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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
6 Months Ended 12 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Operating activities:          
Net income $ 57 $ 67 $ 143 $ 62 $ 53
Adjustments to reconcile net income to net cash provided by operating activities:          
Depreciation and amortization 89 62 126 134 [1] 94 [1]
Deferred income taxes 39 7 (7) (2) (32)
Share-based compensation 16 9 23 22 29
Amortization of convertible senior notes and lease financing obligations 15 15 30 27 23
Other, net 11 9 19 7 18
Changes in operating assets and liabilities, net of effects from acquisitions:          
Receivables (415) (35) 56 (298) (149)
Prepaid expenses and other current assets (143) (97) (35) (20) (23)
Medical claims and benefits payable 82 292 482 531 175
Amounts due government agencies 509 298 202 470 28
Accounts payable and accrued liabilities 147 158 84 11 33
Deferred revenue (119) (138) 24 74 (20)
Income taxes (10) 1 (22) 42 (39)
Net cash provided by operating activities 278 648 1,125 1,060 190
Investing activities:          
Purchases of investments (974) (993) (1,923) (953) (770)
Proceeds from sales and maturities of investments 812 541 1,126 633 400
Purchases of equipment (102) (66) (132) (115) (98)
Change in restricted investments 5 (14) (6) (34) (19)
Net cash paid in business combinations (8) (8) (450) (44) (62)
Other, net (6) (17) (35) (23) 6
Net cash used in investing activities (273) (557) (1,420) (536) (543)
Financing activities:          
Proceeds from senior notes offerings, net of issuance costs     689 123 538
Proceeds from common stock offering, net of issuance costs 0 373 373 0 0
Proceeds from sale-leaseback transactions     0 0 159
Purchase of call option     0 0 (149)
Proceeds from issuance of warrants     0 0 75
Contingent consideration liabilities settled     0 (50) 0
Treasury stock purchases     0 0 (53)
Principal payments on term loan     0 0 (48)
Repayment of amount borrowed under credit facility     0 0 (40)
Proceeds from employee stock plans 10 8 18 14 9
Principal payments on convertible senior notes     0 (10) 0
Other, net 1 3 5 2 2
Net cash provided by financing activities 11 384 1,085 79 493
Net increase in cash and cash equivalents 16 475 790 603 140
Cash and cash equivalents at beginning of period 2,329 1,539 1,539 936 796
Cash and cash equivalents at end of period 2,345 2,014 2,329 1,539 936
Supplemental cash flow information:          
Income taxes     197 30 95
Interest     38 29 35
Schedule of non-cash investing and financing activities:          
Senior notes exchange transaction     0 177 0
Retirement of treasury stock     0 0 56
Increase in non-cash lease financing obligation - related party     0 14 27
Common stock used for stock-based compensation (7) (9) (15) (9) (8)
Details of business combinations:          
Fair value of assets acquired (131) 0 (389) (52) (122)
Fair value of liabilities assumed     41 0 0
Fair value of contingent consideration liabilities incurred     0 0 60
Payable to seller 21 (8) 0 8 0
Amounts advanced for acquisitions 102 0 (102) 0 0
Net cash paid in business combinations (8) (8) (450) (44) (62)
Details of change in fair value of derivatives, net:          
Change in fair value of derivatives, net 0 0 0 0 (4)
Gain on 1.125% Notes Call Option          
Details of change in fair value of derivatives, net:          
Change in fair value of derivatives, net (148) (179) 45 143 37
Loss on 1.125% Notes Conversion Option          
Details of change in fair value of derivatives, net:          
Change in fair value of derivatives, net $ 148 $ 179 (45) (143) (37)
Loss on 1.125% Warrants          
Details of change in fair value of derivatives, net:          
Change in fair value of derivatives, net     $ 0 $ 0 $ (4)
[1] Depreciation and amortization reported in accompanying consolidated statements of cash flows.