7Baggers

Humana Inc
(NYSE:HUM) 

HUM stock logo

Humana Inc., together with its subsidiaries, operates as a health and well-being company in the United States. It operates through Retail, Group and Specialty, and Healthcare Services segments. The company offers medical and supplemental benefit plans to individuals. It also has a contract with Cent...

Founded: 1961
Full Time Employees: 46,000
Sector: Healthcare
Industry: Healthcare Plans
Healthcare
Share this website to your friends
• Market Cap:
• Exchange:
• Shs Outstanding:
• Employees:
• Beta:
• Return on Equity (ROE) ttm:
• Return on Assets (ROA) ttm:
• EPS ttm:
• Book value per Share:
• Cash per Share:
• Current ast per Share:
• P/E ttm:
• P/E forward:
• P/E ttm high:
• P/E ttm low:
• P/S ttm:
• P/B ttm:
• P/FCF ttm:
• PEG ratio:
• Cash Ratio ttm:
• Quick Ratio ttm:
• Current Ratio ttm:
• Gross Mgn ttm:
• EBITDA Mgn ttm:
• Operating Mgn ttm:
• Net Income Mgn ttm:
• Trailing Div yield:
• Forward Div yield:
• Payout Ratio ttm:
• Ex-Dividend date:
• Target Price High:
• Target Price Low:
• Target Price Mean:
• Number of Analysts:
• Debt Ratio ttm:
• Debt to Equity ttm:
• Total Net Debt:
At a glance:
Bull Thesis:
Bear Thesis:
Main Competitors:
Moat:
Income Statements:
Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 
                                                                          
      revenues:
    		                                                                      
      premiums
    		37,709,000,000 30,884,000,000 30,711,000,000 30,716,000,000 30,514,000,000 27,750,000,000 27,951,000,000 28,142,000,000 28,261,000,000 25,128,000,000 25,099,000,000 25,495,000,000 25,550,000,000 21,275,000,000 21,468,000,000 22,266,000,000 22,703,000,000 19,835,000,000 19,885,000,000 19,978,000,000 20,124,000,000 18,364,000,000 18,904,000,000 18,556,000,000 18,362,000,000 11,784,750,000 15,712,000,000 15,776,000,000 15,651,000,000 13,705,000,000 13,712,000,000 13,713,000,000 13,811,000,000 12,824,000,000 12,955,000,000 13,203,000,000 13,398,000,000 12,560,000,000 13,371,000,000 13,650,000,000 13,440,000,000 12,962,000,000 12,987,000,000 13,212,000,000 13,248,000,000 11,685,000,000 11,607,000,000 11,584,000,000 11,083,000,000 9,562,000,000 9,698,000,000 9,701,000,000 9,868,000,000 8,980,000,000 9,088,000,000 9,166,000,000 9,775,000,000 8,637,797,000 8,852,536,000 8,849,376,000 8,766,291,000 8,039,064,000 8,134,645,000 8,376,751,000 8,161,863,000 7,368,808,000 7,444,122,000 7,642,527,000 7,471,294,000  
      services
    		1,677,000,000 1,499,000,000 1,600,000,000 1,400,000,000 1,334,000,000 1,166,000,000 1,103,000,000 1,100,000,000 1,062,000,000 1,040,000,000 1,016,000,000 978,000,000 999,000,000 1,004,000,000 1,159,000,000 1,349,000,000 1,264,000,000 1,253,000,000 845,000,000 491,000,000 466,000,000 484,000,000 457,000,000 450,000,000 424,000,000 275,750,000 393,000,000 355,000,000 355,000,000 367,000,000 381,000,000 382,000,000 327,000,000 276,000,000 223,000,000 230,000,000 253,000,000 220,000,000 227,000,000 262,000,000 260,000,000 263,000,000 246,000,000 407,000,000 490,000,000 544,000,000 536,000,000 546,000,000 538,000,000 528,000,000 528,000,000 528,000,000 525,000,000 475,000,000 467,000,000 434,000,000 350,000,000 325,337,000 356,212,000 343,509,000 334,942,000          
      investment income
    		262,000,000 132,000,000 338,000,000 272,000,000 264,000,000 297,000,000 343,000,000 298,000,000 288,000,000 294,000,000 308,000,000 274,000,000 193,000,000 160,000,000 172,000,000 47,000,000 3,000,000 -34,000,000 -33,000,000 176,000,000 78,000,000 214,000,000 714,000,000 77,000,000 149,000,000 87,750,000 136,000,000 114,000,000 101,000,000 96,000,000 113,000,000 164,000,000 141,000,000 89,000,000 104,000,000 101,000,000 111,000,000 98,000,000 96,000,000 95,000,000 100,000,000 136,000,000 130,000,000 113,000,000 95,000,000 99,000,000 95,000,000 92,000,000 91,000,000 97,000,000 93,000,000 92,000,000 93,000,000 102,000,000 96,000,000 99,000,000 94,000,000 93,374,000 91,895,000 91,246,000 89,485,000 76,837,000 87,250,000 79,790,000 85,455,000 76,572,000 74,861,000 75,340,000 69,544,000  
      total revenues
    		39,648,000,000 32,515,000,000 32,649,000,000 32,388,000,000 32,112,000,000 29,213,000,000 29,397,000,000 29,540,000,000 29,611,000,000 26,462,000,000 26,423,000,000 26,747,000,000 26,742,000,000 22,439,000,000 22,799,000,000 23,662,000,000 23,970,000,000 21,054,000,000 20,697,000,000 20,645,000,000 20,668,000,000 19,062,000,000 20,075,000,000 19,083,000,000 18,935,000,000 16,295,000,000 16,241,000,000 16,245,000,000 16,107,000,000 14,168,000,000 14,206,000,000 14,259,000,000 14,279,000,000 13,189,000,000 13,282,000,000 13,534,000,000 13,762,000,000 12,878,000,000 13,694,000,000 14,007,000,000 13,800,000,000 13,361,000,000 13,363,000,000 13,732,000,000 13,833,000,000 12,328,000,000 12,238,000,000 12,222,000,000 11,712,000,000 10,187,000,000 10,319,000,000 10,321,000,000 10,486,000,000 9,557,000,000 9,651,000,000 9,699,000,000 10,219,000,000 9,056,508,000 9,300,643,000 9,284,131,000 9,190,718,000 8,350,245,000 8,424,648,000 8,652,721,000 8,440,594,000 7,633,045,000 7,716,819,000 7,898,889,000 7,711,661,000  
      yoy
    		23.47% 11.30% 11.06% 9.64% 8.45% 10.40% 11.26% 10.44% 10.73% 17.93% 15.90% 13.04% 11.56% 6.58% 10.16% 14.61% 15.98% 10.45% 3.10% 8.19% 9.15% 16.98% 23.61% 17.47% 17.56% 15.01% 14.32% 13.93% 12.80% 7.42% 6.96% 5.36% 3.76% 2.41% -3.01% -3.38% -0.28% -3.61% 2.48% 2.00% -0.24% 8.38% 9.19% 12.35% 18.11% 21.02% 18.60% 18.42% 11.69% 6.59% 6.92% 6.41% 2.61% 5.53% 3.77% 4.47% 11.19% 8.46% 10.40% 7.30% 8.89% 9.40% 9.17% 9.54% 9.45%      
      qoq
    		21.94% -0.41% 0.81% 0.86% 9.92% -0.63% -0.48% -0.24% 11.90% 0.15% -1.21% 0.02% 19.18% -1.58% -3.65% -1.28% 13.85% 1.72% 0.25% -0.11% 8.43% -5.05% 5.20% 0.78% 16.20% 0.33% -0.02% 0.86% 13.69% -0.27% -0.37% -0.14% 8.26% -0.70% -1.86% -1.66% 6.86% -5.96% -2.23% 1.50% 3.29% -0.01% -2.69% -0.73% 12.21% 0.74% 0.13% 4.35% 14.97% -1.28% -0.02% -1.57% 9.72% -0.97% -0.49% -5.09% 12.84% -2.62% 0.18% 1.02% 10.07% -0.88% -2.64% 2.51% 10.58% -1.09% -2.31% 2.43%   
      operating expenses:
    		                                                                      
