XML 118 R41.htm IDEA: XBRL DOCUMENT
v3.24.0.1

Segments (Tables) | 12 Months Ended
--- | ---
Dec. 31, 2023
Segment Reporting [Abstract] |
Schedule of Operating Segment Information | The following table presents total revenue by segment. Inter-segment revenue was insignificant for all periods presented.
| Year Ended December 31,
| 2023 |  | 2022 |  | 2021
| (In millions)
Total revenue: |  |  |  |  |
Medicaid | $ | 27,707 |  |  | $ | 25,783 |  |  | $ | 21,231 |
Medicare | 4,227 |  |  | 3,824 |  |  | 3,379 |
Marketplace | 2,062 |  |  | 2,296 |  |  | 3,091 |
Other | 76 |  |  | 71 |  |  | 70 |
Consolidated | $ | 34,072 |  |  | $ | 31,974 |  |  | $ | 27,771 |
The following table reconciles margin by segment to consolidated income before income tax expense:
| Year Ended December 31,
| 2023 |  | 2022 |  | 2021
| (In millions)
Margin: |  |  |  |  |
Medicaid | $ | 2,973 |  |  | $ | 2,981 |  |  | $ | 2,322 |
Medicare | 388 |  |  | 437 |  |  | 430 |
Marketplace | 499 |  |  | 290 |  |  | 399 |
Other | 9 |  |  | 11 |  |  | 14 |
Total margin | 3,869 |  |  | 3,719 |  |  | 3,165 |
Add: other operating revenues (1) | 1,467 |  |  | 1,020 |  |  | 846 |
Less: other operating expenses (2) | (3,763) |  |  | (3,566) |  |  | (2,991) |
Operating income | 1,573 |  |  | 1,173 |  |  | 1,020 |
Less: other expenses, net (3) | 109 |  |  | 110 |  |  | 145 |
Income before income tax expense | $ | 1,464 |  |  | $ | 1,063 |  |  | $ | 875 |
______________________ (1)Other operating revenues include premium tax revenue, investment income and certain other revenue. (2)Other operating expenses include general and administrative expenses, premium tax expenses, depreciation and amortization, impairment, and certain other operating expenses. (3)Other expenses, net include interest expense and non-operating other expenses.

X
- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482573/350-20-50-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-25 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-22 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-30 + Details
Name: | us-gaap_ScheduleOfSegmentReportingInformationBySegmentTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- References No definition available. + Details
Name: | us-gaap_SegmentReportingAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration