 | 109,144,000,000 | 104,692,000,000 | 95,994,000,000 | 96,722,000,000 | 101,989,000,000 | 103,643,000,000 | 87,036,000,000 | 90,952,000,000 | 91,104,000,000 | 91,495,000,000 | 82,621,000,000 | 84,151,000,000 | 81,572,000,000 | 80,964,000,000 | 75,922,000,000 | 73,579,000,000 | 56,788,000,000 | 56,389,000,000 | 52,540,000,000 | 51,436,000,000 | 51,228,000,000 | 50,805,000,000 | 48,558,000,000 | 48,717,000,000 | 48,051,000,000 | 49,181,000,000 | 47,586,000,000 |
commitments and contingencies | |||||||||||||||||||||||||||||||||||||||||||||||||||||
redeemable noncontrolling interests | 1,608,000,000 | 4,244,000,000 | 4,315,000,000 | 4,358,000,000 | 4,323,000,000 | 4,574,000,000 | 4,558,000,000 | 4,548,000,000 | 4,498,000,000 | 4,416,000,000 | 4,788,000,000 | 4,801,000,000 | 4,897,000,000 | 4,857,000,000 | 4,922,000,000 | 1,519,000,000 | 1,434,000,000 | 1,373,000,000 | 1,299,000,000 | 1,269,000,000 | 2,211,000,000 | 1,847,000,000 | 1,842,000,000 | 1,741,000,000 | 1,726,000,000 | 1,991,000,000 | 2,202,000,000 | 2,054,000,000 | 1,908,000,000 | 1,769,000,000 | 1,839,000,000 | 1,890,000,000 | 2,189,000,000 | 2,170,000,000 | 1,657,000,000 | 1,667,000,000 | 2,012,000,000 | 1,937,000,000 | 1,744,000,000 | 1,824,000,000 | 1,736,000,000 | 1,571,000,000 | 1,615,000,000 | 1,452,000,000 | 1,388,000,000 | 1,386,000,000 | 1,303,000,000 | 1,268,000,000 | 1,175,000,000 | ||||
equity: | |||||||||||||||||||||||||||||||||||||||||||||||||||||
preferred stock, 0.001 par value - 10 shares authorized; no shares issued or outstanding | |||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock | 9,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 9,000,000 | 9,000,000 | 9,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 | 10,000,000 |
additional paid-in capital | 559,000,000 | 394,000,000 | 461,000,000 | 373,000,000 | 388,000,000 | 7,000,000 | 1,703,000,000 | 1,801,000,000 | 1,661,000,000 | 1,819,000,000 | 29,000,000 | 66,000,000 | |||||||||||||||||||||||||||||||||||||||||
retained earnings | 95,603,000,000 | 97,595,000,000 | 97,250,000,000 | 97,934,000,000 | 96,036,000,000 | 96,518,000,000 | 92,400,000,000 | 90,118,000,000 | 95,774,000,000 | 93,173,000,000 | 89,994,000,000 | 88,852,000,000 | 86,156,000,000 | 83,722,000,000 | 80,540,000,000 | 78,782,000,000 | 77,134,000,000 | 75,124,000,000 | 73,090,000,000 | 71,220,000,000 | 69,295,000,000 | 69,715,000,000 | 67,776,000,000 | 62,327,000,000 | 61,178,000,000 | 58,696,000,000 | 56,367,000,000 | 55,472,000,000 | 55,846,000,000 | 54,386,000,000 | 52,363,000,000 | 50,494,000,000 | 48,730,000,000 | 45,840,000,000 | 44,081,000,000 | 42,521,000,000 | 40,945,000,000 | 39,945,000,000 | 38,579,000,000 | 37,963,000,000 | 37,125,000,000 | 36,382,000,000 | 35,262,000,000 | 34,153,000,000 | 33,836,000,000 | 33,578,000,000 | 33,215,000,000 | 33,112,000,000 | 33,047,000,000 | 32,593,000,000 | 31,906,000,000 | 31,359,000,000 | 30,664,000,000 |
accumulated other comprehensive loss | -2,061,000,000 | -2,211,000,000 | -2,535,000,000 | -2,905,000,000 | -3,387,000,000 | -2,453,000,000 | -3,423,000,000 | -3,439,000,000 | -7,027,000,000 | -8,688,000,000 | -7,650,000,000 | -7,549,000,000 | -8,393,000,000 | -9,086,000,000 | -7,730,000,000 | -6,026,000,000 | -5,384,000,000 | -4,856,000,000 | -4,086,000,000 | -4,826,000,000 | -3,814,000,000 | -4,494,000,000 | -4,550,000,000 | -5,360,000,000 | -3,578,000,000 | -3,709,000,000 | -3,273,000,000 | -3,758,000,000 | -4,160,000,000 | -4,386,000,000 | -4,080,000,000 | -2,951,000,000 | -2,667,000,000 | -2,353,000,000 | -2,591,000,000 | -2,447,000,000 | -2,681,000,000 | -2,303,000,000 | -2,203,000,000 | -2,804,000,000 | -3,334,000,000 | -3,347,000,000 | -2,307,000,000 | -2,285,000,000 | -1,392,000,000 | -984,000,000 | -290,000,000 | -573,000,000 | |||||
