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SCHEDULE I - PARENT COMPANY FINANCIAL INFORMATION (Condensed Statements of Cash Flows) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Condensed Financial Statements, Captions [Line Items]      
Net cash provided by operating activities $ 2,262 $ 5,639 $ 5,284
Cash flows from investing activities:      
Acquisitions, net of cash and cash equivalents acquired (4,187) (709) 0
Purchases of investment securities (7,197) (9,125) (6,361)
Proceeds from sale of investment securities 3,547 2,747 4,086
Proceeds from maturities of investment securities 2,597 4,986 1,733
Purchases of property and equipment, net (1,316) (964) (736)
Net cash used in investing activities (6,556) (3,065) (1,278)
Cash flows from financing activities:      
Proceeds from issuance of senior notes, net 2,984 1,088 987
Repayment of senior notes 0 (400) (400)
Proceeds (repayments) from issuance of commercial paper, net 352 295 (360)
Proceeds from term loan 2,500 1,000 0
Repayment of term loan (2,078) (1,000) (650)
Change in book overdraft 6 95 54
Common stock repurchases (79) (1,820) (1,070)
Dividends paid (354) (323) (291)
Proceeds from stock option exercises & other 21 49 58
Net cash provided by (used in) financing activities 3,015 (1,955) (2,295)
(Decrease) increase in cash and cash equivalents (1,279) 619 1,711
Cash and cash equivalents at beginning of period 4,673 4,054 2,343
Cash and cash equivalents at end of period 3,394 4,673 4,054
Parent Company      
Condensed Financial Statements, Captions [Line Items]      
Net cash provided by operating activities 2,853 2,531 3,529
Cash flows from investing activities:      
Acquisitions, net of cash and cash equivalents acquired (4,187) (709) 0
Capital contributions to operating subsidiaries (2,580) (538) (423)
Purchases of investment securities (200) (460) (204)
Proceeds from sale of investment securities 71 13 15
Proceeds from maturities of investment securities 122 411 134
Purchases of property and equipment, net (958) (785) (585)
Net cash used in investing activities (7,732) (2,068) (1,063)
Cash flows from financing activities:      
Proceeds from issuance of senior notes, net 2,953 1,088 987
Repayment of senior notes 0 (400) (400)
Proceeds (repayments) from issuance of commercial paper, net 352 295 (360)
Proceeds from term loan 2,500 1,000 0
Repayment of term loan 0 (1,000) (650)
Change in book overdraft (52) 80 2
Common stock repurchases (79) (1,820) (1,070)
Dividends paid (354) (323) (291)
Proceeds from stock option exercises & other 29 47 57
Net cash provided by (used in) financing activities 5,349 (1,033) (1,725)
(Decrease) increase in cash and cash equivalents 470 (570) 741
Cash and cash equivalents at beginning of period 436 1,006 265
Cash and cash equivalents at end of period $ 906 $ 436 $ 1,006