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Segment Information (Tables)
12 Months Ended
Dec. 31, 2020
Segment Reporting [Abstract]  
Financial Data By Reportable Segment
Financial data by reportable segment for the years ended December 31, 2020, 2019 and 2018 is as follows:
Commercial & Specialty BusinessGovernment BusinessIngenioRxOtherEliminationsTotal
Year ended December 31, 2020
Operating revenue - unaffiliated
$36,699 $71,572 10,384 $2,153 $— $120,808 
Operating revenue - affiliated
— — 11,527 3,904 (15,431)— 
Operating gain (loss)
2,681 2,444 1,361 (126)— 6,360 
Depreciation and amortization of property and equipment
— — — 638 — 638 
Year ended December 31, 2019
Operating revenue - unaffiliated
$37,421 $62,632 2,007 $1,081 $— $103,141 
Operating revenue - affiliated
— — 3,395 1,212 (4,607)— 
Operating gain (loss)
4,032 2,056 — (89)— 5,999 
Depreciation and amortization of property and equipment
— — — 675 — 675 
Year ended December 31, 2018
Operating revenue - unaffiliated
$35,782 $55,348 — $211 $— $91,341 
Operating revenue - affiliated
— — — 1,308 (1,308)— 
Operating gain (loss)
3,600 1,928 — (102)— 5,426 
Depreciation and amortization of property and equipment
— — — 652 — 652 
Major Product Revenues The major product revenues for each of the reportable segments for the years ended December 31, 2020, 2019 and 2018 are as follows:
202020192018
Commercial & Specialty Business
Managed care products
$29,815 $30,311 $29,012 
Managed care services
5,296 5,451 5,218 
Dental/Vision products and services
1,231 1,302 1,220 
Other
357 357 332 
Total Commercial & Specialty Business
36,699 37,421 35,782 
Government Business
Managed care products
71,188 62,229 54,889 
Managed care services
384 403 459 
Total Government Business
71,572 62,632 55,348 
IngenioRx
Pharmacy products and services21,911 5,402 — 
Other
Integrated health services5,787 2,149 1,489 
Other
270 144 30 
Total Other Business6,057 2,293 1,519 
Eliminations
Eliminations
(15,431)(4,607)(1,308)
Total product revenues
$120,808 $103,141 $91,341 
Reconciliation Of Reportable Segment Operating Revenues To The Consolidated Statements Of Income
A reconciliation of reportable segments’ operating revenue to the amounts of total revenues included in our consolidated statements of income for the years ended December 31, 2020, 2019 and 2018 is as follows:
202020192018
Reportable segments operating revenues$120,808 $103,141 $91,341 
Net investment income877 1,005 970 
Net realized gains (losses) on financial instruments182 67 (206)
Total revenues$121,867 $104,213 $92,105 
Reconciliation Of Reportable Segment Operating Gain To Income From Continuing Operations Before Income Taxes In The Consolidated Statements Of Income
A reconciliation of reportable segments’ operating gain to income before income tax expense included in our consolidated statements of income for the years ended December 31, 2020, 2019 and 2018 is as follows:
202020192018
Reportable segments operating gain$6,360 $5,999 $5,426 
Net investment income877 1,005 970 
Net realized gains (losses) on financial instruments182 67 (206)
Interest expense(784)(746)(753)
Amortization of other intangible assets(361)(338)(358)
Loss on extinguishment of debt(36)(2)(11)
Income before income tax expense$6,238 $5,985 $5,068