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Anthem Reports Second Quarter 2017 Results
  • Net income was $3.16 per share, including net negative adjustment items of $0.21 per share. Adjusted net income was $3.37 per share (refer to the GAAP reconciliation table).
  • Medical enrollment has increased by approximately 0.5 million members in 2017, or 1.2%, totaling approximately 40.4 million members as of June 30, 2017.
  • Company expects medical enrollment to grow by nearly 300 - 500 thousand members for the full year 2017.
  • Full year 2017 GAAP net income is now expected to be greater than $10.35. Full year adjusted net income is now expected to be greater than $11.70 (refer to the GAAP reconciliation table).
  • Company increased its third quarter 2017 dividend to shareholders by $0.05 per share to $0.70 per share.

INDIANAPOLIS--(BUSINESS WIRE)--Jul. 26, 2017-- Anthem, Inc. (NYSE: ANTM) today announced that second quarter 2017 net income was $855.3 million, or $3.16 per share. These results included net negative adjustment items of $0.21 per share. Net income in the second quarter of 2016 was $780.6 million, or $2.91 per share, which included net negative adjustment items of $0.42 per share.

Excluding the items noted in each period, adjusted net income was $3.37 per share in the second quarter of 2017 compared to the adjusted net income of $3.33 per share in the prior year quarter (refer to the GAAP reconciliation table for the most directly comparable measure calculated in accordance with U.S. generally accepted accounting principles, or “GAAP”).

“I am pleased with our second quarter 2017 results, carrying forward our operating momentum. Our commitment to improving the quality and affordability of health care for our customers is resonating in the marketplace and benefiting our shareholders," said Joseph Swedish, president and chief executive officer.

“Our solid second quarter financial results reflect solid performance across our various business segments, which is reflected in our updated 2017 outlook,” said John Gallina, executive vice president and chief financial officer.

CONSOLIDATED HIGHLIGHTS

Membership: Medical enrollment totaled approximately 40.4 million members at June 30, 2017, an increase of 0.6 million members, or 1.6 percent, from 39.8 million at June 30, 2016. Commercial & Specialty Business enrollment increased by 389 thousand medical members as the Company experienced growth in both fully insured and self-funded Local Group businesses, partially offset by a decline in membership in the National Account and Individual businesses. Enrollment also grew by 193 thousand in the Medicaid business and 58 thousand in the Medicare business.

Medical enrollment increased by 468 thousand during the first six months of 2017. Enrollment gains were primarily in the Local Group, Individual, and Medicare businesses.

Operating Revenue: Operating revenue was $22.2 billion in the second quarter of 2017, an increase of $0.9 billion, or 4.3 percent, versus the $21.3 billion in the prior year quarter. The growth in revenue reflected premium rate increases to cover overall cost trends across our business. Additionally, the increase was driven by higher enrollment in the Local Group insured and self-funded businesses, as well as in Medicaid and Medicare. These increases were partially offset by the impact of the one year waiver of the health insurance tax in 2017 and less favorable adjustments to the prior year risk adjustment estimates.

Benefit Expense Ratio: The benefit expense ratio was 86.1 percent in the second quarter of 2017, an increase of 190 basis points from 84.2 percent in the prior year quarter. The increase, as expected, was largely driven by the impact of the one year waiver of the health insurance tax in 2017 and less favorable adjustments to the prior year risk adjustment estimates. The increase was partially offset by improved medical cost performance in the Local Group and Individual businesses.

Medical claims reserves established at December 31, 2016 developed moderately better than the Company’s expectation during the first six months of 2017.

Medical Cost Trend: For the full year 2017, the Company continues to expect underlying Local Group medical cost trend to be in the range of 6.5% - 7.0%.

Days in Claims Payable: Days in Claims Payable (“DCP”) was 40.5 days as of June 30, 2017, a decrease of 0.1 days from 40.6 days as of March 31, 2017.

SG&A Expense Ratio: The SG&A expense ratio was 13.8 percent in the second quarter of 2017, a decrease of 20 basis points from 14.0 percent in the second quarter of 2016. The decrease, as expected, was primarily driven by the impact of the one year waiver of the health insurance tax in 2017, the impact of operating expense efficiency initiatives taken by the company, and fixed cost leverage on operating revenue growth. The decrease was partially offset by higher performance-based incentive compensation accruals and the 2015 cyber attack litigation settlement recorded during the quarter.

Operating Cash Flow: Operating cash flow was $393 million, or 0.5 times net income in the second quarter of 2017, and approximately $3.1 billion, or 1.7 times net income for the first six months of 2017. The Company continues to expect its full year 2017 operating cash flow to be greater than $3.5 billion.

Share Repurchase Program: During the second quarter of 2017, the Company repurchased 2.5 million shares of its common stock for $0.5 billion, or a weighted-average price of $182.83. During the first six months of 2017, the Company repurchased 2.8 million shares of its common stock for $0.5 billion, or a weighted average price of $180.37. As of June 30, 2017, the Company had approximately $3.7 billion of Board-approved share repurchase authorization remaining.

Cash Dividend: During the second quarter of 2017, the Company paid a quarterly dividend of $0.65 per share, representing a distribution of cash totaling $171.8 million.

On July 25, 2017, the Audit Committee declared a third quarter 2017 dividend to shareholders of $0.70 per share, an increase of $0.05 per share from the second quarter dividend. On an annualized basis, this equates to a dividend of $2.80 per share. The third quarter dividend is payable on September 25, 2017 to shareholders of record at the close of business on September 8, 2017.

Investment Portfolio & Capital Position: During the second quarter of 2017, the Company recorded net realized gains on financial instruments totaling $16.2 million and other-than-temporary impairment losses totaling $7.2 million. During the second quarter of 2016, the Company recorded net realized gains of $12.5 million and other-than-temporary impairment losses totaling $25.7 million.

As of June 30, 2017, the Company’s net unrealized gain position in the investment portfolio was $846.3 million, consisting of net unrealized gains on equity and fixed maturity securities totaling $450.5 and $395.8 million, respectively. As of June 30, 2017 cash and investments at the parent company totaled approximately $2.8 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 unallocated corporate expenses and certain other businesses that do not meet the quantitative thresholds for separate reportable segment disclosure).

                             
Anthem, Inc.
Reportable Segment Highlights
(Unaudited)
           
(In millions) Three Months Ended June 30 Six Months Ended June 30
2017 2016 Change 2017 2016 Change
Operating Revenue
Commercial & Specialty Business $10,308.8 $9,898.3 4.1 % $20,598.4 $19,408.1 6.1 %
Government Business 11,883.4 11,371.1 4.5 % 23,909.1 22,165.0 7.9 %
Other 5.8   5.1   13.7 % 10.0   10.8   (7.4 )%
Total Operating Revenue1 $22,198.0 $21,274.5 4.3 % $44,517.5 $41,583.9 7.1 %
 
Operating Gain / (Loss)
Commercial & Specialty Business $967.9 $1,075.3 (10.0 )% $2,270.3 $2,368.3 (4.1 )%
Government Business 293.3 450.5 (34.9 )% 611.9 775.5 (21.1 )%
Other (34.2 ) (25.6 )

NM

2

(69.8 ) (73.2 )

NM

2

Total Operating Gain1 $1,227.0 $1,500.2 (18.2 )% $2,812.4 $3,070.6 (8.4 )%
 
Operating Margin
Commercial & Specialty Business 9.4 % 10.9 %

(150)

bp

11.0 % 12.2 %

(120)

bp

Government Business 2.5 % 4.0 %

(150)

bp

2.6 % 3.5 %

(90)

bp

Total Operating Margin1 5.5 % 7.1 %

(160)

bp

6.3 % 7.4 %

(110)

bp

                                       

(1)

See “Basis of Presentation.”

(2)

"NM" = calculation not meaningful.

 

Commercial & Specialty Business: Operating gain in the Commercial & Specialty Business segment totaled $967.9 million in the second quarter of 2017, a decrease of $107.4 million, or 10.0 percent, from $1,075.3 million in the second quarter of 2016. The decrease was driven by less favorable adjustments to the prior year risk adjustment estimates, the one year waiver of the health insurance tax in 2017, and higher performance-based incentive compensation accruals. The decrease was partially offset by improved medical cost performance in the Local Group and Individual businesses.

Government Business: Operating gain in the Government Business segment was $293.3 million in the second quarter of 2017, a decrease of $157.2 million, or 34.9 percent, from $450.5 million in the second quarter of 2016. The decrease reflected higher performance-based incentive compensation accruals and the impact of the one year waiver of the health insurance tax in 2017.

