Anthem Reports First Quarter 2019 Results, Raises Full Year Outlook
Business Wire 24-Apr-2019 6:00 AM
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First quarter net income was $5.91 per share, including net
negative adjustment items of $0.12 per share. Adjusted net income was
$6.03* per share.
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Operating revenue grew by 9.2% over the prior year quarter to $24.4
billion.
-
Medical enrollment increased by 905 thousand members sequentially
to 40.8 million members.
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Operating gain was $1.9 billion, an increase of 3.9% over the prior
year quarter.
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Second quarter 2019 dividend of $0.80 per share declared to
shareholders.
Anthem, Inc. (NYSE:ANTM) reported first quarter financial results that
were driven by solid membership growth across all lines of business.
"Our first quarter 2019 results represent a strong start to the year. We
reported significant growth in our risk-based membership and improved
the penetration of our clinical and specialty services, demonstrating
that our value proposition is resonating across our markets," said Gail
K. Boudreaux, President and CEO. "Looking ahead, the upcoming launch of
IngenioRx is a key milestone in the realization of our vision and
strategy. With IngenioRx, we finally have a strong integrated pharmacy
and medical platform, one that is predicated on providing the lowest
absolute cost of care, and we are well positioned for accelerated
growth."
* Refer to the GAAP reconciliation tables.
CONSOLIDATED HIGHLIGHTS
Membership: Medical enrollment totaled approximately 40.8 million
members at March 31, 2019, an increase of 1.2 million, or 2.9 percent,
from March 31, 2018. Government Business enrollment increased by 877
thousand, predominantly driven by growth in Medicaid and Medicare.
Commercial & Specialty Business enrollment increased by 279 thousand,
driven by growth in all lines of business. Total fully insured
enrollment grew by 943 thousand, or 6.5 percent, and fee-based
membership grew by 213 thousand, or 0.8 percent.
Medical enrollment increased by 905 thousand sequentially during the
first quarter of 2019, primarily driven by growth in fully insured
membership across the businesses. Government Business enrollment grew by
511 thousand sequentially, driven by increases in Medicaid and Medicare.
Commercial & Specialty Business enrollment increased by 394 thousand,
attributable to increases in National and Individual.
Operating Revenue: Operating revenue was $24.4 billion in the
first quarter of 2019, an increase of $2.0 billion, or 9.2 percent,
versus $22.3 billion in the prior year quarter. The increase in
operating revenue reflected membership growth across our businesses and
premium rate increases to cover overall cost trends. The increase was
partially offset by the one year waiver of the health insurance tax in
2019.
Benefit Expense Ratio: The benefit expense ratio was 84.4
percent in the first quarter of 2019, an increase of 290 basis points
from 81.5 percent in the prior year quarter. The increase, as expected,
was primarily driven by the one year waiver of the health insurance tax
in 2019. The ratio also increased due to the non-recurrence of
retroactive revenue adjustments in the Medicaid business that were
received in 2018.
Medical claims reserves established at December 31, 2018 developed
moderately better than the Company's expectation during the first
quarter of 2019.
Medical Cost Trend: For the full year 2019, the Company
continues to expect underlying Local Group medical cost trend will be in
the range of 6.0% +/- 50 basis points.
Days in Claims Payable: Days in Claims Payable was 38.5
days as of March 31, 2019, an increase of 2.3 days from 36.2 days as of
December 31, 2018.
SG&A Expense Ratio: The SG&A expense ratio was 13.0 percent
in the first quarter of 2019, a decrease of 230 basis points from 15.3
percent in the first quarter of 2018. The decrease, as expected, was
primarily driven by the one year waiver of the health insurance tax in
2019, growth in operating revenue, and overall expense management.
Operating Cash Flow: Operating cash flow was $1.6 billion, or 1.1
times net income in the first quarter of 2019. For the first quarter of
2018, operating cash flow was $2.2 billion, or 1.7 times net income. The
decrease was driven primarily by the timing of Medicare prepayments in
2018.
Share Repurchase Program: During the first quarter of 2019, the
Company repurchased 1.1 million shares of its common stock for $294
million, or a weighted average price of $275.23. As of March 31, 2019,
the Company had approximately $5.2 billion of Board-approved share
repurchase authorization remaining.
Cash Dividend: During the first quarter of 2019, the Company paid
a quarterly dividend of $0.80 per share, representing a distribution of
cash totaling $206 million.
On April 23, 2019, the Audit Committee declared a second quarter 2019
dividend to shareholders of $0.80 per share. On an annualized basis,
this equates to a dividend of $3.20 per share. The second quarter
dividend is payable on June 25, 2019 to shareholders of record at the
close of business on June 10, 2019.
Investment Portfolio & Capital Position: During the first
quarter of 2019, the Company recorded net realized gains on financial
instruments totaling $78 million and other-than-temporary impairment
losses totaling $10 million. During the first quarter of 2018, the
Company recorded net realized losses of $26 million and
other-than-temporary impairment losses totaling $8 million.
