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Pay vs Performance Disclosure - USD ($) | 12 Months Ended
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Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Pay vs Performance Disclosure |  |  |  |
Pay vs Performance Disclosure, Table | Pay Versus Performance The disclosure included in this section is prescribed by SEC rules and does not necessarily align with how the Company or the CHC Committee views the link between the Company’s performance and its NEOs’ pay. For a discussion of how the Company views its executive compensation structure, including alignment with Company performance, see the Compensation Discussion and Analysis (“CD&A”) beginning on page 47 . The CHC Committee did not consider the pay versus performance disclosure below in making its pay decisions. In accordance with SEC rules, the following table sets forth information concerning compensation actually paid (“CAP”). The disclosure and calculation of CAP is required by the SEC’s rules. Neither CAP nor the amount reported in the Summary Compensation Table (“SCT”) reflect the amount of compensation actually paid, earned, or received during the applicable year. Per SEC rules, CAP was calculated by adjusting SCT Total values for the applicable year as described in the footnotes to the following table.
Year (1) |  | SCT Total Pay for CEO (2) |  | CAP to CEO (3) |  | Average SCT Total Pay for Other NEOs (2) |  | Avg. CAP to Other NEOs (3) |  | Value of Initial $100 Investment Based On: (4) |  | Net Income ($ Millions) (5) |  | Adjusted Operating Income ($ Millions) (6)
| Company TSR |  | Peer Group TSR
2023 |  |  | $ | 15,979,355 |  |  |  | $ | 23,757,594 |  |  |  | $ | 4,130,301 |  |  |  | $ | 4,760,148 |  |  |  | $ | 160 |  |  |  | $ | 143 |  |  |  | $ | 418 |  |  |  | $ | 1,188 |
2022 |  |  | $ | 14,927,297 |  |  |  | $ | (2,318,590 | ) |  |  | $ | 4,387,737 |  |  |  | $ | 788,126 |  |  |  | $ | 140 |  |  |  | $ | 140 |  |  |  | $ | 1,279 |  |  |  | $ | 2,550 |
2021 |  |  | $ | 20,551,605 |  |  |  | $ | 49,697,100 |  |  |  | $ | 4,710,348 |  |  |  | $ | 11,665,084 |  |  |  | $ | 186 |  |  |  | $ | 143 |  |  |  | $ | 2,377 |  |  |  | $ | 3,830 |
2020 |  |  | $ | 14,735,561 |  |  |  | $ | 18,899,990 |  |  |  | $ | 3,404,431 |  |  |  | $ | 4,637,052 |  |  |  | $ | 120 |  |  |  | $ | 113 |  |  |  | $ | 1,556 |  |  |  | $ | 3,330 |
(1) | For each year shown, the CEO was Adam Schechter and the other NEOs were as follows for each fiscal year:
| • |  | 2023: Glenn Eisenberg, Brian Caveney, Anita Graham, Mark Schroeder, Paul Kirchgraber, and Thomas Pike
| • |  | 2020-2022: Glenn Eisenberg, Brian Caveney, Mark Schroeder, and Paul Kirchgraber
(2) | These amounts reflect (i) the total compensation reported in the SCT for the applicable year in the case of our CEO; and (ii) the average of the total compensation reported in the SCT for the applicable year for our Other NEOs. See the footnotes to the SCT for further detail regarding the amounts in this column for 2023, 2022, and 2021.
(3) | Amounts reported in these columns represent CAP; adjustments were made to the amounts reported in the SCT for the applicable year. A reconciliation of the adjustments for our CEO and for the average of the Other NEOs is set forth in the following tables, which describe the adjustments, each of which is prescribed by SEC rules to calculate the CAP amounts from SCT amounts. The fair value of options was determined by using the Black-Scholes option pricing method. The fair value of the performance share awards was determined by using a Monte Carlo simulation pricing model and the probable outcome of the performance vesting conditions as of each measurement date and Company actual performance payouts for each completed performance period for the respective fiscal year. The fair value of the restricted stock was determined using the stock price on the appropriate measurement date.
(4) | Reflects the cumulative TSR for the Company and the S&P 500 Health Care Index, which is the same industry index included in Part II, Item 5, “Market for Registrant’s Common Equity, Related Stockholder Matters, and Issuer Purchases of Equity Securities,” furnished on page 53 of the 2023 Annual Report, assuming an initial investment of $100 on December 31, 2019. All dollar values assume reinvestment of all dividends, where applicable.
(5) | “Net income” is equivalent to “Net earnings” as reported in the Company’s financial statements.
