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v3.22.0.1

Consolidated Statements of Cash Flows - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Operating activities: |  |  |
Net income | $ 659 | $ 673 | $ 737
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |
Depreciation and amortization | 131 | 88 | 89
Deferred income taxes | (24) | (19) | 10
Share-based compensation | 72 | 57 | 39
Loss (gain) on debt repayment | 25 | 15 | (15)
Other, net | 33 | 12 | 0
Changes in operating assets and liabilities, net of the effect of acquisitions: |  |  |
Receivables | (415) | (100) | (76)
Prepaid expenses and other current assets | (19) | (16) | 28
Medical claims and benefits payable | 471 | 544 | (107)
Amounts due government agencies | 1,046 | 446 | (303)
Accounts payable, accrued liabilities and other | 138 | 86 | 9
Deferred revenue | (5) | 126 | 38
Income taxes | 7 | (14) | (15)
Net cash provided by operating activities | 2,119 | 1,898 | 434
Investing activities: |  |  |
Purchases of investments | (2,713) | (670) | (2,536)
Proceeds from sales and maturities of investments | 1,329 | 1,097 | 2,302
Net cash paid in business combinations | (129) | (755) | 0
Purchases of property, equipment and capitalized software | (77) | (74) | (57)
Other, net | (63) | 2 | (2)
Net cash (used in) provided by investing activities | (1,653) | (400) | (293)
Financing activities: |  |  |
Proceeds from senior notes offerings, net of issuance costs | 740 | 1,429 | 0
Repayment of senior notes | (723) | (338) | 0
Common stock purchases | (128) | (606) | (47)
Common stock withheld to settle employee tax obligations | (53) | (8) | (7)
Contingent consideration liabilities settled | (20) | 0 | 0
Repayment of term loan facility | 0 | (600) | 0
Proceeds from borrowings under term loan facility | 0 | 380 | 220
Cash paid for partial termination of warrants | 0 | (30) | (514)
Cash paid for partial settlement of conversion option | 0 | (27) | (578)
Cash received for partial settlement of call option | 0 | 27 | 578
Repayment of principal amount of convertible senior notes | 0 | (12) | (240)
Other, net | 1 | 2 | 29
Net cash (used in) provided by financing activities | (183) | 217 | (559)
Net increase (decrease) in cash and cash equivalents, and restricted cash and cash equivalents | 283 | 1,715 | (418)
Cash and cash equivalents, and restricted cash and cash equivalents at beginning of period | 4,223 | 2,508 | 2,926
Cash and cash equivalents, and restricted cash and cash equivalents at end of period | 4,506 | 4,223 | 2,508
Cash paid during the period for: |  |  |
Income taxes | 235 | 321 | 239
Interest | $ 127 | $ 112 | $ 78

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