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Condensed Financial Information of Registrant - Condensed Balance Sheets (Details) - USD ($)
$ in Millions
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Current assets:        
Cash and cash equivalents $ 2,819 $ 2,329 $ 1,539 $ 936
Investments 1,758 1,801    
Receivables 974 597    
Income tax refundable 39 13    
Due from affiliates 0 0    
Prepaid expenses and other current assets 131 192    
Derivative asset 267 374    
Total current assets 5,988 5,306    
Property, equipment, and capitalized software, net 454 393    
Goodwill and intangible assets, net 760 641    
Investments in subsidiaries 0 0    
Deferred income taxes 10 18    
Total assets 7,449 6,576 4,435  
Current liabilities:        
Medical claims and benefits payable 1,929 1,685 1,201 670
Accounts payable and accrued liabilities 385 362    
Current portion of long-term debt 472 449    
Derivative liability 267 374    
Total current liabilities 4,570 3,822    
Senior notes 975 962    
Lease financing obligations 198 198    
Deferred income taxes 15 0    
Other long-term liabilities 42 37    
Total liabilities 5,800 5,019    
Stockholders’ equity:        
Common stock, $0.001 par value; 150 shares authorized; outstanding: 57 shares at December 31, 2016 and 56 shares at December 31, 2015 0 0    
Preferred stock, $0.001 par value; 20,000 shares authorized, no shares issued and outstanding 0 0    
Additional paid-in capital 841 803    
Accumulated other comprehensive loss (2) (4)    
Retained earnings 810 758    
Total stockholders’ equity 1,649 1,557    
Total liabilities and stockholders' equity 7,449 6,576    
Parent Company        
Current assets:        
Cash and cash equivalents 86 360 $ 75 $ 100
Investments 178 252    
Receivables 2 0    
Income tax refundable 17 7    
Due from affiliates 104 86    
Prepaid expenses and other current assets 58 46    
Derivative asset 267 374    
Total current assets 712 1,125    
Property, equipment, and capitalized software, net 301 267    
Goodwill and intangible assets, net 58 61    
Investments in subsidiaries 2,609 2,205    
Deferred income taxes 10 23    
Advances to related parties and other assets 48 36    
Total assets 3,738 3,717    
Current liabilities:        
Medical claims and benefits payable 1 0    
Accounts payable and accrued liabilities 146 157    
Current portion of long-term debt 472 449    
Derivative liability 267 374    
Total current liabilities 886 980    
Senior notes 975 962    
Lease financing obligations 198 198    
Deferred income taxes 11 0    
Other long-term liabilities 19 20    
Total liabilities 2,089 2,160    
Stockholders’ equity:        
Common stock, $0.001 par value; 150 shares authorized; outstanding: 57 shares at December 31, 2016 and 56 shares at December 31, 2015 0 0    
Preferred stock, $0.001 par value; 20,000 shares authorized, no shares issued and outstanding 0 0    
Additional paid-in capital 841 803    
Accumulated other comprehensive loss (2) (4)    
Retained earnings 810 758    
Total stockholders’ equity 1,649 1,557    
Total liabilities and stockholders' equity $ 3,738 $ 3,717