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Supplemental Condensed Consolidating Financial Information - Condensed Consolidating Statements of (Loss) Income (Details) - USD ($) $ in Millions | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2017 | Sep. 30, 2017 | Jun. 30, 2017 | Mar. 31, 2017 | Dec. 31, 2016 | Sep. 30, 2016 | Jun. 30, 2016 | Mar. 31, 2016 | Dec. 31, 2017 | Dec. 31, 2016 | Dec. 31, 2015
Revenue: |  |  |  |  |  |  |  |  |  |  |
Revenues | $ 4,949 | $ 5,031 | $ 4,999 | $ 4,904 | $ 4,534 | $ 4,546 | $ 4,359 | $ 4,343 | $ 19,883 | $ 17,782 | $ 14,178
Operating expenses: |  |  |  |  |  |  |  |  |  |  |
Medical care costs |  |  |  |  |  |  |  |  | 17,073 | 14,774 | 11,794
Cost of service revenue |  |  |  |  |  |  |  |  | 492 | 485 | 193
General and administrative expenses |  |  |  |  |  |  |  |  | 1,594 | 1,393 | 1,146
Premium tax expenses |  |  |  |  |  |  |  |  | 438 | 468 | 397
Health insurer fees |  |  |  |  |  |  |  |  | 0 | 217 | 157
Depreciation and amortization |  |  |  |  |  |  |  |  | 137 | 139 | 104
Impairment losses | 269 | 129 | 72 | 0 |  |  |  |  | 470 | 0 | 0
Restructuring and separation costs | 73 | 118 | 43 | 0 |  |  |  |  | 234 | 0 | 0
Total operating expenses |  |  |  |  |  |  |  |  | 20,438 | 17,476 | 13,791
Operating (loss) income |  |  |  |  |  |  |  |  | (555) | 306 | 387
Interest expense |  |  |  |  |  |  |  |  | 118 | 101 | 66
Other income, net |  |  |  |  |  |  |  |  | 57 | 101 | 65
Other income, net |  |  |  |  |  |  |  |  | (61) | 0 | (1)
(Loss) income before income tax (benefit) expense |  |  |  |  |  |  |  |  | (612) | 205 | 322
Income tax expense (benefit) |  |  |  |  |  |  |  |  | (100) | 153 | 179
Net loss before equity in net income of subsidiaries |  |  |  |  |  |  |  |  | (512) | 52 | 143
Equity in net (loss) income of subsidiaries |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net (loss) income | $ (262) | $ (97) | $ (230) | $ 77 | $ (47) | $ 42 | $ 33 | $ 24 | (512) | 52 | 143
Parent Guarantor |  |  |  |  |  |  |  |  |  |  |
Revenue: |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 1,333 | 1,078 | 931
Operating expenses: |  |  |  |  |  |  |  |  |  |  |
Medical care costs |  |  |  |  |  |  |  |  | 16 | 73 | 55
General and administrative expenses |  |  |  |  |  |  |  |  | 1,082 | 899 | 797
Depreciation and amortization |  |  |  |  |  |  |  |  | 93 | 95 | 82
Impairment losses |  |  |  |  |  |  |  |  | 39 | 0 | 0
Restructuring and separation costs |  |  |  |  |  |  |  |  | 153 | 0 | 0
Total operating expenses |  |  |  |  |  |  |  |  | 1,383 | 1,067 | 934
Operating (loss) income |  |  |  |  |  |  |  |  | (50) | 11 | (3)
Interest expense |  |  |  |  |  |  |  |  | 117 | 101 | 66
Other income, net |  |  |  |  |  |  |  |  | (61) | 0 | 0
Income tax expense (benefit) |  |  |  |  |  |  |  |  | 8 | (24) | (21)
Net loss before equity in net income of subsidiaries |  |  |  |  |  |  |  |  | (114) | (66) | (48)
Equity in net (loss) income of subsidiaries |  |  |  |  |  |  |  |  | (398) | 118 | 191
Net (loss) income |  |  |  |  |  |  |  |  | (512) | 52 | 143
Reportable Legal Entities | Parent Guarantor |  |  |  |  |  |  |  |  |  |  |
Revenue: |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 1,333 | 1,078 | 931
Operating expenses: |  |  |  |  |  |  |  |  |  |  |
Medical care costs |  |  |  |  |  |  |  |  | 16 | 73 | 55
Cost of service revenue |  |  |  |  |  |  |  |  | 0 | 0 | 0
General and administrative expenses |  |  |  |  |  |  |  |  | 1,082 | 899 | 797
Premium tax expenses |  |  |  |  |  |  |  |  | 0 | 0 | 0
Health insurer fees |  |  |  |  |  |  |  |  |  | 0 | 0
Depreciation and amortization |  |  |  |  |  |  |  |  | 93 | 95 | 82
Impairment losses |  |  |  |  |  |  |  |  | 39 |  |
Restructuring and separation costs |  |  |  |  |  |  |  |  | 153 |  |
Total operating expenses |  |  |  |  |  |  |  |  | 1,383 | 1,067 | 934
Operating (loss) income |  |  |  |  |  |  |  |  | (50) | 11 | (3)
Interest expense |  |  |  |  |  |  |  |  | 117 |  |
Other income, net |  |  |  |  |  |  |  |  |  | 101 | 66
Other income, net |  |  |  |  |  |  |  |  | (61) |  |
(Loss) income before income tax (benefit) expense |  |  |  |  |  |  |  |  | (106) | (90) | (69)
Income tax expense (benefit) |  |  |  |  |  |  |  |  | 8 | (24) | (21)
Net loss before equity in net income of subsidiaries |  |  |  |  |  |  |  |  | (114) | (66) | (48)
Equity in net (loss) income of subsidiaries |  |  |  |  |  |  |  |  | (398) | 118 | 191
