| Fiscal period | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 |
|---|
| Period End Date | 12/31/2024 | 12/31/2023 | 12/31/2022 | 12/31/2021 | 12/31/2020 | 12/31/2019 | 12/31/2018 | 12/31/2017 | 12/31/2016 | 12/31/2015 |
|---|
| Service revenue | -- | -- | -- | -- | -- | -- | 407.00 | 521.00 | 539.00 | 253.00 |
| Investment income | 452.00 | 394.00 | 143.00 | 52.00 | 76.00 | -- | -- | -- | 38.00 | 18.00 |
| Premium revenue | 38,627.00 | 32,529.00 | 30,883.00 | 26,855.00 | 18,299.00 | 16,208.00 | 17,612.00 | 18,854.00 | 16,392.00 | 13,241.00 |
| Revenue: Investment income and other revenue | -- | -- | -- | -- | -- | 132.00 | 125.00 | 70.00 | -- | -- |
| Marketplace risk corridor judgment | -- | -- | -- | -- | 128.00 | -- | -- | -- | -- | -- |
| Other revenue | 85.00 | 80.00 | 75.00 | 77.00 | -- | -- | -- | -- | -- | -- |
| Rental income and Other Revenues | -- | -- | -- | -- | -- | -- | -- | -- | -- | 5.00 |
| Premium tax | 1,486.00 | 1,069.00 | 873.00 | 787.00 | 649.00 | 489.00 | 417.00 | 438.00 | 468.00 | 397.00 |
| Health insurer fee revenue | -- | -- | -- | -- | 271.00 | -- | 329.00 | -- | 345.00 | 264.00 |
| Total Revenues | 40,650.00 | 34,072.00 | 31,974.00 | 27,771.00 | 19,423.00 | 16,829.00 | 18,890.00 | 19,883.00 | 17,782.00 | 14,178.00 |
| Cost of service revenue | -- | -- | -- | -- | -- | -- | 364.00 | 492.00 | 485.00 | 193.00 |
| Medical services | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Hospital and specialty services | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Pharmacy | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Medical care costs | 34,428.00 | 28,669.00 | 27,175.00 | 23,704.00 | 15,820.00 | 13,905.00 | 15,137.00 | 17,073.00 | 14,774.00 | 11,794.00 |
| Depreciation and amortization | 186.00 | 171.00 | 176.00 | 131.00 | 88.00 | 89.00 | 99.00 | 137.00 | 139.00 | 104.00 |
| Impairment of goodwill and intangible assets | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Impairment charge on purchased software | -- | -- | 208.00 | -- | -- | -- | -- | -- | -- | -- |
| General and administrative expenses | 2,743.00 | 2,462.00 | 2,311.00 | 2,068.00 | 1,480.00 | 1,296.00 | 1,333.00 | 1,594.00 | 1,393.00 | 1,146.00 |
| Restructuring and separation costs | -- | -- | -- | -- | -- | 6.00 | 46.00 | 234.00 | -- | -- |
| Loss contract charge | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Gain on Sale of Subsidiary | -- | -- | -- | -- | -- | -- | (15.00) | -- | -- | -- |
| Impairment losses | -- | -- | -- | -- | -- | -- | -- | (470.00) | -- | -- |
| Gain on purchase of convertible senior notes | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Premium tax expenses | (1,486.00) | (1,069.00) | (873.00) | (787.00) | (649.00) | (489.00) | (417.00) | (438.00) | (468.00) | (397.00) |
| Health insurer fee expenses | -- | -- | -- | -- | (277.00) | -- | 348.00 | -- | (217.00) | (157.00) |
