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SEGMENT INFORMATION (Tables)
12 Months Ended
Dec. 31, 2018
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, By Segment
 
Retail
 
Group and Specialty
 
Healthcare Services
 
Individual Commercial
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2018
 
 
 
 
 
 
 
 
 
 
 
 
 
External revenues
Premiums:
 
 
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
35,656

 
$

 
$

 
$

 
$

 
$

 
$
35,656

Group Medicare Advantage
6,103

 

 

 

 

 

 
6,103

Medicare stand-alone PDP
3,584

 

 

 

 

 

 
3,584

Total Medicare
45,343

 

 

 

 

 

 
45,343

Fully-insured
510

 
5,444

 

 
8

 

 

 
5,962

Specialty

 
1,359

 

 

 

 

 
1,359

Medicaid and other
2,255

 

 

 

 
22

 

 
2,277

Total premiums
48,108

 
6,803

 

 
8

 
22

 

 
54,941

Services revenue:
 
 
 
 
 
 
 
Provider

 

 
404

 

 

 

 
404

ASO and other
11

 
835

 

 

 
4

 

 
850

Pharmacy

 

 
203

 

 

 

 
203

Total services revenue
11

 
835

 
607

 

 
4

 

 
1,457

Total external revenues
48,119

 
7,638

 
607

 
8

 
26

 

 
56,398

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
 
 
Services

 
18

 
16,840

 

 

 
(16,858
)
 

Products

 

 
6,330

 

 

 
(6,330
)
 

Total intersegment revenues

 
18

 
23,170

 

 

 
(23,188
)
 

Investment income
136

 
23

 
34

 

 
110

 
211

 
514

Total revenues
48,255

 
7,679

 
23,811

 
8

 
136

 
(22,977
)
 
56,912

Operating expenses:
 
 
 
 
 
 
 
Benefits
40,925

 
5,420

 

 
(70
)
 
77

 
(470
)
 
45,882

Operating costs
5,327

 
1,810

 
22,905

 
4

 
6

 
(22,527
)
 
7,525

Depreciation and amortization
270

 
88

 
163

 

 

 
(116
)
 
405

Total operating expenses
46,522

 
7,318

 
23,068

 
(66
)
 
83

 
(23,113
)
 
53,812

Income from operations
1,733

 
361

 
743

 
74

 
53

 
136

 
3,100

Loss on sale of business

 

 

 

 

 
786

 
786

Interest expense

 

 

 

 

 
218

 
218

Other expense, net

 

 

 

 

 
33

 
33

Income (loss) before income taxes and equity in earnings
1,733

 
361

 
743

 
74

 
53

 
(901
)
 
2,063

Equity in net earnings of Kindred at Home

 

 
11

 

 

 

 
11

Segment earnings (losses)
$
1,733

 
$
361

 
$
754

 
$
74

 
$
53

 
$
(901
)
 
$
2,074


Premium and services revenues derived from our contracts with the federal government, as a percentage of our total premium and services revenues, was approximately 81% for 2018, compared to 79% for 2017, and 75% for 2016.
 
Retail
 
Group and Specialty
 
Healthcare Services
 
Individual Commercial
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2017
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues—external customers
Premiums:
 
 
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
32,720

 
$

 
$

 
$

 
$

 
$

 
$
32,720

Group Medicare Advantage
5,155

 

 

 

 

 

 
5,155

Medicare stand-alone PDP
3,702

 

 

 

 

 

 
3,702

Total Medicare
41,577

 

 

 

 

 

 
41,577

Fully-insured
478

 
5,462

 

 
947

 

 

 
6,887

Specialty

 
1,310

 

 

 

 

 
1,310

Medicaid and other
2,571

 

 

 

 
35

 

 
2,606

Total premiums
44,626

 
6,772

 

 
947

 
35

 

 
52,380

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
 
 
Provider

 

 
258

 

 

 

 
258

ASO and other
10

 
626

 

 

 
8

 

 
644

Pharmacy

 

 
80

 

 

 

 
80

Total services revenue
10

 
626

 
338

 

 
8

 

 
982

Total revenues—external customers
44,636

 
7,398

 
338

 
947

 
43

 

