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Supplemental Condensed Consolidating Financial Information (Tables)
9 Months Ended
Sep. 30, 2018
Condensed Financial Information [Abstract]  
Condensed Consolidating Statements of Income
CONDENSED CONSOLIDATING STATEMENTS OF OPERATIONS
 
Three Months Ended September 30, 2018
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
Revenue:
 
 
 
 
 
 
 
 
 
Total revenue
$
273

 
$

 
$
4,695

 
$
(271
)
 
$
4,697

Expenses:
 
 
 
 
 
 
 
 
 
Medical care costs
(11
)
 

 
3,801

 

 
3,790

Cost of service revenue

 

 
111

 

 
111

General and administrative expenses
243

 
1

 
338

 
(271
)
 
311

Premium tax expenses

 

 
110

 

 
110

Health insurer fees

 

 
87

 

 
87

Depreciation and amortization
17

 

 
8

 

 
25

Restructuring and separation costs
3

 

 
2

 

 
5

Total operating expenses
252

 
1

 
4,457

 
(271
)
 
4,439

Gain on sale of subsidiary
37

 

 

 

 
37

Operating income (loss)
58

 
(1
)
 
238

 

 
295

Interest expense
26

 

 

 

 
26

Other expenses, net
10

 

 

 

 
10

Income (loss) before income taxes
22

 
(1
)
 
238

 

 
259

Income tax (benefit) expense
(6
)
 

 
68

 

 
62

Net income (loss) before equity in net earnings (losses) of subsidiaries
28

 
(1
)
 
170

 

 
197

Equity in net earnings (losses) of subsidiaries
169

 
(2
)
 

 
(167
)
 

Net income (loss)
$
197

 
$
(3
)
 
$
170

 
$
(167
)
 
$
197

CONDENSED CONSOLIDATING STATEMENTS OF OPERATIONS
 
Nine Months Ended September 30, 2018
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
Revenue:
 
 
 
 
 
 
 
 
 
Total revenue
$
867

 
$
2

 
$
14,220

 
$
(863
)
 
$
14,226

Expenses:
 
 
 
 
 
 
 
 
 
Medical care costs
(4
)
 

 
11,366

 

 
11,362

Cost of service revenue

 

 
349

 

 
349

General and administrative expenses
762

 
3

 
1,096

 
(863
)
 
998

Premium tax expenses

 

 
320

 

 
320

Health insurer fees

 

 
261

 

 
261

Depreciation and amortization
53

 

 
23

 

 
76

Restructuring and separation costs
28

 

 
10

 

 
38

Total operating expenses
839

 
3

 
13,425

 
(863
)
 
13,404

Gain on sale of subsidiary
37

 

 

 

 
37

Operating income (loss)
65

 
(1
)
 
795

 

 
859

Interest expense
90

 

 
1

 

 
91

Other expenses, net
25

 

 

 

 
25

(Loss) income before income taxes
(50
)
 
(1
)
 
794

 

 
743

Income tax expense
4

 

 
233

 

 
237

Net (loss) income before equity in net earnings (losses) of subsidiaries
(54
)
 
(1
)
 
561

 

 
506

Equity in net earnings (losses) of subsidiaries
560

 
(6
)
 

 
(554
)
 

Net income (loss)
$
506

 
$
(7
)
 
$
561

 
$
(554
)
 
$
506

CONDENSED CONSOLIDATING STATEMENTS OF OPERATIONS
 
Nine Months Ended September 30, 2017
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
Revenue:
 
 
 
 
 
 
 
 
 
Total revenue
$
1,010

 
$
1

 
$
14,937

 
$
(1,014
)
 
$
14,934

Expenses:
 
 
 
 
 
 
 
 
 
Medical care costs
10

 

 
12,812

 

 
12,822

Cost of service revenue

 

 
369

 

 
369

General and administrative expenses
799

 
2

 
1,440

 
(1,014
)
 
1,227

Premium tax expenses

 

 
331

 

 
331

Depreciation and amortization
75

 

 
34

 

 
109

Restructuring and separation costs
120

 

 
41

 

