| Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Operating activities | ||||||||||||
Net earnings | ||||||||||||
14,239 | 12,382 | 10,823 | 7,073 | 5,868 | 5,619 | 5,673 | 5,526 | 5,142 | 4,634 | 3,822 | 2,977 | 4,654 |
Noncash items: | ||||||||||||
Depreciation and amortization | ||||||||||||
2,720 | 2,428 | 2,245 | 2,055 | 1,693 | 1,478 | 1,375 | 1,309 | 1,124 | 1,064 | 991 | 981 | 796 |
Deferred income taxes | ||||||||||||
230 | 42 | -965 | 81 | -73 | -117 | 1 | 308 | 59 | 45 | -16 | -166 | 86 |
Share-based compensation | ||||||||||||
697 | 638 | 597 | 485 | 406 | 364 | 331 | 421 | 401 | 326 | 334 | 305 | 505 |
Other, net | ||||||||||||
106 | 71 | -217 | 82 | 235 | 298 | 83 | 231 | 67 | -203 | -23 | -122 | -213 |
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: | ||||||||||||
Accounts receivable | ||||||||||||
-162 | 1,351 | 1,062 | 1,357 | 591 | 911 | 317 | 130 | 267 | 16 | -100 | 219 | 194 |
Other assets | ||||||||||||
1,563 | 750 | 630 | 1,601 | 1,430 | 590 | 838 | 295 | 121 | -84 | 250 | 48 | 386 |
Medical costs payable | ||||||||||||
1,221 | 1,831 | 1,284 | 1,849 | 2,585 | 484 | 509 | 101 | 377 | -88 | 424 | -41 | 149 |
Accounts payable and other liabilities | ||||||||||||
733 | 526 | 930 | 1,494 | 1,280 | 1,637 | 459 | 199 | 146 | -341 | 99 | 708 | 269 |
Other policy liabilities | ||||||||||||
- | - | - | - | - | - | -221 | -81 | 482 | 10 | 104 | -170 | 188 |
Unearned revenues | ||||||||||||
130 | 38 | 157 | -202 | 237 | 385 | 102 | 28 | -308 | 352 | -6 | 33 | 23 |
Cash flows from operating activities | ||||||||||||
18,463 | 15,713 | 13,596 | 9,795 | 9,740 | 8,051 | 6,991 | 7,155 | 6,968 | 6,273 | 5,625 | 4,238 | 5,877 |
Investing activities | ||||||||||||
Purchases of investments | ||||||||||||
18,131 | 14,010 | 14,588 | 17,547 | 9,939 | 9,928 | 12,176 | 9,903 | 9,895 | 7,855 | 6,466 | 9,251 | 6,379 |
Sales of investments | ||||||||||||
8,536 | 3,641 | 4,623 | 7,339 | 6,054 | 7,701 | 5,706 | 3,794 | 3,949 | 2,593 | 4,040 | 5,568 | 1,271 |
Maturities of investments | ||||||||||||
7,091 | 6,270 | 5,646 | 4,281 | 3,354 | 3,026 | 4,859 | 4,810 | 4,251 | 3,105 | 2,675 | 3,030 | 2,094 |
Cash paid for acquisitions, net of cash assumed | ||||||||||||
8,343 | 5,997 | 2,131 | 1,760 | 16,164 | 1,923 | 362 | 6,280 | 1,844 | 2,323 | 486 | 4,012 | 270 |
Cash received from dispositions | ||||||||||||
- | - | - | - | - | - | - | - | 385 | 19 | 0 | 199 | 8 |
Purchases of property, equipment and capitalized software | ||||||||||||
2,071 | 2,063 | 2,023 | 1,705 | 1,556 | 1,525 | 1,307 | 1,070 | 1,067 | 878 | 739 | 791 | 871 |
Proceeds from disposal of property, equipment and capitalized software | ||||||||||||
- | - | - | - | - | - | - | 0 | 49 | 0 | 0 | 185 | 0 |
Other, net | ||||||||||||
