v3.26.1
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Operating activities:    
Net income $ 74 $ 553
Adjustments to reconcile net income to net cash provided by (used in) operating activities:    
Depreciation and amortization 79 106
Deferred income taxes (41) 22
Share-based compensation 59 30
Impairment 93 0
Other, net (2) 0
Changes in operating assets and liabilities:    
Receivables 48 (466)
Prepaid expenses and other current assets 9 10
Medical claims and benefits payable (46) (50)
Amounts due government agencies 325 (81)
Accounts payable, accrued liabilities and other 66 (301)
Deferred revenue 3 (59)
Income taxes 121 124
Net cash provided by (used in) operating activities 788 (112)
Investing activities:    
Purchases of investments (626) (421)
Proceeds from sales and maturities of investments 672 717
Net cash paid in business combinations 0 (245)
Purchases of property, equipment and capitalized software (57) (64)
Other, net (8) 18
Net cash (used in) provided by investing activities (19) 5
Financing activities:    
Proceeds from borrowings under credit facility and term loans 0 650
Common stock purchases 0 (500)
Repayment of credit facility and term loans 0 (200)
Common stock withheld to settle employee tax obligations (14) (36)
Other, net (10) 44
Net cash used in financing activities (24) (42)
Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents 745 (149)
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 $ 5,093 $ 4,592