 
161

Impairment losses

 

 
201

 

 
201

Total operating expenses
1,004

 
2

 
15,228

 
(1,014
)
 
15,220

Operating income (loss)
6

 
(1
)
 
(291
)
 

 
(286
)
Interest expense
85

 

 

 

 
85

Other income, net
(75
)
 

 

 

 
(75
)
Loss before income taxes
(4
)
 
(1
)
 
(291
)
 

 
(296
)
Income tax expense (benefit)
26

 
(1
)
 
(71
)
 

 
(46
)
Net loss before equity in net (losses) earnings of subsidiaries
(30
)
 

 
(220
)
 

 
(250
)
Equity in net (losses) earnings of subsidiaries
(220
)
 
(152
)
 
8

 
364

 

Net loss
$
(250
)
 
$
(152
)
 
$
(212
)
 
$
364

 
$
(250
)
CONDENSED CONSOLIDATING STATEMENTS OF OPERATIONS
 
Three Months Ended September 30, 2017
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
Revenue:
 
 
 
 
 
 
 
 
 
Total revenue
$
380

 
$
(1
)
 
$
5,031

 
$
(379
)
 
$
5,031

Expenses:
 
 
 
 
 
 
 
 
 
Medical care costs
3

 

 
4,217

 

 
4,220

Cost of service revenue

 

 
123

 

 
123

General and administrative expenses
244

 

 
518

 
(379
)
 
383

Premium tax expenses

 

 
106

 

 
106

Depreciation and amortization
23

 

 
10

 

 
33

Restructuring and separation costs
77

 

 
41

 

 
118

Impairment losses

 

 
129

 

 
129

Total operating expenses
347

 

 
5,144

 
(379
)
 
5,112

Operating income (loss)
33

 
(1
)
 
(113
)
 

 
(81
)
Interest expense
32

 

 

 

 
32

Income (loss) before income taxes
1

 
(1
)
 
(113
)
 

 
(113
)
Income tax expense (benefit)
9

 
(1
)
 
(24
)
 

 
(16
)
Net loss before equity in net (losses) earnings of subsidiaries
(8
)
 

 
(89
)
 

 
(97
)
Equity in net (losses) earnings of subsidiaries
(89
)
 
(86
)
 
8

 
167

 

Net loss
$
(97
)
 
$
(86
)
 
$
(81
)
 
$
167

 
$
(97
)
Condensed Consolidating Statements of Comprehensive Income
CONDENSED CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
 
Nine Months Ended September 30, 2018
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
Net income (loss)
$
506

 
$
(7
)
 
$
561

 
$
(554
)
 
$
506

Other comprehensive loss, net of tax
(4
)
 

 
(4
)
 
4

 
(4
)
Comprehensive income (loss)
$
502

 
$
(7
)
 
$
557

 
$
(550
)
 
$
502

CONDENSED CONSOLIDATING STATEMENTS OF COMPREHENSIVE LOSS
 
Nine Months Ended September 30, 2017
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
Net loss
$
(250
)
 
$
(152
)
 
$
(212
)
 
$
364

 
$
(250
)
Other comprehensive income, net of tax
1

 

 
1

 
(1
)
 
1

Comprehensive loss
$
(249
)
 
$
(152
)
 
$
(211
)
 
$
363

 
$
(249
)
CONDENSED CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
 
Three Months Ended September 30, 2018
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
Net income (loss)
$
197

 
$
(3
)
 
$
170

 
$
(167
)
 
$
197

Other comprehensive gain, net of tax
1

 

 
1

 
(1
)
 
1

Comprehensive income (loss)
$
198

 
$
(3
)
 
$
171

 
$
(168
)
 
$
198

CONDENSED CONSOLIDATING STATEMENTS OF COMPREHENSIVE LOSS
 
Three Months Ended September 30, 2017
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
Net loss
$
(97
)
 
$
(86
)
 
$
(81
)
 
$
167

 
$
(97
)
Other comprehensive income, net of tax

 

 

 

 

Comprehensive loss
$
(97
)
 
$
(86
)
 
$
(81
)
 