As of March 31, 2019, the Company's net unrealized gain position in the
investment portfolio was $255 million, consisting of fixed maturity
securities. As of March 31, 2019 cash and investments at the parent
company totaled approximately $1.1 billion.
REPORTABLE SEGMENTS
Anthem, Inc. has three reportable segments: Commercial & Specialty
Business (comprised of the Local Group, National Accounts, Individual
and Specialty businesses); Government Business (comprised of the
Medicaid and Medicare businesses, National Government Services, and the
Federal Employee Program); and Other (comprised of certain eliminations
and corporate expenses not allocated to either of our other reportable
segments).
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Anthem, Inc.
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Reportable Segment Highlights
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(Unaudited)
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(In millions)
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Three Months Ended March 31
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2019
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2018
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Change
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Operating Revenue
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Commercial & Specialty Business
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$9,392
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$8,951
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4.9
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%
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Government Business
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14,993
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13,390
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12.0
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%
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Other
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3
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1
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NM2
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Total Operating Revenue1
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$24,388
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$22,342
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9.2
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%
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Operating Gain / (Loss)
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Commercial & Specialty Business
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$1,587
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$1,409
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12.6
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%
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Government Business
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383
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481
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(20.4
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)%
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Other
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(30
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(22
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NM2
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Total Operating Gain1
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$1,940
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$1,868
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3.9
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%
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Operating Margin
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Commercial & Specialty Business
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16.9
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%
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15.7
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%
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120 bp
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Government Business
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2.6
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%
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3.6
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%
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(100) bp
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Total Operating Margin1
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8.0
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%
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8.4
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%
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(40) bp
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(1)
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See "Basis of Presentation".
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(2)
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"NM" = calculation not meaningful.
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Commercial & Specialty Business: Operating gain in the
Commercial & Specialty Business segment totaled $1,587 million in the
first quarter of 2019, an increase of $178 million, or 12.6 percent,
from $1,409 million in the first quarter of 2018. The increase is a
result of improved medical cost performance in Local Group and higher
administrative fee revenue in our self-funded businesses, driven by
greater penetration of value-added services.
Government Business: Operating gain in the Government Business
segment was $383 million in the first quarter of 2019, a decrease of $98
million, or 20.4 percent, from $481 million in the first quarter of
2018. The decrease is driven by the non-recurrence of retroactive
revenue adjustments received in 2018 and continued elevated medical cost
experience in Medicaid in select states, partially offset by certain
reduced selling, general and administrative expenses.
Other: The Company reported an operating loss of $30 million in
the Other segment for the first quarter of 2019, compared with an
operating loss of $22 million in the prior year quarter.
OUTLOOK
Full Year 2019:
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GAAP net income is now expected to be greater than $18.27 per share,
including approximately $0.93 per share of net unfavorable items.
Excluding these items, adjusted net income is now expected to be
greater than $19.20* per share.
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Medical membership is expected to be in the range of 40,900,000 -
41,300,000. Fully-insured membership is expected to be in the range of
15,500,000 - 15,700,000 and self-funded membership is expected to be
in the range of 25,400,000 - 25,600,000.
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Operating revenue is expected to be approximately $100.0 billion,
including premium revenue of $90.5 billion - $92.5 billion.
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Benefit expense ratio is expected to be in the range of 86.2% plus or
minus 30 basis points.
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Cost of products sold is expected to be $1.6 billion - $1.8 billion.
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SG&A ratio is expected to be in the range of 13.5% plus or minus 30
basis points.
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Operating cash flow is expected to be greater than $5.2 billion.
* Refer to the GAAP reconciliation tables.
Basis of Presentation
-
Operating revenue and operating gain are the key measures used by
management to evaluate performance in each of its reporting segments,
allocate resources, set incentive compensation targets and to forecast
future operating performance. Operating gain is calculated as total
operating revenue less benefit expense and selling, general and
administrative expense. It does not include net investment income, net
realized gains/losses on financial instruments, other-than-temporary
impairment losses recognized in income, interest expense, amortization
of other intangible assets, gains/losses on extinguishment of debt or
income taxes, as these items are managed in a corporate shared service
environment and are not the responsibility of operating segment
management. Refer to the GAAP reconciliation tables.
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Operating margin is defined as operating gain divided by operating
revenue.
Conference Call and Webcast
Management will host a conference call and webcast today at 8:30 a.m.
Eastern Daylight Time ("EDT") to discuss the company's first quarter
results and outlook. The conference call should be accessed at least 15
minutes prior to the start of the call with the following numbers:
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800-553-5260 (Domestic)
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800-475-6701 (Domestic Replay)
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612-332-0418 (International)
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320-365-3844 (International Replay)
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An access code is not required for today's conference call. The access
code for the replay is 432043. The replay will be available from 11:00
a.m. EDT today, until the end of the day on May 8, 2019. The call will
also be available through a live webcast at www.antheminc.com
under the "Investors" link. A webcast replay will be available following
the call.
