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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Operating activities:    
Net income $ 736 $ 556
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 129 96
Deferred income taxes (35) (8)
Share-based compensation 80 49
Other, net (3) 9
Changes in operating assets and liabilities:    
Receivables (15) (247)
Prepaid expenses and other current assets (110) (43)
Medical claims and benefits payable 251 522
Amounts due government agencies (360) 810
Accounts payable, accrued liabilities and other (40) 129
Deferred revenue 293 (374)
Income taxes 59 23
Net cash provided by operating activities 985 1,522
Investing activities:    
Purchases of investments (1,764) (2,018)
Proceeds from sales and maturities of investments 1,082 965
Net cash paid in business combinations (134) 0
Purchases of property, equipment and capitalized software (81) (56)
Other, net (41) 3
Net cash used in investing activities (938) (1,106)
Financing activities:    
Common stock purchases (200) (128)
Common stock withheld to settle employee tax obligations (53) (52)
Contingent consideration liabilities settled (20) (20)
Other, net 15 (4)
Net cash used in financing activities (258) (204)
Net (decrease) increase in cash, cash equivalents, and restricted cash and cash equivalents (211) 212
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period 4,506 4,223
Cash, cash equivalents, and restricted cash and cash equivalents at end of period $ 4,295 $ 4,435