      benefits
    		33,707,000,000 28,721,000,000 27,991,000,000 27,565,000,000 26,535,000,000 25,381,000,000 25,120,000,000 25,039,000,000 25,124,000,000 22,782,000,000 21,745,000,000 22,009,000,000 21,858,000,000 18,582,000,000 18,384,000,000 19,099,000,000 19,625,000,000 17,438,000,000 17,316,000,000 17,149,000,000 17,296,000,000 16,213,000,000 15,611,000,000 14,175,000,000 15,629,000,000 10,042,000,000 13,357,000,000 13,318,000,000 13,493,000,000 11,433,000,000 11,243,000,000 11,536,000,000 11,670,000,000 10,639,000,000 10,642,000,000 10,889,000,000 11,326,000,000 11,201,000,000 10,900,000,000 11,509,000,000 11,397,000,000 11,116,000,000 10,896,000,000 11,252,000,000 11,005,000,000 9,749,000,000 9,666,000,000 9,627,000,000 9,124,000,000 8,203,000,000 8,075,000,000 8,091,000,000 8,195,000,000 7,516,000,000 7,467,000,000 7,652,000,000 8,350,000,000 7,061,948,000 7,146,530,000 7,269,768,000 7,344,754,000 6,783,284,000 6,637,470,000 6,859,565,000 6,807,555,000 6,026,796,000 6,111,351,000 6,367,545,000 6,269,310,000  
      operating costs
    		4,024,000,000 4,438,000,000 4,085,000,000 3,547,000,000 3,380,000,000 4,167,000,000 3,339,000,000 3,148,000,000 3,042,000,000 3,827,000,000 3,271,000,000 3,111,000,000 2,979,000,000 3,551,000,000 3,061,000,000 3,173,000,000 2,886,000,000 3,395,000,000 2,603,000,000 2,116,000,000 2,007,000,000 3,068,000,000 2,513,000,000 2,354,000,000 2,117,000,000 1,313,000,000 1,889,000,000 1,703,000,000 1,660,000,000 2,115,000,000 1,900,000,000 1,761,000,000 1,749,000,000 1,873,000,000 1,688,000,000 1,453,000,000 1,553,000,000 2,024,000,000 1,759,000,000 1,726,000,000 1,768,000,000 1,868,000,000 1,688,000,000 1,817,000,000 1,945,000,000 2,121,000,000 1,898,000,000 1,835,000,000 1,785,000,000 1,908,000,000 1,540,000,000 1,461,000,000 1,446,000,000 1,655,000,000 1,408,000,000 1,384,000,000 1,383,000,000 1,585,095,000 1,361,657,000 1,192,405,000 1,255,843,000          
      depreciation and amortization
    		163,000,000 164,000,000 173,000,000 178,000,000 183,000,000 208,000,000 210,000,000 212,000,000 209,000,000 201,000,000 201,000,000 191,000,000 186,000,000 182,000,000 182,000,000 175,000,000 170,000,000 160,000,000 150,000,000 144,000,000 142,000,000 127,000,000 128,000,000 119,000,000 115,000,000 85,750,000 127,000,000 109,000,000 107,000,000 103,000,000 102,000,000 100,000,000 100,000,000 100,000,000 94,000,000 92,000,000 92,000,000 91,000,000 86,000,000 89,000,000 88,000,000 88,000,000 84,000,000 90,000,000 93,000,000 87,000,000 85,000,000 79,000,000 82,000,000 90,000,000 83,000,000 80,000,000 80,000,000 77,000,000 75,000,000 73,000,000 70,000,000 69,439,000 66,671,000 67,781,000 66,109,000 66,307,000 64,557,000 69,290,000 62,756,000 69,694,000 62,088,000 60,478,000 58,014,000  
      total operating expenses
    		37,894,000,000 33,323,000,000 32,249,000,000 31,290,000,000 30,098,000,000 29,756,000,000 28,669,000,000 28,399,000,000 28,375,000,000 26,810,000,000 25,217,000,000 25,311,000,000 25,023,000,000 22,315,000,000 21,627,000,000 22,447,000,000 22,681,000,000 20,993,000,000 20,069,000,000 19,409,000,000 19,445,000,000 19,408,000,000 18,252,000,000 16,648,000,000 17,861,000,000 11,440,750,000 15,373,000,000 15,130,000,000 15,260,000,000 13,651,000,000 13,245,000,000 13,397,000,000 13,519,000,000 12,623,000,000 12,424,000,000 12,434,000,000 12,024,000,000 13,316,000,000 12,745,000,000 13,324,000,000 13,253,000,000 13,072,000,000 12,668,000,000 13,159,000,000 13,043,000,000 11,957,000,000 11,649,000,000 11,541,000,000 10,991,000,000 10,201,000,000 9,698,000,000 9,632,000,000 9,721,000,000 9,248,000,000 8,950,000,000 9,109,000,000 9,803,000,000 8,716,482,000 8,574,858,000 8,529,954,000 8,666,706,000 8,149,372,000 7,776,215,000 8,090,645,000 7,997,354,000 7,208,107,000 7,221,212,000 7,432,365,000 7,391,127,000  
      income from operations
    		1,754,000,000 -808,000,000 400,000,000 1,098,000,000 2,014,000,000 -543,000,000 728,000,000 1,141,000,000 1,236,000,000 -348,000,000 1,206,000,000 1,436,000,000 1,719,000,000 124,000,000 1,172,000,000 1,215,000,000 1,289,000,000 61,000,000 628,000,000 1,236,000,000 1,223,000,000 -346,000,000 1,823,000,000 2,435,000,000 1,074,000,000 362,000,000 868,000,000 1,115,000,000 847,000,000 517,000,000 961,000,000 862,000,000 760,000,000 566,000,000 858,000,000 1,100,000,000 1,738,000,000 -438,000,000 949,000,000 683,000,000 547,000,000 289,000,000 695,000,000 573,000,000 790,000,000 371,000,000 589,000,000 681,000,000 721,000,000 -14,000,000 621,000,000 689,000,000 765,000,000 309,000,000 701,000,000 590,000,000 416,000,000 340,026,000 725,785,000 754,177,000 524,012,000 200,873,000 648,433,000 562,076,000 443,240,000 424,938,000 495,607,000 466,524,000 320,534,000  
      yoy
    		-12.91% 48.80% -45.05% -3.77% 62.94% 56.03% -39.64% -20.54% -28.10% -380.65% 2.90% 18.19% 33.36% 103.28% 86.62% -1.70% 5.40% -117.63% -65.55% -49.24% 13.87% -195.58% 110.02% 118.39% 26.80% -29.98% -9.68% 29.35% 11.45% -8.66% 12.00% -21.64% -56.27% -229.22% -9.59% 61.05% 217.73% -251.56% 36.55% 19.20% -30.76% -22.10% 18.00% -15.86% 9.57% -2750.00% -5.15% -1.16% -5.75% -104.53% -11.41% 16.78% 83.89% -9.12% -3.41% -21.77% -20.61% 69.27% 11.93% 34.18% 18.22% -52.73% 30.84% 20.48% 38.28%      
      qoq
    		-317.08% -302.00% -63.57% -45.48% -470.90% -174.59% -36.20% -7.69% -455.17% -128.86% -16.02% -16.46% 1286.29% -89.42% -3.54% -5.74% 2013.11% -90.29% -49.19% 1.06% -453.47% -118.98% -25.13% 126.72% 196.69% -58.29% -22.15% 31.64% 63.83% -46.20% 11.48% 13.42% 34.28% -34.03% -22.00% -36.71% -496.80% -146.15% 38.95% 24.86% 89.27% -58.42% 21.29% -27.47% 112.94% -37.01% -13.51% -5.55% -5250.00% -102.25% -9.87% -9.93% 147.57% -55.92% 18.81% 41.83% 22.34% -53.15% -3.76% 43.92% 160.87% -69.02% 15.36% 26.81% 4.31% -14.26% 6.23% 45.55%   
      operating margin %
    		4.42% -2.49% 1.23% 3.39% 6.27% -1.86% 2.48% 3.86% 4.17% -1.32% 4.56% 5.37% 6.43% 0.55% 5.14% 5.13% 5.38% 0.29% 3.03% 5.99% 5.92% -1.82% 9.08% 12.76% 5.67% 2.22% 5.34% 6.86% 5.26% 3.65% 6.76% 6.05% 5.32% 4.29% 6.46% 8.13% 12.63% -3.40% 6.93% 4.88% 3.96% 2.16% 5.20% 4.17% 5.71% 3.01% 4.81% 5.57% 6.16% -0.14% 6.02% 6.68% 7.30% 3.23% 7.26% 6.08% 4.07% 3.75% 7.80% 8.12% 5.70% 2.41% 7.70% 6.50% 5.25% 5.57% 6.42% 5.91% 4.16%  
      interest expense
    		193,000,000 146,000,000 168,000,000 157,000,000 160,000,000 164,000,000 169,000,000 168,000,000 159,000,000 146,000,000 114,000,000 120,000,000 113,000,000 108,000,000 102,000,000 101,000,000 90,000,000 91,000,000 88,000,000 79,000,000 68,000,000 72,000,000 75,000,000 76,000,000 60,000,000 58,000,000 62,000,000 60,000,000 62,000,000 59,000,000 53,000,000 53,000,000 53,000,000 76,000,000 59,000,000 58,000,000 49,000,000 48,000,000 47,000,000 47,000,000 47,000,000 46,000,000 47,000,000 47,000,000 46,000,000 84,000,000 38,000,000 35,000,000 35,000,000 35,000,000 35,000,000 35,000,000 35,000,000 27,000,000 26,000,000 26,000,000 26,000,000 27,044,000 27,065,000 27,663,000 27,228,000 26,381,000 26,143,000 26,222,000 26,314,000 26,238,000 26,259,000 26,574,000 26,772,000  
      other expense
    		-34,000,000 53,000,000 35,000,000 200,000,000 163,000,000 155,000,000 -92,000,000 55,000,000 63,000,000 97,000,000 -6,000,000 54,000,000  84,000,000 13,000,000 -8,000,000 -21,000,000 30,000,000 -1,096,000,000 419,000,000 115,000,000                                                  
      income before income taxes and equity in net losses
    		1,595,000,000 -1,011,000,000 134,000,000 741,000,000 1,691,000,000 -862,000,000 651,000,000 918,000,000 1,014,000,000 993,500,000 1,098,000,000 1,262,000,000 1,614,000,000                                                          
      provision for income taxes
    		395,000,000 -249,000,000 -86,000,000 179,000,000 406,000,000 -216,000,000 155,000,000 223,000,000 251,000,000 -75,000,000 256,000,000 296,000,000 359,000,000 -58,000,000 107,000,000 427,000,000 286,000,000 -51,000,000 120,000,000 183,000,000 233,000,000                 255,750,000 452,000,000 325,000,000 266,000,000 145,000,000 334,000,000 362,000,000 314,000,000            142,000,000 114,205,000 253,960,000 266,227,000 181,608,000 67,167,000 229,069,000  158,158,000 148,041,000 167,829,000 158,170,000 88,045,000  
      equity in net losses
    		-16,000,000 -14,000,000 -26,000,000 -19,000,000 -43,000,000 -37,000,000 -16,000,000 -17,000,000 -24,000,000    -17,000,000                                                          
      net income
    		1,184,000,000 -776,000,000 194,000,000 543,000,000 1,242,000,000 -683,000,000 480,000,000 678,000,000 739,000,000 -540,000,000 830,000,000 956,000,000 1,238,000,000 -18,000,000 1,193,000,000 697,000,000 930,000,000 -13,000,000 1,531,000,000 588,000,000 828,000,000 -274,000,000 1,340,000,000 1,828,000,000 473,000,000 512,000,000 689,000,000 940,000,000 566,000,000 355,000,000 644,000,000 193,000,000 491,000,000 184,000,000 499,000,000 650,000,000 1,115,000,000 -401,000,000 450,000,000 311,000,000 234,000,000 101,000,000 314,000,000 431,000,000 430,000,000 145,000,000 290,000,000 344,000,000 368,000,000 -30,000,000 368,000,000 420,000,000 473,000,000 192,000,000 426,000,000 356,000,000 248,000,000 198,777,000 444,760,000 460,287,000 315,176,000 107,325,000 393,221,000 340,076,000 258,768,000 250,659,000 301,519,000 281,780,000 205,717,000  
      yoy
    		-4.67% 13.62% -59.58% -19.91% 68.06% 26.48% -42.17% -29.08% -40.31% 2900.00% -30.43% 37.16% 33.12% 38.46% -22.08% 18.54% 12.32% -95.26% 14.25% -67.83% 75.05% -153.52% 94.48% 94.47% -16.43% 44.23% 6.99% 387.05% 15.27% 92.93% 29.06% -70.31% -55.96% -145.89% 10.89% 109.00% 376.50% -497.03% 43.31% -27.84% -45.58% -30.34% 8.28% 25.29% 16.85% -583.33% -21.20% -18.10% -22.20% -115.63% -13.62% 17.98% 90.73% -3.41% -4.22% -22.66% -21.31% 85.21% 13.11% 35.35% 21.80% -57.18% 30.41% 20.69% 25.79%      
      qoq
    		-252.58% -500.00% -64.27% -56.28% -281.84% -242.29% -29.20% -8.25% -236.85% -165.06% -13.18% -22.78% -6977.78% -101.51% 71.16% -25.05% -7253.85% -100.85% 160.37% -28.99% -402.19% -120.45% -26.70% 286.47% -7.62% -25.69% -26.70% 66.08% 59.44% -44.88% 233.68% -60.69% 166.85% -63.13% -23.23% -41.70% -378.05% -189.11% 44.69% 32.91% 131.68% -67.83% -27.15% 0.23% 196.55% -50.00% -15.70% -6.52% -1326.67% -108.15% -12.38% -11.21% 146.35% -54.93% 19.66% 43.55% 24.76% -55.31% -3.37% 46.04% 193.67% -72.71% 15.63% 31.42% 3.24% -16.87% 7.01% 36.97%   
      net income margin %
    		2.99% -2.39% 0.59% 1.68% 3.87% -2.34% 1.63% 2.30% 2.50% -2.04% 3.14% 3.57% 4.63% -0.08% 5.23% 2.95% 3.88% -0.06% 7.40% 2.85% 4.01% -1.44% 6.67% 9.58% 2.50% 3.14% 4.24% 5.79% 3.51% 2.51% 4.53% 1.35% 3.44% 1.40% 3.76% 4.80% 8.10% -3.11% 3.29% 2.22% 1.70% 0.76% 2.35% 3.14% 3.11% 1.18% 2.37% 2.81% 3.14% -0.29% 3.57% 4.07% 4.51% 2.01% 4.41% 3.67% 2.43% 2.19% 4.78% 4.96% 3.43% 1.29% 4.67% 3.93% 3.07% 3.28% 3.91% 3.57% 2.67%  
      net loss attributable to noncontrolling interests
    		2,000,000 -20,000,000 1,000,000 2,000,000 2,000,000 -10,000,000  1,000,000 2,000,000 -1,000,000 2,000,000 3,000,000 1,000,000 3,000,000 2,000,000                                                        
      net income attributable to humana
    		1,186,000,000 -796,000,000 195,000,000 545,000,000 1,244,000,000 -693,000,000 480,000,000 679,000,000 741,000,000 -541,000,000 832,000,000 959,000,000 1,239,000,000 -15,000,000 1,195,000,000 696,000,000 930,000,000 -14,000,000 1,531,000,000                                                    
      basic earnings per common share
    		9,850,000 -6,600,000 1,620,000 4,520,000 10,310,000 -5,750,000 3,990,000 5,630,000 6,130,000 -4,280,000 6,740,000 7,700,000 9,910,000 -70,000 9,450,000 5,500,000 7,320,000 -110,000 11,910,000 4,570,000 6,420,000 -2,060,000 10,120,000 13,830,000 3,580,000 3,890,000 5,160,000 6,960,000 4,180,000 2,600,000 4,680,000 1,400,000 3,560,000 1,380,000 3,460,000 4,490,000 7,540,000 -2,690,000 3,010,000 2,080,000 1,570,000 690,000 2,110,000 2,880,000 2,860,000 980,000 1,870,000 2,220,000 2,370,000 -170,000 2,340,000 2,660,000 2,970,000 1,220,000 2,650,000 2,190,000 1,510,000 8,572,660 2,710 2,760 1,880 650 2,350 2,020 1,540 1,490 1,800 1,680 1,230  
      diluted earnings per common share
    		9,830,000 -6,590,000 1,620,000 4,510,000 10,300,000 -5,740,000 3,980,000 5,620,000 6,110,000 -4,260,000 6,710,000 7,660,000 9,870,000 -80,000 9,390,000 5,480,000 7,290,000 -100,000 11,840,000 4,550,000 6,390,000 -2,060,000 10,050,000 13,750,000 3,560,000 3,860,000 5,140,000 6,940,000 4,160,000 2,580,000 4,650,000 1,390,000 3,530,000 1,370,000 3,440,000 4,460,000 7,490,000 -2,660,000 2,980,000 2,060,000 1,560,000 670,000 2,090,000 2,850,000 2,820,000 970,000 1,850,000 2,190,000 2,350,000 -170,000 2,310,000 2,630,000 2,950,000 1,200,000 2,620,000 2,160,000 1,490,000 8,452,760 2,670 2,710 1,860 630 2,320 2,000 1,520 1,480 1,780 1,670 1,220  
      loss on sale of business
    		 4,000,000 63,000,000                           196,500,000 -4,000,000                                        
      gain on sale of gentiva hospice
    		                                                                      
      equity in net earnings
    		         -24,000,000 -12,000,000 -10,000,000  -5,000,000 3,000,000 2,000,000 -4,000,000 -4,000,000 15,000,000 33,000,000 21,000,000 6,000,000 35,000,000 25,000,000 8,000,000                                              
      other income
    		            -8,000,000         15,750,000 -7,000,000 -227,000,000 297,000,000 -289,000,000 -82,000,000 -174,000,000 39,000,000 22,000,000 11,000,000                                        
      gain on sale of kah hospice
    		             3,000,000 -240,000,000                                                        
      income before income taxes and equity in net earnings
    		             -71,000,000 1,297,000,000 1,122,000,000 1,220,000,000 -60,000,000 1,636,000,000 738,000,000 1,040,000,000 -458,000,000 1,755,000,000 2,586,000,000 717,000,000 593,000,000 888,000,000 1,229,000,000 746,000,000 436,000,000 901,000,000                                        
      less: net income attributable to noncontrolling interests
    		               -1,000,000                                                       
      benefit from income taxes
    		                     371,250,000 450,000,000 783,000,000 252,000,000 79,000,000 200,000,000  183,000,000 83,000,000 266,000,000  216,000,000 306,000,000 300,000,000 392,000,000 574,000,000         142,000,000 261,000,000 302,000,000 318,000,000 -19,000,000 218,000,000 234,000,000 257,000,000 149,750,000 249,000,000 208,000,000        195,778,000       
      (gain) loss on sale of business
    		                                                                      
