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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
shares in Millions, $ in Millions
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Revenue:      
Premium revenue $ 38,627 $ 32,529 $ 30,883
Premium tax revenue 1,486 1,069 873
Investment income 452 394 143
Other revenue 85 80 75
Total revenue 40,650 34,072 31,974
Operating expenses:      
Medical care costs 34,428 28,669 27,175
General and administrative expenses 2,743 2,462 2,311
Premium tax expenses 1,486 1,069 873
Depreciation and amortization 186 171 176
Impairment 0 0 208
Other 100 128 58
Total operating expenses 38,943 32,499 30,801
Operating income 1,707 1,573 1,173
Interest expense 118 109 110
Income before income tax expense 1,589 1,464 1,063
Income tax expense 410 373 271
Net income $ 1,179 $ 1,091 $ 792
Net income per share:      
Basic (in dollars per share) $ 20.52 $ 18.91 $ 13.72
Diluted (in dollars per share) $ 20.42 $ 18.77 $ 13.55
Weighted average shares outstanding:      
Basic (in shares) 57.4 57.7 57.8
Diluted (in shares) 57.7 58.1 58.5