nonredeemable noncontrolling interests | 5,980,000,000 | 5,782,000,000 | 5,745,000,000 | 5,773,000,000 | 5,610,000,000 | 5,346,000,000 | 5,317,000,000 | 5,682,000,000 | 5,665,000,000 | 5,070,000,000 | 5,015,000,000 | 4,509,000,000 | 3,678,000,000 | 3,418,000,000 | 3,385,000,000 | 3,362,000,000 | 3,285,000,000 | 2,981,000,000 | 3,008,000,000 | 2,909,000,000 | 2,837,000,000 | 2,873,000,000 | 2,891,000,000 | 2,886,000,000 | 2,820,000,000 | 2,760,000,000 | 2,751,000,000 | 2,727,000,000 | 2,623,000,000 | 2,586,000,000 | 2,490,000,000 | 2,483,000,000 | 2,057,000,000 | ||||||||||||||||||||
total equity | 100,090,000,000 | 101,569,000,000 | 100,469,000,000 | 100,811,000,000 | 98,268,000,000 | 99,881,000,000 | 94,676,000,000 | 92,370,000,000 | 94,421,000,000 | 89,564,000,000 | 87,368,000,000 | 85,821,000,000 | 81,450,000,000 | 78,064,000,000 | 76,205,000,000 | 76,128,000,000 | 75,045,000,000 | 73,259,000,000 | 72,022,000,000 | 69,313,000,000 | 68,328,000,000 | 68,104,000,000 | 66,515,000,000 | 59,863,000,000 | 60,436,000,000 | 57,756,000,000 | 55,854,000,000 | 54,451,000,000 | 54,319,000,000 | 52,596,000,000 | 50,783,000,000 | 50,036,000,000 | 49,833,000,000 | 47,310,000,000 | 45,336,000,000 | 43,995,000,000 | 38,177,000,000 | 37,554,000,000 | 36,287,000,000 | 35,067,000,000 | 33,725,000,000 | 33,122,000,000 | |||||||||||
total liabilities, redeemable noncontrolling interests and equity | 309,581,000,000 | 315,269,000,000 | 308,573,000,000 | 309,790,000,000 | 298,278,000,000 | 299,309,000,000 | 286,056,000,000 | 284,210,000,000 | 273,720,000,000 | 282,063,000,000 | 280,164,000,000 | 283,679,000,000 | 245,705,000,000 | 243,064,000,000 | 230,172,000,000 | 221,238,000,000 | 212,206,000,000 | 213,045,000,000 | 210,292,000,000 | 205,171,000,000 | 197,289,000,000 | 190,969,000,000 | 192,483,000,000 | 189,067,000,000 | 173,889,000,000 | 173,709,000,000 | 167,200,000,000 | 161,197,000,000 | 152,221,000,000 | 151,087,000,000 | 154,611,000,000 | 155,569,000,000 | 139,058,000,000 | 140,432,000,000 | 138,097,000,000 | 137,157,000,000 | 122,810,000,000 | 123,642,000,000 | 119,603,000,000 | 117,855,000,000 | 111,383,000,000 | ||||||||||||
other current receivables | 32,762,000,000 | 28,582,000,000 | 26,022,000,000 | 27,461,000,000 | 26,762,000,000 | 19,284,000,000 | 17,752,000,000 | 16,131,000,000 | 14,696,000,000 | 13,684,000,000 | 12,439,000,000 | 11,994,000,000 | 14,080,000,000 | 12,630,000,000 | 11,546,000,000 | 13,231,000,000 | 11,430,000,000 | 10,275,000,000 | 10,152,000,000 | 8,434,000,000 | 7,631,000,000 | 7,270,000,000 | 6,772,000,000 | 6,778,000,000 | 6,826,000,000 | 7,232,000,000 | 6,609,000,000 | 7,502,000,000 | 7,355,000,000 | 6,865,000,000 | 7,667,000,000 | 6,160,000,000 | 5,346,000,000 | 5,189,000,000 | 4,041,000,000 | 3,624,000,000 | 3,772,000,000 | 3,020,000,000 | 2,614,000,000 | ||||||||||||||
property, equipment and capitalized software | 11,104,000,000 | 10,923,000,000 | 10,734,000,000 | 10,139,000,000 | 9,801,000,000 | 10,429,000,000 | 11,070,000,000 | 10,926,000,000 | 10,637,000,000 | 9,469,000,000 | 9,421,000,000 | 9,183,000,000 | 8,730,000,000 | 8,735,000,000 | 8,496,000,000 | 8,151,000,000 | 8,126,000,000 | 8,173,000,000 | 8,501,000,000 | 8,681,000,000 | 8,230,000,000 | 8,042,000,000 | 7,906,000,000 | 8,144,000,000 | 6,562,000,000 | 6,324,000,000 | 6,329,000,000 | 5,524,000,000 | 5,189,000,000 | 4,976,000,000 | 4,532,000,000 | 4,473,000,000 | 4,245,000,000 | 4,309,000,000 | 4,267,000,000 | 4,065,000,000 | 3,829,000,000 | 3,785,000,000 | 3,945,000,000 | ||||||||||||||
other intangible assets | 22,785,000,000 | 22,510,000,000 | 22,947,000,000 | 23,594,000,000 | 14,729,000,000 | 15,543,000,000 | 15,200,000,000 | 15,643,000,000 | 16,165,000,000 | 10,785,000,000 | 11,285,000,000 | 9,918,000,000 | 10,436,000,000 | 10,806,000,000 | 10,842,000,000 | 10,373,000,000 | 10,552,000,000 | 10,199,000,000 | 10,521,000,000 | 9,999,000,000 | 9,245,000,000 | 9,498,000,000 | 8,680,000,000 | 9,033,000,000 | 8,457,000,000 | 8,338,000,000 | 8,618,000,000 | 8,719,000,000 | 8,878,000,000 | 8,861,000,000 | 8,405,000,000 | 3,316,000,000 | 3,441,000,000 | 3,579,000,000 | 3,791,000,000 | 3,867,000,000 | 4,019,000,000 | 4,079,000,000 | 4,309,000,000 | ||||||||||||||