(6) | SEC rules require us to designate a “company-selected measure” that in our assessment represents the most important financial performance measure (other than total shareholder return, stock price, or net income) used by the Company to link the CAP of our NEOs, for the most recently completed fiscal year, to our performance. We selected adjusted operating income as this measure for 2023, as reflected in the table above. Adjusted operating income is a non-GAAP measure. See reconciliation of adjusted operating income and operating income on page 105 of this Proxy Statement. This performance measure may not have been the most important financial performance measure for years 2022, 2021 and 2020, and we may determine a different financial performance measure to be the most important financial performance measure in future years.
Company Selected Measure Name | Adjusted operating income |  |  |
Named Executive Officers, Footnote |
(1) | For each year shown, the CEO was Adam Schechter and the other NEOs were as follows for each fiscal year:
| • |  | 2023: Glenn Eisenberg, Brian Caveney, Anita Graham, Mark Schroeder, Paul Kirchgraber, and Thomas Pike
| • |  | 2020-2022: Glenn Eisenberg, Brian Caveney, Mark Schroeder, and Paul Kirchgraber
Peer Group Issuers, Footnote | Reflects the cumulative TSR for the Company and the S&P 500 Health Care Index, which is the same industry index included in Part II, Item 5, “Market for Registrant’s Common Equity, Related Stockholder Matters, and Issuer Purchases of Equity Securities,” furnished on page 53 of the 2023 Annual Report, assuming an initial investment of $100 on December 31, 2019. All dollar values assume reinvestment of all dividends, where applicable. |  |  |
PEO Total Compensation Amount | $ 15,979,355 | $ 14,927,297 | $ 20,551,605 | $ 14,735,561
PEO Actually Paid Compensation Amount | $ 23,757,594 | (2,318,590) | 49,697,100 | 18,899,990
Adjustment To PEO Compensation, Footnote |
Year |  | SCT Total for CEO |  | Minus Stock Award Value & Option Award Value Reported in SCT for the Covered Year |  | Plus Year End Fair Value of Equity Awards Granted During the Covered Year that Remain Outstanding and Unvested as of Last Day of the Covered Year |  | Plus Year over Year Change in Fair Value as of the Last Day of the Covered Year of Outstanding and Unvested Equity Awards Granted in Prior Years |  | Plus Year over Year Change in Fair Value as of the Vesting Date of Equity Awards Granted in Prior Years that Vested During the Covered Year |  | Minus Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Covered Year |  | Plus Value of Dividends or Other Earnings Paid on Stock or Option Awards Not Otherwise Reflected in Fair Value or Total Compensation for the Covered Year |  | Minus Change in Pension Value Reported in SCT for Covered Year |  | Plus Pension Adjustment |  | CEO CAP
2023 |  |  | $ | 15,979,355 |  |  |  | $ | 11,321,392 |  |  |  | $ | 16,874,513 |  |  |  | $ | 2,589,227 |  |  |  | $ | (510,382 | ) |  |  |  | - |  |  |  | $ | 146,273 |  |  |  |  | - |  |  |  |  | - |  |  |  | $ | 23,757,594 |
2022 |  |  | $ | 14,927,297 |  |  |  | $ | 11,205,369 |  |  |  | $ | 9,883,707 |  |  |  | $ | (12,637,167 | ) |  |  | $ | (3,304,274 | ) |  |  |  | - |  |  |  | $ | 17,215 |  |  |  |  | - |  |  |  |  | - |  |  |  | $ | (2,318,590 | )
2021 |  |  | $ | 20,551,605 |  |  |  | $ | 15,040,149 |  |  |  | $ | 26,465,842 |  |  |  | $ | 15,202,072 |  |  |  | $ | 2,517,731 |  |  |  |  | - |  |  |  |  | - |  |  |  |  | - |  |  |  |  | - |  |  |  | $ | 49,697,100 |
2020 |  |  | $ | 14,735,561 |  |  |  | $ | 9,864,802 |  |  |  | $ | 11,447,534 |  |  |  | $ | 1,752,897 |  |  |  | $ | 828,801 |  |  |  |  | - |  |  |  |  | - |  |  |  |  | - |  |  |  |  | - |  |  |  | $ | 18,899,990 |
Non-PEO NEO Average Total Compensation Amount | $ 4,130,301 | 4,387,737 | 4,710,348 | 3,404,431
Non-PEO NEO Average Compensation Actually Paid Amount | $ 4,760,148 | 788,126 | 11,665,084 | 4,637,052
Adjustment to Non-PEO NEO Compensation Footnote |
Year |  | SCT Average for Other NEOs |  | Minus Stock Award Value & Option Award Value Reported in SCT for the Covered Year |  | Plus Year End Fair Value of Equity Awards Granted During the Covered Year that Remain Outstanding and Unvested as of Last Day of the Covered Year |  | Plus Year over Year Change in Fair Value as of the Last Day of the Covered Year of Outstanding and Unvested Equity Awards Granted in Prior Years |  | Plus Fair Value as of Vesting Date of Equity Awards Granted and Vested During the Covered Year |  | Plus Year over Year Change in Fair Value as of the Vesting Date of Equity Awards Granted in Prior Years that Vested During the Covered Year |  | Minus Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Covered Year |  | Plus Value of Dividends or Other Earnings Paid on Stock or Option Awards Not Otherwise Reflected in Fair Value or Total Compensation for the Covered Year |  | Minus Change in Pension Value Reported in SCT for Covered Year |  | Plus Pension Adjustment |  | Average Other NEO CAP
2023 |  |  | $ | 4,130,301 |  |  |  | $ | 2,503,265 |  |  |  | $ | 3,011,920 |  |  |  | $ | 244,996 |  |  |  | $ | 22,107 |  |  |  | $ | (131,332 | ) |  |  | $ | 34,824 |  |  |  | $ | 22,548 |  |  |  | $ | 2,303 |  |  |  |  | - |  |  |  | $ | 4,760,148 |
2022 |  |  | $ | 4,387,737 |  |  |  | $ | 3,185,873 |  |  |  | $ | 2,991,119 |  |  |  | $ | (2,386,168 | ) |  |  |  | - |  |  |  | $ | (1,023,666 | ) |  |  |  | - |  |  |  | $ | 4,977 |  |  |  |  | - |  |  |  |  | - |  |  |  | $ | 788,126 |
2021 |  |  | $ | 4,710,348 |  |  |  | $ | 2,838,289 |  |  |  | $ | 4,993,869 |  |  |  | $ | 4,115,799 |  |  |  |  | - |  |  |  | $ | 683,357 |  |  |  |  | - |  |  |  |  | - |  |  |  |  | - |  |  |  |  | - |  |  |  | $ | 11,665,084 |
2020 |  |  | $ | 3,404,431 |  |  |  | $ | 1,864,116 |  |  |  | $ | 2,163,366 |  |  |  | $ | 933,161 |  |  |  |  | - |  |  |  | $ | 4,872 |  |  |  |  | - |  |  |  |  | - |  |  |  | $ | 4,662 |  |  |  |  | - |  |  |  | $ | 4,637,052 |
Compensation Actually Paid vs. Total Shareholder Return | Relationship of CAP vs. TSR (2020 – 2023) The following chart sets forth the relationship between CAP to our CEO, average CAP to our other NEOs, the Company’s cumulative TSR over the four most recently completed fiscal years, and the cumulative TSR for the S&P 500 Health Care Index, which is the same industry index included in Part II, Item 5, “Market for Registrant’s Common Equity, Related Stockholder Matters, and Issuer Purchases of Equity Securities,” furnished on page 53 of our 2023 Annual Report . Notwithstanding the use of the S&P 500 Health Care Index in this section, for our LTI plans, the Company’s TSR performance is measured against the peer group disclosed on page 55 of the CD&A, which, we believe has a correlation between realized executive pay and performance. |  |  |
Compensation Actually Paid vs. Net Income | Relationship of CAP vs. Net Income (2020 – 2023) The following chart sets forth the relationship between CAP to our CEO, average CAP to our other NEOs, and the Company’s net income during the four most recently completed fiscal years. |  |  |
Compensation Actually Paid vs. Company Selected Measure | Relationship of CAP vs. Adjusted Operating Income (2020 – 2023) The following chart sets forth the relationship between CAP to our CEO, average CAP to our other NEOs, and the Company’s adjusted operating income during the four most recently completed fiscal years. See reconciliation of adjusted operating income and operating income on page 105 of this Proxy Statement. |  |  |
Total Shareholder Return Vs Peer Group | Relationship of CAP vs. TSR (2020 – 2023) The following chart sets forth the relationship between CAP to our CEO, average CAP to our other NEOs, the Company’s cumulative TSR over the four most recently completed fiscal years, and the cumulative TSR for the S&P 500 Health Care Index, which is the same industry index included in Part II, Item 5, “Market for Registrant’s Common Equity, Related Stockholder Matters, and Issuer Purchases of Equity Securities,” furnished on page 53 of our 2023 Annual Report . Notwithstanding the use of the S&P 500 Health Care Index in this section, for our LTI plans, the Company’s TSR performance is measured against the peer group disclosed on page 55 of the CD&A, which, we believe has a correlation between realized executive pay and performance. |  |  |
Tabular List, Table | Financial Performance Measures The most important financial performance measures used by the Company in setting pay-for-performance compensation for the most recently completed fiscal year are described in the table below. The manner in which these measures, together with certain non-financial performance measures, determine the amounts of incentive compensation paid to our NEOs is described above in the CD&A section. The order of the measures in this chart should not be interpreted as a ranking and are listed alphabetically.
