2019 Q1 Form 10-Q Financial Statement

#000117992919000082 Filed on April 30, 2019

View on sec.gov

Income Statement

Concept 2019 Q1 2018 Q1
Revenue $4.119B $4.646B
YoY Change -11.34% -5.26%
Cost Of Revenue $3.371B $3.842B
YoY Change -12.26% -9.24%
Gross Profit $581.0M $615.0M
YoY Change -5.53% 12.64%
Gross Profit Margin 14.11% 13.24%
Selling, General & Admin $440.0M $531.0M
YoY Change -17.14% -3.45%
% of Gross Profit 75.73% 86.34%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $25.00M $37.00M
YoY Change -32.43% -24.49%
% of Gross Profit 4.3% 6.02%
Operating Expenses $465.0M $557.0M
YoY Change -16.52% -5.43%
Operating Profit $280.0M $222.0M
YoY Change 26.13% 170.73%
Interest Expense $23.00M $33.00M
YoY Change -30.3% 26.92%
% of Operating Profit 8.21% 14.86%
Other Income/Expense, Net -$20.00M -$43.00M
YoY Change -53.49% -187.76%
Pretax Income $260.0M $179.0M
YoY Change 45.25% 36.64%
Income Tax $62.00M $72.00M
% Of Pretax Income 23.85% 40.22%
Net Earnings $198.0M $107.0M
YoY Change 85.05% 38.96%
Net Earnings / Revenue 4.81% 2.3%
Basic Earnings Per Share $3.19 $1.79
Diluted Earnings Per Share $2.99 $1.64
COMMON SHARES
Basic Shares Outstanding 62.10M shares 59.80M shares
Diluted Shares Outstanding 66.20M shares 65.20M shares

Balance Sheet

Concept 2019 Q1 2018 Q1
SHORT-TERM ASSETS
Cash & Short-Term Investments $4.732B $6.173B
YoY Change -23.34% 17.49%
Cash & Equivalents $3.224B $3.729B
Short-Term Investments $1.508B $2.444B
Other Short-Term Assets $640.0M $1.073B
YoY Change -40.35% 655.63%
Inventory
Prepaid Expenses
Receivables $1.359B $950.0M
Other Receivables $0.00 $0.00
Total Short-Term Assets $6.731B $8.196B
YoY Change -17.87% 28.02%
LONG-TERM ASSETS
Property, Plant & Equipment $376.0M $318.0M
YoY Change 18.24% -28.86%
Goodwill
YoY Change
Intangibles
YoY Change
Long-Term Investments
YoY Change
Other Assets $111.0M $135.0M
YoY Change -17.78% 213.95%
Total Long-Term Assets $848.0M $937.0M
YoY Change -9.5% -42.73%
TOTAL ASSETS
Total Short-Term Assets $6.731B $8.196B
Total Long-Term Assets $848.0M $937.0M
Total Assets $7.579B $9.133B
YoY Change -17.02% 13.62%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $406.0M $713.0M
YoY Change -43.06% 62.79%
Accrued Expenses $31.00M
YoY Change
Deferred Revenue $207.0M
YoY Change
Short-Term Debt $0.00 $0.00
YoY Change
Long-Term Debt Due $205.0M $566.0M
YoY Change -63.78% 56500.0%
Total Short-Term Liabilities $4.292B $6.005B
YoY Change -28.53% 35.8%
LONG-TERM LIABILITIES
Long-Term Debt $1.121B $1.318B
YoY Change -14.95% -20.27%
Other Long-Term Liabilities $97.00M $59.00M
YoY Change 64.41% 34.09%
Total Long-Term Liabilities $1.218B $1.377B
YoY Change -11.55% -18.86%
TOTAL LIABILITIES
Total Short-Term Liabilities $4.292B $6.005B
Total Long-Term Liabilities $1.218B $1.377B
Total Liabilities $5.744B $7.580B
YoY Change -24.22% 20.11%
SHAREHOLDERS EQUITY
Retained Earnings $1.295B $412.0M
YoY Change 214.32% -53.55%
Common Stock $543.0M $1.153B
YoY Change -52.91% 37.1%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $1.835B $1.553B
YoY Change
Total Liabilities & Shareholders Equity $7.579B $9.133B
YoY Change -17.02% 13.62%

Cashflow Statement

Concept 2019 Q1 2018 Q1
OPERATING ACTIVITIES
Net Income $198.0M $107.0M
YoY Change 85.05% 38.96%
Depreciation, Depletion And Amortization $25.00M $37.00M
YoY Change -32.43% -24.49%
Cash From Operating Activities $249.0M $394.0M
YoY Change -36.8% -45.2%
INVESTING ACTIVITIES
Capital Expenditures $6.000M $4.000M
YoY Change 50.0% -84.62%
Acquisitions
YoY Change
Other Investing Activities $4.000M $5.000M
YoY Change -20.0% -16.67%
Cash From Investing Activities $171.0M $145.0M
YoY Change 17.93% -143.03%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net $0.00
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities -$48.00M -$5.000M
YoY Change 860.0% 400.0%
NET CHANGE
Cash From Operating Activities $249.0M $394.0M
Cash From Investing Activities $171.0M $145.0M
Cash From Financing Activities -$48.00M -$5.000M
Net Change In Cash $372.0M $534.0M
YoY Change -30.34% 40.16%
FREE CASH FLOW
Cash From Operating Activities $249.0M $394.0M
Capital Expenditures $6.000M $4.000M
Free Cash Flow $243.0M $390.0M
YoY Change -37.69% -43.72%

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CY2019Q1 us-gaap Depreciation Depletion And Amortization
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25000000 USD
CY2018Q4 us-gaap Derivative Assets Current
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476000000 USD
CY2019Q1 us-gaap Derivative Assets Current
DerivativeAssetsCurrent
516000000 USD
CY2018Q1 us-gaap Derivative Gain Loss On Derivative Net
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CY2019Q1 us-gaap Derivative Gain Loss On Derivative Net
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CY2018Q4 us-gaap Derivative Liabilities Current
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476000000 USD
CY2019Q1 us-gaap Derivative Liabilities Current
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516000000 USD
CY2018Q1 us-gaap Earnings Per Share Basic
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1.79
CY2019Q1 us-gaap Earnings Per Share Basic
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CY2018Q1 us-gaap Earnings Per Share Diluted
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CY2019Q1 us-gaap Earnings Per Share Diluted
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2.99
CY2019Q1 us-gaap Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
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71000000 USD
CY2019Q1 us-gaap Finance Lease Interest Expense
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4000000 USD
CY2019Q1 us-gaap Finance Lease Interest Payment On Liability
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4000000 USD
CY2019Q1 us-gaap Finance Lease Liability
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241000000 USD
CY2019Q1 us-gaap Finance Lease Liability Current
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7000000 USD
CY2018Q4 us-gaap Finance Lease Liability Noncurrent
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197000000 USD