$
167

 
$
(97
)
Condensed Consolidating Balance Sheets
CONDENSED CONSOLIDATING BALANCE SHEETS
 
September 30, 2018
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
ASSETS
Current assets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
399

 
$
2

 
$
2,413

 
$

 
$
2,814

Investments
106

 

 
1,706

 

 
1,812

Receivables
2

 

 
1,344

 

 
1,346

Due from (to) affiliates
63

 
(4
)
 
(59
)
 

 

Prepaid expenses and other current assets
293

 

 
193

 

 
486

Derivative asset
843

 

 

 

 
843

Total current assets
1,706

 
(2
)
 
5,597

 

 
7,301

Property, equipment, and capitalized software, net
187

 

 
77

 

 
264

Goodwill and intangible assets, net
14

 

 
181

 

 
195

Restricted investments

 

 
118

 

 
118

Investment in subsidiaries, net
2,578

 
74

 

 
(2,652
)
 

Deferred income taxes
48

 

 
95

 

 
143

Other assets
40

 

 
6

 
(16
)
 
30

 
$
4,573

 
$
72

 
$
6,074

 
$
(2,668
)
 
$
8,051

 
 
 
 
 
 
 
 
 
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
 
 
 
 
 
 
 
 
 
Medical claims and benefits payable
$
4

 
$

 
$
2,038

 
$

 
$
2,042

Amounts due government agencies

 

 
1,030

 

 
1,030

Accounts payable and accrued liabilities
635

 

 
189

 

 
824

Deferred revenue

 

 
178

 

 
178

Current portion of long-term debt
296

 

 

 

 
296

Derivative liability
843

 

 

 

 
843

Total current liabilities
1,778

 

 
3,435

 

 
5,213

Long-term debt and lease financing obligations
1,217

 

 
16

 
(16
)
 
1,217

Other long-term liabilities
17

 

 
43

 

 
60

Total liabilities
3,012

 

 
3,494

 
(16
)
 
6,490

Total stockholders’ equity
1,561

 
72

 
2,580

 
(2,652
)
 
1,561

 
$
4,573

 
$
72

 
$
6,074

 
$
(2,668
)
 
$
8,051


CONDENSED CONSOLIDATING BALANCE SHEETS
 
December 31, 2017
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
ASSETS
Current assets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
504

 
$

 
$
2,682

 
$

 
$
3,186

Investments
192

 

 
2,332

 

 
2,524

Restricted investments
169

 

 

 

 
169

Receivables
2

 

 
869

 

 
871

Due from (to) affiliates
148

 
(5
)
 
(143
)
 

 

Prepaid expenses and other current assets
103

 
16

 
136

 
(16
)
 
239

Derivative asset
522

 

 

 

 
522

Total current assets
1,640

 
11

 
5,876

 
(16
)
 
7,511

Property, equipment, and capitalized software, net
223

 

 
119

 

 
342

Goodwill and intangible assets, net
15

 

 
240

 

 
255

Restricted investments

 

 
119

 

 
119

Investment in subsidiaries, net
2,306

 
82

 

 
(2,388
)
 

Deferred income taxes
17

 

 
101

 
(15
)
 
103

Other assets
32

 

 
110

 
(1
)
 
141

 
$
4,233

 
$
93

 
$
6,565

 
$
(2,420
)
 
$
8,471

 
 
 
 
 
 
 
 
 
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
 
 
 
 
 
 
 
 
 
Medical claims and benefits payable
$
3

 
$

 
$
2,189

 
$

 
$
2,192

Amounts due government agencies

 

 
1,542

 

 
1,542

Accounts payable and accrued liabilities
178

 
14

 
174

 

 
366

Deferred revenue

 

 
282

 

 
282

Current portion of long-term debt
653

 

 
16

 
(16
)
 
653

Derivative liability
522

 

 

 

 
522

Total current liabilities
1,356

 
14

 
4,203

 
(16
)
 
5,557

Long-term debt and lease financing obligations
1,516

 

 

 

 
1,516

Deferred income taxes

 

 
15

 
(15
)
 

Other long-term liabilities
24

 
1

 
37

 
(1
)
 