other current receivables, net of allowances of 2,864 and 2,084 | 26,089,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
assets under management | 3,414,000,000 | 3,619,000,000 | 3,755,000,000 | 3,616,000,000 | 3,623,000,000 | 3,837,000,000 | 4,087,000,000 | 4,022,000,000 | 4,017,000,000 | 4,155,000,000 | 4,449,000,000 | 4,304,000,000 | 4,198,000,000 | 4,094,000,000 | 4,076,000,000 | 3,788,000,000 | 3,417,000,000 | 2,866,000,000 | 3,076,000,000 | 3,051,000,000 | 2,943,000,000 | 2,951,000,000 | 3,032,000,000 | 2,936,000,000 | 2,842,000,000 | 2,922,000,000 | 3,101,000,000 | 3,082,000,000 | 2,977,000,000 | 2,886,000,000 | 3,105,000,000 | 2,952,000,000 | 2,855,000,000 | 2,878,000,000 | 2,998,000,000 | 2,948,000,000 | 2,863,000,000 | 2,921,000,000 | 2,962,000,000 | 2,855,000,000 | 2,791,000,000 | 2,780,000,000 | 2,757,000,000 | 2,694,000,000 | 2,613,000,000 | 2,659,000,000 | 2,773,000,000 | ||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 6,971 and 7,039 | 10,553,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 8,350 and 7,279 | 23,268,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 2,084 and 1,433 | 17,694,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 7,039 and 6,930 | 11,450,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 7,279 and 6,137 | 15,194,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 1,433 and 993 | 12,769,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 6,930 and 5,992 | 10,128,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 6,137 and 5,636 | 14,401,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 993 and 1,047 | 13,866,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 5,992 and 5,230 | 8,969,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 5,636 and 5,455 | 10,044,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 1,047 and 859 | 12,534,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 5,230 and 4,995 | 8,626,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 5,455 and 5,072 | 10,856,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 859 and 502 | 9,640,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 4,995 and 4,141 | 8,704,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 5,072 and 4,592 | 10,349,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
commercial paper and current maturities of long-term debt | 3,870,000,000 | 6,387,000,000 | 7,800,000,000 | 3,919,000,000 | 1,973,000,000 | 1,500,000,000 | 2,959,000,000 | 7,379,000,000 | 2,857,000,000 | 4,539,000,000 | 5,739,000,000 | 7,747,000,000 | 7,193,000,000 | 7,202,000,000 | 6,364,000,000 | 6,504,000,000 | 6,634,000,000 | 5,767,000,000 | 2,693,000,000 | 2,797,000,000 | 1,399,000,000 | 2,925,000,000 | 2,117,000,000 | 2,241,000,000 | 1,969,000,000 | 1,895,000,000 | 1,086,000,000 | 2,390,000,000 | 2,713,000,000 | ||||||||||||||||||||||||
other current receivables, net of allowances of 502 and 440 | 6,862,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 4,141 and 3,694 | 8,458,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 4,592 and 4,309 | 9,325,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 440 and 409 | 6,262,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 3,694 and 3,749 | 7,013,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 4,309 and 3,847 | 8,489,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
future policy benefits | 2,535,000,000 | 2,521,000,000 | 2,519,000,000 | 2,524,000,000 | 2,509,000,000 | 2,507,000,000 | 2,508,000,000 | 2,496,000,000 | 2,489,000,000 | 2,491,000,000 | 2,483,000,000 | 2,488,000,000 | 2,487,000,000 | 2,479,000,000 | 2,472,000,000 | 2,465,000,000 | 2,459,000,000 | 2,451,000,000 | 2,447,000,000 | 2,444,000,000 | |||||||||||||||||||||||||||||||||