      equity in net earnings of kindred at home
    		                         -2,000,000 1,000,000 12,000,000 3,000,000 2,000,000 9,000,000                                        
      benefit for income taxes
    		                           301,000,000    -174,000,000                                       
      dividends declared per common share
    		                            550,000 500,000 500,000 500,000 500,000 400,000 400,000 400,000 400,000 290,000 290,000 290,000 290,000 290,000 290,000 290,000 280,000     270,000 270,000 270,000  260,000 260,000 260,000  749,500 250 250           
      merger termination fee and related costs
    		                                 11,000,000   -947,000,000                                  
      loss on business held-for-sale
    		                               -790,000,000                                       
      income before income taxes
    		                               19,000,000 707,000,000 490,000,000 799,000,000 1,042,000,000 1,689,000,000 -486,000,000 902,000,000 636,000,000 500,000,000 246,000,000 648,000,000 793,000,000 744,000,000 287,000,000 551,000,000 646,000,000 686,000,000 -49,000,000 586,000,000 654,000,000 730,000,000 282,000,000 675,000,000 564,000,000 390,000,000 312,982,000 698,720,000 726,514,000 496,784,000 174,492,000 622,290,000 535,854,000 416,926,000 398,700,000 469,348,000 439,950,000 293,762,000  
      gain on sale of business
    		                                         3,000,000  267,000,000                           
      dividends per common share
    		                                             207,500 280,000 280,000 270,000    260,000    250,000              
      other comprehensive income, net of tax:
    		                                                                      
      net unrealized investment gain, net of tax expense of 8 million and (5) million for the three months ended march 31, 2012 and 2011, respectively
    		                                                        13,000,000              
      less: reclassification adjustment for net realized gains included in net income, net of tax expense of 1 million for each of the three months ended march 31, 2012 and 2011, respectively
    		                                                        -3,000,000              
      other comprehensive income, net of tax
    		                                                        10,000,000              
      comprehensive income
    		                                                        258,000,000              
      administrative services fees
    		                                                             133,803,000 121,815,000 126,744,000 125,882,000 127,827,000 133,732,000 118,694,000 115,882,000  
      other revenue
    		                                                             100,541,000 80,938,000 69,436,000 67,394,000 59,838,000 64,104,000 62,328,000 54,941,000  
      selling, general and administrative
    		                                                             1,299,781,000 1,074,188,000 1,161,790,000 1,127,043,000 1,111,617,000 1,047,773,000 1,004,342,000 1,063,803,000  
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-09-30 2019-06-30 2019-03-31 2018-09-30 2018-06-30 2018-03-31 2017-09-30 2017-06-30 2017-03-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 
                                                                        
        assets
      		                                                                  
        current assets:
      		                                                                  
        cash and cash equivalents
      		4,951,000,000 4,200,000,000 5,388,000,000 4,040,000,000 4,250,000,000 2,221,000,000 5,116,000,000 5,501,000,000 5,910,000,000 4,694,000,000 15,148,000,000 16,214,000,000 13,735,000,000 5,061,000,000 13,558,000,000 5,153,000,000 4,864,000,000 3,394,000,000 4,304,000,000 3,378,000,000 3,877,000,000 4,673,000,000 7,985,000,000 7,163,000,000 6,054,000,000 5,527,000,000 4,778,000,000 3,877,000,000 4,142,000,000 8,052,000,000 8,855,000,000 9,865,000,000 8,139,000,000 8,425,000,000 6,769,000,000 2,429,000,000 2,801,000,000 2,571,000,000 1,597,000,000 2,250,000,000 1,946,000,000 1,935,000,000 2,705,000,000 1,593,000,000 1,662,000,000 1,138,000,000 1,255,000,000 1,519,000,000 1,398,000,000 1,306,000,000 1,363,000,000 3,869,000,000 3,656,000,000 1,377,000,000 4,019,405,000 1,567,824,000 1,756,041,000 1,673,137,000 2,922,852,000 1,998,982,000 1,813,993,000 1,613,588,000 1,452,006,000 1,585,109,000 1,911,202,000 1,970,423,000 
        investment securities
      		17,014,000,000 15,703,000,000 16,736,000,000 17,668,000,000 17,888,000,000 18,214,000,000 19,033,000,000 17,424,000,000 16,697,000,000 16,626,000,000 15,145,000,000 15,251,000,000 14,932,000,000 13,881,000,000 13,124,000,000 13,037,000,000 13,092,000,000 13,192,000,000 13,719,000,000 13,471,000,000 13,251,000,000 12,554,000,000 12,741,000,000 12,836,000,000 11,104,000,000 10,430,000,000 9,991,000,000 9,876,000,000 9,695,000,000 9,464,000,000 9,742,000,000 8,622,000,000 8,115,000,000 8,205,000,000 7,329,000,000 7,417,000,000 7,738,000,000 7,267,000,000 7,423,000,000 7,041,000,000 7,600,000,000 7,598,000,000 8,088,000,000 7,565,000,000 8,248,000,000 8,090,000,000 8,262,000,000 7,556,000,000 8,141,000,000 8,001,000,000 8,058,000,000 7,882,000,000 7,889,000,000 7,743,000,000 7,864,637,000 7,609,737,000 7,420,959,000 6,872,767,000 7,142,395,000 6,882,063,000 6,764,833,000 6,190,062,000 5,899,385,000 4,583,423,000 4,439,005,000 4,203,538,000 
        accounts receivable
      		5,218,000,000 3,270,000,000 2,684,000,000 4,504,000,000 4,459,000,000 2,704,000,000 2,144,000,000 4,090,000,000 3,925,000,000 2,035,000,000 1,824,000,000 1,429,000,000 3,107,000,000 1,674,000,000 1,609,000,000 3,369,000,000                                                   
        other current assets
      		10,897,000,000 9,560,000,000 7,944,000,000 7,403,000,000 7,825,000,000 6,676,000,000 6,633,000,000 5,843,000,000 6,264,000,000 6,631,000,000 6,136,000,000 5,865,000,000 5,758,000,000 5,567,000,000 5,420,000,000 5,393,000,000 5,710,000,000 6,493,000,000 5,913,000,000 6,503,000,000 6,202,000,000 5,276,000,000 5,170,000,000 5,631,000,000 5,384,000,000 3,519,000,000 4,487,000,000 3,965,000,000 4,178,000,000 4,410,000,000 4,059,000,000 3,776,000,000 3,884,000,000 3,849,000,000 4,791,000,000 5,337,000,000 5,568,000,000 4,712,000,000 5,767,000,000 5,555,000,000 5,214,000,000 4,011,000,000 3,839,000,000 2,854,000,000 2,605,000,000 2,122,000,000 2,232,000,000 1,960,000,000 1,818,000,000 1,670,000,000 1,615,000,000 1,422,000,000 1,181,000,000 1,027,000,000 706,493,000 721,537,000 669,288,000 583,141,000 479,417,000 535,708,000 514,549,000 505,960,000 936,217,000 1,056,798,000 1,163,283,000 1,030,000,000 
        total current assets
      		38,080,000,000 32,733,000,000 32,752,000,000 33,615,000,000 34,422,000,000 29,815,000,000 32,926,000,000 32,858,000,000 32,796,000,000 29,986,000,000 38,253,000,000 38,759,000,000 37,532,000,000 26,183,000,000 33,711,000,000 27,217,000,000 26,840,000,000 24,893,000,000 25,815,000,000 25,790,000,000 25,526,000,000 23,641,000,000 27,031,000,000 27,868,000,000 24,551,000,000 20,324,000,000 20,160,000,000 19,673,000,000 19,077,000,000 26,864,000,000 23,932,000,000 23,185,000,000 22,568,000,000 22,317,000,000 19,654,000,000 17,736,000,000 17,844,000,000 15,711,000,000 15,773,000,000 16,975,000,000 17,402,000,000 14,712,000,000 15,636,000,000 14,086,000,000 13,975,000,000 12,300,000,000 12,573,000,000 12,628,000,000 12,678,000,000 11,710,000,000 11,678,000,000 14,071,000,000 14,056,000,000 11,181,000,000 13,632,338,000 11,475,227,000 11,096,774,000 10,137,699,000 11,384,613,000 10,787,089,000 10,259,986,000 9,252,816,000 9,240,828,000 8,772,364,000 8,882,756,000 8,396,042,000 
        property and equipment
      		2,170,000,000 2,231,000,000 2,268,000,000 2,356,000,000 2,427,000,000 2,532,000,000 2,693,000,000 2,821,000,000 2,979,000,000 3,030,000,000 3,342,000,000 3,309,000,000 3,234,000,000 3,221,000,000 3,218,000,000 3,121,000,000 3,189,000,000 3,073,000,000 2,898,000,000 2,690,000,000 2,507,000,000 2,371,000,000 2,228,000,000 2,118,000,000 2,023,000,000 1,864,000,000 1,796,000,000 1,754,000,000 1,685,000,000 1,626,000,000 1,595,000,000 1,560,000,000 1,543,000,000 1,525,000,000 1,478,000,000 1,452,000,000 1,420,000,000 1,384,000,000 1,343,000,000 1,299,000,000 1,258,000,000 1,419,000,000 1,349,000,000 1,289,000,000 1,244,000,000 1,218,000,000 1,180,000,000 1,133,000,000 1,119,000,000 1,098,000,000 1,034,000,000 976,000,000 939,000,000 912,000,000 850,888,000 822,611,000 819,729,000 815,337,000 670,277,000 660,223,000 665,909,000 679,142,000 679,010,000 691,414,000 701,376,000 711,492,000 
        long-term investment securities
      		626,000,000 493,000,000 440,000,000 431,000,000 410,000,000 421,000,000 400,000,000 388,000,000 380,000,000 382,000,000 370,000,000 389,000,000 371,000,000 380,000,000 375,000,000 380,000,000 392,000,000 780,000,000 1,095,000,000 1,182,000,000 1,120,000,000 1,212,000,000 1,105,000,000 389,000,000 393,000,000 404,000,000 411,000,000 422,000,000 405,000,000 379,000,000 2,361,000,000 2,716,000,000 2,670,000,000 2,424,000,000 2,273,000,000 2,051,000,000 1,940,000,000 1,843,000,000 1,879,000,000 1,839,000,000 1,972,000,000 1,949,000,000 1,947,000,000 1,895,000,000 1,800,000,000 1,710,000,000 1,737,000,000 1,770,000,000 1,824,000,000 1,846,000,000 1,837,000,000 1,783,000,000 1,704,000,000 1,710,000,000 1,695,943,000 1,592,919,000 1,568,090,000 1,499,672,000 1,477,147,000 1,405,734,000 1,333,659,000 1,307,088,000 1,319,319,000 1,240,197,000 1,081,970,000 1,011,904,000 
        equity method investments
      		633,000,000 638,000,000 623,000,000 636,000,000 659,000,000 697,000,000 729,000,000 736,000,000 730,000,000 740,000,000 762,000,000 733,000,000 739,000,000 749,000,000 738,000,000 174,000,000 138,000,000 141,000,000 143,000,000 1,240,000,000 1,205,000,000 1,170,000,000 1,160,000,000 1,122,000,000 1,093,000,000                                          
        goodwill
      		10,489,000,000 9,686,000,000 9,619,000,000 9,633,000,000 9,631,000,000 9,631,000,000 9,590,000,000 9,567,000,000 9,563,000,000 9,550,000,000 9,540,000,000 9,539,000,000 9,320,000,000 9,142,000,000 9,096,000,000 8,911,000,000 11,139,000,000 11,092,000,000 10,806,000,000 4,914,000,000 4,602,000,000 4,447,000,000 4,443,000,000 4,443,000,000 4,443,000,000 3,922,000,000 3,922,000,000 3,897,000,000 3,895,000,000 3,895,000,000 3,760,000,000 3,281,000,000 3,280,000,000 3,279,000,000 3,272,000,000 3,266,000,000 3,265,000,000 3,265,000,000 3,266,000,000 3,266,000,000 3,231,000,000 3,711,000,000 3,695,000,000 3,696,000,000 3,699,000,000 3,733,000,000 3,716,000,000 3,638,000,000 3,641,000,000 3,640,000,000 2,962,000,000 2,792,000,000 2,785,000,000 2,740,000,000 2,579,916,000 2,577,511,000 2,576,208,000 2,567,809,000 1,997,277,000 1,994,593,000 1,992,924,000 1,992,924,000 1,992,924,000 1,992,924,000 1,991,220,000 1,963,111,000 
        other long-term assets
      		3,282,000,000 3,128,000,000 4,017,000,000 3,686,000,000 3,381,000,000 3,383,000,000 3,669,000,000 3,723,000,000 3,643,000,000 3,377,000,000 3,638,000,000 3,726,000,000 3,580,000,000 3,380,000,000 3,627,000,000 3,690,000,000 4,610,000,000 4,379,000,000 4,563,000,000 2,254,000,000 2,455,000,000 2,128,000,000 2,510,000,000 2,515,000,000 2,130,000,000 1,605,000,000 1,568,000,000 1,555,000,000 1,380,000,000 1,506,000,000 1,805,000,000 2,214,000,000 2,192,000,000 2,167,000,000 2,789,000,000 2,731,000,000 2,465,000,000 2,502,000,000 2,035,000,000 2,005,000,000 1,761,000,000 1,675,000,000 1,704,000,000 2,155,000,000 1,848,000,000 1,774,000,000 1,697,000,000 1,679,000,000 1,712,000,000 1,685,000,000 1,286,000,000 1,233,000,000 1,216,000,000 1,165,000,000 1,140,644,000 1,126,637,000 1,099,259,000 1,082,736,000 861,038,000 842,931,000 956,658,000 921,524,000 969,706,000 987,490,000 949,288,000 959,211,000 
        total assets
      		55,280,000,000 48,909,000,000 49,719,000,000 50,357,000,000 50,930,000,000 46,479,000,000 50,007,000,000 50,093,000,000 50,091,000,000 47,065,000,000 55,905,000,000 56,455,000,000 54,776,000,000 43,055,000,000 50,765,000,000 46,820,000,000 46,308,000,000 44,358,000,000 45,320,000,000 38,070,000,000 37,415,000,000 34,969,000,000 38,477,000,000 38,455,000,000 34,633,000,000 29,180,000,000 28,913,000,000 28,349,000,000 27,490,000,000 34,270,000,000 33,453,000,000 32,956,000,000 32,253,000,000 31,712,000,000 29,466,000,000 27,236,000,000 26,934,000,000 24,705,000,000 24,296,000,000 25,384,000,000 25,624,000,000 23,466,000,000 24,331,000,000 23,121,000,000 22,566,000,000 20,735,000,000 20,903,000,000 20,848,000,000 20,974,000,000 19,979,000,000 18,797,000,000 20,855,000,000 20,700,000,000 17,708,000,000 19,899,729,000 17,594,905,000 17,160,060,000 16,103,253,000 16,390,352,000 15,690,570,000 15,209,136,000 14,153,494,000 14,201,787,000 13,684,389,000 13,606,610,000 13,041,760,000 
        liabilities and stockholders’ equity
      		                                                                  