About Anthem, Inc.
Anthem is a leading health benefits company dedicated to improving lives
and communities, and making healthcare simpler. Through its affiliated
companies, Anthem serves more than 78 million people, including over 40
million within its family of health plans. We aim to be the most
innovative, valuable and inclusive partner. For more information, please
visit www.antheminc.com
or follow @AnthemInc on Twitter.
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Anthem, Inc.
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Membership Summary
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(Unaudited and in Thousands)
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Change from
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Medical Membership
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March 31,2019
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March 31,2018
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December 31,2018
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March 31,2018
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December 31,2018
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Customer Type
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Local Group
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15,697
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15,670
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15,733
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0.2
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%
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(0.2
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)%
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Individual
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773
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755
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655
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2.4
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%
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18.0
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%
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National:
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National Accounts
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7,757
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7,684
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7,588
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1.0
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%
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2.2
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%
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BlueCard®
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5,981
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5,820
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5,838
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2.8
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%
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2.4
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%
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Total National
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13,738
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13,504
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13,426
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1.7
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%
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2.3
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%
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Medicare:
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Medicare Advantage
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1,144
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916
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1,006
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24.9
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%
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13.7
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%
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Medicare Supplement
|
|
867
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|
823
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846
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5.3
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%
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2.5
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%
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Total Medicare
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2,011
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|
|
1,739
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|
|
1,852
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15.6
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%
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|
8.6
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%
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Medicaid
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7,033
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6,457
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6,716
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8.9
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%
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4.7
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%
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FEP®
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|
1,591
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|
|
1,562
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|
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1,556
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1.9
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%
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2.2
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%
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Total Medical Membership
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40,843
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39,687
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39,938
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2.9
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%
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2.3
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%
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Funding Arrangement
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Self-Funded
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25,495
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25,282
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25,287
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0.8
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%
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0.8
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%
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|
Fully-Insured
|
|
15,348
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14,405
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14,651
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6.5
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%
|
|
4.8
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%
|
|
Total Medical Membership
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|
40,843
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39,687
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|
|
39,938
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2.9
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%
|
|
2.3
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%
|
|
Reportable Segment
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Commercial & Specialty Business
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30,208
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|
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29,929
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|
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29,814
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|
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0.9
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%
|
|
1.3
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%
|
|
Government Business
|
|
10,635
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|
|
9,758
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|
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10,124
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9.0
|
%
|
|
5.0
|
%
|
|
Total Medical Membership
|
|
40,843
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|
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39,687
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|
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39,938
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|
|
2.9
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%
|
|
2.3
|
%
|
|
Other Membership
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|
|
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|
|
Life and Disability Members
|
|
4,849
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|
|
4,641
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|
|
4,795
|
|
|
4.5
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%
|
|
1.1
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%
|
|
Dental Members
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|
5,955
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|
|
5,786
|
|
|
5,807
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|
|
2.9
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%
|
|
2.5
|
%
|
|
Dental Administration Members
|
|
5,491
|
|
|
5,357
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|
|
5,327
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|
|
2.5
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%
|
|
3.1
|
%
|
|
Vision Members
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|
7,169
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|
|
6,781
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|
|
6,946
|
|
|
5.7
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%
|
|
3.2
|
%
|
|
Medicare Part D Standalone Members
|
|
289
|
|
|
316
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|
|
309
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(8.5
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)%
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|
(6.5
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)%
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|
|
Anthem, Inc.