CY2019Q1 us-gaap Finance Lease Liability Noncurrent
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234000000 USD
CY2019Q1 us-gaap Finance Lease Liability Payments Due
FinanceLeaseLiabilityPaymentsDue
413000000 USD
CY2019Q1 us-gaap Finance Lease Liability Payments Due After Year Five
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311000000 USD
CY2019Q1 us-gaap Finance Lease Principal Payments
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1000000 USD
CY2019Q1 us-gaap Finance Lease Right Of Use Asset
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237000000 USD
CY2019Q1 us-gaap Finance Lease Right Of Use Asset Amortization
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4000000 USD
CY2019Q1 us-gaap Gains Losses On Extinguishment Of Debt
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3000000 USD
CY2019Q1 us-gaap Finance Lease Liability Payments Due Year Five
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21000000 USD
CY2019Q1 us-gaap Finance Lease Liability Payments Due Year Four
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21000000 USD
CY2019Q1 us-gaap Finance Lease Liability Payments Due Year Three
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22000000 USD
CY2019Q1 us-gaap Finance Lease Weighted Average Discount Rate Percent
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0.066
CY2019Q1 us-gaap Finance Lease Weighted Average Remaining Lease Term1
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P17Y
CY2019Q1 us-gaap Increase Decrease In Accounts Payable And Accrued Liabilities
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CY2018Q1 us-gaap Gains Losses On Extinguishment Of Debt
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-10000000 USD
CY2018Q1 us-gaap General And Administrative Expense
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352000000 USD
CY2019Q1 us-gaap General And Administrative Expense
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302000000 USD
CY2019Q1 us-gaap Held To Maturity Securities Debt Maturities Within One Year Net Carrying Amount
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100000000 USD
CY2018Q1 us-gaap Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
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179000000 USD
CY2019Q1 us-gaap Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
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260000000 USD
CY2018Q1 us-gaap Income Tax Expense Benefit
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72000000 USD
CY2019Q1 us-gaap Income Tax Expense Benefit
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62000000 USD
CY2018Q1 us-gaap Increase Decrease In Accounts Payable And Accrued Liabilities
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319000000 USD
CY2018Q1 us-gaap Increase Decrease In Accrued Income Taxes Payable
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78000000 USD
CY2019Q1 us-gaap Increase Decrease In Accrued Income Taxes Payable
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43000000 USD
CY2018Q1 us-gaap Increase Decrease In Contract With Customer Liability
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130000000 USD
CY2019Q1 us-gaap Increase Decrease In Contract With Customer Liability
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-4000000 USD
CY2018Q1 us-gaap Increase Decrease In Deferred Income Taxes
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6000000 USD
CY2019Q1 us-gaap Increase Decrease In Deferred Income Taxes
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-15000000 USD
CY2018Q1 us-gaap Increase Decrease In Health Care Insurance Liabilities
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CY2019Q1 us-gaap Increase Decrease In Health Care Insurance Liabilities
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34000000 USD
CY2018Q1 us-gaap Increase Decrease In Prepaid Deferred Expense And Other Assets
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239000000 USD
CY2019Q1 us-gaap Increase Decrease In Prepaid Deferred Expense And Other Assets
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-20000000 USD
CY2018Q1 us-gaap Increase Decrease In Receivables
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83000000 USD
CY2019Q1 us-gaap Increase Decrease In Receivables
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29000000 USD
CY2018Q1 us-gaap Incremental Common Shares Attributable To Call Options And Warrants
IncrementalCommonSharesAttributableToCallOptionsAndWarrants
4400000 shares
CY2019Q1 us-gaap Incremental Common Shares Attributable To Call Options And Warrants
IncrementalCommonSharesAttributableToCallOptionsAndWarrants
3500000 shares
CY2018Q1 us-gaap Incremental Common Shares Attributable To Conversion Of Debt Securities
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700000 shares
CY2019Q1 us-gaap Incremental Common Shares Attributable To Conversion Of Debt Securities
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0 shares
CY2018Q1 us-gaap Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
300000 shares
CY2019Q1 us-gaap Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
600000 shares
CY2018Q1 us-gaap Insurance Services Revenue
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134000000 USD
CY2019Q1 us-gaap Insurance Services Revenue
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CY2018Q4 us-gaap Intangible Assets Net Including Goodwill
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190000000 USD
CY2019Q1 us-gaap Intangible Assets Net Including Goodwill
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185000000 USD
CY2018Q1 us-gaap Interest And Dividend Income Operating
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CY2019Q1 us-gaap Interest And Dividend Income Operating
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CY2018Q1 us-gaap Interest Expense
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CY2019Q1 us-gaap Interest Expense
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CY2018Q1 us-gaap Interest Expense Debt
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CY2019Q1 us-gaap Interest Expense Debt
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CY2018Q1 us-gaap Interest Expense Debt Excluding Amortization
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2000000 USD
CY2019Q1 us-gaap Interest Expense Debt Excluding Amortization
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1000000 USD
CY2019Q1 us-gaap Lessee Finance Lease Renewal Term1
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P25Y
CY2019Q1 us-gaap Lessee Operating Lease Liability Payments Due
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103000000 USD
CY2019Q1 us-gaap Lessee Operating Lease Liability Payments Due After Year Five
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9000000 USD
CY2019Q1 us-gaap Lessee Operating Lease Liability Payments Due Year Five
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9000000 USD
CY2019Q1 us-gaap Lessee Operating Lease Liability Payments Due Year Four
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CY2019Q1 us-gaap Lessee Operating Lease Liability Payments Due Year Three
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CY2019Q1 us-gaap Lessee Operating Lease Liability Payments Due Year Two
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28000000 USD
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27000000 USD
CY2019Q1 us-gaap Lessee Operating Lease Liability Undiscounted Excess Amount
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10000000 USD
CY2019Q1 us-gaap Lessee Operating Lease Renewal Term
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P10Y
CY2019Q1 us-gaap Lessee Operating Lease Term Of Contract
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P10Y
CY2018Q4 us-gaap Liabilities
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CY2019Q1 us-gaap Liabilities
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CY2018Q4 us-gaap Liabilities And Stockholders Equity
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CY2019Q1 us-gaap Liabilities And Stockholders Equity
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CY2019Q1 us-gaap Liabilities Current
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CY2018Q4 us-gaap Liabilities Fair Value Disclosure
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CY2019Q1 us-gaap Liabilities Fair Value Disclosure
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516000000 USD
CY2017Q4 us-gaap Liability For Claims And Claims Adjustment Expense
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CY2018Q1 us-gaap Liability For Claims And Claims Adjustment Expense
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CY2018Q4 us-gaap Liability For Claims And Claims Adjustment Expense
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CY2019Q1 us-gaap Liability For Claims And Claims Adjustment Expense
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1995000000 USD
CY2018Q1 us-gaap Liability For Unpaid Claims And Claims Adjustment Expense Claims Paid Current Year1
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2498000000 USD
CY2019Q1 us-gaap Liability For Unpaid Claims And Claims Adjustment Expense Claims Paid Current Year1
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2197000000 USD
CY2018Q1 us-gaap Liability For Unpaid Claims And Claims Adjustment Expense Claims Paid Prior Years1
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1438000000 USD
CY2019Q1 us-gaap Liability For Unpaid Claims And Claims Adjustment Expense Claims Paid Prior Years1
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1311000000 USD
CY2018Q1 us-gaap Liability For Unpaid Claims And Claims Adjustment Expense Incurred Claims1
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3722000000 USD
CY2019Q1 us-gaap Liability For Unpaid Claims And Claims Adjustment Expense Incurred Claims1
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3371000000 USD
CY2018Q4 us-gaap Long Term Debt And Capital Lease Obligations Current
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CY2019Q1 us-gaap Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
198000000 USD
CY2019Q1 us-gaap Long Term Debt Maturities Repayments Of Principal After Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
330000000 USD
CY2019Q1 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
70000000 USD
CY2019Q1 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Four
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10000000 USD
CY2019Q1 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
710000000 USD
CY2019Q1 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
7000000 USD
CY2019Q1 us-gaap Long Term Debt Maturities Repayments Of Principal Remainder Of Fiscal Year
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209000000 USD
CY2018Q4 us-gaap Long Term Debt Noncurrent
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1020000000 USD
CY2019Q1 us-gaap Long Term Debt Noncurrent
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CY2018Q4 us-gaap Marketable Securities Current
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CY2019Q1 us-gaap Marketable Securities Current
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CY2018Q1 us-gaap Net Cash Provided By Used In Financing Activities
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CY2019Q1 us-gaap Net Cash Provided By Used In Financing Activities
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CY2018Q1 us-gaap Net Cash Provided By Used In Investing Activities
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145000000 USD
CY2019Q1 us-gaap Net Cash Provided By Used In Investing Activities
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171000000 USD
CY2018Q1 us-gaap Net Cash Provided By Used In Operating Activities
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394000000 USD
CY2019Q1 us-gaap Net Cash Provided By Used In Operating Activities
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249000000 USD
CY2018Q1 us-gaap Net Income Loss
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107000000 USD
CY2019Q1 us-gaap Net Income Loss
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198000000 USD
CY2018Q1 us-gaap Nonoperating Income Expense
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CY2019Q1 us-gaap Nonoperating Income Expense
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CY2018Q1 us-gaap Notes Issued1
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131000000 USD
CY2019Q1 us-gaap Notes Issued1
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0 USD
CY2019Q1 us-gaap Number Of Reportable Segments
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CY2018Q1 us-gaap Operating Income Loss
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222000000 USD
CY2019Q1 us-gaap Operating Income Loss
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280000000 USD
CY2019Q1 us-gaap Operating Lease Cost
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9000000 USD
CY2019Q1 us-gaap Operating Lease Liability
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93000000 USD
CY2019Q1 us-gaap Operating Lease Liability Current
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31000000 USD
CY2019Q1 us-gaap Operating Lease Liability Noncurrent
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62000000 USD
CY2019Q1 us-gaap Operating Lease Payments
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9000000 USD
CY2019Q1 us-gaap Operating Lease Right Of Use Asset
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83000000 USD
CY2019Q1 us-gaap Operating Lease Weighted Average Discount Rate Percent
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CY2019Q1 us-gaap Operating Lease Weighted Average Remaining Lease Term1
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P4Y
CY2018Q4 us-gaap Other Assets Noncurrent
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24000000 USD
CY2019Q1 us-gaap Other Assets Noncurrent
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111000000 USD
CY2018Q1 us-gaap Other Comprehensive Income Loss Net Of Tax Portion Attributable To Parent
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CY2019Q1 us-gaap Other Comprehensive Income Loss Net Of Tax Portion Attributable To Parent
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5000000 USD
CY2018Q1 us-gaap Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Before Tax
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CY2019Q1 us-gaap Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Before Tax
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7000000 USD
CY2018Q1 us-gaap Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Tax
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CY2019Q1 us-gaap Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Tax
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2000000 USD
CY2018Q4 us-gaap Other Liabilities Noncurrent
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44000000 USD
CY2019Q1 us-gaap Other Liabilities Noncurrent
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97000000 USD
CY2018Q1 us-gaap Other Nonoperating Income Expense
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CY2019Q1 us-gaap Other Nonoperating Income Expense
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3000000 USD
CY2018Q1 us-gaap Other Operating Activities Cash Flow Statement
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2000000 USD
CY2019Q1 us-gaap Other Operating Activities Cash Flow Statement
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3000000 USD
CY2018Q1 us-gaap Payments For Losses And Loss Adjustment Expense
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3936000000 USD
CY2019Q1 us-gaap Payments For Losses And Loss Adjustment Expense
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3508000000 USD
CY2018Q1 us-gaap Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
5000000 USD
CY2019Q1 us-gaap Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
4000000 USD
CY2018Q1 us-gaap Payments For Repurchase Of Warrants
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0 USD
CY2019Q1 us-gaap Payments For Repurchase Of Warrants
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103000000 USD
CY2018Q1 us-gaap Payments To Acquire Marketable Securities
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389000000 USD
CY2019Q1 us-gaap Payments To Acquire Marketable Securities
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185000000 USD
CY2018Q1 us-gaap Payments To Acquire Notes Receivable
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0 USD
CY2019Q1 us-gaap Payments To Acquire Notes Receivable
PaymentsToAcquireNotesReceivable
46000000 USD
CY2018Q1 us-gaap Payments To Acquire Property Plant And Equipment
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4000000 USD
CY2019Q1 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
6000000 USD
CY2018Q4 us-gaap Preferred Stock Par Or Stated Value Per Share
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0.001
CY2019Q1 us-gaap Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
0.001
CY2018Q4 us-gaap Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
20000000 shares
CY2019Q1 us-gaap Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
20000000 shares
CY2018Q4 us-gaap Preferred Stock Shares Issued
PreferredStockSharesIssued
0 shares
CY2019Q1 us-gaap Preferred Stock Shares Issued
PreferredStockSharesIssued
0 shares
CY2018Q4 us-gaap Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
0 shares
CY2019Q1 us-gaap Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
0 shares
CY2018Q4 us-gaap Preferred Stock Value
PreferredStockValue
0 USD
CY2019Q1 us-gaap Preferred Stock Value
PreferredStockValue
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CY2018Q1 us-gaap Premiums Earned Net
PremiumsEarnedNet
4323000000 USD
CY2019Q1 us-gaap Premiums Earned Net
PremiumsEarnedNet
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CY2018Q4 us-gaap Prepaid Expense And Other Assets Current
PrepaidExpenseAndOtherAssetsCurrent
149000000 USD
CY2019Q1 us-gaap Prepaid Expense And Other Assets Current
PrepaidExpenseAndOtherAssetsCurrent
124000000 USD
CY2018Q1 us-gaap Proceeds From Convertible Debt
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CY2019Q1 us-gaap Proceeds From Convertible Debt