        current liabilities:
      		                                                                  
        benefits payable
      		12,691,000,000 9,967,000,000 10,088,000,000 11,060,000,000 11,451,000,000 10,440,000,000 11,125,000,000 11,446,000,000 11,729,000,000 10,241,000,000 10,196,000,000 10,304,000,000 10,018,000,000 9,264,000,000 9,237,000,000 9,650,000,000 9,378,000,000 8,289,000,000 8,758,000,000 8,485,000,000 8,651,000,000 8,143,000,000 8,208,000,000 7,980,000,000 7,090,000,000 6,220,000,000 5,842,000,000 6,024,000,000 5,020,000,000 5,020,000,000 4,961,000,000 4,959,000,000 4,838,000,000 4,761,000,000 5,049,000,000 5,258,000,000 5,114,000,000 4,976,000,000 4,922,000,000 4,781,000,000 4,764,000,000 4,475,000,000 4,676,000,000 4,778,000,000 4,432,000,000 3,893,000,000 4,070,000,000 4,157,000,000 4,090,000,000 3,779,000,000 3,958,000,000 3,994,000,000 4,108,000,000 3,754,000,000 3,868,428,000 3,953,185,000 3,940,058,000 3,469,306,000 3,726,911,000 3,829,723,000 3,707,033,000 3,222,574,000 3,365,481,000 3,411,197,000 3,238,499,000 3,205,579,000 
        trade accounts payable and accrued expenses
      		6,531,000,000 5,717,000,000 5,519,000,000 5,587,000,000 5,380,000,000 5,259,000,000 5,915,000,000 6,527,000,000 6,504,000,000 6,569,000,000 7,600,000,000 8,118,000,000 7,431,000,000 5,238,000,000 6,766,000,000 5,787,000,000 5,859,000,000 4,509,000,000 4,957,000,000 4,898,000,000 4,777,000,000 4,013,000,000 4,472,000,000 6,175,000,000 5,399,000,000 3,640,000,000 3,832,000,000 3,719,000,000 5,413,000,000 6,952,000,000 6,266,000,000 4,888,000,000 4,693,000,000 4,675,000,000 2,933,000,000 3,873,000,000 4,074,000,000 2,212,000,000 2,216,000,000 3,292,000,000 3,554,000,000 2,185,000,000 2,068,000,000 2,559,000,000 2,752,000,000 1,821,000,000 2,010,000,000 2,174,000,000 2,321,000,000 2,042,000,000 1,962,000,000 2,081,000,000 2,123,000,000 1,783,000,000 2,332,638,000 1,944,897,000 1,916,602,000 1,624,832,000 2,041,101,000 1,666,386,000 1,658,985,000 1,307,710,000 1,532,810,000 1,351,689,000 1,384,290,000 1,077,027,000 
        book overdraft
      		297,000,000 306,000,000 308,000,000 298,000,000 370,000,000 403,000,000 356,000,000 355,000,000 333,000,000 353,000,000 246,000,000 457,000,000 406,000,000 298,000,000 237,000,000 391,000,000 317,000,000 326,000,000 240,000,000 236,000,000 343,000,000 320,000,000 214,000,000 310,000,000 169,000,000 273,000,000 204,000,000 154,000,000 199,000,000 74,000,000 124,000,000 171,000,000 117,000,000 178,000,000 183,000,000 192,000,000 257,000,000 301,000,000 296,000,000 309,000,000 288,000,000 334,000,000 267,000,000 294,000,000 267,000,000 403,000,000 273,000,000 246,000,000 290,000,000 324,000,000 277,000,000 260,000,000 294,000,000 306,000,000 298,587,000 217,287,000 252,073,000 409,385,000 241,229,000 239,916,000 236,038,000 374,464,000 199,384,000 153,853,000 258,062,000 224,542,000 
        unearned revenues
      		269,000,000 356,000,000 265,000,000 274,000,000 265,000,000 260,000,000 195,000,000 313,000,000 301,000,000 266,000,000 7,536,000,000 7,378,000,000 7,220,000,000 286,000,000 6,012,000,000 264,000,000 288,000,000 254,000,000 277,000,000 323,000,000 325,000,000 318,000,000 287,000,000 266,000,000 274,000,000 274,000,000 312,000,000 312,000,000 294,000,000 3,630,000,000 3,706,000,000 3,447,000,000 3,356,000,000 3,420,000,000 3,351,000,000 311,000,000 360,000,000 364,000,000 297,000,000 291,000,000 378,000,000 361,000,000 246,000,000 249,000,000 263,000,000 206,000,000 198,000,000 193,000,000 243,000,000 230,000,000 172,000,000 2,341,000,000 2,298,000,000 213,000,000 2,005,366,000 204,859,000 219,004,000 185,410,000 213,778,000 209,346,000 235,584,000 228,817,000 219,789,000 244,855,000 241,462,000 238,098,000 
        short-term debt
      		1,719,000,000    577,000,000 577,000,000 1,136,000,000 1,149,000,000 822,000,000 1,443,000,000 2,245,000,000 2,022,000,000 1,867,000,000 2,092,000,000 2,799,000,000 1,541,000,000 1,690,000,000 1,953,000,000 795,000,000 1,109,000,000 1,204,000,000 600,000,000 1,724,000,000 1,724,000,000 1,898,000,000 699,000,000 1,349,000,000 1,718,000,000 398,000,000 398,000,000 398,000,000 953,000,000 701,000,000                                  
        total current liabilities
      		21,507,000,000 16,346,000,000 16,180,000,000 17,219,000,000 18,043,000,000 16,939,000,000 18,727,000,000 19,790,000,000 19,689,000,000 18,872,000,000 27,823,000,000 28,279,000,000 26,942,000,000 17,178,000,000 25,051,000,000 17,839,000,000 17,532,000,000 15,331,000,000 15,027,000,000 15,051,000,000 15,300,000,000 13,394,000,000 14,905,000,000 16,455,000,000 14,830,000,000 11,106,000,000 11,539,000,000 11,927,000,000 11,324,000,000 18,768,000,000 15,455,000,000 14,418,000,000 13,705,000,000 13,504,000,000 11,816,000,000 9,934,000,000 10,105,000,000 8,152,000,000 7,742,000,000 8,973,000,000 9,177,000,000 7,355,000,000 7,769,000,000 7,880,000,000 7,714,000,000 6,323,000,000 6,551,000,000 6,770,000,000 6,944,000,000 6,375,000,000 6,369,000,000 8,676,000,000 8,823,000,000 6,056,000,000 8,516,501,000 6,355,764,000 6,364,734,000 5,744,626,000 6,261,125,000 5,996,989,000 5,905,861,000 5,259,992,000 5,507,238,000 5,466,602,000 5,489,729,000 5,183,945,000 
        long-term debt
      		12,274,000,000 12,369,000,000 12,607,000,000 12,586,000,000 12,729,000,000 11,144,000,000 11,886,000,000 11,746,000,000 12,390,000,000 10,213,000,000 9,483,000,000 9,722,000,000 9,743,000,000 9,034,000,000 7,798,000,000 11,290,000,000 11,285,000,000 10,541,000,000 11,466,000,000 6,063,000,000 6,062,000,000 6,060,000,000 6,059,000,000 6,058,000,000 6,057,000,000 5,365,000,000 4,377,000,000 4,376,000,000 4,774,000,000 4,773,000,000 4,772,000,000 3,977,000,000 4,279,000,000 4,780,000,000 3,792,000,000 3,793,000,000 3,793,000,000 3,821,000,000 3,822,000,000 3,823,000,000 3,824,000,000 3,825,000,000 3,826,000,000 2,595,000,000 2,598,000,000 2,600,000,000 2,603,000,000 2,606,000,000 2,608,000,000 2,611,000,000 1,616,000,000 1,618,000,000 1,621,000,000 1,659,000,000 1,661,552,000 1,664,015,000 1,666,447,000 1,668,849,000 1,671,222,000 1,673,565,000 1,675,880,000 1,678,166,000 1,680,424,000 1,682,654,000 1,934,856,000 1,937,032,000 
        other long-term liabilities
      		2,853,000,000 2,457,000,000 2,350,000,000 2,257,000,000 2,339,000,000 1,951,000,000 1,770,000,000 1,829,000,000 1,826,000,000 1,662,000,000 1,595,000,000 1,563,000,000 1,457,000,000 1,473,000,000 1,599,000,000 1,907,000,000 2,149,000,000 2,383,000,000 2,545,000,000 2,113,000,000 1,863,000,000 1,787,000,000 1,543,000,000 1,323,000,000 1,186,000,000 897,000,000 911,000,000 992,000,000 603,000,000 321,000,000 303,000,000 457,000,000 417,000,000 367,000,000 279,000,000 347,000,000 278,000,000 235,000,000 225,000,000 357,000,000 281,000,000 291,000,000 312,000,000 360,000,000 330,000,000 289,000,000 316,000,000 327,000,000 334,000,000 288,000,000 270,000,000 321,000,000 332,000,000 267,000,000 283,121,000 427,741,000 371,837,000 272,867,000 239,868,000 313,843,000 328,979,000 246,286,000 294,018,000 322,538,000 372,022,000 298,835,000 
        total liabilities
      		36,634,000,000 31,172,000,000 31,137,000,000 32,062,000,000 33,111,000,000 30,034,000,000 32,383,000,000 33,365,000,000 33,905,000,000 30,747,000,000 38,901,000,000 39,564,000,000 38,142,000,000 27,685,000,000 34,448,000,000 31,310,000,000 30,966,000,000 28,255,000,000 29,038,000,000 23,227,000,000 23,225,000,000 21,241,000,000 22,709,000,000 24,039,000,000 22,278,000,000 17,579,000,000 17,041,000,000 17,508,000,000 16,897,000,000 24,059,000,000 23,372,000,000 21,745,000,000 21,300,000,000 21,478,000,000 18,181,000,000 16,362,000,000 16,409,000,000 14,359,000,000 13,943,000,000 15,301,000,000 15,580,000,000 13,820,000,000 14,206,000,000 13,121,000,000 12,841,000,000 11,419,000,000 11,297,000,000 11,513,000,000 11,810,000,000 11,132,000,000 10,106,000,000 12,400,000,000 12,466,000,000 9,645,000,000 12,041,759,000 10,008,188,000 9,933,082,000 9,179,197,000 9,451,383,000 9,211,745,000 9,123,899,000 8,377,491,000 8,653,584,000 8,626,111,000 8,936,297,000 8,584,570,000 
        commitments and contingencies
      		                                                                  
        stockholders’ equity:
      		                                                                  
