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SCHEDULE I - PARENT COMPANY FINANCIAL INFORMATION (Condensed Statements of Cash Flows) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Condensed Financial Statements, Captions [Line Items]      
Net cash provided by operating activities $ 5,639 $ 5,284 $ 2,173
Cash flows from investing activities:      
Acquisitions, net of cash acquired (709) 0 (354)
Purchase of equity method investment in Kindred at Home 0 0 (1,095)
Purchases of investment securities (9,125) (6,361) (4,687)
Proceeds from sale of investment securities 2,747 4,086 3,494
Maturities of investment securities 4,986 1,733 972
Purchases of property and equipment, net (964) (736) (612)
Net cash used in investing activities (3,065) (1,278) (3,087)
Cash flows from financing activities:      
Proceeds from issuance of senior notes, net 1,088 987 0
Repayment of senior notes (400) (400) 0
Proceeds (repayments) from issuance of commercial paper, net 295   485
Proceeds (repayments) from issuance of commercial paper, net   (360)  
Proceeds from term loan 1,000 0 1,000
Repayment of term loan (1,000) (650) (350)
Change in book overdraft 95 54 30
Common stock repurchases (1,820) (1,070) (1,090)
Dividends paid (323) (291) (265)
Proceeds from stock option exercises & other 49 58 45
Net cash used in financing activities (1,955) (2,295) (785)
Increase (decrease) in cash and cash equivalents 619 1,711 (1,699)
Cash and cash equivalents at beginning of period 4,054 2,343 4,042
Cash and cash equivalents at end of period 4,673 4,054 2,343
Parent Company      
Condensed Financial Statements, Captions [Line Items]      
Net cash provided by operating activities 2,531 3,529 2,719
Cash flows from investing activities:      
Acquisitions, net of cash acquired (709) 0 (354)
Purchase of equity method investment in Kindred at Home 0 0 (1,095)
Capital contributions to operating subsidiaries (538) (423) (697)
Purchases of investment securities (460) (204) (145)
Proceeds from sale of investment securities 13 15 35
Maturities of investment securities 411 134 59
Purchases of property and equipment, net (785) (585) (465)
Net cash used in investing activities (2,068) (1,063) (2,662)
Cash flows from financing activities:      
Proceeds from issuance of senior notes, net 1,088 987 0
Repayment of senior notes (400) (400) 0
Proceeds (repayments) from issuance of commercial paper, net 295   485
Proceeds (repayments) from issuance of commercial paper, net   (360)  
Proceeds from term loan 1,000 0 1,000
Repayment of term loan (1,000) (650) (350)
Change in book overdraft 80 2 (3)
Common stock repurchases (1,820) (1,070) (1,090)
Dividends paid (323) (291) (265)
Proceeds from stock option exercises & other 47 57 48
Net cash used in financing activities (1,033) (1,725) (175)
Increase (decrease) in cash and cash equivalents (570) 741 (118)
Cash and cash equivalents at beginning of period 1,006 265 383
Cash and cash equivalents at end of period $ 436 $ 1,006 $ 265