v3.26.1
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Operating activities:    
Net income $ 14 $ 298
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 39 48
Deferred income taxes (30) 13
Share-based compensation 33 27
Impairment 93 0
Other, net 0 2
Changes in operating assets and liabilities:    
Receivables 113 (90)
Prepaid expenses and other current assets (86) (56)
Medical claims and benefits payable 54 (81)
Amounts due government agencies 359 (32)
Accounts payable, accrued liabilities and other 79 (268)
Deferred revenue 335 252
Income taxes 79 77
Net cash provided by operating activities 1,082 190
Investing activities:    
Purchases of investments (249) (189)
Proceeds from sales and maturities of investments 295 331
Net cash paid in business combinations 0 (245)
Purchases of property, equipment and capitalized software (27) (22)
Other, net (8) 2
Net cash provided by (used in) investing activities 11 (123)
Financing activities:    
Proceeds from borrowings under credit facility and term loans 0 650
Common stock purchases 0 (500)
Common stock withheld to settle employee tax obligations (14) (36)
Other, net (6) 33
Net cash (used in) provided by financing activities (20) 147
Net increase in cash, cash equivalents, and restricted cash and cash equivalents 1,073 214
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period 4,348 4,741
Cash, cash equivalents, and restricted cash and cash equivalents at end of period $ 5,421 $ 4,955