XML 18 R6.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Operating activities:    
Net (loss) income $ (250) $ 99
Adjustments to reconcile net (loss) income to net cash provided by operating activities:    
Depreciation and amortization 139 135
Impairment losses 201 0
Deferred income taxes (68) 20
Share-based compensation, including accelerated share-based compensation 38 24
Non-cash restructuring charges 49 0
Amortization of convertible senior notes and lease financing obligations 24 23
Other, net 13 14
Changes in operating assets and liabilities:    
Receivables (28) (427)
Prepaid expenses and other assets (53) (116)
Medical claims and benefits payable 549 168
Amounts due government agencies 122 503
Accounts payable and accrued liabilities 90 1
Deferred revenue 153 157
Income taxes (22) 32
Net cash provided by operating activities 957 633
Investing activities:    
Purchases of investments (1,896) (1,444)
Proceeds from sales and maturities of investments 1,538 1,512
Purchases of property, equipment and capitalized software (85) (143)
(Increase) decrease in restricted investments held-to-maturity (10) 4
Net cash paid in business combinations 0 (48)
Other, net (21) (12)
Net cash used in investing activities (474) (131)
Financing activities:    
Proceeds from senior notes offering, net of issuance costs 325 0
Proceeds from borrowings under credit facility 300 0
Proceeds from employee stock plans 11 10
Other, net (4) 1
Net cash provided by financing activities 632 11
Net increase in cash and cash equivalents 1,115 513
Cash and cash equivalents at beginning of period 2,819 2,329
Cash and cash equivalents at end of period 3,934 2,842
Schedule of non-cash investing and financing activities:    
Common stock used for share-based compensation (21) (8)
Details of change in fair value of derivatives, net:    
Change in fair value of derivatives, net 0 0
Details of business combinations:    
Fair value of assets acquired 0 (186)
Fair value of liabilities assumed 0 28
Purchase price amounts accrued/received 0 8
Reversal of amounts advanced to sellers in prior year 0 102
Net cash paid in business combinations 0 (48)
1.125% Call Option    
Details of change in fair value of derivatives, net:    
Change in fair value of derivatives, net 158 (60)
1.125% Conversion Option    
Details of change in fair value of derivatives, net:    
Change in fair value of derivatives, net $ (158) $ 60