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v3.23.3

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2023 | Sep. 30, 2022
Operating activities: |  |
Net income | $ 875 | $ 736
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 128 | 129
Deferred income taxes | (33) | (35)
Share-based compensation | 88 | 80
Other, net | 3 | (3)
Changes in operating assets and liabilities: |  |
Receivables | (132) | (15)
Prepaid expenses and other current assets | (69) | (110)
Medical claims and benefits payable | 611 | 251
Amounts due government agencies | 377 | (360)
Accounts payable, accrued liabilities and other | (137) | (40)
Deferred revenue | 332 | 293
Income taxes | 309 | 59
Net cash provided by operating activities | 2,352 | 985
Investing activities: |  |
Purchases of investments | (1,295) | (1,764)
Proceeds from sales and maturities of investments | 670 | 1,082
Net cash paid in business combinations | (3) | (134)
Purchases of property, equipment and capitalized software | (89) | (81)
Other, net | (2) | (41)
Net cash used in investing activities | (719) | (938)
Financing activities: |  |
Common stock withheld to settle employee tax obligations | (60) | (53)
Common stock purchases | 0 | (200)
Contingent consideration liabilities settled | 0 | (20)
Other, net | (1) | 15
Net cash used in financing activities | (61) | (258)
Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents | 1,572 | (211)
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 | $ 5,620 | $ 4,295

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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 The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-13 + 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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- Definition Amount of noncash expense for share-based payment arrangement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 45 -Paragraph 28 -Subparagraph (a) -SubTopic 10 -Topic 230 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-28 + Details
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