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Consolidated Statements of Income
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(Unaudited)
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(In millions, except per share data)
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|
Three Months EndedMarch 31
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|
|
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|
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2019
|
|
2018
|
|
Change
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|
Revenues
|
|
|
|
|
|
|
|
Premiums
|
|
$
|
22,843
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|
|
$
|
20,903
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|
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9.3
|
%
|
|
Administrative fees and other revenue
|
|
1,545
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|
|
1,439
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|
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7.4
|
%
|
|
Total operating revenue
|
|
24,388
|
|
|
22,342
|
|
|
9.2
|
%
|
|
Net investment income
|
|
210
|
|
|
229
|
|
|
(8.3
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)%
|
|
Net realized gains/(losses) on financial instruments
|
|
78
|
|
|
(26
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)
|
|
NM
|
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Other-than-temporary impairment losses on investments:
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|
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Total other-than-temporary impairment losses on investments
|
|
(13
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)
|
|
(8
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)
|
|
62.5
|
%
|
|
Portion of other-than-temporary impairment losses recognized in
other comprehensive income
|
|
3
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|
|
—
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|
|
NM
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|
Other-than-temporary impairment losses recognized in income
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|
(10
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)
|
|
(8
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)
|
|
25.0
|
%
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
24,666
|
|
|
22,537
|
|
|
9.4
|
%
|
|
|
|
|
|
|
|
|
|
Expenses
|
|
|
|
|
|
|
|
Benefit expense
|
|
19,282
|
|
|
17,046
|
|
|
13.1
|
%
|
|
Selling, general and administrative expense
|
|
3,166
|
|
|
3,428
|
|
|
(7.6
|
)%
|
|
Interest expense
|
|
187
|
|
|
184
|
|
|
1.6
|
%
|
|
Amortization of other intangible assets
|
|
87
|
|
|
80
|
|
|
8.8
|
%
|
|
(Gain) Loss on extinguishment of debt
|
|
(1
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)
|
|
19
|
|
|
NM
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|
|
|
|
|
|
|
|
|
Total expenses
|
|
22,721
|
|
|
20,757
|
|
|
9.5
|
%
|
|
|
|
|
|
|
|
|
|
Income before income tax expense
|
|
1,945
|
|
|
1,780
|
|
|
9.3
|
%
|
|
|
|
|
|
|
|
|
|
Income tax expense
|
|
394
|
|
|
468
|
|
|
(15.8
|
)%
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$
|
1,551
|
|
|
$
|
1,312
|
|
|
18.2
|
%
|
|
|
|
|
|
|
|
|
|
Net income per diluted share
|
|
$
|
5.91
|
|
|
$
|
4.99
|
|
|
18.4
|
%
|
|
|
|
|
|
|
|
|
|
Diluted shares
|
|
262.3
|
|
|
262.8
|
|
|
(0.2
|
)%
|
|
|
|
|
|
|
|
|
|
Benefit expense as a percentage of premiums
|
|
84.4
|
%
|
|
81.5
|
%
|
|
290
|
bp
|
|
Selling, general and administrative expense as a percentage of total
operating revenue
|
|
13.0
|
%
|
|
15.3
|
%
|
|
(230
|
)bp
|
|
Income before income taxes as a percentage of total revenue
|
|
7.9
|
%
|
|
7.9
|
%
|
|
—
|
bp
|
|
(1)
|
|
"NM" = calculation not meaningful
|
|
|
|
Anthem, Inc.
|
|
Consolidated Balance Sheets
|
|
|
|
(In millions)
|
|
March 31, 2019
|
|
December 31, 2018
|
|
Assets
|
|
(Unaudited)
|
|
|
|
Current assets:
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
4,482
|
|
|
$
|
3,934
|
|
|
Fixed maturity securities, current
|
|
17,795
|
|
|
16,692
|
|
|
Equity securities, current
|
|
1,211
|
|
|
1,493
|
|
|
Other invested assets, current
|
|
20
|
|
|
21
|
|
|
Accrued investment income
|
|
161
|
|
|
162
|
|
|
Premium receivables
|
|
5,049
|
|
|
4,465
|
|
|
Self-funded receivables
|
|
2,491
|
|
|
2,278
|
|
|
Other receivables
|
|
2,639
|
|
|
2,558
|
|
|
Income taxes receivable
|
|
—
|
|
|
10
|
|
|
Securities lending collateral
|
|
591
|
|
|
604
|
|
|
Other current assets
|
|
2,172
|
|
|
2,104
|
|
|
Total current assets
|
|
36,611
|
|
|
34,321
|
|
|
|
|
|
|
|
|
Long-term investments:
|
|
|
|
|
|
Fixed maturity securities
|
|
492
|
|
|
487
|
|
|
Equity securities
|
|
33
|
|
|
33
|
|
|
Other invested assets
|
|
3,710
|
|
|
3,726
|
|
|
Property and equipment, net
|
|
2,799
|
|
|
2,735
|
|
|
Goodwill
|
|
20,500
|
|
|
20,504
|
|
|
Other intangible assets
|
|
8,925
|
|
|
9,007
|
|
|
Other noncurrent assets
|
|
1,453
|
|
|
758
