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CONSOLIDATED STATEMENTS OF INCOME - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Revenue: |  |  |  |
Premium revenue | $ 9,694 | $ 8,240 | $ 28,644 | $ 24,167
Premium tax revenue | 508 | 176 | 1,103 | 517
Investment income | 118 | 112 | 341 | 280
Other revenue | 20 | 20 | 63 | 60
Total revenue | 10,340 | 8,548 | 30,151 | 25,024
Operating expenses: |  |  |  |
Medical care costs | 8,643 | 7,306 | 25,425 | 21,215
General and administrative expenses | 676 | 608 | 2,078 | 1,817
Premium tax expenses | 508 | 176 | 1,103 | 517
Depreciation and amortization | 47 | 42 | 138 | 128
Other | (1) | 57 | 80 | 90
Total operating expenses | 9,873 | 8,189 | 28,824 | 23,767
Operating income | 467 | 359 | 1,327 | 1,257
Interest expense | 29 | 27 | 84 | 82
Income before income tax expense | 438 | 332 | 1,243 | 1,175
Income tax expense | 112 | 87 | 315 | 300
Net income | $ 326 | $ 245 | $ 928 | $ 875
Net income per share: |  |  |  |
Net income per share - Basic (in dollars per share) | $ 5.67 | $ 4.24 | $ 16.05 | $ 15.18
Net income per share - Diluted (in dollars per share) | $ 5.65 | $ 4.21 | $ 15.97 | $ 15.08

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