        preferred stock, 1 par; 10,000,000 shares authorized; none issued
      		                                                                  
        common stock
      		33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 32,000,000 32,000,000 32,000,000 32,000,000 32,000,000 32,000,000 32,000,000 32,000,000 32,133,000 32,123,000 31,935,000 31,707,000 31,685,000 31,674,000 31,664,000 31,634,000 31,517,000 31,478,000 31,472,000 31,309,000 
        capital in excess of par value
      		3,641,000,000 3,600,000,000 3,639,000,000 3,557,000,000 3,497,000,000 3,463,000,000 3,471,000,000 3,420,000,000 3,369,000,000 3,346,000,000 3,362,000,000 3,313,000,000 3,262,000,000 3,246,000,000 3,234,000,000 3,153,000,000 3,103,000,000 3,082,000,000 3,064,000,000 3,018,000,000 2,712,000,000 2,705,000,000 2,940,000,000 2,898,000,000 2,857,000,000 2,608,000,000 2,763,000,000 2,722,000,000 2,707,000,000 2,672,000,000 2,626,000,000 2,641,000,000 2,306,000,000 2,246,000,000 2,527,000,000 2,502,000,000 2,498,000,000 2,530,000,000 2,515,000,000 2,495,000,000 2,465,000,000 2,330,000,000 2,400,000,000 2,376,000,000 2,333,000,000 2,267,000,000 2,242,000,000 2,190,000,000 2,140,000,000 2,101,000,000 2,079,000,000 2,063,000,000 2,043,000,000 1,938,000,000 1,913,665,000 1,897,852,000 1,825,405,000 1,737,207,000 1,720,651,000 1,704,035,000 1,688,768,000 1,658,521,000 1,625,525,000 1,604,979,000 1,587,168,000 1,574,245,000 
        retained earnings
      		30,153,000,000 29,075,000,000 29,980,000,000 29,891,000,000 29,453,000,000 28,317,000,000 29,118,000,000 28,745,000,000 28,173,000,000 27,540,000,000 28,191,000,000 27,468,000,000 26,619,000,000 25,492,000,000 25,606,000,000 24,511,000,000 23,915,000,000 23,086,000,000 23,191,000,000 21,751,000,000 21,252,000,000 20,517,000,000 20,872,000,000 19,616,000,000 17,871,000,000 17,045,000,000 16,429,000,000 15,563,000,000 14,786,000,000 14,211,000,000 14,086,000,000 13,542,000,000 13,101,000,000 12,509,000,000 11,899,000,000 11,492,000,000 11,205,000,000 11,017,000,000 10,960,000,000 10,689,000,000 10,302,000,000 9,916,000,000 9,813,000,000 9,567,000,000 9,266,000,000 8,942,000,000 9,014,000,000 8,688,000,000 8,311,000,000 7,881,000,000 7,731,000,000 7,346,000,000 7,032,000,000 6,825,000,000 6,667,005,000 6,262,943,000 5,844,177,000 5,529,001,000 5,421,676,000 5,028,455,000 4,688,379,000 4,429,611,000 4,178,952,000 3,877,433,000 3,595,653,000 3,389,936,000 
        accumulated other comprehensive loss
      		-731,000,000 -633,000,000 -666,000,000 -783,000,000 -868,000,000 -1,067,000,000 -653,000,000 -1,122,000,000 -1,086,000,000 -999,000,000 -1,503,000,000 -1,226,000,000 -1,113,000,000               -10,000,000     -5,000,000 -58,000,000                              -86,556,000 -174,924,000  
        treasury stock
      		-14,516,000,000 -14,418,000,000 -14,464,000,000 -14,464,000,000 -14,364,000,000 -14,371,000,000 -14,404,000,000 -14,405,000,000 -14,359,000,000 -13,658,000,000 -13,134,000,000 -12,754,000,000 -12,224,000,000 -12,156,000,000 -11,152,000,000 -11,156,000,000 -11,160,000,000 -10,163,000,000 -10,173,000,000 -10,175,000,000 -9,915,000,000 -9,918,000,000 -8,447,000,000 -8,448,000,000 -8,454,000,000 -8,262,000,000 -7,465,000,000 -7,467,000,000 -6,727,000,000 -6,529,000,000 -6,510,000,000 -5,017,000,000 -4,482,000,000 -4,496,000,000 -3,286,000,000 -3,287,000,000 -3,287,000,000 -3,292,000,000 -3,292,000,000 -3,287,000,000 -2,983,000,000 -2,856,000,000 -2,354,000,000 -2,236,000,000 -2,133,000,000 -2,084,000,000 -1,878,000,000 -1,784,000,000 -1,647,000,000 -1,553,000,000 -1,548,000,000 -1,313,000,000 -1,186,000,000 -1,035,000,000 -1,034,677,000 -795,231,000 -583,347,000 -494,443,000 -494,068,000 -443,767,000 -393,568,000 -385,898,000 -371,327,000 -369,056,000 -369,056,000 -363,057,000 
        total stockholders' equity
      		18,580,000,000 17,657,000,000 18,522,000,000 18,234,000,000 17,751,000,000 16,375,000,000 17,565,000,000 16,671,000,000 16,130,000,000 16,262,000,000 16,949,000,000 16,834,000,000 16,577,000,000 15,311,000,000                                                     
        noncontrolling interests
      		66,000,000 80,000,000 60,000,000 61,000,000 68,000,000 70,000,000 59,000,000 57,000,000 56,000,000 56,000,000 55,000,000 57,000,000 57,000,000 59,000,000 63,000,000 20,000,000 23,000,000 23,000,000 22,000,000                                                
        total equity
      		18,646,000,000 17,737,000,000 18,582,000,000 18,295,000,000 17,819,000,000 16,445,000,000 17,624,000,000 16,728,000,000 16,186,000,000 16,318,000,000 17,004,000,000 16,891,000,000 16,634,000,000 15,370,000,000                                                     
        total liabilities and equity
      		55,280,000,000 48,909,000,000 49,719,000,000 50,357,000,000 50,930,000,000 46,479,000,000 50,007,000,000 50,093,000,000 50,091,000,000 47,065,000,000 55,905,000,000 56,455,000,000 54,776,000,000 43,055,000,000                                                     
        liabilities and stockholders' equity
      		                                                                  
        stockholders' equity:
      		                                                                  
        accumulated other comprehensive income
      		             -1,304,000,000 -1,467,000,000 -1,051,000,000 -572,000,000 42,000,000 145,000,000 216,000,000 108,000,000 391,000,000 370,000,000 317,000,000 48,000,000 177,000,000 112,000,000  -206,000,000 -176,000,000 -154,000,000 12,000,000   112,000,000 134,000,000 76,000,000 58,000,000 137,000,000 153,000,000 227,000,000 223,000,000 233,000,000 260,000,000 226,000,000 158,000,000 196,000,000 209,000,000 328,000,000 386,000,000 397,000,000 327,000,000 313,000,000 303,000,000 279,844,000 189,030,000 108,808,000 120,584,000 259,025,000 158,428,000 69,994,000 42,135,000 83,536,000   -175,243,000 
        total stockholders’ equity
      		              16,317,000,000 15,510,000,000 15,342,000,000 16,103,000,000 16,282,000,000 14,843,000,000 14,190,000,000 13,728,000,000 15,768,000,000 14,416,000,000 12,355,000,000 11,601,000,000 11,872,000,000 10,841,000,000 10,593,000,000 10,211,000,000 10,081,000,000 11,211,000,000 10,953,000,000 10,234,000,000 11,285,000,000 10,874,000,000 10,525,000,000 10,346,000,000 10,353,000,000 10,083,000,000 10,044,000,000 9,646,000,000 10,125,000,000 10,000,000,000 9,725,000,000 9,316,000,000 9,606,000,000 9,335,000,000 9,164,000,000 8,847,000,000 8,691,000,000 8,455,000,000 8,234,000,000 8,063,000,000 7,857,970,000 7,586,717,000 7,226,978,000 6,924,056,000 6,938,969,000 6,478,825,000 6,085,237,000 5,776,003,000 5,548,203,000 5,058,278,000 4,670,313,000 4,457,190,000 
        total liabilities and stockholders’ equity
      		              50,765,000,000 46,820,000,000 46,308,000,000 44,358,000,000 45,320,000,000 38,070,000,000 37,415,000,000 34,969,000,000 38,477,000,000 38,455,000,000 34,633,000,000 29,180,000,000 28,913,000,000 28,349,000,000 27,490,000,000 34,270,000,000 33,453,000,000 32,956,000,000 32,253,000,000 31,712,000,000 29,466,000,000 27,236,000,000 26,934,000,000 24,705,000,000 24,296,000,000 25,384,000,000 25,624,000,000 23,466,000,000 24,331,000,000 23,121,000,000 22,566,000,000 20,735,000,000 20,903,000,000 20,848,000,000 20,974,000,000 19,979,000,000 18,797,000,000 20,855,000,000 20,700,000,000 17,708,000,000 19,899,729,000 17,594,905,000 17,160,060,000 16,103,253,000 16,390,352,000 15,690,570,000 15,209,136,000 14,153,494,000 14,201,787,000 13,684,389,000 13,606,610,000 13,041,760,000 
        current assets held-for-sale
      		               265,000,000                                                   
        long-term assets held-for-sale
      		               3,327,000,000                                                   
        current liabilities held-for-sale
      		               206,000,000                                                   
        long-term liabilities held-for-sale
      		               274,000,000                                                   
        receivables, less allowance for doubtful accounts of 69 in 2022 and 83 in 2021
      		                3,174,000,000                                                  
        receivables, less allowance for doubtful accounts of 83 in 2021 and 72 in 2020
      		                 1,814,000,000                                                 
        receivables, less allowance for doubtful accounts of 82 in 2021 and 72 in 2020
      		                  1,879,000,000                                                
        receivables, less allowance for doubtful accounts of 78 in 2021 and 72 in 2020
      		                   2,438,000,000                                               
        receivables, less allowance for doubtful accounts of 71 in 2021 and 72 in 2020
      		                    2,196,000,000                                              
        receivables, less allowance for doubtful accounts of 72 in 2020 and 69 in 2019
      		                     1,138,000,000                                             
        receivables, less allowance for doubtful accounts of 78 in 2020 and 69 in 2019
      		                      1,135,000,000                                            
        future policy benefits payable
      		                      202,000,000 203,000,000 205,000,000 211,000,000 214,000,000 213,000,000 196,000,000 197,000,000 2,842,000,000 2,893,000,000 2,899,000,000 2,827,000,000 2,294,000,000 2,288,000,000 2,233,000,000 2,151,000,000 2,154,000,000 2,148,000,000 2,298,000,000 2,349,000,000 2,299,000,000 2,286,000,000 2,199,000,000 2,207,000,000 1,827,000,000 1,810,000,000 1,924,000,000 1,858,000,000 1,851,000,000 1,785,000,000 1,690,000,000 1,663,000,000 1,580,585,000 1,560,668,000 1,530,064,000 1,492,855,000 1,279,168,000 1,227,348,000 1,213,179,000 1,193,047,000 1,171,904,000 1,154,317,000 1,139,690,000 1,164,758,000 
        receivables, less allowance for doubtful accounts of 88 in 2020 and 69 in 2019
      		                       2,238,000,000                                           
        receivables, less allowance for doubtful accounts of 73 in 2020 and 69 in 2019
      		                        2,009,000,000                                          
        receivables, less allowance for doubtful accounts of 73 in 2019 and 79 in 2018
      		                         848,000,000 904,000,000                                        
        equity method investment in kindred at home
      		                         1,061,000,000 1,056,000,000 1,048,000,000 1,048,000,000                                      
        receivables, less allowance for doubtful accounts of 78 in 2019 and 79 in 2018
      		                           1,955,000,000                                       
        receivables, less allowance for doubtful accounts of 92 in 2018 and 96 in 2017
      		                            1,062,000,000                                      
        receivables, less allowance for doubtful accounts of 80 in 2018 and 96 in 2017
      		                             1,471,000,000                                     
        assets held-for-sale
      		                             3,467,000,000           952,000,000                          
        liabilities held-for-sale
      		                             2,694,000,000           193,000,000                          
        receivables, less allowance for doubtful accounts of 87 in 2018 and 96 in 2017
      		                              1,276,000,000                                    
        receivables, less allowance for doubtful accounts of 89 in 2017 and 118 in 2016
      		                               922,000,000                                   
        receivables, less allowance for doubtful accounts of 92 in 2017 and 118 in 2016
      		                                2,430,000,000                                  
        receivables, less allowance for doubtful accounts of 113 in 2017 and 118 in 2016:
      		                                 1,838,000,000                                 
        short-term borrowings
      		                                 470,000,000 300,000,000 300,000,000 300,000,000 299,000,000 11,000,000 300,000,000                           
        receivables, less allowance for doubtful accounts of 111 in 2016 and 101 in 2015:
      		                                  765,000,000                                
        receivables, less allowance for doubtful accounts of 119 in 2016 and 101 in 2015:
      		                                   2,553,000,000                               
        receivables, less allowance for doubtful accounts of 115 in 2016 and 101 in 2015:
      		                                    1,737,000,000                              
        receivables, less allowance for doubtful accounts of 101 in 2015 and 98 in 2014
      		                                     1,161,000,000                             
        receivables, less allowance for doubtful accounts of 104 in 2015 and 98 in 2014:
      		                                      986,000,000 2,129,000,000                           
        receivables, less allowance for doubtful accounts of 111 in 2015 and 97 in 2014:
      		                                        1,690,000,000                          
        receivables, less allowance for doubtful accounts of 137 in 2014 and 118 in 2013
      		                                         1,168,000,000                         
        receivables, less allowance for doubtful accounts of 135 in 2014 and 118 in 2013:
      		                                          1,004,000,000                        
        current portion of long-term debt
      		                                          512,000,000                        
        receivables, less allowance for doubtful accounts of 121 in 2014 and 118 in 2013:
      		                                           2,074,000,000                       
        receivables, less allowance for doubtful accounts of 118 in each of 2014 and 2013:
      		                                            1,460,000,000                      
        receivables, less allowance for doubtful accounts of 118 in 2013 and 94 in 2012:
      		                                             950,000,000                     
        receivables, less allowance for doubtful accounts of 109 in 2013 and 94 in 2012
      		                                              824,000,000 1,593,000,000                   
        receivables, less allowance for doubtful accounts of 105 in 2013 and 94 in 2012
      		                                                1,321,000,000                  
        receivables, less allowance for doubtful accounts of 94 in 2012 and 85 in 2011:
      		                                                 733,000,000 642,000,000                
        receivables, less allowance for doubtful accounts of 89 in 2012 and 85 in 2011:
      		                                                   898,000,000 1,330,000,000              
        receivables, less allowance for doubtful accounts of 85 in 2011 and 52 in 2010:
      		                                                     1,034,000,000             
        receivables, less allowance for doubtful accounts of 85,015 in 2011 and 51,470 in 2010:
      		                                                      1,036,317,000            
        securities lending invested collateral
      		                                                      5,486,000 29,737,000 31,139,000 49,636,000 31,921,000 45,234,000 62,013,000 119,586,000 176,692,000 270,120,000 331,393,000 402,399,000 
        securities lending payable
      		                                                      11,482,000 35,536,000 36,997,000 55,693,000 38,106,000 51,618,000 68,221,000 126,427,000 189,774,000 305,008,000 367,416,000 438,699,000 
        receivables, less allowance for doubtful accounts of 80,195 in 2011 and 51,470 in 2010:
      		                                                       1,546,392,000           
        receivables, less allowance for doubtful accounts of 75,337 in 2011 and 51,470 in 2010:
      		                                                        1,219,347,000          
        receivables, less allowance for doubtful accounts of 51,470 in 2010 and 50,832 in 2009:
      		                                                         959,018,000         
        receivables, less allowance for doubtful accounts of 54,177 in 2010 and 50,832 in 2009:
      		                                                                  
        premiums
      		                                                          794,197,000 1,310,269,000 1,091,372,000 811,800,000 765,039,000 1,265,986,000 1,025,793,000 777,672,000 
        administrative services fees
      		                                                          13,831,000 14,833,000 13,226,000 11,820,000 11,489,000 10,928,000 12,080,000 12,010,000 
        receivables, less allowance for doubtful accounts of 51,161 in 2010 and 50,832 in 2009:
      		                                                                  
        receivables, less allowance for doubtful accounts of 54,758 in 2010 and 50,832 in 2009:
      		                                                                  
        receivables, less allowance for doubtful accounts of 50,832 in 2009 and 49,160 in 2008:
      		                                                                  
        other assets:
      		                                                                  
        total other assets
      		                                                             4,221,536,000 4,281,949,000 4,220,611,000 4,022,478,000 3,934,226,000 
        receivables, less allowance for doubtful accounts of 48,071 in 2009 and 49,160 in 2008:
      		                                                                  
        receivables, less allowance for doubtful accounts of 52,123 in 2009 and 49,160 in 2008:
      		                                                                  
        receivables, less allowance for doubtful accounts of 47,427 in 2009 and 49,160 in 2008:
      		                                                                  
        receivables, less allowance for doubtful accounts of 49,160 in 2008 and 68,260 in 2007:
      		                                                                  