|
|
|
Total assets
|
|
$
|
74,523
|
|
|
$
|
71,571
|
|
|
|
|
|
|
|
|
Liabilities and shareholders' equity
|
|
|
|
|
|
Liabilities
|
|
|
|
|
|
Current liabilities:
|
|
|
|
|
|
Policy liabilities:
|
|
|
|
|
|
Medical claims payable
|
|
$
|
8,242
|
|
|
$
|
7,454
|
|
|
Reserves for future policy benefits
|
|
78
|
|
|
75
|
|
|
Other policyholder liabilities
|
|
2,577
|
|
|
2,590
|
|
|
Total policy liabilities
|
|
10,897
|
|
|
10,119
|
|
|
Unearned income
|
|
998
|
|
|
902
|
|
|
Accounts payable and accrued expenses
|
|
3,951
|
|
|
4,959
|
|
|
Income taxes payable
|
|
105
|
|
|
—
|
|
|
Security trades pending payable
|
|
158
|
|
|
197
|
|
|
Securities lending payable
|
|
590
|
|
|
604
|
|
|
Short-term borrowings
|
|
1,095
|
|
|
1,145
|
|
|
Current portion of long-term debt
|
|
851
|
|
|
849
|
|
|
Other current liabilities
|
|
4,037
|
|
|
3,190
|
|
|
Total current liabilities
|
|
22,682
|
|
|
21,965
|
|
|
|
|
|
|
|
|
Long-term debt, less current portion
|
|
17,396
|
|
|
17,217
|
|
|
Reserves for future policy benefits, noncurrent
|
|
719
|
|
|
706
|
|
|
Deferred tax liabilities, net
|
|
2,116
|
|
|
1,960
|
|
|
Other noncurrent liabilities
|
|
1,612
|
|
|
1,182
|
|
|
Total liabilities
|
|
44,525
|
|
|
43,030
|
|
|
|
|
|
|
|
|
Shareholders' equity
|
|
|
|
|
|
Common stock
|
|
3
|
|
|
3
|
|
|
Additional paid-in capital
|
|
9,482
|
|
|
9,536
|
|
|
Retained earnings
|
|
21,136
|
|
|
19,988
|
|
|
Accumulated other comprehensive loss
|
|
(623
|
)
|
|
(986
|
)
|
|
Total shareholders' equity
|
|
29,998
|
|
|
28,541
|
|
|
Total liabilities and shareholders' equity
|
|
$
|
74,523
|
|
|
$
|
71,571
|
|
|
|
|
|
|
Anthem, Inc.
|
|
Consolidated Statements of Cash Flows
|
|
(Unaudited)
|
|
|
|
|
|
|
|
|
|
(In millions)
|
|
Three Months Ended March 31
|
|
|
|
2019
|
|
2018
|
|
Operating activities
|
|
|
|
|
|
|
|
Net income
|
|
$1,551
|
|
|
$1,312
|
|
|
Adjustments to reconcile net income to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
Net realized (gains)/losses on financial instruments
|
|
(78
|
)
|
|
26
|
|
|
Other-than-temporary impairment losses recognized in income
|
|
10
|
|
|
8
|
|
|
(Gain) Loss on extinguishment of debt
|
|
(1
|
)
|
|
19
|
|
|
Deferred income taxes
|
|
55
|
|
|
(51
|
)
|
|
Amortization, net of accretion
|
|
255
|
|
|
240
|
|
|
Depreciation expense
|
|
34
|
|
|
30
|
|
|
Share-based compensation
|
|
70
|
|
|
42
|
|
|
Changes in operating assets and liabilities:
|
|
|
|
|
|
|
|
Receivables, net
|
|
(753
|
)
|
|
37
|
|
|
Other invested assets
|
|
(21
|
)
|
|
(7
|
)
|
|
Other assets
|
|
(125
|
)
|
|
(392
|
)
|
|
Policy liabilities
|
|
791
|
|
|
(561
|
)
|
|
Unearned income
|
|
96
|
|
|
1,182
|
|
|
Accounts payable and accrued expenses
|
|
(1,029
|
)
|
|
(300
|
)
|
|
Other liabilities
|
|
675
|
|
|
147
|
|
|
Income taxes
|
|
115
|
|
|
537
|
|
|
Other, net
|
|
(15
|
)
|
|
(54
|
)
|
|
Net cash provided by operating activities
|
|
1,630
|
|
|
2,215
|
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
Purchases of fixed maturity securities
|
|
(2,300
|
)
|
|
(2,236
|
)
|
|
Proceeds from sales and maturities of fixed maturity securities
|
|
1,468
|
|
|
2,227
|
|
|
Purchases of equity securities
|
|
(3,691
|
)
|
|
(566
|
)
|
|
Proceeds from sales of equity securities
|
|
4,048
|
|
|
1,776
|
|
|
Purchases of other invested assets
|
|
(78
|
)
|
|
(72
|
)
|
|
Proceeds from sales of other invested assets
|
|
113
|
|
|
23
|
|
|
Changes in securities lending collateral
|
|
14
|
|
|
(158
|
)
|
|
Purchases of subsidiaries, net of cash acquired
|
|
—
|
|
|
(1,346
|
)
|
|
Net purchases of property and equipment
|
|
(234
|
)
|
|
(218
|
)
|
|
Other, net
|
|
8
|
|
|
4
|
|
|
Net cash used in investing activities
|
|
(652
|
)
|
|
(566
|
)
|
|
|
|
|
|
|
|
|
|
Financing activities
|
|
|
|
|
|
|
|
Net proceeds from/(repayments of) commercial paper borrowings
|
|
178
|
|
|
(108
|
)
|
|
Net proceeds from/(repayments of) short-term borrowings
|
|
(50
|
)
|
|
(150
|
)
|
|
Net proceeds from/(repayments of) long-term borrowings
|
|
(61
|
)
|
|
173
|
|
|
Changes in securities lending payable
|
|
(14
|
)
|
|
158
|
|
|
Changes in bank overdrafts
|
|
20
|
|
|
(124
|
)
|
|
Repurchase and retirement of common stock
|
|
(294
|
)
|
|
(395
|
)
|
|
Change in collateral and settlements of debt-related derivatives
|
|
—
|
|
|
24
|
|
|
Cash dividends
|
|
(206
|
)
|
|
(192
|
)
|
|
Proceeds from issuance of common stock under employee stock plans
|
|
76
|
|
|
60
|
|
|
Taxes paid through withholding of common stock under employee stock
plans
|
|
(78
|
)
|
|
(73
|
)
|
|
Net cash used in financing activities
|
|
(429
|
)
|
|
(627
|
)
|
|
|
|
|
|
|
|
|
|
Effect of foreign exchange rates on cash and cash equivalents
|
|
(1
|
)
|
|
—
|
|
|
|
|
|
|
|
|
|
|
Change in cash and cash equivalents
|
|
548
|
|
|
1,022
|
|
|
Cash and cash equivalents at beginning of year
|
|
3,934
|
|
|
3,609
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$4,482
|
|
|
$4,631
|
|
|
|
|
Anthem, Inc.