| Other | (100.00) | (128.00) | (58.00) | (61.00) | (31.00) | -- | -- | -- | -- | -- |
| Total Operating Expenses | 38,943.00 | 32,499.00 | 30,801.00 | 26,751.00 | 18,345.00 | 15,785.00 | 17,744.00 | 20,438.00 | 17,476.00 | 13,791.00 |
| Operating income | 1,707.00 | 1,573.00 | 1,173.00 | 1,020.00 | 1,078.00 | 1,044.00 | 1,131.00 | (555.00) | 306.00 | 387.00 |
| Interest expense | 118.00 | 109.00 | 110.00 | 120.00 | 102.00 | 87.00 | 115.00 | 118.00 | 101.00 | 66.00 |
| Other, net | -- | -- | -- | (25.00) | (15.00) | 15.00 | (17.00) | 61.00 | -- | 1.00 |
| Total other Income (Expense) | 118.00 | 109.00 | 110.00 | 145.00 | 117.00 | 72.00 | 132.00 | 57.00 | 101.00 | 65.00 |
| Income (loss) before income taxes | 1,589.00 | 1,464.00 | 1,063.00 | 875.00 | 961.00 | 972.00 | 999.00 | (612.00) | 205.00 | 322.00 |
| Current-State | 59.00 | 55.00 | 40.00 | 31.00 | 26.00 | 12.00 | 18.00 | -- | 3.00 | 8.00 |
| Deferred:Federal | 47.00 | (28.00) | (66.00) | (17.00) | (13.00) | 5.00 | (3.00) | -- | 19.00 | (10.00) |
| Deferred:State | 6.00 | (3.00) | -- | (7.00) | (7.00) | 6.00 | (3.00) | -- | 2.00 | 4.00 |
| Provision for income taxes | 410.00 | 373.00 | 271.00 | 216.00 | 288.00 | 235.00 | 292.00 | (100.00) | 153.00 | 179.00 |
| Deferred: Foreign | -- | -- | -- | -- | 1.00 | -- | -- | -- | 1.00 | -- |
| Change in valuation allowance | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Current-Federal | 298.00 | 349.00 | 297.00 | 209.00 | 281.00 | 204.00 | 272.00 | -- | 134.00 | 172.00 |
| Current: Foreign | -- | -- | -- | -- | -- | -- | 8.00 | -- | (6.00) | -- |
| Income (loss) from Continuing Operations | -- | -- | -- | -- | -- | -- | -- | -- | -- | 143.00 |
| Income from Discontinued Operations | -- | -- | -- | -- | -- | -- | -- | -- | -- | 0.00 |
| Net Income (Loss) Available to Common Shareholders | 1,179.00 | 1,091.00 | 792.00 | 659.00 | 673.00 | 737.00 | 707.00 | (512.00) | 52.00 | 143.00 |
| Income (loss) from continuing operations-Basic | -- | -- | -- | -- | -- | -- | -- | -- | 0.93 | 2.75 |
| Income (loss) from discontinued operations-Basic | -- | -- | -- | -- | -- | -- | -- | -- | -- | 0.00 |
| Net Earnings Per Share (Basic) | 20.52 | 18.91 | 13.72 | 11.40 | 11.40 | 11.85 | 11.57 | (9.07) | 0.93 | 2.75 |
| Income (loss) from continuing operations-Diluted | -- | -- | -- | -- | -- | -- | -- | -- | 0.92 | 2.58 |
| Income (loss) from discontinued operations-Diluted | -- | -- | -- | -- | -- | -- | -- | -- | -- | 0.00 |
| Net Earnings Per Share (Diluted) | 20.42 | 18.77 | 13.55 | 11.25 | 11.23 | 11.47 | 10.61 | (9.07) | 0.92 | 2.58 |
| Weighted Average Shares Outstanding (Basic) | 57.40 | 57.70 | 57.80 | 57.80 | 59.00 | 62.00 | 61.10 | 56.00 | 55.00 | 52.00 |
| Weighted Average Shares Outstanding (Diluted) | 57.70 | 58.10 | 58.50 | 58.60 | 60.00 | 64.00 | 66.60 | 56.00 | 56.00 | 56.00 |