ProceedsFromConvertibleDebt
115000000 USD
CY2018Q1 us-gaap Proceeds From Long Term Lines Of Credit
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0 USD
CY2019Q1 us-gaap Proceeds From Long Term Lines Of Credit
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100000000 USD
CY2018Q1 us-gaap Proceeds From Payments For Other Financing Activities
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CY2019Q1 us-gaap Proceeds From Payments For Other Financing Activities
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1000000 USD
CY2018Q1 us-gaap Proceeds From Sale And Maturity Of Marketable Securities
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CY2019Q1 us-gaap Proceeds From Sale And Maturity Of Marketable Securities
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366000000 USD
CY2018Q4 us-gaap Property Plant And Equipment Net
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241000000 USD
CY2019Q1 us-gaap Property Plant And Equipment Net
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376000000 USD
CY2018Q4 us-gaap Receivables Net Current
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1330000000 USD
CY2019Q1 us-gaap Receivables Net Current
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1359000000 USD
CY2018Q1 us-gaap Restricted Cash And Cash Equivalents
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95000000 USD
CY2019Q1 us-gaap Restricted Cash And Cash Equivalents
RestrictedCashAndCashEquivalents
74000000 USD
CY2018Q4 us-gaap Restricted Investments Noncurrent
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120000000 USD
CY2019Q1 us-gaap Restricted Investments Noncurrent
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100000000 USD
CY2018Q1 us-gaap Restructuring Costs
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25000000 USD
CY2019Q1 us-gaap Restructuring Costs
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3000000 USD
CY2018Q4 us-gaap Retained Earnings Accumulated Deficit
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1012000000 USD
CY2019Q1 us-gaap Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
1295000000 USD
CY2018Q1 us-gaap Revenues
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4646000000 USD
CY2019Q1 us-gaap Revenues
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4119000000 USD
CY2019Q1 us-gaap Right Of Use Asset Obtained In Exchange For Finance Lease Liability
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241000000 USD
CY2019Q1 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
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94000000 USD
CY2018Q1 us-gaap Share Based Compensation
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CY2019Q1 us-gaap Share Based Compensation
ShareBasedCompensation
9000000 USD
CY2019Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod
18360 shares
CY2019Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeitures Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue
74.03
CY2019Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
354172 shares
CY2019Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
137.37
CY2018Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
604310 shares
CY2019Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
806468 shares
CY2018Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue
71.50
CY2019Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue
100.91
CY2019Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
133654 shares
CY2018Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
15000000 USD
CY2019Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
18000000 USD
CY2019Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue
68.24
CY2019Q1 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
0 shares
CY2017Q4 us-gaap Shares Outstanding
SharesOutstanding
59300000 shares
CY2018Q4 us-gaap Shares Outstanding
SharesOutstanding
62100000 shares
CY2018Q1 us-gaap Stock Issued1
StockIssued1
5000000 USD
CY2019Q1 us-gaap Stock Issued1
StockIssued1
7000000 USD
CY2019Q1 us-gaap Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
0 shares
CY2018Q1 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
1000000 USD
CY2019Q1 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
3000000 USD
CY2018Q4 us-gaap Stockholders Equity
StockholdersEquity
1647000000 USD
CY2019Q1 us-gaap Stockholders Equity
StockholdersEquity
1835000000 USD
CY2017Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
1337000000 USD
CY2018Q1 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
1553000000 USD
CY2018Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
1647000000 USD
CY2019Q1 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
1835000000 USD
CY2018Q1 us-gaap Supplemental Information For Property Casualty Insurance Underwriters Current Year Claims And Claims Adjustment Expense
SupplementalInformationForPropertyCasualtyInsuranceUnderwritersCurrentYearClaimsAndClaimsAdjustmentExpense
4033000000 USD
CY2019Q1 us-gaap Supplemental Information For Property Casualty Insurance Underwriters Current Year Claims And Claims Adjustment Expense
SupplementalInformationForPropertyCasualtyInsuranceUnderwritersCurrentYearClaimsAndClaimsAdjustmentExpense
3560000000 USD
CY2018Q1 us-gaap Supplemental Information For Property Casualty Insurance Underwriters Prior Year Claims And Claims Adjustment Expense
SupplementalInformationForPropertyCasualtyInsuranceUnderwritersPriorYearClaimsAndClaimsAdjustmentExpense
-311000000 USD
CY2019Q1 us-gaap Supplemental Information For Property Casualty Insurance Underwriters Prior Year Claims And Claims Adjustment Expense
SupplementalInformationForPropertyCasualtyInsuranceUnderwritersPriorYearClaimsAndClaimsAdjustmentExpense
-189000000 USD
CY2018Q1 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
65200000 shares
CY2019Q1 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
66200000 shares
CY2018Q1 us-gaap Weighted Average Number Of Shares Issued Basic
WeightedAverageNumberOfSharesIssuedBasic
500000 shares
CY2019Q1 us-gaap Weighted Average Number Of Shares Issued Basic
WeightedAverageNumberOfSharesIssuedBasic