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-09-30 2019-06-30 2019-03-31 2018-09-30 2018-06-30 2018-03-31 2017-09-30 2017-06-30 2017-03-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 
                                                                         
          cash flows from operating activities
        		                                                                 
          net income
        		1,184,000,000 -776,000,000 194,000,000 543,000,000 1,242,000,000 -683,000,000 480,000,000 678,000,000 739,000,000 -540,000,000 830,000,000 956,000,000 1,238,000,000 -18,000,000 1,193,000,000 697,000,000 930,000,000 -13,000,000 1,531,000,000 588,000,000 828,000,000 -274,000,000 1,340,000,000 1,828,000,000 473,000,000 689,000,000 940,000,000 566,000,000 644,000,000 193,000,000 491,000,000 499,000,000 650,000,000 1,115,000,000 450,000,000 331,000,000 234,000,000 101,000,000 314,000,000 431,000,000 430,000,000 145,000,000 290,000,000 344,000,000 368,000,000 -30,000,000 368,000,000 420,000,000 473,000,000 192,000,000 426,000,000 356,000,000 248,000,000 198,777,000 444,760,000 460,287,000 315,176,000 107,325,000 393,221,000 340,076,000 258,768,000 250,659,000 301,519,000 281,780,000 205,717,000 
          adjustments to reconcile net income to net cash from operating activities:
        		                                                                 
          losses on investment securities
        		1,000,000               61,000,000 76,000,000                                                 
          equity in net losses
        		16,000,000 14,000,000 26,000,000 19,000,000 43,000,000 37,000,000 16,000,000 17,000,000 24,000,000 24,000,000 12,000,000 10,000,000 17,000,000   -2,000,000 4,000,000                                                 
          stock-based compensation
        		51,000,000 48,000,000 83,000,000 61,000,000 49,000,000 54,000,000 53,000,000 55,000,000 45,000,000 33,000,000 53,000,000 51,000,000 38,000,000 43,000,000 80,000,000 50,000,000 43,000,000  48,000,000 45,000,000 39,000,000  47,000,000 46,000,000 36,000,000 43,000,000 43,000,000 33,000,000 36,000,000 34,000,000 35,000,000 33,000,000 57,000,000 26,000,000 28,000,000 25,000,000 23,000,000 17,000,000 23,000,000 25,000,000 44,000,000 22,000,000 21,000,000 22,000,000 33,000,000 19,000,000 22,000,000 19,000,000 32,000,000 14,000,000 14,000,000 14,000,000 40,000,000 14,222,000 11,800,000 11,203,000 29,775,000 10,843,000 12,477,000 12,288,000 27,339,000 17,052,000 15,796,000 17,346,000 15,676,000 
          depreciation
        		183,000,000 186,000,000 191,000,000 196,000,000 200,000,000 226,000,000 228,000,000 228,000,000 226,000,000 222,000,000 218,000,000 210,000,000 200,000,000 194,000,000 186,000,000 188,000,000 181,000,000 172,000,000 160,000,000 155,000,000 153,000,000 138,000,000 138,000,000 128,000,000 124,000,000 142,000,000 122,000,000 118,000,000 112,000,000 109,000,000 109,000,000 102,000,000 101,000,000 100,000,000 99,000,000 96,000,000 94,000,000 91,000,000 85,000,000 90,000,000 88,000,000                         
          amortization
        		11,000,000 8,000,000 13,000,000 15,000,000 15,000,000 14,000,000 15,000,000 15,000,000 16,000,000 16,000,000 17,000,000 16,000,000 18,000,000 23,000,000 28,000,000 21,000,000 24,000,000 22,000,000 21,000,000 15,000,000 15,000,000 22,000,000 23,000,000 22,000,000 21,000,000 17,000,000 18,000,000 18,000,000                                      
          impairment of property and equipment
        		2,000,000 14,000,000 0 5,000,000 9,000,000 108,000,000 42,000,000 54,000,000 33,000,000 175,000,000                                                        
          changes in operating assets and liabilities, net of effect of businesses acquired:
        		                                                                 
          receivables
        		-1,914,000,000 -586,000,000 1,816,000,000 -45,000,000 -1,755,000,000 -560,000,000 1,946,000,000 -165,000,000 -1,890,000,000 -211,000,000 -395,000,000 1,702,000,000 -1,433,000,000 -65,000,000 1,744,000,000 -373,000,000 -1,360,000,000 14,000,000 991,000,000 -236,000,000 -1,049,000,000 -3,000,000 1,103,000,000 -232,000,000 -953,000,000 56,000,000 1,063,000,000 -940,000,000 408,000,000 -197,000,000 -422,000,000 1,508,000,000 -592,000,000 -558,000,000 1,788,000,000 -816,000,000 -576,000,000 -236,000,000 1,143,000,000 -443,000,000 -644,000,000 -196,000,000 1,069,000,000 -613,000,000 -524,000,000 -162,000,000 771,000,000 -272,000,000 -588,000,000 -110,000,000 259,000,000 432,000,000 -255,000,000 -28,701,000 510,075,000 -327,045,000 -260,329,000 -61,127,000 517,074,000 -220,504,000 -280,978,000 -66,213,000 500,386,000 -239,041,000 -255,098,000 
          other assets
        		-1,390,000,000 -799,000,000 -716,000,000 28,000,000 -686,000,000 745,000,000 -334,000,000 495,000,000 97,000,000 -383,000,000 206,000,000 -234,000,000 -907,000,000 2,000,000 190,000,000 -27,000,000 -628,000,000 -15,000,000 403,000,000 216,000,000 -1,095,000,000 966,000,000 577,000,000 -654,000,000 -1,470,000,000 882,000,000 -446,000,000 -102,000,000 719,000,000 -494,000,000 -1,164,000,000 176,000,000 -130,000,000 -415,000,000 259,000,000 7,000,000 -685,000,000 208,000,000 357,000,000 -292,000,000 -1,145,000,000 8,000,000 -46,000,000 -348,000,000 -566,000,000 -165,000,000 -57,000,000 22,000,000 -130,000,000 -17,000,000 14,000,000 -112,000,000 -138,000,000 22,092,000 -30,292,000 -63,880,000 -110,920,000 -38,595,000 46,045,000 102,860,000 -29,177,000 100,755,000 30,545,000 43,080,000 -61,907,000 
          benefits payable
        		2,724,000,000 -121,000,000 -971,000,000 -391,000,000 1,011,000,000 -685,000,000 -321,000,000 -283,000,000 1,488,000,000 45,000,000 -108,000,000 224,000,000 754,000,000 27,000,000 -413,000,000 272,000,000 1,089,000,000 -469,000,000 273,000,000 -166,000,000 466,000,000 -65,000,000 228,000,000 890,000,000 1,086,000,000 378,000,000 -182,000,000 1,162,000,000 0 117,000,000 293,000,000 121,000,000 77,000,000 198,000,000 -209,000,000 144,000,000 138,000,000 54,000,000 141,000,000 17,000,000 289,000,000 -201,000,000 -102,000,000 346,000,000 539,000,000 -178,000,000 -91,000,000 67,000,000 311,000,000 -172,000,000 -39,000,000 -114,000,000 284,000,000 -143,122,000 -84,757,000 13,127,000 470,752,000 -257,605,000 -102,812,000 122,690,000 484,459,000 -142,907,000 -45,716,000 172,698,000 32,920,000 
          other liabilities
        		452,000,000 5,000,000 307,000,000 817,000,000 193,000,000 125,000,000 -171,000,000 95,000,000 -422,000,000 802,000,000 209,000,000 68,000,000 -238,000,000 239,000,000 138,000,000 -230,000,000 -103,000,000 -31,000,000 508,000,000 -150,000,000 -151,000,000 -658,000,000 -1,010,000,000 1,064,000,000 1,203,000,000 284,000,000 -132,000,000 16,000,000 -132,000,000 -205,000,000 885,000,000 324,000,000 -225,000,000 542,000,000 -1,071,000,000 -12,000,000 1,210,000,000 11,000,000 -1,063,000,000 -128,000,000 1,051,000,000 175,000,000 -403,000,000 -43,000,000 684,000,000 289,000,000 -28,000,000 -138,000,000 190,000,000 179,000,000 70,000,000 -1,000,000 52,000,000 -197,892,000 189,823,000 -2,107,000 204,176,000 201,123,000 301,608,000 -26,905,000 246,068,000 24,363,000 87,766,000 -120,822,000 22,375,000 
          unearned revenues
        		-87,000,000 91,000,000 -9,000,000 9,000,000 5,000,000 65,000,000 -118,000,000 12,000,000 35,000,000 -7,270,000,000 158,000,000 158,000,000 6,934,000,000 -5,726,000,000 5,748,000,000 -24,000,000 34,000,000 19,000,000 -89,000,000 -2,000,000 7,000,000 31,000,000 21,000,000 -8,000,000 27,000,000 -38,000,000 0 29,000,000 -3,336,000,000 -76,000,000 3,328,000,000 91,000,000 -64,000,000 3,140,000,000 3,040,000,000 -49,000,000 -4,000,000 67,000,000 6,000,000 -87,000,000 17,000,000 115,000,000 -2,000,000 -15,000,000 57,000,000 8,000,000 5,000,000 -50,000,000 13,000,000 52,000,000 -2,172,000,000 43,000,000 2,034,000,000 -1,793,931,000 1,800,482,000 -14,145,000 33,594,000 -31,160,000 4,398,000 -26,238,000 6,767,000 9,028,000 -25,066,000 3,393,000 3,364,000 
          other
        		21,000,000    7,000,000 32,000,000 32,000,000 11,000,000 33,000,000 60,000,000 17,000,000 30,000,000 6,000,000 40,000,000 -1,000,000 19,000,000 12,000,000 26,000,000 29,000,000 4,000,000 -19,000,000 24,000,000 28,000,000 10,000,000 -13,000,000 8,000,000 27,000,000 18,000,000 27,000,000 23,000,000 47,000,000 47,000,000 31,000,000 36,000,000 49,000,000 36,000,000 32,000,000 18,000,000 14,000,000 20,000,000 18,000,000 14,000,000 12,000,000   49,000,000 16,000,000 14,000,000 14,000,000 28,000,000 19,000,000 16,000,000 16,000,000 16,586,000 14,305,000 15,798,000 14,311,000 13,244,000 11,607,000 11,441,000 8,205,000 2,166,000 4,905,000 5,967,000 5,815,000 
          net cash from operating activities
        		1,254,000,000 -1,652,000,000 971,000,000 1,271,000,000 331,000,000 -528,000,000 1,858,000,000 1,213,000,000 423,000,000 -7,134,000,000 1,252,000,000 3,176,000,000 6,687,000,000 -5,127,000,000 8,453,000,000 959,000,000 302,000,000 -96,000,000 2,835,000,000 360,000,000 -837,000,000 283,000,000 1,815,000,000 3,067,000,000 474,000,000 2,442,000,000 1,434,000,000 896,000,000 -1,055,000,000 -125,000,000 3,686,000,000 2,863,000,000 -106,000,000 4,205,000,000 4,503,000,000 -276,000,000 482,000,000 337,000,000 1,032,000,000 -608,000,000 107,000,000 193,000,000 954,000,000 -200,000,000 671,000,000 -16,000,000 1,147,000,000 173,000,000 412,000,000 205,000,000 -1,334,000,000 706,000,000 2,346,000,000 -1,796,980,000 2,919,315,000 161,213,000 795,452,000 -47,377,000 1,209,209,000 325,311,000 754,651,000 274,091,000 940,111,000 161,860,000 45,520,000 
          capital expenditures
        		-121,000,000 -202,000,000 -135,000,000 -114,000,000 -95,000,000 -154,000,000 -130,000,000 -114,000,000 -177,000,000 -283,000,000 -234,000,000 -264,000,000 -223,000,000 -258,000,000 -288,000,000 -279,000,000 -295,000,000 -371,000,000 -326,000,000 -329,000,000 -290,000,000 -296,000,000 -250,000,000 -226,000,000 -192,000,000 -210,000,000 -157,000,000 -139,000,000 -164,000,000 -138,000,000 -134,000,000 -143,000,000 -111,000,000 -122,000,000 -139,000,000 -131,000,000 -125,000,000 -139,000,000 -125,000,000 -136,000,000 -123,000,000 -167,000,000 -145,000,000 -110,000,000 -106,000,000 -131,000,000 -123,000,000 -97,000,000 -90,000,000 -106,000,000 -119,000,000 -99,000,000 -86,000,000 -130,074,000 -86,745,000 -58,700,000 -70,481,000 -69,870,000 -61,005,000 -52,399,000 -39,028,000 -63,315,000 -39,533,000 -43,555,000 -39,047,000 
          free cash flows
        		1,133,000,000 -1,854,000,000 836,000,000 1,157,000,000 236,000,000 -682,000,000 1,728,000,000 1,099,000,000 246,000,000 -7,417,000,000 1,018,000,000 2,912,000,000 6,464,000,000 -5,385,000,000 8,165,000,000 680,000,000 7,000,000 -467,000,000 2,509,000,000 31,000,000 -1,127,000,000 -13,000,000 1,565,000,000 2,841,000,000 282,000,000 2,232,000,000 1,277,000,000 757,000,000 -1,219,000,000 -263,000,000 3,552,000,000 2,720,000,000 -217,000,000 4,083,000,000 4,364,000,000 -407,000,000 357,000,000 198,000,000 907,000,000 -744,000,000 -16,000,000 26,000,000 809,000,000 -310,000,000 565,000,000 -147,000,000 1,024,000,000 76,000,000 322,000,000 99,000,000 -1,453,000,000 607,000,000 2,260,000,000 -1,927,054,000 2,832,570,000 102,513,000 724,971,000 -117,247,000 1,148,204,000 272,912,000 715,623,000 210,776,000 900,578,000 118,305,000 6,473,000 
          cash flows from investing activities
        		                                                                 