|
|
Reconciliation of Medical Claims Payable
|
|
|
|
|
|
Three Months EndedMarch 31
|
|
Years Ended December 31
|
|
|
|
2019
|
|
2018
|
|
2018
|
|
2017
|
|
2016
|
|
(In millions)
|
|
(Unaudited)
|
|
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross medical claims payable, beginning of period
|
|
$
|
7,266
|
|
|
$
|
7,814
|
|
|
$
|
7,814
|
|
|
$
|
7,656
|
|
|
$
|
7,360
|
|
|
Ceded medical claims payable, beginning of period
|
|
(34
|
)
|
|
(105
|
)
|
|
(105
|
)
|
|
(539
|
)
|
|
(646
|
)
|
|
Net medical claims payable, beginning of period
|
|
7,232
|
|
|
7,709
|
|
|
7,709
|
|
|
7,117
|
|
|
6,714
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Business combinations and purchase adjustments
|
|
—
|
|
|
199
|
|
|
199
|
|
|
76
|
|
|
—
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net incurred medical claims:
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
18,794
|
|
|
16,837
|
|
|
69,581
|
|
|
70,377
|
|
|
64,868
|
|
|
Prior years redundancies(1)
|
|
(455
|
)
|
|
(633
|
)
|
|
(930
|
)
|
|
(1,133
|
)
|
|
(835
|
)
|
|
Total net incurred medical claims
|
|
18,339
|
|
|
16,204
|
|
|
68,651
|
|
|
69,244
|
|
|
64,033
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net payments attributable to:
|
|
|
|
|
|
|
|
|
|
|
|
Current year medical claims
|
|
12,163
|
|
|
11,204
|
|
|
62,748
|
|
|
62,923
|
|
|
57,879
|
|
|
Prior years medical claims
|
|
5,414
|
|
|
5,489
|
|
|
6,579
|
|
|
5,805
|
|
|
5,751
|
|
|
Total net payments
|
|
17,577
|
|
|
16,693
|
|
|
69,327
|
|
|
68,728
|
|
|
63,630
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net medical claims payable, end of period
|
|
7,994
|
|
|
7,419
|
|
|
7,232
|
|
|
7,709
|
|
|
7,117
|
|
|
Ceded medical claims payable, end of period
|
|
34
|
|
|
34
|
|
|
34
|
|
|
105
|
|
|
539
|
|
|
Gross medical claims payable, end of period
|
|
$
|
8,028
|
|
|
$
|
7,453
|
|
|
$
|
7,266
|
|
|
$
|
7,814
|
|
|
$
|
7,656
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year medical claims paid as a percentage of current year net
incurred medical claims
|
|
64.7
|
%
|
|
66.5
|
%
|
|
90.2
|
%
|
|
89.4
|
%
|
|
89.2
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Prior year redundancies in the current year as a percentage of prior
year net medical claims payable less prior year redundancies in the
current year
|
|
6.7
|
%
|
|
8.9
|
%
|
|
13.7
|
%
|
|
18.9
|
%
|
|
14.2
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Prior year redundancies in the current year as a percentage of prior
year net incurred medical claims
|
|
0.7
|
%
|
|
0.9
|
%
|
|
1.3
|
%
|
|
1.8
|
%
|
|
1.4
|
%
|
|
(1)
|
|
Negative amounts reported for net incurred medical claims related
to prior years result from claims being settled for amounts less
than originally estimated.
|
|
|
|
|
|
Anthem, Inc.