0 shares
CY2018Q1 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
59800000 shares
CY2019Q1 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
62100000 shares
CY2019Q1 us-gaap Concentration Risk Credit Risk
ConcentrationRiskCreditRisk
<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-top:8px;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;font-style:italic;font-weight:bold;">Concentrations of Credit Risk</font></div><div style="line-height:120%;padding-top:8px;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">Financial instruments that potentially subject us to concentrations of credit risk consist primarily of cash and cash equivalents, investments, receivables, and restricted investments. Our investments and a portion of our cash equivalents are managed by professional portfolio managers operating under documented investment guidelines. Our portfolio managers must obtain our prior approval before selling investments where the loss position of those investments exceeds certain levels. Our investments consist primarily of investment-grade debt securities with a maximum maturity of </font><font style="font-family:Arial;font-size:10pt;">10</font><font style="font-family:Arial;font-size:10pt;"> years. Restricted investments are invested principally in certificates of deposit and U.S. Treasury securities. Concentration of credit risk with respect to accounts receivable is generally limited because our payors consist principally of the governments of each state in which our health plan subsidiaries operate. </font></div></div>
CY2019Q1 us-gaap Schedule Of Liability For Unpaid Claims And Claims Adjustment Expense
ScheduleOfLiabilityForUnpaidClaimsAndClaimsAdjustmentExpense
<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-top:8px;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">The following table provides the details of our medical claims and benefits payable as of the dates indicated.</font></div><div style="line-height:120%;padding-top:8px;font-size:10pt;"><div style="padding-left:0px;text-indent:0px;line-height:normal;padding-top:10px;"><table cellpadding="0" cellspacing="0" style="font-family:Times New Roman;font-size:10pt;width:100%;border-collapse:collapse;text-align:left;"><tr><td colspan="8" rowspan="1"></td></tr><tr><td style="width:73%;" rowspan="1" colspan="1"></td><td style="width:1%;" rowspan="1" colspan="1"></td><td style="width:11%;" rowspan="1" colspan="1"></td><td style="width:1%;" rowspan="1" colspan="1"></td><td style="width:1%;" rowspan="1" colspan="1"></td><td style="width:1%;" rowspan="1" colspan="1"></td><td style="width:11%;" rowspan="1" colspan="1"></td><td style="width:1%;" rowspan="1" colspan="1"></td></tr><tr><td style="vertical-align:bottom;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="overflow:hidden;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">&#160;</font></div></td><td colspan="3" style="vertical-align:bottom;border-bottom:1px solid #000000;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1"><div style="text-align:center;font-size:8pt;"><font style="font-family:Arial;font-size:8pt;font-weight:bold;">March&#160;31, <br clear="none"/>2019</font></div></td><td style="vertical-align:bottom;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="overflow:hidden;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">&#160;</font></div></td><td colspan="3" style="vertical-align:bottom;border-bottom:1px solid #000000;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1"><div style="text-align:center;font-size:8pt;"><font style="font-family:Arial;font-size:8pt;font-weight:bold;">December&#160;31,<br clear="none"/>2018</font></div></td></tr><tr><td style="vertical-align:bottom;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="text-align:left;font-size:8pt;"><font style="font-family:Arial;font-size:8pt;">&#160;</font></div></td><td colspan="7" style="vertical-align:bottom;padding-left:2px;padding-top:2px;padding-bottom:2px;" rowspan="1"><div style="text-align:center;font-size:8pt;"><font style="font-family:Arial;font-size:8pt;font-weight:bold;">(In millions)</font></div></td></tr><tr><td style="vertical-align:top;background-color:#cceeff;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="text-align:left;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">Fee-for-service claims incurred but not paid (&#8220;IBNP&#8221;)</font></div></td><td style="vertical-align:bottom;padding-left:2px;padding-top:2px;padding-bottom:2px;background-color:#cceeff;" rowspan="1" colspan="1"><div style="text-align:left;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">$</font></div></td><td style="vertical-align:bottom;background-color:#cceeff;padding-top:2px;padding-bottom:2px;" rowspan="1" colspan="1"><div style="text-align:right;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">1,411</font></div></td><td style="vertical-align:bottom;background-color:#cceeff;" rowspan="1" colspan="1"><div style="text-align:left;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;"><br clear="none"/></font></div></td><td style="vertical-align:bottom;background-color:#cceeff;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="overflow:hidden;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">&#160;</font></div></td><td style="vertical-align:bottom;padding-left:2px;padding-top:2px;padding-bottom:2px;background-color:#cceeff;" rowspan="1" colspan="1"><div style="text-align:left;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">$</font></div></td><td style="vertical-align:bottom;background-color:#cceeff;padding-top:2px;padding-bottom:2px;" rowspan="1" colspan="1"><div style="text-align:right;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">1,562</font></div></td><td style="vertical-align:bottom;background-color:#cceeff;" rowspan="1" colspan="1"><div style="text-align:left;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;"><br clear="none"/></font></div></td></tr><tr><td style="vertical-align:top;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="text-align:left;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">Pharmacy