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Condensed Consolidated Statements of Operations - USD ($)
shares in Millions, $ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Jun. 30, 2015
Jun. 30, 2014
Revenues:        
Premiums $ 31,961 $ 28,840 $ 63,635 $ 56,955
Services 2,865 2,447 5,571 4,851
Products 1,223 1,037 2,453 2,035
Investment and other income 214 250 360 441
Total revenues 36,263 32,574 72,019 64,282
Operating costs:        
Medical costs 26,026 23,523 51,715 46,731
Operating costs 5,852 5,206 11,801 10,400
Cost of products sold 1,111 929 2,211 1,821
Depreciation and amortization 379 364 757 724
Total operating costs 33,368 30,022 66,484 59,676
Earnings from operations 2,895 2,552 5,535 4,606
Interest expense (151) (155) (301) (315)
Earnings before income taxes 2,744 2,397 5,234 4,291
Provision for income taxes (1,159) (989) (2,236) (1,784)
Net earnings $ 1,585 $ 1,408 $ 2,998 $ 2,507
Earnings per common share:        
Basic $ 1.66 $ 1.44 $ 3.15 $ 2.56
Diluted $ 1.64 $ 1.42 $ 3.10 $ 2.52
Basic weighted-average number of common shares outstanding 952 979 953 981
Dilutive effect of common share equivalents 14 12 14 13
Diluted weighted-average number of common shares outstanding 966 991 967 994
Anti-dilutive shares excluded from the calculation of dilutive effect of common share equivalents 8 8 8 9
Cash dividends declared per common share $ 0.5000 $ 0.3750 $ 0.8750 $ 0.6550