| 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 | ||||||||
4,937 | 5,120 | 4,283 | 3,703 | 3,101 | 2,646 | 0 | 0 | 0 |
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||
Depreciation and amortization | ||||||||
3,447 | 3,651 | 2,981 | 2,230 | 1,452 | 695 | 0 | 0 | 0 |
Realized investment losses (gains), net | ||||||||
79 | 177 | 39 | -12 | -38 | -81 | 0 | 0 | 0 |
Deferred income tax (benefit) | ||||||||
312 | 313 | 518 | 348 | 272 | 101 | 0 | 0 | 0 |
Debt extinguishment costs | ||||||||
0 | - | - | - | 0 | - | - | - | - |
Net changes in assets and liabilities, net of non-operating effects: | ||||||||
Accounts receivable | ||||||||
1,373 | 713 | 223 | 455 | -362 | -705 | 0 | 0 | 0 |
Inventories | ||||||||
195 | -149 | -470 | -302 | -239 | 107 | 0 | 0 | 0 |
Deferred policy acquisition costs | ||||||||
329 | 242 | 204 | 197 | 212 | 237 | 0 | 0 | 0 |
Reinsurance recoverable and Other assets | ||||||||
611 | 277 | 681 | 600 | 161 | 234 | 0 | 0 | 0 |
Insurance liabilities | ||||||||
556 | 575 | 742 | -98 | 71 | 560 | 0 | 0 | 0 |
Pharmacy and service costs payable | ||||||||
-228 | -192 | -641 | -74 | -274 | -842 | 0 | 0 | 0 |
Accounts payable and Accrued expenses and other liabilities | ||||||||
1,560 | 1,343 | 178 | 83 | 230 | 332 | 0 | 0 | 0 |
Other, net | ||||||||
-620 | -559 | -470 | -423 | -363 | -272 | 0 | 0 | 0 |
NET CASH PROVIDED BY OPERATING ACTIVITIES | ||||||||
8,180 | 9,485 | 6,818 | 4,981 | 4,937 | 3,770 | 0 | 0 | 0 |
Cash Flows from Investing Activities | ||||||||
Proceeds from investments sold: | ||||||||
Debt securities and equity securities | ||||||||
2,772 | 3,487 | 3,364 | 3,418 | 3,627 | 2,655 | 0 | 0 | 0 |
Investment maturities and repayments: | ||||||||
Debt securities and equity securities | ||||||||
1,914 | 1,825 | 2,038 | 2,002 | 2,173 | 2,151 | 0 | 0 | 0 |
Commercial mortgage loans | ||||||||
115 | 199 | 208 | 296 | 276 | 215 | 0 | 0 | 0 |
Other sales, maturities and repayments (primarily short-term and other long-term investments) | ||||||||
1,290 | 1,311 | 1,124 | 972 | 989 | 734 | 0 | 0 | 0 |
Investments purchased or originated: | ||||||||
Debt securities and equity securities | ||||||||
4,368 | 4,282 | 4,523 | 4,305 | 4,466 | 5,637 | 0 | 0 | 0 |
Commercial mortgage loans | ||||||||
212 | 307 | 245 | 302 | 339 | 312 | 0 | 0 | 0 |
Other (primarily short-term and other long-term investments) | ||||||||
1,745 | 1,753 | 1,743 | 1,535 | 1,371 | 1,189 | 0 | 0 | 0 |
Property and equipment purchases, net | ||||||||
1,123 | 1,050 | 922 | 805 | 619 | 528 | 0 | 0 | 0 |
Acquisitions, net of cash acquired | ||||||||
147 | 153 | 24,461 | 24,461 | 24,461 | 24,455 | 0 | 0 | 0 |
Other, net | ||||||||
-26 | 11 | 0 | 0 | 0 | - | - | - | - |
NET CASH (USED IN) PROVIDED BY INVESTING ACTIVITIES | ||||||||
-1,478 | -734 | -25,167 | -24,738 | -24,203 | -26,378 | 0 | 0 | 0 |
Cash Flows from Financing Activities | ||||||||
Deposits and interest credited to contractholder deposit funds | ||||||||
975 | 955 | 955 | 964 | 995 | 1,040 | 0 | 0 | 0 |
Withdrawals and benefit payments from contractholder deposit funds | ||||||||
1,101 | 1,097 | 1,124 | 1,099 | 1,096 | 1,151 | 0 | 0 | 0 |
Net change in short-term debt | ||||||||
168 | -700 | 1,117 | 871 | 442 | 1,487 | 0 | 0 | 0 |
Payments for debt extinguishment | ||||||||
0 | - | - | - | 0 | - | - | - | - |
Repayment of long-term debt | ||||||||
7,691 | 4,491 | 3,340 | 2,740 | 1,000 | 131 | 0 | 0 | 0 |
Net proceeds on issuance of long-term debt | ||||||||
0 | - | - | - | 0 | - | - | - | - |
Repurchase of common stock | ||||||||
2,481 | 1,987 | 1,572 | 898 | 494 | 342 | 0 | 0 | 0 |
Issuance of common stock | ||||||||
324 | 224 | 128 | 111 | 101 | 68 | 0 | 0 | 0 |
Other, net | ||||||||
50 | -107 | -216 | -315 | -293 | -312 | 0 | 0 | 0 |
NET CASH (USED IN) FINANCING ACTIVITIES | ||||||||
-6,471 | -7,187 | -1,080 | 19,750 | 21,511 | 23,515 | 0 | 0 | 0 |
Effect of foreign currency rate changes on cash, cash equivalents and restricted cash | ||||||||
-33 | -8 | -26 | -17 | -40 | -24 | 0 | 0 | 0 |
Net (decrease) increase in cash, cash equivalents and restricted cash | ||||||||
198 | 1,556 | -19,455 | -24 | 2,205 | 883 | 0 | 0 | 0 |
Supplemental Disclosure of Cash Information: | ||||||||
Income taxes paid, net of refunds | ||||||||
1,828 | 1,776 | 1,859 | 1,690 | 1,017 | 1,019 | 0 | 0 | 0 |
Interest paid | ||||||||
1,663 | 1,645 | 1,357 | 1,005 | 598 | 267 | 0 | 0 | 0 |