payable</font></div></td><td colspan="2" style="vertical-align:bottom;padding-left:2px;padding-top:2px;padding-bottom:2px;" rowspan="1"><div style="text-align:right;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">114</font></div></td><td style="vertical-align:bottom;" rowspan="1" colspan="1"><div style="text-align:left;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;"><br clear="none"/></font></div></td><td style="vertical-align:bottom;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="overflow:hidden;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">&#160;</font></div></td><td colspan="2" style="vertical-align:bottom;padding-left:2px;padding-top:2px;padding-bottom:2px;" rowspan="1"><div style="text-align:right;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">115</font></div></td><td style="vertical-align:bottom;" rowspan="1" colspan="1"><div style="text-align:left;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;"><br clear="none"/></font></div></td></tr><tr><td style="vertical-align:top;background-color:#cceeff;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="text-align:left;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">Capitation payable</font></div></td><td colspan="2" style="vertical-align:bottom;background-color:#cceeff;padding-left:2px;padding-top:2px;padding-bottom:2px;" rowspan="1"><div style="text-align:right;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">59</font></div></td><td style="vertical-align:bottom;background-color:#cceeff;" rowspan="1" colspan="1"><div style="text-align:left;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;"><br clear="none"/></font></div></td><td style="vertical-align:bottom;background-color:#cceeff;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="overflow:hidden;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">&#160;</font></div></td><td colspan="2" style="vertical-align:bottom;background-color:#cceeff;padding-left:2px;padding-top:2px;padding-bottom:2px;" rowspan="1"><div style="text-align:right;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">52</font></div></td><td style="vertical-align:bottom;background-color:#cceeff;" rowspan="1" colspan="1"><div style="text-align:left;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;"><br clear="none"/></font></div></td></tr><tr><td style="vertical-align:top;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="text-align:left;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">Other</font></div></td><td colspan="2" style="vertical-align:bottom;border-bottom:1px solid #000000;padding-left:2px;padding-top:2px;padding-bottom:2px;" rowspan="1"><div style="text-align:right;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">411</font></div></td><td style="vertical-align:bottom;border-bottom:1px solid #000000;" rowspan="1" colspan="1"><div style="text-align:left;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;"><br clear="none"/></font></div></td><td style="vertical-align:bottom;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="overflow:hidden;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">&#160;</font></div></td><td colspan="2" style="vertical-align:bottom;border-bottom:1px solid #000000;padding-left:2px;padding-top:2px;padding-bottom:2px;" rowspan="1"><div style="text-align:right;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">232</font></div></td><td style="vertical-align:bottom;border-bottom:1px solid #000000;" rowspan="1" colspan="1"><div style="text-align:left;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;"><br clear="none"/></font></div></td></tr><tr><td style="vertical-align:bottom;background-color:#cceeff;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="overflow:hidden;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">&#160;</font></div></td><td style="vertical-align:bottom;border-bottom:3px double #000000;padding-left:2px;padding-top:2px;padding-bottom:2px;background-color:#cceeff;" rowspan="1" colspan="1"><div style="text-align:left;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">$</font></div></td><td style="vertical-align:bottom;border-bottom:3px double #000000;background-color:#cceeff;padding-top:2px;padding-bottom:2px;" rowspan="1" colspan="1"><div style="text-align:right;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">1,995</font></div></td><td style="vertical-align:bottom;border-bottom:3px double #000000;background-color:#cceeff;" rowspan="1" colspan="1"><div style="text-align:left;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;"><br clear="none"/></font></div></td><td style="vertical-align:bottom;background-color:#cceeff;padding-left:2px;padding-top:2px;padding-bottom:2px;padding-right:2px;" rowspan="1" colspan="1"><div style="overflow:hidden;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">&#160;</font></div></td><td style="vertical-align:bottom;border-bottom:3px double #000000;padding-left:2px;padding-top:2px;padding-bottom:2px;background-color:#cceeff;" rowspan="1" colspan="1"><div style="text-align:left;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">$</font></div></td><td style="vertical-align:bottom;border-bottom:3px double #000000;background-color:#cceeff;padding-top:2px;padding-bottom:2px;" rowspan="1" colspan="1"><div style="text-align:right;font-size:9pt;"><font style="font-family:Arial;font-size:9pt;">1,961</font></div></td><td style="vertical-align:bottom;border-bottom:3px double #000000;background-color:#cceeff;" rowspan="1" colspan="1"><div style="text-align:left;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;"><br clear="none"/></font></div></td></tr></table></div></div></div>
CY2019Q1 us-gaap Use Of Estimates
UseOfEstimates