          acquisitions, net of cash acquired
        		-911,000,000                   -202,000,000 -123,000,000 0 0 0 -709,000,000    0 -185,000,000 -169,000,000 -1,000,000 -2,000,000 -7,000,000 -6,000,000   0 0   -15,000,000 0 3,000,000 -6,000,000 -26,000,000 -149,000,000 -7,000,000 -5,000,000 -947,000,000 -212,000,000 -20,000,000 -56,000,000 -212,348,000 -2,700,000 -5,952,000 -5,000,000 -822,330,000 -8,451,000   0 -69,000 0 -12,367,000 
          purchases of property and equipment
        		-121,000,000 -202,000,000 -135,000,000 -114,000,000 -95,000,000 -154,000,000 -130,000,000 -114,000,000 -177,000,000 -283,000,000 -234,000,000 -264,000,000 -223,000,000 -258,000,000 -288,000,000 -279,000,000 -295,000,000 -371,000,000 -326,000,000 -329,000,000 -290,000,000 -296,000,000 -250,000,000 -226,000,000 -192,000,000 -210,000,000 -157,000,000 -139,000,000 -164,000,000 -138,000,000 -134,000,000 -143,000,000 -111,000,000 -122,000,000 -139,000,000 -131,000,000 -125,000,000 -139,000,000 -125,000,000 -136,000,000 -123,000,000 -167,000,000 -145,000,000 -110,000,000 -106,000,000 -131,000,000 -123,000,000 -97,000,000 -90,000,000 -106,000,000 -119,000,000 -99,000,000 -86,000,000 -130,074,000 -86,745,000 -58,700,000 -70,481,000 -69,870,000 -61,005,000 -52,399,000 -39,028,000 -63,315,000 -39,533,000 -43,555,000 -39,047,000 
          purchases of investment securities
        		-2,894,000,000 -1,242,000,000 -3,257,000,000 -1,114,000,000 -827,000,000 -1,782,000,000 -3,441,000,000 -1,703,000,000 -1,259,000,000 -4,186,000,000 -629,000,000 -1,424,000,000 -1,313,000,000 -1,309,000,000 -1,501,000,000 -1,078,000,000 -2,161,000,000 -624,000,000 -1,266,000,000 -1,587,000,000 -3,720,000,000 -1,895,000,000 -1,766,000,000 -3,005,000,000 -2,459,000,000 -995,000,000 -960,000,000 -2,175,000,000 -755,000,000 -913,000,000 -1,711,000,000 -1,129,000,000 -1,332,000,000 -1,876,000,000 -2,005,000,000 -1,098,000,000 -1,430,000,000 -2,394,000,000 -2,624,000,000 -892,000,000 -829,000,000 -934,000,000 -981,000,000 -461,000,000 -507,000,000 -596,000,000 -1,280,000,000 -602,000,000 -783,000,000 -1,055,000,000 -802,000,000 -650,000,000 -714,000,000 -1,010,647,000 -765,270,000 -715,509,000 -1,186,574,000 -1,006,980,000 -823,184,000 -1,233,819,000 -1,525,349,000 -1,906,188,000 -2,451,044,000 -1,435,869,000 -1,403,906,000 
          proceeds from maturities of investment securities
        		923,000,000 764,000,000 531,000,000 728,000,000 889,000,000 768,000,000 859,000,000 710,000,000 645,000,000 407,000,000 308,000,000 310,000,000 267,000,000 151,000,000 267,000,000 359,000,000 588,000,000 494,000,000                                                
          proceeds from sales of investment securities
        		395,000,000 1,444,000,000 3,823,000,000 721,000,000 522,000,000 1,618,000,000 1,259,000,000 108,000,000 391,000,000 2,980,000,000 4,000,000 761,000,000 50,000,000 455,000,000 616,000,000 69,000,000 1,294,000,000 627,000,000 499,000,000 468,000,000 1,953,000,000 650,000,000 13,000,000 669,000,000 1,415,000,000 252,000,000 564,000,000 2,062,000,000 206,000,000 1,016,000,000 1,392,000,000 305,000,000 928,000,000 795,000,000 1,466,000,000 939,000,000 914,000,000 2,045,000,000 1,878,000,000 1,042,000,000 528,000,000 1,238,000,000 164,000,000 889,000,000 118,000,000 485,000,000 253,000,000 662,000,000 192,000,000 510,000,000 365,000,000 287,000,000 242,000,000 633,539,000 193,455,000 278,174,000 153,832,000 713,582,000 207,630,000 546,116,000 545,166,000 1,047,390,000 1,152,495,000 1,029,153,000 722,288,000 
          changes in securities lending collateral receivable
        		55,000,000 -79,000,000 -93,000,000 127,000,000 -175,000,000                                                             
          net cash from investing activities
        		-2,553,000,000 632,000,000 980,000,000 347,000,000 314,000,000 -63,000,000 -1,473,000,000 -1,002,000,000 -414,000,000 -882,000,000 -585,000,000 -733,000,000 -1,292,000,000 -1,012,000,000 1,676,000,000 -1,022,000,000 -648,000,000 -102,000,000 -4,251,000,000 -715,000,000 -1,488,000,000 -55,000,000 -148,000,000 -1,652,000,000 -1,210,000,000 -566,000,000 -56,000,000 145,000,000 -2,353,000,000 118,000,000 -405,000,000 -698,000,000 -152,000,000 -926,000,000 -237,000,000 131,000,000 -428,000,000 -297,000,000 -605,000,000 1,316,000,000 -94,000,000 305,000,000 -772,000,000 575,000,000 -171,000,000 -39,000,000 -995,000,000 244,000,000 -392,000,000 -1,212,000,000 -414,000,000 -149,000,000 -190,000,000 -214,803,000 -284,348,000 -168,122,000 -690,727,000 -945,919,000 -192,929,000 -144,924,000 -527,217,000 -389,063,000 -1,025,121,000 -188,279,000 -256,798,000 
          cash flows from financing activities
        		                                                                 
          receipts (payments) from contract deposits
        		673,000,000                                                                 
          proceeds from issuance of notes
        		990,000,000                                                                 
          repayments of notes
        		-10,000,000                                                                 
          proceeds (repayments) from issuance of commercial paper
        		693,000,000                     274,000,000 0                                           
          debt issue costs
        		 0 0 -2,000,000 -3,000,000 0 0 -2,000,000 -5,000,000 -3,000,000 0 0 -4,000,000 -4,000,000 0 -1,000,000 -1,000,000 -2,000,000 -8,000,000                                               
          change in book overdraft
        		-9,000,000 -2,000,000 10,000,000 -72,000,000 -33,000,000 47,000,000 1,000,000 22,000,000 -20,000,000 107,000,000 -211,000,000 51,000,000 108,000,000 61,000,000 -154,000,000 74,000,000 -9,000,000 86,000,000 4,000,000 -107,000,000 23,000,000 106,000,000 -96,000,000 140,000,000 -55,000,000 69,000,000 50,000,000 -17,000,000 125,000,000 -50,000,000 -17,000,000 54,000,000 -61,000,000 -34,000,000 -9,000,000 -65,000,000 -44,000,000 5,000,000 -13,000,000 21,000,000 -46,000,000 67,000,000 -27,000,000 27,000,000 -136,000,000 130,000,000 27,000,000 -44,000,000 -34,000,000 47,000,000 17,000,000 -34,000,000 -12,000,000 7,798,000 81,300,000 -34,786,000 -157,312,000 168,156,000 1,313,000 3,878,000 -138,426,000 175,080,000 45,531,000 -104,209,000 33,520,000 
          common stock repurchases
        		-107,000,000 -42,000,000 0 -100,000,000 -9,000,000 -49,000,000 -2,000,000 -49,000,000 -717,000,000 -571,000,000 -379,000,000 -529,000,000 -94,000,000 -1,064,000,000 -4,000,000 -4,000,000 -1,024,000,000 -43,000,000 -3,000,000 -3,000,000 -30,000,000 -1,790,000,000 -5,000,000 -8,000,000 -17,000,000 -1,000,000,000 0 -10,000,000 -201,000,000 -42,000,000 -51,000,000 -241,000,000 -4,000,000 -1,574,000,000 -2,000,000 -2,000,000 -71,000,000 -5,000,000 -9,000,000 -305,000,000 -66,000,000 -602,000,000 -118,000,000 -103,000,000 -49,000,000 -206,000,000 -94,000,000 -137,000,000 -94,000,000 -5,000,000 -235,000,000 -127,000,000 -151,000,000 -766,000 -239,446,000 -211,884,000 -88,904,000 -375,000 -50,301,000 -50,199,000 -7,670,000 -14,571,000 -2,271,000 0 -5,999,000 
          dividends paid
        		-107,000,000 -109,000,000 -107,000,000 -106,000,000 -108,000,000 -108,000,000 -107,000,000 -107,000,000 -109,000,000 -111,000,000 -109,000,000 -111,000,000 -100,000,000 -101,000,000 -100,000,000 -100,000,000 -91,000,000 -91,000,000 -90,000,000 -90,000,000 -83,000,000 -84,000,000 -83,000,000 -83,000,000 -73,000,000 -74,000,000 -74,000,000 -68,000,000 -69,000,000 -69,000,000 -57,000,000 -58,000,000 -57,000,000 -47,000,000 -43,000,000 -43,000,000 -47,000,000 -43,000,000 -43,000,000 -42,000,000 -44,000,000 -43,000,000 -43,000,000 -42,000,000 -44,000,000 -43,000,000 -42,000,000 -41,000,000 -42,000,000 -41,000,000 -42,000,000 -41,000,000 -41,000,000 -40,506,000            
          changes in securities lending payable
        		-55,000,000 79,000,000 93,000,000 -127,000,000 175,000,000                                                             
          changes in rebate factor payable
        		 0 0 -55,000,000 -68,000,000                                                             
          net cash from financing activities
        		2,050,000,000 -168,000,000 -603,000,000 -1,828,000,000 1,384,000,000 -2,304,000,000 -770,000,000 -620,000,000 1,207,000,000 -2,438,000,000 -1,733,000,000 36,000,000 3,279,000,000 -2,358,000,000 -1,791,000,000 419,000,000 1,816,000,000 -712,000,000 2,342,000,000 -144,000,000 1,529,000,000 -3,540,000,000 -845,000,000 -306,000,000 2,736,000,000 -1,127,000,000 -477,000,000 493,000,000 -1,281,000,000 -17,000,000 1,532,000,000 -439,000,000 -28,000,000 1,269,000,000 74,000,000 -227,000,000 176,000,000 934,000,000 -1,080,000,000 -404,000,000 -2,000,000 -1,268,000,000 930,000,000 -444,000,000 24,000,000 -62,000,000 -416,000,000 -296,000,000 72,000,000 950,000,000 -758,000,000 -344,000,000 123,000,000 -630,485,000 -183,386,000 -181,308,000 -21,821,000 -256,419,000 -92,410,000 4,602,000 -27,029,000 276,554,000 -48,093,000 -299,674,000 152,057,000 
          increase in cash and cash equivalents
        		751,000,000 -1,188,000,000 1,348,000,000 -210,000,000 2,029,000,000 -2,895,000,000 -385,000,000 -409,000,000 1,216,000,000 -10,454,000,000 -1,066,000,000 2,479,000,000 8,674,000,000 -8,497,000,000 8,338,000,000 356,000,000 1,470,000,000 -910,000,000 926,000,000 -499,000,000 -796,000,000 -3,312,000,000 822,000,000 1,109,000,000 2,000,000,000 749,000,000 901,000,000 1,534,000,000 -4,689,000,000 -24,000,000 4,813,000,000 1,726,000,000 -286,000,000 4,548,000,000 4,340,000,000 -372,000,000 230,000,000 974,000,000 -653,000,000 304,000,000 11,000,000 -770,000,000 1,112,000,000 -69,000,000 524,000,000   121,000,000 92,000,000 -57,000,000 -2,506,000,000 213,000,000 2,279,000,000 -2,642,268,000 2,451,581,000 -188,217,000 82,904,000 -1,249,715,000 923,870,000 184,989,000 200,405,000     
          cash and cash equivalents at beginning of period
        		4,200,000,000 0 0 0 2,221,000,000 0 0 0 4,694,000,000 0 0 0 5,061,000,000 0 0 0 3,394,000,000 0 0 0 4,673,000,000 0 0 0 4,054,000,000 0 0 2,343,000,000 0 0 4,042,000,000 0 0 3,877,000,000 0 0 2,571,000,000  0 0 1,935,000,000  0 0 1,138,000,000  0 0 1,306,000,000  0 0 1,377,000,000  0 0 1,673,137,000  0 0 1,613,588,000  0 0 1,970,423,000 
          cash and cash equivalents at end of period
        		4,951,000,000 -1,188,000,000 1,348,000,000 -210,000,000 4,250,000,000 -2,895,000,000 -385,000,000 -409,000,000 5,910,000,000 -10,454,000,000 -1,066,000,000 2,479,000,000 13,735,000,000 -8,497,000,000 8,338,000,000 356,000,000 4,864,000,000 -910,000,000 926,000,000 -499,000,000 3,877,000,000 -3,312,000,000 822,000,000 1,109,000,000 6,054,000,000 749,000,000 901,000,000 3,877,000,000 -4,689,000,000 -24,000,000 8,855,000,000 1,726,000,000 -286,000,000 8,425,000,000 4,340,000,000 -372,000,000 2,801,000,000  -653,000,000 304,000,000 1,946,000,000  1,112,000,000 -69,000,000 1,662,000,000  -264,000,000 121,000,000 1,398,000,000  -2,506,000,000 213,000,000 3,656,000,000  2,451,581,000 -188,217,000 1,756,041,000  923,870,000 184,989,000 1,813,993,000  -133,103,000 -326,093,000 1,911,202,000 
          loss on sale of business
        		 4,000,000                                                                
          loss on investment securities
        		     -14,000,000   -1,000,000 5,000,000 4,000,000 -15,000,000 60,000,000 69,000,000                                                    
          impairment of indefinite-lived intangible assets
        		 96,000,000 0                                                               
          deferred income taxes
        		                                                                 
