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SCHEDULE I - PARENT COMPANY FINANCIAL INFORMATION (Condensed Statements of Cash Flows) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Condensed Financial Statements, Captions [Line Items]      
Net cash provided by operating activities $ 4,587 $ 2,262 $ 5,639
Net Cash Provided by (Used in) Investing Activities [Abstract]      
Acquisitions, net of cash and cash equivalents acquired (337) (4,187) (709)
Purchases of investment securities (6,049) (7,197) (9,125)
Proceeds from sale of investment securities 2,434 3,547 2,747
Maturities of investment securities 1,365 2,597 4,986
Purchases of property and equipment, net (1,120) (1,316) (964)
Net cash used in investing activities (1,006) (6,556) (3,065)
Net Cash Provided by (Used in) Financing Activities [Abstract]      
Proceeds from issuance of senior notes, net 1,982 2,984 1,088
Debt issue costs (6) (31) 0
Repayment of senior notes (1,000) 0 (400)
(Repayments) proceeds from issuance of commercial paper, net (376) 352 295
Proceeds from term loan 0 2,500 1,000
Repayment of term loan (2,000) (2,078) (1,000)
Change in book overdraft (28) 6 95
Common stock repurchases (2,096) (79) (1,820)
Dividends paid (392) (354) (323)
Net cash (used in) provided by financing activities (1,914) 3,015 (1,955)
Increase (decrease) in cash and cash equivalents 1,667 (1,279) 619
Cash and cash equivalents at beginning of period 3,394 4,673 4,054
Cash and cash equivalents at end of period 5,061 3,394 4,673
Parent Company      
Condensed Financial Statements, Captions [Line Items]      
Net cash provided by operating activities 4,868 2,853 2,531
Net Cash Provided by (Used in) Investing Activities [Abstract]      
Acquisitions, net of cash and cash equivalents acquired (337) (4,187) (709)
Capital contributions to operating subsidiaries (484) (2,580) (538)
Purchases of investment securities (63) (200) (460)
Proceeds from sale of investment securities 468 71 13
Maturities of investment securities 30 122 411
Purchases of property and equipment, net (931) (958) (785)
Net cash used in investing activities (1,317) (7,732) (2,068)
Net Cash Provided by (Used in) Financing Activities [Abstract]      
Proceeds from issuance of senior notes, net 1,976 2,953 1,088
Repayment of senior notes (1,000) 0 (400)
(Repayments) proceeds from issuance of commercial paper, net (376) 352 295
Proceeds from term loan 0 2,500 1,000
Repayment of term loan (2,000) 0 (1,000)
Change in book overdraft 5 (52) 80
Common stock repurchases (2,096) (79) (1,820)
Dividends paid (392) (354) (323)
Other, net 40 29 47
Net cash (used in) provided by financing activities (3,843) 5,349 (1,033)
Increase (decrease) in cash and cash equivalents (292) 470 (570)
Cash and cash equivalents at beginning of period 906 436 1,006
Cash and cash equivalents at end of period $ 614 $ 906 $ 436