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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Revenue:        
Premium revenue $ 6,800 $ 4,768 $ 19,689 $ 13,444
Premium tax revenue 204 170 576 477
Health insurer fees reimbursed 0 69 0 206
Investment income 20 10 39 48
Other revenue 16 4 58 13
Total revenue 7,040 5,021 20,362 14,188
Operating expenses:        
Medical care costs 6,049 4,098 17,342 11,412
General and administrative expenses 532 368 1,489 1,030
Premium tax expenses 204 170 576 477
Health insurer fees 0 70 0 209
Depreciation and amortization 32 23 96 64
Other 2 3 30 9
Total operating expenses 6,819 4,732 19,533 13,201
Operating income 221 289 829 987
Other expenses, net:        
Interest expense 30 27 90 72
Other expense, net 0 0 0 5
Total other expenses, net 30 27 90 77
Income before income tax expense 191 262 739 910
Income tax expense 48 77 183 271
Net income $ 143 $ 185 $ 556 $ 639
Net income per share:        
Net income per share - Basic (in dollars per share) $ 2.49 $ 3.14 $ 9.63 $ 10.80
Net income per share - Diluted (in dollars per share) $ 2.46 $ 3.10 $ 9.51 $ 10.65