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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Operating activities:    
Net income $ 301 $ 321
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 45 44
Deferred income taxes 26 1
Share-based compensation 36 25
Other, net 2 5
Changes in operating assets and liabilities:    
Receivables (123) (234)
Prepaid expenses and other current assets 8 7
Medical claims and benefits payable (24) 296
Amounts due government agencies 183 270
Accounts payable, accrued liabilities and other (215) (215)
Deferred revenue (90) 295
Income taxes 65 101
Net cash provided by operating activities 214 916 Close
Investing activities:    
Purchases of investments (380) (646)
Proceeds from sales and maturities of investments 211 371
Net cash paid in business combinations (295) 0
Purchases of property, equipment and capitalized software (27) (32)
Other, net 3 5
Net cash used in investing activities (488) (302) Close
Financing activities:    
Common stock withheld to settle employee tax obligations (56) (58)
Other, net (6) (7)
Net cash used in financing activities (62) (65) Close
Net (decrease) increase in cash, cash equivalents, and restricted cash and cash equivalents (336) 549 Close
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period 4,908 4,048
Cash, cash equivalents, and restricted cash and cash equivalents at end of period $ 4,572 $ 4,597