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FY2025
12 months to Dec 31, 2025
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FY2024
12 months to Dec 31, 2024
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FY2023
12 months to Dec 31, 2023
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FY2022
12 months to Dec 31, 2022
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FY2021
12 months to Dec 31, 2021
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|---|---|---|---|---|---|
| Cash flows from operating activities | |||||
| Net income | |||||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||
| Loss on sale of business | |||||
| Loss (gain) on investment securities, net | |||||
| Gain on Kindred at Home equity method investment | |||||
| Equity in net losses | |||||
| Stock-based compensation | |||||
| Depreciation | |||||
| Amortization | |||||
| Impairment of property and equipment | |||||
| (Benefit) provision for deferred income taxes | |||||
| Impairment of indefinite-lived intangible assets | |||||
| Deferred income taxes | |||||
| Changes in operating assets and liabilities, net of effect of businesses acquired and dispositions: | |||||
| Receivables | |||||
| Other assets | |||||
| Benefits payable | |||||
| Other liabilities | |||||
| Unearned revenues | |||||
| Other, net | |||||
| Net cash provided by operating activities | |||||
| Cash flows from investing activities | |||||
| Proceeds from sale of business, net | |||||
| Acquisitions, net of cash and cash equivalents acquired | |||||
| Purchases of property and equipment | |||||
| Proceeds from sale of property and equipment | |||||
| Changes in securities lending collateral receivable | |||||
| Purchases of investment securities | |||||
| Proceeds from maturities of investment securities | |||||
| Proceeds from sales of investment securities | |||||
| Other | |||||
| Net cash provided by (used in) investing activities | |||||
| Cash flows from financing activities | |||||
| (Payments) receipts from contract deposits, net | |||||
| Proceeds from issuance of senior notes, net | |||||
| Repayment of senior notes | |||||
| (Repayments) proceeds from issuance of commercial paper, net | |||||
| Proceeds from short-term borrowings | |||||
| Repayment of short-term borrowings | |||||
| Proceeds from term loan | |||||
| Repayment of term loan | |||||
| Debt issue costs | |||||
| Common stock repurchases | |||||
| Dividends paid | |||||
| Changes in securities lending payable | |||||
| Changes in rebate factor payable | |||||
| Change in book overdraft | |||||
| Other, net | |||||
| Net cash used in financing activities | |||||
| Increase (decrease) in cash and cash equivalents | |||||
| Cash and cash equivalents at beginning of period | |||||
| Cash and cash equivalents at end of period | |||||
| Supplemental cash flow disclosures: | |||||
| Interest payments | |||||
| Income tax payments, net | |||||
| Details of businesses acquired in purchase transactions: | |||||
| Fair value of assets acquired, net of cash acquired | |||||
| Less: Fair value of liabilities assumed | |||||
| Less: Noncontrolling interests acquired | |||||
| Less: Remeasured existing Kindred at Home equity method investment | |||||
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