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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
12 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Mar. 31, 2018
Operating Activities      
Net income $ 1,120 $ 255 $ 297
Adjustments to reconcile to net cash provided by operating activities:      
Depreciation 321 317 303
Amortization 601 632 648
Gain on Healthcare Technology Net Asset Exchange, net 0 0 (37)
Goodwill and other asset impairment charges 139 2,079 2,217
Equity earnings and charges from investment in Change Healthcare Joint Venture 1,084 194 248
Deferred taxes (342) 189 (868)
Credits associated with last-in, first-out inventory method (252) (210) (99)
Non-cash operating lease expense 366    
Loss (gain) from sales of businesses and investments 33 (86) (169)
Other non-cash items 615 52 67
Changes in assets and liabilities, net of acquisitions:      
Receivables (2,494) (967) 1,175
Inventories (376) (368) (458)
Drafts and accounts payable 3,952 1,976 271
Operating lease liabilities (377)    
Taxes (8) (95) 671
Other (8) 68 79
Net cash provided by operating activities 4,374 4,036 4,345
Investing Activities      
Payments for property, plant and equipment (362) (426) (405)
Capitalized software expenditures (144) (131) (175)
Acquisitions, net of cash, cash equivalents and restricted cash acquired (133) (905) (2,893)
Other 23 (20) (20)
Net cash used in investing activities (579) (1,381) (2,993)
Financing Activities      
Proceeds from short-term borrowings 21,437 37,265 20,542
Repayments of short-term borrowings (21,437) (37,268) (20,725)
Proceeds from issuances of long-term debt 0 1,099 1,522
Repayments of long-term debt (298) (1,112) (2,287)
Payments for debt extinguishments 0 0 (112)
Common stock transactions:      
Issuances 113 75 132
Share repurchases, including shares surrendered for tax withholding (1,954) (1,639) (1,709)
Dividends paid (294) (292) (262)
Other (301) (355) (185)
Net cash used in financing activities (2,734) (2,227) (3,084)
Effect of exchange rate changes on cash, cash equivalents and restricted cash (19) (119) 150
Net increase (decrease) in cash, cash equivalents and restricted cash 1,042 309 (1,582)
Cash, cash equivalents and restricted cash at beginning of year 2,981 2,672 4,254
Cash, cash equivalents and restricted cash at end of year 4,023 2,981 2,672
Cash paid for:      
Interest, net 235 383 298
Income taxes, net of refunds 368 262 144
Businesses and investments      
Investing Activities      
Proceeds from sale of businesses and investments, net and Payments received on Healthcare Technology Net Asset Exchange, net 37 101 374
Healthcare Technology Net Asset Exchange      
Adjustments to reconcile to net cash provided by operating activities:      
Gain on Healthcare Technology Net Asset Exchange, net 0 0 (37)
Investing Activities      
Proceeds from sale of businesses and investments, net and Payments received on Healthcare Technology Net Asset Exchange, net $ 0 $ 0 $ 126