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v3.23.2

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2023 | Jun. 30, 2022
Operating activities: |  |
Net income | $ 630 | $ 506
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 86 | 84
Deferred income taxes | (4) | 3
Share-based compensation | 55 | 57
Other, net | 5 | (6)
Changes in operating assets and liabilities: |  |
Receivables | (83) | (43)
Prepaid expenses and other current assets | 6 | (64)
Medical claims and benefits payable | 149 | 405
Amounts due government agencies | 510 | 247
Accounts payable, accrued liabilities and other | (208) | (147)
Deferred revenue | 55 | (357)
Income taxes | 202 | 46
Net cash provided by operating activities | 1,403 | 731
Investing activities: |  |
Purchases of investments | (924) | (1,413)
Proceeds from sales and maturities of investments | 546 | 879
Purchases of property, equipment and capitalized software | (63) | (50)
Other, net | 2 | (7)
Net cash used in investing activities | (439) | (591)
Financing activities: |  |
Common stock withheld to settle employee tax obligations | (59) | (53)
Common stock purchases | 0 | (200)
Contingent consideration liabilities settled | 0 | (20)
Other, net | 4 | 5
Net cash used in financing activities | (55) | (268)
Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents | 909 | (128)
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period | 4,048 | 4,506
Cash, cash equivalents, and restricted cash and cash equivalents at end of period | $ 4,957 | $ 4,378

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- Definition Amount of cash (inflow) outflow from investing activities classified as other. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 230 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 13 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-13 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Name Accounting Standards Codification -Section 45 -Paragraph 12 -SubTopic 10 -Topic 230 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-12 + Details
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- Definition The cash outflow to reacquire common stock during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-15 + Details
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- Definition Amount of cash outflow for purchase of marketable security. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 320 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 11 -Publisher FASB -URI https://asc.fasb.org//1943274/2147481830/320-10-45-11 + Details
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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 230 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 13 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-13 + Details
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- Definition Amount of cash inflow (outflow) from financing activities classified as other. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 230 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 14 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-14 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Name Accounting Standards Codification -Section 45 -Paragraph 15 -SubTopic 10 -Topic 230 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-15 + Details
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- Definition The cash inflow associated with the aggregate amount received by the entity through sale or maturity of marketable securities (held-to-maturity or available-for-sale) during the period. + References No definition available. + Details
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