Net (loss) income |  |  |  |  |  |  |  |  | (512) | 52 | 143
Reportable Legal Entities | Other Guarantors |  |  |  |  |  |  |  |  |  |  |
Revenue: |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 194 | 202 | 195
Operating expenses: |  |  |  |  |  |  |  |  |  |  |
Medical care costs |  |  |  |  |  |  |  |  | 0 | 0 | 0
Cost of service revenue |  |  |  |  |  |  |  |  | 171 | 174 | 140
General and administrative expenses |  |  |  |  |  |  |  |  | 17 | 16 | 31
Premium tax expenses |  |  |  |  |  |  |  |  | 0 | 0 | 0
Health insurer fees |  |  |  |  |  |  |  |  |  | 0 | 0
Depreciation and amortization |  |  |  |  |  |  |  |  | 1 | 1 | 1
Impairment losses |  |  |  |  |  |  |  |  | 28 |  |
Restructuring and separation costs |  |  |  |  |  |  |  |  | 8 |  |
Total operating expenses |  |  |  |  |  |  |  |  | 225 | 191 | 172
Operating (loss) income |  |  |  |  |  |  |  |  | (31) | 11 | 23
Interest expense |  |  |  |  |  |  |  |  | 0 |  |
Other income, net |  |  |  |  |  |  |  |  |  | 0 | 0
Other income, net |  |  |  |  |  |  |  |  | 0 |  |
(Loss) income before income tax (benefit) expense |  |  |  |  |  |  |  |  | (31) | 11 | 23
Income tax expense (benefit) |  |  |  |  |  |  |  |  | (21) | 3 | 7
Net loss before equity in net income of subsidiaries |  |  |  |  |  |  |  |  | (10) | 8 | 16
Equity in net (loss) income of subsidiaries |  |  |  |  |  |  |  |  | (156) | 1 | (1)
Net (loss) income |  |  |  |  |  |  |  |  | (166) | 9 | 15
Reportable Legal Entities | Non-Guarantors |  |  |  |  |  |  |  |  |  |  |
Revenue: |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 19,712 | 17,584 | 13,980
Operating expenses: |  |  |  |  |  |  |  |  |  |  |
Medical care costs |  |  |  |  |  |  |  |  | 17,058 | 14,702 | 11,740
Cost of service revenue |  |  |  |  |  |  |  |  | 321 | 311 | 53
General and administrative expenses |  |  |  |  |  |  |  |  | 1,850 | 1,559 | 1,245
Premium tax expenses |  |  |  |  |  |  |  |  | 438 | 468 | 397
Health insurer fees |  |  |  |  |  |  |  |  |  | 217 | 157
Depreciation and amortization |  |  |  |  |  |  |  |  | 43 | 43 | 21
Impairment losses |  |  |  |  |  |  |  |  | 403 |  |
Restructuring and separation costs |  |  |  |  |  |  |  |  | 73 |  |
Total operating expenses |  |  |  |  |  |  |  |  | 20,186 | 17,300 | 13,613
Operating (loss) income |  |  |  |  |  |  |  |  | (474) | 284 | 367
Interest expense |  |  |  |  |  |  |  |  | 1 |  |
Other income, net |  |  |  |  |  |  |  |  |  | 0 | (1)
Other income, net |  |  |  |  |  |  |  |  | 0 |  |
(Loss) income before income tax (benefit) expense |  |  |  |  |  |  |  |  | (475) | 284 | 368
Income tax expense (benefit) |  |  |  |  |  |  |  |  | (87) | 174 | 193
Net loss before equity in net income of subsidiaries |  |  |  |  |  |  |  |  | (388) | 110 | 175
Equity in net (loss) income of subsidiaries |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net (loss) income |  |  |  |  |  |  |  |  | (388) | 110 | 175
Eliminations |  |  |  |  |  |  |  |  |  |  |
Revenue: |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | (1,356) | (1,082) | (928)
Operating expenses: |  |  |  |  |  |  |  |  |  |  |
Medical care costs |  |  |  |  |  |  |  |  | (1) | (1) | (1)
Cost of service revenue |  |  |  |  |  |  |  |  | 0 | 0 | 0
General and administrative expenses |  |  |  |  |  |  |  |  | (1,355) | (1,081) | (927)
Premium tax expenses |  |  |  |  |  |  |  |  | 0 | 0 | 0
Health insurer fees |  |  |  |  |  |  |  |  |  | 0 | 0
Depreciation and amortization |  |  |  |  |  |  |  |  | 0 | 0 | 0
Impairment losses |  |  |  |  |  |  |  |  | 0 |  |
Restructuring and separation costs |  |  |  |  |  |  |  |  | 0 |  |
Total operating expenses |  |  |  |  |  |  |  |  | (1,356) | (1,082) | (928)
Operating (loss) income |  |  |  |  |  |  |  |  | 0 | 0 | 0
Interest expense |  |  |  |  |  |  |  |  | 0 |  |
Other income, net |  |  |  |  |  |  |  |  |  | 0 | 0
Other income, net |  |  |  |  |  |  |  |  | 0 |  |
(Loss) income before income tax (benefit) expense |  |  |  |  |  |  |  |  | 0 | 0 | 0
Income tax expense (benefit) |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net loss before equity in net income of subsidiaries |  |  |  |  |  |  |  |  | 0 | 0 | 0
Equity in net (loss) income of subsidiaries |  |  |  |  |  |  |  |  | 554 | (119) | (190)
Net (loss) income |  |  |  |  |  |  |  |  | $ 554 | $ (119) | $ (190)

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