|
|
GAAP Reconciliation
|
|
(Unaudited)
|
|
|
Anthem, Inc. has referenced "Adjusted Net Income" and "Adjusted Net
Income Per Share," which are non-GAAP measures, in this document. These
non-GAAP measures are not intended to be alternatives to any measure
calculated in accordance with GAAP. In addition to these non-GAAP
measures, references are made to the measures "Operating Revenue" and
"Operating Gain." Each of these measures is provided to further aid
investors in understanding and analyzing the company's core operating
results and comparing Anthem, Inc.'s financial results. A reconciliation
of Operating Revenue to Total Revenue is set forth in the Consolidated
Statements of Income herein. A reconciliation of the non-GAAP measures
to the most directly comparable measures calculated in accordance with
GAAP, together with a reconciliation of reportable segments operating
gain to income before income tax expense, is reported below. Prior
amounts may be rounded differently to conform to current presentation.
|
|
|
|
|
|
|
|
|
Three Months EndedMarch 31
|
|
|
|
(In millions, except per share data)
|
|
2019
|
|
2018
|
|
Change
|
|
Net income
|
|
$
|
1,551
|
|
|
$
|
1,312
|
|
|
18.2
|
%
|
|
Add / (Subtract):
|
|
|
|
|
|
|
|
Net realized (gains)/losses on financial instruments
|
|
(78
|
)
|
|
26
|
|
|
|
|
Amortization of other intangible assets
|
|
87
|
|
|
80
|
|
|
|
|
Other-than-temporary impairment losses recognized in income
|
|
10
|
|
|
8
|
|
|
|
|
(Gain)/Loss on extinguishment of debt
|
|
(1
|
)
|
|
19
|
|
|
|
|
Litigation expenses for CI and ESI
|
|
26
|
|
|
—
|
|
|
|
|
Transaction related costs
|
|
—
|
|
|
9
|
|
|
|
|
Tax impact of non-GAAP adjustments
|
|
(14
|
)
|
|
(34
|
)
|
|
|
|
Net adjustment items
|
|
30
|
|
|
108
|
|
|
|
|
Adjusted net income
|
|
$
|
1,581
|
|
|
$
|
1,420
|
|
|
11.3
|
%
|
|
|
|
|
|
|
|
|
|
Net income per diluted share
|
|
$
|
5.91
|
|
|
$
|
4.99
|
|
|
18.4
|
%
|
|
Add / (Subtract):
|
|
|
|
|
|
|
|
Net realized (gains)/losses on financial instruments
|
|
(0.30
|
)
|
|
0.10
|
|
|
|
|
Amortization of other intangible assets
|
|
0.33
|
|
|
0.30
|
|
|
|
|
Other-than-temporary impairment losses recognized in income
|
|
0.04
|
|
|
0.03
|
|
|
|
|
(Gain)/Loss on extinguishment of debt
|
|
—
|
|
|
0.07
|
|
|
|
|
Litigation expenses for CI and ESI
|
|
0.10
|
|
|
—
|
|
|
|
|
Transaction related costs
|
|
—
|
|
|
0.03
|
|
|
|
|
Tax impact of non-GAAP adjustments
|
|
(0.05
|
)
|
|
(0.13
|
)
|
|
|
|
Rounding Impact
|
|
—
|
|
|
0.02
|
|
|
|
|
Net adjustment items
|
|
0.12
|
|
|
0.42
|
|
|
|
|
Adjusted net income per diluted share
|
|
$
|
6.03
|
|
|
$
|
5.41
|
|
|
11.5
|
%
|
|
|
|
|
|
|
|
|
|
|
|
Full Year 2019 Outlook
|
|
|
|
Net income per diluted share
|
|
Greater than $18.27
|
|
|
|
Add / (Subtract):
|
|
|
|
|
|
Net realized gains on financial instruments
|
|
(0.30
|
|
|
|
|
Other-than-temporary impairment losses recognized in income
|
|
0.04
|
|
|
|
|
Litigation expenses for CI and ESI
|
|
0.10
|
|
|
|
|
Amortization of other intangible assets
|
|
Approximately $1.37
|
|
|
|
Tax impact of non-GAAP adjustments
|
|
Approximately ($0.28)
|
|
|
|
Net adjustment items
|
|
Approximately $0.93
|
|
|
|
Adjusted net income per diluted share
|
|
Greater than $19.20
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months EndedMarch 31
|
|
|
|
(In millions)
|
|
2019
|
|
2018
|
|
Change
|
|
Reportable segments operating gain
|
|
$
|
1,940
|
|
|
$
|
1,868
|
|
|
3.9
|
%
|
|
Net investment income
|
|
210
|
|
|
229
|
|
|
|
|
Net realized gains/(losses) on financial instruments
|
|
78
|
|
|
(26
|
)
|
|
|
|
Other-than-temporary impairment losses recognized in income
|
|
(10
|
)
|
|
(8
|
)
|
|
|
|
Interest expense
|
|
(187
|
)
|
|
(184
|
)
|
|
|
|
Amortization of other intangible assets
|
|
(87
|
)
|
|
(80
|
)
|
|
|
|
Gain/(Loss) on extinguishment of debt
|
|
1
|
|
|
(19
|
)
|
|
|
|
Income before income tax expense
|
|
$
|
1,945
|
|
|
$
|
1,780
|
|
|
9.3
|
%
|
Forward-Looking Statements
This document contains certain forward-looking statements within the
meaning of the Private Securities Litigation Reform Act of 1995.
