XML 57 R7.htm IDEA: XBRL DOCUMENT v3.25.1
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Operating activities:    
Net income $ 298 $ 301
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 48 45
Deferred income taxes 13 26
Share-based compensation 27 36
Other, net 2 2
Changes in operating assets and liabilities:    
Receivables (90) (123)
Prepaid expenses and other current assets (56) 8
Medical claims and benefits payable (81) (24)
Amounts due government agencies (32) 183
Accounts payable, accrued liabilities and other (268) (215)
Deferred revenue 252 (90)
Income taxes 77 65
Net cash provided by operating activities 190 214
Investing activities:    
Purchases of investments (189) (380)
Proceeds from sales and maturities of investments 331 211
Net cash paid in business combinations (245) (295)
Purchases of property, equipment and capitalized software (22) (27)
Other, net 2 3
Net cash used in investing activities (123) (488)
Financing activities:    
Common stock purchases (500) 0
Proceeds from borrowings under credit facility 150 0
Proceeds from borrowings under term loan 500 0
Common stock withheld to settle employee tax obligations (36) (56)
Other, net 33 (6)
Net cash provided by (used in) financing activities 147 (62)
Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents 214 (336)
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period 4,741 4,908
Cash, cash equivalents, and restricted cash and cash equivalents at end of period $ 4,955 $ 4,572