Measure |  |
Adjusted EPS |  |
Adjusted Operating Income |  |
Relative Total Shareholder Return |  |
Revenue |  |
Total Shareholder Return Amount | $ 160 | 140 | 186 | 120
Peer Group Total Shareholder Return Amount | 143 | 140 | 143 | 113
Net Income (Loss) | $ 418,000,000 | $ 1,279,000,000 | $ 2,377,000,000 | $ 1,556,000,000
Company Selected Measure Amount | 1,188,000,000 | 2,550,000,000 | 3,830,000,000 | 3,330,000,000
PEO Name | Adam Schechter |  |  |
Measure:: 1 |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Name | Adjusted EPS |  |  |
Measure:: 2 |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Name | Adjusted Operating Income |  |  |
Non-GAAP Measure Description | SEC rules require us to designate a “company-selected measure” that in our assessment represents the most important financial performance measure (other than total shareholder return, stock price, or net income) used by the Company to link the CAP of our NEOs, for the most recently completed fiscal year, to our performance. We selected adjusted operating income as this measure for 2023, as reflected in the table above. Adjusted operating income is a non-GAAP measure. See reconciliation of adjusted operating income and operating income on page 105 of this Proxy Statement. This performance measure may not have been the most important financial performance measure for years 2022, 2021 and 2020, and we may determine a different financial performance measure to be the most important financial performance measure in future years. |  |  |
Measure:: 3 |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Name | Relative Total Shareholder Return |  |  |
Measure:: 4 |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Name | Revenue |  |  |
PEO | Stock Award Value & Option Award Value Reported in SCT for the Covered Year |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | $ 11,321,392 | $ 11,205,369 | $ 15,040,149 | $ 9,864,802
PEO | Year End Fair Value of Equity Awards Granted During the Covered Year that Remain Outstanding and Unvested as of Last Day of the Covered Year |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | 16,874,513 | 9,883,707 | 26,465,842 | 11,447,534
PEO | Year over Year Change in Fair Value as of the Last Day of the Covered Year of Outstanding and Unvested Equity Awards Granted in Prior Years |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | 2,589,227 | (12,637,167) | 15,202,072 | 1,752,897
PEO | Year over Year Change in Fair Value as of the Vesting Date of Equity Awards Granted in Prior Years that Vested During the Covered Year |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | (510,382) | (3,304,274) | 2,517,731 | 828,801
PEO | Value of Dividends or Other Earnings Paid on Stock or Option Awards Not Otherwise Reflected in Fair Value or Total Compensation for the Covered Year |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | 146,273 | 17,215 |  |
Non-PEO NEO | Stock Award Value & Option Award Value Reported in SCT for the Covered Year |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | 2,503,265 | 3,185,873 | 2,838,289 | 1,864,116
Non-PEO NEO | Year End Fair Value of Equity Awards Granted During the Covered Year that Remain Outstanding and Unvested as of Last Day of the Covered Year |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | 3,011,920 | 2,991,119 | 4,993,869 | 2,163,366
Non-PEO NEO | Year over Year Change in Fair Value as of the Last Day of the Covered Year of Outstanding and Unvested Equity Awards Granted in Prior Years |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | 244,996 | (2,386,168) | 4,115,799 | 933,161
Non-PEO NEO | Year over Year Change in Fair Value as of the Vesting Date of Equity Awards Granted in Prior Years that Vested During the Covered Year |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | (131,332) | (1,023,666) | $ 683,357 | 4,872
Non-PEO NEO | Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Covered Year |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | 34,824 |  |  |
Non-PEO NEO | Value of Dividends or Other Earnings Paid on Stock or Option Awards Not Otherwise Reflected in Fair Value or Total Compensation for the Covered Year |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | 22,548 | $ 4,977 |  |
Non-PEO NEO | Change in Pension Value Reported in SCT for Covered Year |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | 2,303 |  |  | $ 4,662
Non-PEO NEO | Fair Value As Of Vesting Date Of Equity Awards Granted And Vested During The Covered Year [Member] |  |  |  |
Pay vs Performance Disclosure |  |  |  |
Adjustment to Compensation, Amount | $ 22,107 |  |  |

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