Forward-looking statements reflect our views about future events and
financial performance and are generally not historical facts. Words such
as "expect," "feel," "believe," "will," "may," "should," "anticipate,"
"intend," "estimate," "project," "forecast," "plan" and similar
expressions are intended to identify forward-looking statements. These
statements include, but are not limited to: financial projections and
estimates and their underlying assumptions; statements regarding plans,
objectives and expectations with respect to future operations, products
and services; and statements regarding future performance. Such
statements are subject to certain risks and uncertainties, many of which
are difficult to predict and generally beyond our control, that could
cause actual results to differ materially from those expressed in, or
implied or projected by, the forward-looking statements. You are
cautioned not to place undue reliance on these forward-looking
statements that speak only as of the date hereof. You are also urged to
carefully review and consider the various risks and other disclosures
discussed in our reports filed with the U.S. Securities and Exchange
Commission from time to time, which attempt to advise interested parties
of the factors that affect our business. Except to the extent otherwise
required by federal securities laws, we do not undertake any obligation
to republish revised forward-looking statements to reflect events or
circumstances after the date hereof. These risks and uncertainties
include, but are not limited to: the impact of federal and state
regulation, including ongoing changes in the Patient Protection and
Affordable Care Act and the Health Care and Education Reconciliation Act
of 2010, as amended, or collectively, the ACA, and the ultimate outcome
of legal challenges to the ACA; trends in healthcare costs and
utilization rates; our ability to contract with providers on
cost-effective and competitive terms; our ability to secure sufficient
premium rates, including regulatory approval for and implementation of
such rates; competitive pressures and our ability to adapt to changes in
the industry and develop and implement strategic growth opportunities;
reduced enrollment; unauthorized disclosure of member or employee
sensitive or confidential information, including the impact and outcome
of any investigations, inquiries, claims and litigation related thereto;
risks and uncertainties regarding Medicare and Medicaid programs,
including those related to non-compliance with the complex regulations
imposed thereon; our ability to maintain and achieve improvement in
Centers for Medicare and Medicaid Services, or CMS, Star ratings and
other quality scores and funding risks with respect to revenue received
from participation therein; a negative change in our healthcare product
mix; costs and other liabilities associated with litigation, government
investigations, audits or reviews; the ultimate outcome of litigation
between Cigna Corporation, or Cigna, and us related to the merger
agreement between the parties, including our claim for damages against
Cigna, Cigna's claim for payment of a termination fee and other damages
against us, and the potential for such litigation to cause us to incur
substantial costs, materially distract management and negatively impact
our reputation and financial condition; non-compliance by any party with
the pharmacy benefit management services agreements between us and each
of Express Scripts, Inc., or Express Scripts, and CaremarkPCS Health,
L.L.C., or CVS Health, as well as any agreements governing the
transition of pharmacy benefit management services provided to us from
Express Scripts to CVS Health, which could result in financial
penalties, our inability to meet customer demands, and sanctions imposed
by governmental entities, including CMS; medical malpractice or
professional liability claims or other risks related to healthcare
services and pharmacy benefit management services provided by our
subsidiaries; possible restrictions in the payment of dividends
from our subsidiaries and increases in required minimum levels of
capital; our ability to repurchase shares of our common stock and pay
dividends on our common stock due to the adequacy of our cash flow and
earnings and other considerations; the potential negative effect from
our substantial amount of outstanding indebtedness; a downgrade in our
financial strength ratings; the effects of any negative publicity
related to the health benefits industry in general or us in particular;
failure to effectively maintain and modernize our information systems;
events that may negatively affect our licenses with the Blue Cross and
Blue Shield Association; large-scale medical emergencies, such as future
public health epidemics and catastrophes; general risks associated with
mergers, acquisitions, joint ventures and strategic alliances; possible
impairment of the value of our intangible assets if future results do
not adequately support goodwill and other intangible assets; changes in
economic and market conditions, as well as regulations that may
negatively affect our liquidity and investment portfolios; changes in
U.S. tax laws; intense competition to attract and retain employees; and
various laws and provisions in our governing documents that may prevent
or discourage takeovers and business combinations.
View source version on businesswire.com: https://www.businesswire.com/news/home/20190424005334/en/
