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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Cash flows from operating activities    
Net income $ 2,264 $ 1,015
Adjustments to reconcile net income to net cash provided by operating activities:    
Net realized capital gains (28) (65)
Stock-based compensation 116 76
Depreciation 303 289
Other intangible amortization 54 59
(Benefit) provision for deferred income taxes (54) 54
Changes in operating assets and liabilities, net of effect of businesses acquired and dispositions:    
Receivables 358 396
Other assets (369) (419)
Benefits payable 396 73
Other liabilities 641 127
Unearned revenues 3,167 2,987
Other, net 114 117
Net cash provided by operating activities 6,962 4,709
Cash flows from investing activities    
Acquisitions, net of cash acquired (10) (7)
Purchases of property and equipment (376) (395)
Purchases of investment securities (4,337) (4,533)
Maturities of investment securities 919 1,082
Proceeds from sales of investment securities 2,028 3,319
Net cash used in investing activities (1,776) (534)
Cash flows from financing activities    
Receipts from contract deposits, net 1,931 350
Proceeds from issuance of senior notes, net 985 0
Repayment of commercial paper, net (153) (1)
Change in book overdraft (41) (118)
Common stock repurchases (1,819) (75)
Dividends paid (162) (133)
Proceeds from stock option exercises and other 61 0
Net cash provided by financing activities 802 23
Increase in cash and cash equivalents 5,988 4,198
Cash and cash equivalents at beginning of period 3,877 2,571
Cash and cash equivalents at end of period 9,865 6,769
Supplemental cash flow disclosures:    
Interest payments 124 102
Income tax payments, net $ 1,206 $ 851