 
53,362

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
 
 
Services

 
20

 
17,293

 

 

 
(17,313
)
 

Products

 

 
6,292

 

 

 
(6,292
)
 

Total intersegment revenues

 
20

 
23,585

 

 

 
(23,605
)
 

Investment income
90

 
31

 
35

 
4

 
87

 
158

 
405

Total revenues
44,726

 
7,449

 
23,958

 
951

 
130

 
(23,447
)
 
53,767

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
 
 
Benefits
38,218

 
5,363

 

 
544

 
131

 
(760
)
 
43,496

Operating costs
4,292

 
1,590

 
22,848

 
201

 
12

 
(22,376
)
 
6,567

Merger termination fee and related costs, net

 

 

 

 

 
(936
)
 
(936
)
Depreciation and amortization
238

 
84

 
143

 
13

 

 
(100
)
 
378

Total operating expenses
42,748

 
7,037

 
22,991

 
758

 
143

 
(24,172
)
 
49,505

Income (loss) from operations
1,978

 
412

 
967

 
193

 
(13
)
 
725

 
4,262

Interest expense

 

 

 

 

 
242

 
242

Income (loss) before income taxes and equity in earnings
1,978

 
412

 
967

 
193

 
(13
)
 
483

 
4,020

Equity in net earnings of Kindred at Home

 

 

 

 

 

 

Segment earnings (losses)
$
1,978

 
$
412

 
$
967

 
$
193

 
$
(13
)
 
$
483

 
$
4,020

 
Retail
 
Group and Specialty
 
Healthcare Services
 
Individual Commercial
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2016
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues—external customers
Premiums:
 
 
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
31,863

 
$

 
$

 
$

 
$

 
$

 
$
31,863

Group Medicare Advantage
4,283

 

 

 

 

 

 
4,283

Medicare stand-alone PDP
4,009

 

 

 

 

 

 
4,009

Total Medicare
40,155

 

 

 

 

 

 
40,155

Fully-insured
428

 
5,405

 

 
3,064

 

 

 
8,897

Specialty

 
1,279

 

 

 

 

 
1,279

Medicaid and other
2,640

 
12

 

 

 
38

 

 
2,690

Total premiums
43,223

 
6,696

 

 
3,064

 
38

 

 
53,021

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
 
 
Provider

 

 
278

 

 

 

 
278

ASO and other
6

 
643

 
1

 

 
10

 

 
660

Pharmacy

 

 
31

 

 

 

 
31

Total services revenue
6

 
643

 
310

 

 
10

 

 
969

Total revenues—external customers
43,229

 
7,339

 
310

 
3,064

 
48

 

 
53,990

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
 
 
Services

 
22

 
18,979

 

 

 
(19,001
)
 

Products

 

 
5,993

 

 

 
(5,993
)
 

Total intersegment revenues

 
22

 
24,972

 

 

 
(24,994
)
 

Investment income
90

 
25

 
30

 
5

 
66

 
173

 
389

Total revenues
43,319

 
7,386

 
25,312

 
3,069

 
114

 
(24,821
)
 
54,379

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
 
 
Benefits
36,783

 
5,233

 

 
3,301

 
617

 
(927
)
 
45,007

Operating costs
4,650

 
1,727

 
24,073

 
601

 
16

 
(23,894
)
 
7,173

Merger termination fee and related costs, net

 

 

 

 

 
104

 
104

Depreciation and amortization
196

 
82

 
143

 
36

 
1

 
(104
)
 
354

Total operating expenses
41,629

 
7,042

 
24,216

 
3,938

 
634

 
(24,821
)
 
52,638

Income (loss) from operations
1,690

 
344

 
1,096

 
(869
)
 
(520
)
 

 
1,741

Gain on sale of business

 

 

 

 

 

 

Interest expense

 

 

 

 

 
189

 
189

Income (loss) before income taxes and equity in earnings
1,690

 
344

 
1,096

 
(869
)
 
(520
)
 
(189
)
 
1,552

Equity in net earnings of Kindred at Home

 

 

 

 

 

 

Segment earnings (losses)
$
1,690

 
$
344

 
$
1,096

 
$
(869
)
 
$
(520
)
 
$
(189
)
 
$
1,552