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Consolidated Statements of Cash Flows

  Years Ended December 31
(in millions) 2017 2016 2015
Operating activities
Net income 3,842.8 2,469.8 2,560.0
Adjustments to reconcile net income to net cash provided by operating activities:
Net realized gains on financial instruments 144.8 4.9 157.5
Other-than-temporary impairment losses recognized in income 33.1 115.4 83.4
Loss (gain) on extinguishment of debt 282.4 9.3
Loss on disposal of assets 13.0 4.5 16.0
Deferred income taxes 1,272.1 126.9 65.9
Amortization, net of accretion 779.7 807.8 802.1
Depreciation expense 110.7 104.0 105.8
Impairment of property and equipment 2.5 44.8 1.8
Share-based compensation 169.6 164.6 148.2
Excess tax benefits from share-based compensation 53.5 95.8
Changes in operating assets and liabilities:
Receivables, net 22.2 1,380.5 42.9
Other invested assets 35.5 19.4 5.9
Other assets 629.0 127.7 33.8
Policy liabilities 731.6 321.7 193.0
Unearned income 120.1 173.6 33.9
Accounts payable and accrued expenses 921.8 182.3 123.4
Other liabilities 120.2 605.7 686.4
Income taxes 193.9 178.8 41.5
Other, net 164.6 96.5 5.1
Net cash provided by operating activities 4,184.8 3,270.2 4,211.9
Investing activities
Purchases of fixed maturity securities 9,794.6 10,157.7 9,792.0
Proceeds from fixed maturity securities:
Sales 7,931.7 8,636.0 8,909.2
Maturities, calls and redemptions 1,847.6 1,418.6 1,313.6
Purchases of equity securities 5,416.3 1,476.3 1,561.4
Proceeds from sales of equity securities 3,462.5 1,592.8 1,471.1
Purchases of other invested assets 1,163.8 433.1 505.8
Proceeds from sales of other invested assets 219.0 304.9 85.9
Changes in collateral and settlement of non-hedging derivatives 64.9 34.5 36.5
Changes in securities lending collateral 624.5 222.0 214.4
Purchases of subsidiaries, net of cash acquired 2,079.6 638.9
Purchases of property and equipment 799.5 583.6 638.2
Proceeds from sales of property and equipment 9.3 35.3
Other, net 11.9 3.0 8.2
Net cash used in investing activities 5,082.4 513.9 1,151.5
Financing activities
Net proceeds from (repayments of) commercial paper borrowings 174.6 53.2 682.2
Proceeds from long-term borrowings 5,457.8 1,226.5
Repayments of long-term borrowings 2,815.1 2,697.2
Proceeds from short-term borrowings 5,835.0 2,400.0 2,760.0
Repayments of short-term borrowings 5,000.0 2,500.0 2,620.0
Changes in securities lending payable 624.5 222.0 214.4
Changes in bank overdrafts 71.0 513.8 243.8
Premiums paid on equity call options 16.7
Proceeds from sale of put options 0.9 16.6
Repurchase and retirement of common stock 1,997.7 1,515.8
Change in collateral and settlements of debt-related derivatives 149.0 360.4
Cash dividends 704.9 684.0 656.6
Proceeds from issuance of common stock under employee stock plans 225.3 119.4 186.0
Taxes paid through withholding of common stock under employee stock plans 46.5 65.7 95.9
Excess tax benefits from share-based compensation 53.5 95.8
Net cash provided by (used in) financing activities 426.9 798.6 3,093.3
Effect of foreign exchange rates on cash and cash equivalents 4.3 4.1 5.3
Change in cash and cash equivalents 466.4 1,961.8 38.2
Cash and cash equivalents at beginning of year 4,075.3 2,113.5 2,151.7
Cash and cash equivalents at end of year 3,608.9 4,075.3 2,113.5

The information presented above should be read in conjunction with the audited financial statements and accompanying notes included in Anthem's 2017 Annual Report on Form 10-K.