61

Total liabilities
2,896

 
15

 
4,255

 
(32
)
 
7,134

Total stockholders’ equity
1,337

 
78

 
2,310

 
(2,388
)
 
1,337

 
$
4,233

 
$
93

 
$
6,565

 
$
(2,420
)
 
$
8,471

Condensed Consolidating Statements of Cash Flows
CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS
 
Nine Months Ended September 30, 2018
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
Operating activities:
 
 
 
 
 
 
 
 
 
Net cash provided by (used in) operating activities
$
451

 
$
1

 
$
(643
)
 
$

 
$
(191
)
Investing activities:
 
 
 
 
 
 
 
 
 
Purchases of investments
(136
)
 

 
(1,066
)
 

 
(1,202
)
Proceeds from sales and maturities of investments
383

 

 
1,687

 

 
2,070

Purchases of property, equipment and capitalized software
(16
)
 

 
(8
)
 

 
(24
)
Capital contributions to subsidiaries
(122
)
 

 
122

 

 

Dividends from subsidiaries
268

 

 
(268
)
 

 

Change in amounts due to/from affiliates
70

 
1

 
(71
)
 

 

Other, net

 

 
(23
)
 

 
(23
)
Net cash provided by investing activities
447

 
1

 
373

 

 
821

Financing activities:
 
 
 
 
 
 
 
 
 
Repayment of credit facility
(300
)
 

 

 

 
(300
)
Repayment of principal amount of 1.125% Notes
(236
)
 

 

 

 
(236
)
Cash paid for partial settlement of 1.125% Conversion Option
(477
)
 

 

 

 
(477
)
Cash received for partial termination of 1.125% Call Option
477

 

 

 

 
477

Cash paid for partial termination of 1.125% Warrants
(419
)
 

 

 

 
(419
)
Repayment of principal amount of 1.625% Notes
(64
)
 

 

 

 
(64
)
Other, net
7

 

 

 

 
7

Net cash used in financing activities
(1,012
)
 

 

 

 
(1,012
)
Net (decrease) increase in cash, cash equivalents, and restricted cash and cash equivalents
(114
)
 
2

 
(270
)
 

 
(382
)
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period
513

 

 
2,777

 

 
3,290

Cash, cash equivalents, and restricted cash and cash equivalents at end of period
$
399

 
$
2

 
$
2,507

 
$

 
$
2,908

 
Nine Months Ended September 30, 2017
 
Parent Guarantor
 
Other Guarantors
 
Non-Guarantors
 
Eliminations
 
Consolidated
 
(In millions)
Operating activities:
 
 
 
 
 
 
 
 
 
Net cash provided by operating activities
$
215

 
$

 
$
742

 
$

 
$
957

Investing activities:
 
 
 
 
 
 
 
 
 
Purchases of investments
(331
)
 

 
(1,563
)
 

 
(1,894
)
Proceeds from sales and maturities of investments
148

 

 
1,388

 

 
1,536

Purchases of property, equipment and capitalized software
(67
)
 

 
(18
)
 

 
(85
)
Capital contributions to subsidiaries
(363
)
 
2

 
361

 

 

Dividends from subsidiaries
136

 

 
(136
)
 

 

Change in amounts due to/from affiliates
(100
)
 

 
100

 

 

Other, net

 

 
(33
)
 

 
(33
)
Net cash (used in) provided by investing activities
(577
)
 
2

 
99

 

 
(476
)
Financing activities:
 
 
 
 
 
 
 
 
 
Proceeds from senior notes offerings, net of issuance costs
325

 

 

 

 
325

Proceeds from borrowings under credit facility
300

 

 

 

 
300

Other, net
7

 

 

 

 
7

Net cash provided by financing activities
632

 

 

 

 
632

Net increase in cash, cash equivalents, and restricted cash and cash equivalents
270

 
2

 
841

 

 
1,113

Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period
86

 

 
2,826

 

 
2,912

Cash, cash equivalents, and restricted cash and cash equivalents at end of period
$
356

 
$
2

 
$
3,667

 
$

 
$
4,025