nonredeemable noncontrolling interest | 2,012,000,000 | 2,175,000,000 | 2,092,000,000 | -97,000,000 | -98,000,000 | -99,000,000 | -102,000,000 | -105,000,000 | 8,000,000 | ||||||||||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 409 and 138 | 7,499,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 3,749 and 3,173 | 5,901,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 3,847 and 3,128 | 8,541,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other policy liabilities | 8,670,000,000 | 8,447,000,000 | 8,317,000,000 | 7,798,000,000 | 7,249,000,000 | 6,772,000,000 | 6,392,000,000 | 5,965,000,000 | 5,792,000,000 | 5,247,000,000 | 5,247,000,000 | 5,279,000,000 | 5,484,000,000 | 5,176,000,000 | 5,122,000,000 | 4,910,000,000 | |||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 138 and 156 | 6,801,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 3,173 and 2,954 | 4,861,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 3,128 and 2,685 | 8,391,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
liabilities and equity | |||||||||||||||||||||||||||||||||||||||||||||||||||||
additional paid in capital | 69,000,000 | 55,000,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||
total liabilities and equity | 108,272,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
liabilities and shareholders’ equity | |||||||||||||||||||||||||||||||||||||||||||||||||||||
shareholders’ equity: | |||||||||||||||||||||||||||||||||||||||||||||||||||||
total shareholders’ equity | 33,020,000,000 | 31,878,000,000 | 32,454,000,000 | 32,604,000,000 | 32,935,000,000 | 32,549,000,000 | 32,149,000,000 | 32,016,000,000 | 31,381,000,000 | 31,757,000,000 | 31,178,000,000 | ||||||||||||||||||||||||||||||||||||||||||
total liabilities and shareholders’ equity | 91,423,000,000 | 89,719,000,000 | 86,382,000,000 | 85,426,000,000 | 85,466,000,000 | 84,622,000,000 | 81,882,000,000 | 81,863,000,000 | 80,201,000,000 | 83,126,000,000 | 80,885,000,000 | ||||||||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 156 and 169 | 5,498,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 2,954 and 2,675 | 4,418,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 2,685 and 2,283 | 3,669,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 169 and 206 | 3,998,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 2,675 and 2,564 | 4,010,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 2,283 and 1,824 | 3,844,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
accumulated other comprehensive income | -908,000,000 | -587,000,000 | -535,000,000 | 388,000,000 | 438,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||
redeemable noncontrolling interest | 1,130,000,000 | 769,000,000 | 2,188,000,000 | 2,121,000,000 | |||||||||||||||||||||||||||||||||||||||||||||||||
other current receivables, net of allowances of 206 and 72 | 2,889,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
property, equipment and capitalized software, net of accumulated depreciation and amortization of 2,564 and 2,440 | 3,939,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other intangible assets, net of accumulated amortization of 1,824 and 1,451 | 4,682,000,000 |
Cashflow Statements:
Quarterly
Annual
| Unit: USD | 2025-12-31 | 2025-09-30 | 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 | 218,000,000 | 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 | 1,117,000,000 | 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 | -733,000,000 | -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 | 176,000,000 | 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 | 126,000,000 | 83,000,000 | 41,000,000 | 15,000,000 | -21,000,000 | 20,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||