-219 | 226 | 126 | -37 | 144 | -115 | -191 | 0 | - | - | - | - | - |
Cash flows used for investing activities | ||||||||||||
-12,699 | -12,385 | -8,599 | -9,355 | -18,395 | -2,534 | -3,089 | -8,649 | -4,172 | -5,339 | -976 | -5,072 | -4,147 |
Financing activities | ||||||||||||
Acquisition of redeemable noncontrolling interest shares | ||||||||||||
- | - | - | - | - | 0 | 1,474 | 319 | 0 | 0 | - | - | - |
Common share repurchases | ||||||||||||
5,500 | 4,500 | 1,500 | 1,280 | 1,200 | 4,008 | 3,170 | 3,084 | 2,994 | 2,517 | 1,801 | 2,684 | 6,599 |
Payments of Ordinary Dividends, Common Stock | ||||||||||||
3,932 | 3,320 | 2,773 | 2,261 | 1,786 | 1,362 | 1,056 | 820 | 651 | 449 | 36 | 37 | 40 |
Proceeds from common stock issuances | ||||||||||||
1,037 | 838 | 688 | 429 | 402 | 462 | 598 | 1,078 | 381 | 272 | 282 | 299 | 712 |
Repayments of long-term debt | ||||||||||||
1,750 | 2,600 | 4,398 | 2,596 | 1,041 | 812 | 1,609 | 986 | 955 | 1,583 | 1,350 | 500 | 950 |
Proceeds from short-term borrowings, net | ||||||||||||
300 | -201 | -3,508 | -382 | 3,666 | -794 | -474 | 1,587 | -933 | 930 | -99 | -1,346 | 947 |
Proceeds from issuance of long-term debt | ||||||||||||
5,444 | 6,935 | 5,291 | 3,968 | 11,982 | 1,997 | 2,235 | 3,966 | 2,234 | 747 | 0 | 2,981 | 3,582 |
Customer funds administered | ||||||||||||
13 | -131 | 3,172 | 1,692 | 768 | -638 | 31 | -324 | 37 | 974 | 204 | -461 | -1,110 |
Share-based compensation excess tax benefit | ||||||||||||
- | - | - | - | - | - | - | - | - | - | - | 62 | 303 |
Interest rate swap termination | ||||||||||||
- | - | - | - | - | - | - | - | 132 | 0 | 513 | 0 | 0 |
Checks outstanding | ||||||||||||
- | - | - | - | - | - | - | - | - | -5 | 22 | 1,224 | 0 |
Other, net | ||||||||||||
-1,237 | -1,386 | -413 | -581 | -552 | -138 | -27 | -627 | 259 | 20 | -10 | -143 | -30 |
Cash flows from (used for) financing activities | ||||||||||||
-5,625 | -4,365 | -3,441 | -1,011 | 12,239 | -5,293 | -4,946 | 471 | -2,490 | -1,611 | -2,275 | -605 | -3,185 |
Effect of exchange rate changes on cash and cash equivalents | ||||||||||||
-20 | -78 | -5 | 78 | -156 | -5 | -86 | 0 | 0 | - | - | - | - |
Increase (decrease) in cash and cash equivalents | ||||||||||||
119 | -1,115 | 1,551 | -493 | 3,428 | 219 | -1,130 | -1,023 | 306 | -677 | 2,374 | -1,439 | -1,455 |
Supplemental cash flow disclosures | ||||||||||||
Cash paid for interest | ||||||||||||
1,627 | 1,410 | 1,133 | 1,055 | 639 | 644 | 724 | 600 | 472 | 509 | 527 | 621 | 553 |
Cash paid for income taxes | ||||||||||||
3,542 | 3,257 | 4,004 | 4,726 | 4,401 | 4,024 | 2,785 | 2,666 | 2,739 | 2,725 | 2,048 | 1,882 | 2,277 |
Supplemental schedule of non-cash investing activities | ||||||||||||
Common stock issued for acquisitions | ||||||||||||
0 | 0 | 2,164 | 0 | 0 | - | - | - | - | - | - | - | - |