| Mar'20 | Dec'19 | Sep'19 | Jun'19 | Mar'19 | Dec'18 | Sep'18 | Jun'18 | Mar'18 |
|---|---|---|---|---|---|---|---|---|
Cash Flows from Operating Activities | ||||||||
Net income | ||||||||
1,189 | 984 | 1,354 | 1,410 | 1,372 | 147 | 774 | 808 | 917 |
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||
Depreciation and amortization | ||||||||
693 | 927 | 913 | 914 | 897 | 257 | 162 | 136 | 140 |
Realized investment losses (gains), net | ||||||||
-88 | 93 | 51 | 23 | 10 | -45 | 0 | -3 | -33 |
Deferred income tax (benefit) | ||||||||
161 | -87 | 159 | 79 | 162 | 118 | -11 | 3 | -9 |
Debt extinguishment costs | ||||||||
-185 | - | - | - | 0 | - | - | - | - |
Net changes in assets and liabilities, net of non-operating effects: | ||||||||
Accounts receivable | ||||||||
1,056 | -458 | 6 | 769 | 396 | -948 | 238 | -48 | 53 |
Inventories | ||||||||
-96 | 512 | -137 | -84 | -440 | 191 | 31 | -21 | -94 |
Deferred policy acquisition costs | ||||||||
138 | 80 | 63 | 48 | 51 | 42 | 56 | 63 | 76 |
Reinsurance recoverable and Other assets | ||||||||
210 | 185 | -85 | 301 | -124 | 589 | -166 | -138 | -51 |
Insurance liabilities | ||||||||
341 | -15 | 293 | -63 | 360 | 152 | -547 | 106 | 849 |
Pharmacy and service costs payable | ||||||||
408 | -402 | -503 | 269 | 444 | -851 | 64 | 69 | -124 |
Accounts payable and Accrued expenses and other liabilities | ||||||||
308 | 1,320 | 393 | -461 | 91 | 155 | 298 | -314 | 193 |
Other, net | ||||||||
-144 | -302 | -68 | -106 | -83 | -213 | -21 | -46 | 8 |
NET CASH PROVIDED BY OPERATING ACTIVITIES | ||||||||
1,887 | 2,793 | 2,461 | 1,039 | 3,192 | 126 | 624 | 995 | 2,025 |
Cash Flows from Investing Activities | ||||||||
Proceeds from investments sold: | ||||||||
Debt securities and equity securities | ||||||||
756 | 848 | 603 | 565 | 1,471 | 725 | 657 | 774 | 499 |
Investment maturities and repayments: | ||||||||
Debt securities and equity securities | ||||||||
408 | 544 | 543 | 419 | 319 | 757 | 507 | 590 | 297 |
Commercial mortgage loans | ||||||||
5 | 25 | 5 | 80 | 89 | 34 | 93 | 60 | 28 |
Other sales, maturities and repayments (primarily short-term and other long-term investments) | ||||||||
346 | 333 | 328 | 283 | 367 | 146 | 176 | 300 | 112 |
Investments purchased or originated: | ||||||||
Debt securities and equity securities | ||||||||
1,174 | 935 | 1,135 | 1,124 | 1,088 | 1,176 | 917 | 1,285 | 2,259 |
Commercial mortgage loans | ||||||||
0 | 86 | 37 | 89 | 95 | 24 | 94 | 126 | 68 |
Other (primarily short-term and other long-term investments) | ||||||||
380 | 539 | 367 | 459 | 388 | 529 | 159 | 295 | 206 |
Property and equipment purchases, net | ||||||||
267 | 310 | 243 | 303 | 194 | 182 | 126 | 117 | 103 |
Acquisitions, net of cash acquired | ||||||||
0 | 147 | 0 | 0 | 6 | 24,455 | 0 | 0 | 0 |
Other, net | ||||||||
-37 | 4 | 1 | 6 | 0 | - | - | - | - |
NET CASH (USED IN) PROVIDED BY INVESTING ACTIVITIES | ||||||||
-269 | -271 | -304 | -634 | 475 | -24,704 | 125 | -99 | -1,700 |
Cash Flows from Financing Activities | ||||||||
Deposits and interest credited to contractholder deposit funds | ||||||||
267 | 224 | 233 | 251 | 247 | 224 | 242 | 282 | 292 |
Withdrawals and benefit payments from contractholder deposit funds | ||||||||
255 | 252 | 303 | 291 | 251 | 279 | 278 | 288 | 306 |
Net change in short-term debt | ||||||||
-180 | -221 | 142 | 427 | -1,048 | 1,596 | -104 | -2 | -3 |
Payments for debt extinguishment | ||||||||
192 | - | - | - | 0 | - | - | - | - |
Repayment of long-term debt | ||||||||
4,200 | 1,151 | 600 | 1,740 | 1,000 | 0 | 0 | 0 | 131 |
Net proceeds on issuance of long-term debt | ||||||||
3,470 | - | - | - | 0 | - | - | - | - |
Repurchase of common stock | ||||||||
956 | 447 | 674 | 404 | 462 | 32 | 0 | 0 | 310 |
Issuance of common stock | ||||||||
153 | 123 | 31 | 17 | 53 | 27 | 14 | 7 | 20 |
Other, net | ||||||||
84 | 1 | -2 | -33 | -73 | -108 | -101 | -11 | -92 |
NET CASH (USED IN) FINANCING ACTIVITIES | ||||||||
-1,818 | -1,707 | -1,173 | -1,773 | -2,534 | 4,400 | 19,657 | -12 | -530 |
Effect of foreign currency rate changes on cash, cash equivalents and restricted cash | ||||||||
-37 | 19 | -17 | 2 | -12 | 1 | -8 | -21 | 4 |
Net (decrease) increase in cash, cash equivalents and restricted cash | ||||||||
-237 | 834 | 967 | -1,366 | 1,121 | -20,177 | 20,398 | 863 | -201 |
Supplemental Disclosure of Cash Information: | ||||||||
Income taxes paid, net of refunds | ||||||||
81 | 169 | 417 | 1,161 | 29 | 252 | 248 | 488 | 31 |
Interest paid | ||||||||
395 | 388 | 392 | 488 | 377 | 100 | 40 | 81 | 46 |