net gains on dispositions and other strategic transactions | ||||||||||||||||||||||||||||||||||||||||||||||||||||
other | 1,609,000,000 | -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 | -829,000,000 | 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 | -1,501,000,000 | -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 | -354,000,000 | 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 | 2,082,000,000 | 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 | 107,000,000 | 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 | 1,108,000,000 | 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 |
capital expenditures | -948,000,000 | -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 | 160,000,000 | 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 | -4,568,000,000 | -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 | 1,343,000,000 | 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 | 1,929,000,000 | 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 | -73,000,000 | -3,702,000,000 | -32,000,000 | -702,000,000 | -1,734,000,000 | |||||||||||||||||||||||||||||||||||||||||||||||
purchases of property, equipment and capitalized software | -948,000,000 | -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 | 137,000,000 | 250,000,000 | 402,000,000 | 891,000,000 | 1,325,000,000 | |||||||||||||||||||||||||||||||||||||||||||||||
cash received from dispositions and other strategic transactions | ||||||||||||||||||||||||||||||||||||||||||||||||||||
originations and purchases of loans | ||||||||||||||||||||||||||||||||||||||||||||||||||||
repayments and maturities of loans | ||||||||||||||||||||||||||||||||||||||||||||||||||||
cash flows used for investing activities | -2,611,000,000 | -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 | 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 | -2,002,000,000 | -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 | 24,000,000 | 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 | -1,050,000,000 | -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 | -662,000,000 | -1,568,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||
proceeds from issuance of long-term debt | 0 | 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 | 2,158,000,000 | -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 |
purchases of redeemable noncontrolling interests | 0 | -79,000,000 | 0 | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||||||||||||||||||||||
effect of exchange rate changes on cash and cash equivalents | 15,000,000 | -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 | -2,519,000,000 | -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 | -326,000,000 | -4,000,000 | 66,000,000 | -91,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||
net increase in cash and cash equivalents | -2,845,000,000 | -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 | 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 | -2,845,000,000 | -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 |
supplemental cash flow disclosures | ||||||||||||||||||||||||||||||||||||||||||||||||||||
cash paid for interest | ||||||||||||||||||||||||||||||||||||||||||||||||||||
cash paid for income taxes | ||||||||||||||||||||||||||||||||||||||||||||||||||||
cash flows (used for) from financing activities | -2,765,000,000 | -272,000,000 | -351,000,000 | -573,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||
(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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
less: cash within businesses held for sale | 35,000,000 | 11,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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 | ||||||||||||||||||||||||||||||||||||||||||||||||
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 |