          changes in operating assets and liabilities, net of effect of businesses acquired and dispositions:
        		                                                                 
          proceeds from sale of business
        		 0                                    6,000,000 0   0 0 0 72,000,000 1,000,000 0                   
          acquisitions, net of cash and cash equivalents acquired
        		 -76,000,000 -4,000,000   -52,000,000 -20,000,000 -3,000,000 -14,000,000 -10,000,000 -34,000,000 -116,000,000 -73,000,000 -44,000,000 -126,000,000 -93,000,000 -74,000,000 -228,000,000                                                
          proceeds from sale of property and equipment
        		                                                                 
          (payments) receipts from contract deposits
        		   -544,000,000 -35,000,000 -1,295,000,000                                                            
          proceeds from issuance of senior notes
        		 0 0 0 1,481,000,000 0 0 0 2,232,000,000 1,329,000,000 0 0 1,215,000,000 1,238,000,000 0 0 744,000,000 0    0 0 -2,000,000 1,090,000,000       0 -6,000,000 991,000,000        0                        
          repayment of senior notes
        		                                                                 
          (repayments) proceeds from issuance of commercial paper
        		             284,000,000 -242,000,000 -153,000,000 -265,000,000         -2,000,000                                        
          proceeds from short-term borrowings
        		                                                                 
          repayment of short-term borrowings
        		                                                                 
          repayment of term loan
        		         0 0 0 -500,000,000 0    -1,928,000,000                                                
          gain on investment securities
        		  -53,000,000 -11,000,000 -2,000,000                                                             
          changes in operating assets and liabilities, net of effect of businesses acquired and disposed:
        		                                                                 
          payments from contract deposits
        		                                                                 
          repayments of senior notes
        		  0    -14,000,000    -1,370,000,000 -289,000,000 -60,000,000                                                     
          repayments from issuance of commercial paper
        		  0 -1,000,000 -4,000,000       415,000,000 -177,000,000                                                     
          gain on sale of gentiva hospice
        		                                                                 
          proceeds from sale of gentiva hospice
        		                                                                 
          (repayments) issuance of commercial paper
        		      0                                                           
          receipts from contract deposits
        		       -214,000,000 499,000,000  -1,029,000,000 513,000,000 2,997,000,000  711,000,000 601,000,000 2,475,000,000   168,000,000 1,015,000,000   -185,000,000 574,000,000 -462,000,000 -81,000,000 554,000,000 -1,137,000,000 114,000,000 1,401,000,000 -150,000,000 351,000,000 1,730,000,000                                
          repayments of commercial paper
        		        -644,000,000                                                         
          gain on kindred at home equity method investment
        		                 0                                                
          impairment of intangible assets
        		                                                                 
          receipts (withdrawals) from contract deposits
        		                                  129,000,000 -97,000,000 318,000,000 688,000,000 -725,000,000 -382,000,000 123,000,000 -176,000,000 -616,000,000 -347,000,000 220,000,000 51,000,000 -333,000,000 -104,000,000 236,000,000 -50,000,000 -499,000,000 -146,000,000 298,000,000             
          proceeds from term loan
        		                 2,000,000,000    0 0 0 1,000,000,000                                         
          proceeds from issuance (repayments) of commercial paper
        		                                                                 
          impairment on property and equipment
        		              4,000,000                                                   
          gain on sale of kah hospice
        		             3,000,000                                                    
          provision for deferred income taxes
        		                                    15,000,000 -15,000,000               -9,000,000  -9,316,000 -5,934,000 27,352,000    -20,862,000   -54,512,000 19,687,000 
          proceeds from sale of kah hospice
        		             -7,000,000                                                    
          equity in net earnings
        		                 4,000,000 -15,000,000 -33,000,000 -21,000,000 -6,000,000 -35,000,000 -25,000,000 -8,000,000                                         
          stock compensation
        		                                                                 
          withdrawals receipts from contract deposits
        		                                                                 
          proceeds from stock option exercises & other
        		                                                                 
          benefit for deferred income taxes
        		                      0 0 -3,000,000 0 0 -21,000,000 469,000,000   -56,000,000        30,000,000 -58,000,000 -34,000,000 9,000,000 -13,000,000 -26,000,000 11,000,000 39,000,000    3,000,000        -34,656,000       
          proceeds from issuance of commercial paper
        		                  -315,000,000 -95,000,000 603,000,000    198,000,000   17,000,000   245,000,000   169,000,000    288,000,000 -290,000,000                           
          proceeds from stock option exercises and other
        		                  -2,000,000 4,000,000 1,000,000  2,000,000 9,000,000 19,000,000 5,000,000 1,000,000 17,000,000 4,000,000 32,000,000 11,000,000 7,000,000 20,000,000 34,000,000    1,000,000 -1,000,000 3,000,000 18,000,000 -16,000,000 0 20,000,000 25,000,000 4,000,000 20,000,000 31,000,000 5,000,000 8,000,000 1,000,000 3,000,000 45,000,000 15,470,000 2,272,000 55,258,000 55,000,000 4,825,000 4,005,000 2,179,000 5,080,000 12,373,000 3,544,000 55,000 1,234,000 
          gains on investment securities
        		                   -76,000,000 -10,000,000 -142,000,000                                            
          maturities of investment securities
        		                   935,000,000 692,000,000 1,486,000,000 1,855,000,000 910,000,000 735,000,000 387,000,000 497,000,000 397,000,000 260,000,000 338,000,000 217,000,000 270,000,000 365,000,000 284,000,000 447,000,000 422,000,000 213,000,000 184,000,000 266,000,000 285,000,000 330,000,000 183,000,000 190,000,000 254,000,000 258,000,000 224,000,000 304,000,000 255,000,000 294,000,000 386,000,000 354,000,000 333,000,000 424,000,000 484,938,000 352,858,000 332,404,000 398,800,000 257,200,000 478,569,000 580,244,000 433,788,000 468,194,000 197,796,000 199,584,000 404,951,000 
          supplemental cash flow disclosures:
        		                                                                 
          interest payments
        		                   92,000,000 40,000,000  44,000,000 75,000,000 40,000,000 26,000,000 81,000,000 29,000,000 22,000,000 76,000,000 22,000,000 32,000,000 82,000,000 10,000,000 10,000,000 82,000,000 10,000,000 82,000,000 10,000,000 86,000,000 9,000,000 60,000,000 10,000,000 63,000,000 10,000,000 64,000,000 10,000,000 62,000,000 10,000,000 45,000,000 10,000,000 44,000,000 11,000,000 46,106,000 10,936,000 45,858,000 11,100,000 45,445,000 10,548,000 45,369,000 10,486,000 45,357,000 10,540,000 45,692,000 10,943,000 
          income tax payments
        		                   387,000,000 -1,000,000  742,000,000   232,000,000   106,000,000   512,000,000   315,000,000 531,000,000 5,000,000 141,000,000 302,000,000 710,000,000 26,000,000 178,000,000 251,000,000 589,000,000 12,000,000 10,000,000 213,000,000 510,000,000 1,000,000 231,000,000 221,000,000 288,000,000 5,000,000 156,346,000 310,238,000 331,201,000 76,215,000 152,179,000 276,355,000 351,180,000 5,210,000 149,176,000 217,671,000 234,233,000 26,147,000 
          benefit from deferred income taxes
        		                              83,000,000   29,000,000                                
          purchase of equity method investment in kindred at home
        		                                                                 
          cash transferred in sale of business
        		                                                                 
          withdrawals from contract deposits
        		                                                                 
          (withdrawals) receipts from contract deposits
        		                                                                 
          net realized capital gains
        		                         -18,000,000   -8,000,000 -53,000,000 -29,000,000 0 -2,000,000 -26,000,000 -26,000,000 -19,000,000 -20,000,000 -58,000,000 -51,000,000 -28,000,000 -9,000,000 -11,000,000 -6,000,000 -2,000,000 -1,000,000 -8,000,000 -4,000,000 -5,000,000 -5,000,000 -13,000,000 -6,000,000 -10,000,000 -4,000,000 -3,745,000 -2,146,000 -1,183,000 -3,926,000  -4,310,000 718,000 -8,694,000     
          net realized capital (gains) losses
        		                        -49,000,000                                         
          income tax refunds
        		                        -6,000,000                                         
          equity in net earnings of kindred at home
        		                         -1,000,000 -12,000,000 -3,000,000                                      
          acquisition, equity method investment in kindred at home
        		                                                                 
          net realized capital losses
        		                           2,000,000                                  -5,749,000    
          income tax (refunds) payments
        		                           -22,000,000      -4,000,000                                
          other intangible amortization
        		                            19,000,000 21,000,000 30,000,000 18,000,000 18,000,000 18,000,000 18,000,000 20,000,000 21,000,000  22,000,000 24,000,000 26,000,000                         
          proceeds (repayment) from issuance of commercial paper
        		                            -3,000,000                                     
          loss on business held-for-sale
        		                                                                 
          income tax payments (refunds)
        		                              4,000,000                                   
          repayment of commercial paper
        		                               -51,000,000                                  
          gain on sale of business
        		                                     -3,000,000 0                           
          proceeds (repayment) of commercial paper
        		                                                                 
          excess tax benefit from stock-based compensation
        		                                    20,000,000 0 1,000,000 1,000,000 13,000,000 2,000,000 1,000,000 1,000,000 8,000,000 2,000,000   1,000,000 1,000,000 0 1,000,000 20,000,000 2,754,000 959,000 6,156,000 5,131,000 558,000 142,000 530,000 734,000 3,622,000 1,473,000 96,000 148,000 
          adjustments to reconcile net income to net cash provided by operating activities:
        		                                                                 
          provision for doubtful accounts
        		                                                                 
          proceeds from sales of property and equipment
        		                                                                 
          repayment of long-term debt
        		                                                 0 0 0 -36,000,000             
          cash and cash equivalents at beginning of year
        		                                                                 
          cash and cash equivalents at end of year
        		                                                                 
          details of businesses acquired in purchase transactions:
        		                                                                 
          fair value of assets acquired, net of cash acquired
        		                                                                 
          less: fair value of liabilities assumed
        		                                                                 
          cash paid for acquired businesses, net of cash acquired
        		                                                                 
          depreciation and amortization
        		                                         124,000,000 112,000,000 106,000,000 107,000,000 114,000,000 106,000,000 104,000,000 102,000,000 100,000,000 78,000,000 82,000,000 78,000,000 77,836,000 74,581,000 75,092,000 75,491,000 66,307,000 64,557,000 69,290,000 62,756,000 69,694,000 62,088,000 60,478,000 58,014,000 
          benefit from doubtful accounts
        		                                                                 
          decrease in cash and cash equivalents
        		                                             -117,000,000                 -133,103,000 -326,093,000 -59,221,000 
          provision from deferred income taxes
        		                                                                 
          change in securities lending collateral
        		                                                     9,789,000 24,054,000 1,461,000 18,696,000 -17,587,000 13,512,000 16,603,000 58,206,000 63,347,000 115,234,000 62,408,000 71,283,000 
          receipts from cms contract deposits
        		                                                     381,679,000 880,474,000 640,938,000 613,909,000 437,343,000 439,622,000 442,144,000 438,108,000 819,609,000 499,987,000 505,677,000 528,965,000 
          withdrawals from cms contract deposits
        		                                                     -985,125,000 -843,397,000 -635,529,000 -430,949,000 -876,736,000 -473,679,000 -377,327,000 -266,649,000 -656,212,000 -481,123,000 -388,885,000 -334,528,000 
          repayments under credit agreement
        		                                                             0 0   
          change in securities lending payable
        		                                                     -11,789,000 -24,054,000 -1,461,000 -18,696,000 17,587,000 -13,512,000 -16,603,000 -58,206,000 -63,347,000 -115,234,000 -62,408,000 -71,283,000 
          loss on sale of property and equipment
        		                                                                 
          borrowings under credit agreement
        		                                                                 
          proceeds from swap termination
        		                                                                 
          gain on sale of investment securities
        		                                                               -8,507,000 -1,043,000 
          (gain) loss on sale of property and equipment
        		                                                                 
          tax benefit from stock-based compensation