<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-top:8px;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;font-style:italic;font-weight:bold;">Use of Estimates</font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">The preparation of consolidated financial statements in conformity with generally accepted accounting principles (&#8220;GAAP&#8221;) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities. Estimates also affect the reported amounts of revenues and expenses during the reporting period. Actual results could differ from these estimates. Principal areas requiring the use of estimates include:</font></div><table cellpadding="0" cellspacing="0" style="font-family:Times New Roman; font-size:10pt;"><tr><td style="width:48px;" rowspan="1" colspan="1"></td><td rowspan="1" colspan="1"></td></tr><tr><td style="vertical-align:top" rowspan="1" colspan="1"><div style="line-height:120%;font-size:10pt;padding-left:24px;"><font style="font-family:Arial;font-size:10pt;">&#8226;</font></div></td><td style="vertical-align:top;" rowspan="1" colspan="1"><div style="line-height:120%;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">The determination of medical claims and benefits payable of our Health Plans segment;</font></div></td></tr></table><table cellpadding="0" cellspacing="0" style="font-family:Times New Roman; font-size:10pt;"><tr><td style="width:48px;" rowspan="1" colspan="1"></td><td rowspan="1" colspan="1"></td></tr><tr><td style="vertical-align:top" rowspan="1" colspan="1"><div style="line-height:120%;font-size:10pt;padding-left:24px;"><font style="font-family:Arial;font-size:10pt;">&#8226;</font></div></td><td style="vertical-align:top;" rowspan="1" colspan="1"><div style="line-height:120%;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">Health plans&#8217; contractual provisions that may limit revenue recognition based upon the costs incurred or the profits realized under a specific contract;</font></div></td></tr></table><table cellpadding="0" cellspacing="0" style="font-family:Times New Roman; font-size:10pt;"><tr><td style="width:48px;" rowspan="1" colspan="1"></td><td rowspan="1" colspan="1"></td></tr><tr><td style="vertical-align:top" rowspan="1" colspan="1"><div style="line-height:120%;font-size:10pt;padding-left:24px;"><font style="font-family:Arial;font-size:10pt;">&#8226;</font></div></td><td style="vertical-align:top;" rowspan="1" colspan="1"><div style="line-height:120%;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">Health plans&#8217; quality incentives that allow us to recognize incremental revenue if certain quality standards are met;</font></div></td></tr></table><table cellpadding="0" cellspacing="0" style="font-family:Times New Roman; font-size:10pt;"><tr><td style="width:48px;" rowspan="1" colspan="1"></td><td rowspan="1" colspan="1"></td></tr><tr><td style="vertical-align:top" rowspan="1" colspan="1"><div style="line-height:120%;font-size:10pt;padding-left:24px;"><font style="font-family:Arial;font-size:10pt;">&#8226;</font></div></td><td style="vertical-align:top;" rowspan="1" colspan="1"><div style="line-height:120%;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">Settlements under risk or savings sharing programs;</font></div></td></tr></table><table cellpadding="0" cellspacing="0" style="font-family:Times New Roman; font-size:10pt;"><tr><td style="width:48px;" rowspan="1" colspan="1"></td><td rowspan="1" colspan="1"></td></tr><tr><td style="vertical-align:top" rowspan="1" colspan="1"><div style="line-height:120%;font-size:10pt;padding-left:24px;"><font style="font-family:Arial;font-size:10pt;">&#8226;</font></div></td><td style="vertical-align:top;" rowspan="1" colspan="1"><div style="line-height:120%;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">The assessment of long-lived and intangible assets, and goodwill for impairment;</font></div></td></tr></table><table cellpadding="0" cellspacing="0" style="font-family:Times New Roman; font-size:10pt;"><tr><td style="width:48px;" rowspan="1" colspan="1"></td><td rowspan="1" colspan="1"></td></tr><tr><td style="vertical-align:top" rowspan="1" colspan="1"><div style="line-height:120%;font-size:10pt;padding-left:24px;"><font style="font-family:Arial;font-size:10pt;">&#8226;</font></div></td><td style="vertical-align:top;" rowspan="1" colspan="1"><div style="line-height:120%;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">The determination of reserves for potential absorption of claims unpaid by insolvent providers;</font></div></td></tr></table><table cellpadding="0" cellspacing="0" style="font-family:Times New Roman; font-size:10pt;"><tr><td style="width:48px;" rowspan="1" colspan="1"></td><td rowspan="1" colspan="1"></td></tr><tr><td style="vertical-align:top" rowspan="1" colspan="1"><div style="line-height:120%;font-size:10pt;padding-left:24px;"><font style="font-family:Arial;font-size:10pt;">&#8226;</font></div></td><td style="vertical-align:top;" rowspan="1" colspan="1"><div style="line-height:120%;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">The determination of reserves for litigation outcomes;</font></div></td></tr></table><table cellpadding="0" cellspacing="0" style="font-family:Times New Roman; font-size:10pt;"><tr><td style="width:48px;" rowspan="1" colspan="1"></td><td rowspan="1" colspan="1"></td></tr><tr><td style="vertical-align:top" rowspan="1" colspan="1"><div style="line-height:120%;font-size:10pt;padding-left:24px;"><font style="font-family:Arial;font-size:10pt;">&#8226;</font></div></td><td style="vertical-align:top;" rowspan="1" colspan="1"><div style="line-height:120%;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">The determination of valuation allowances for deferred tax assets;&#160;and</font></div></td></tr></table><table cellpadding="0" cellspacing="0" style="font-family:Times New Roman; font-size:10pt;"><tr><td style="width:48px;" rowspan="1" colspan="1"></td><td rowspan="1" colspan="1"></td></tr><tr><td style="vertical-align:top" rowspan="1" colspan="1"><div style="line-height:120%;font-size:10pt;padding-left:24px;"><font style="font-family:Arial;font-size:10pt;">&#8226;</font></div></td><td style="vertical-align:top;" rowspan="1" colspan="1"><div style="line-height:120%;text-align:left;font-size:10pt;"><font style="font-family:Arial;font-size:10pt;">The determination of unrecognized tax benefits. </font></div></td></tr></table></div>

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