Other: The Company reported an operating loss of $34.2 million in the Other segment for the second quarter of 2017, compared with an operating loss of $25.6 million in the prior year quarter.

OUTLOOK

Full Year 2017*:

  • Net income is expected to be greater than $10.35 per share, including approximately $1.35 per share of net unfavorable items. Excluding these items, adjusted net income is now expected to be greater than $11.70 (refer to the GAAP reconciliation table).
  • Medical membership is expected to be in the range of 40,200,000 - 40,400,000. Fully insured membership is now expected to be in the range of 15,200,000 - 15,300,000 and self-funded membership is expected to be in the range of 25,000,000 - 25,100,000.
  • Operating revenue is now expected to be in the range of $88.5 - $89.5 billion.
  • Benefit expense ratio is expected to be in the range of 87.0% plus or minus 30 basis points.
  • SG&A ratio is expected to be in the range of 13.6% plus or minus 30 basis points.
  • Operating cash flow is expected to be greater than $3.5 billion.

* This outlook includes the impact of the Penn Treaty assessments, 2015 cyber attack litigation settlement, and terminated Cigna acquisition transaction costs incurred during the first half of 2017, but does not include any transaction or legal costs associated with the terminated Cigna acquisition beyond those incurred in the first half of 2017.

Basis of Presentation

  1. 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).
  2. 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 second 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:

            800-230-1092 (Domestic)           800-475-6701 (Domestic Replay)
612-288-0337 (International) 320-365-3844 (International Replay)
 

An access code is not required for today’s conference call. The access code for the replay is 403156. The replay will be available from 11:00 a.m. EDT today, until the end of the day on August 9, 2017. 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 working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With over 74 million people served by its affiliated companies, including more than 40 million enrolled in its family of health plans, Anthem is one of the nation’s leading health benefits companies. For more information about Anthem’s family of companies, please visit www.antheminc.com/companies.

Anthem, Inc.
Membership Summary
(Unaudited and in Thousands)
         
Change from
June 30, June 30, December 31, June 30, December 31,

Medical Membership

2017 2016 2016 2016 2016
Customer Type
Local Group 15,705 15,192 15,429 3.4 % 1.8 %
Individual 1,779 1,812 1,664 (1.8 )% 6.9 %
 
National:
National Accounts 7,760 7,808 7,741 (0.6 )% 0.2 %
BlueCard® 5,561   5,604   5,550   (0.8 )% 0.2 %
 
Total National 13,321 13,412 13,291 (0.7 )% 0.2 %
Medicare 1,484 1,426 1,438 4.1 % 3.2 %
Medicaid 6,529 6,336 6,527 3.0 % %
FEP 1,569   1,572   1,570   (0.2 )% (0.1 )%
Total Medical Membership 40,387   39,750   39,919   1.6 % 1.2 %
Funding Arrangement
Self-Funded 24,938 24,550 24,688 1.6 % 1.0 %
Fully-Insured 15,449   15,200   15,231   1.6 % 1.4 %
Total Medical Membership 40,387   39,750   39,919   1.6 % 1.2 %
Reportable Segment
Commercial and Specialty Business 30,805 30,416 30,384 1.3 % 1.4 %
Government Business 9,582   9,334   9,535   2.7 % 0.5 %
Total Medical Membership 40,387   39,750   39,919   1.6 % 1.2 %

Other Membership

Life and Disability Members 4,705 4,689 4,732 0.3 % (0.6 )%
Dental Members 5,818 5,413 5,486 7.5 % 6.1 %
Dental Administration Members 5,335 5,369 5,294 (0.6 )% 0.8 %
Vision Members 6,791 5,929 6,388 14.5 % 6.3 %
Medicare Advantage Part D Members 679 608 629 11.7 % 7.9 %
Medicare Part D Standalone Members 322 352 350 (8.5 )% (8.0 )%
 
Anthem, Inc.
Consolidated Statements of Income
(Unaudited)
     
Three Months Ended
(In millions, except per share data) June 30
2017 2016 Change
Revenues
Premiums $ 20,813.1 $ 19,948.0 4.3 %
Administrative fees 1,378.9 1,315.8 4.8 %
Other revenue 6.0   10.7   (43.9 )%
Total operating revenue 22,198.0 21,274.5 4.3 %
Net investment income 200.2 194.9 2.7 %
Net realized gains on financial instruments 16.2 12.5 29.6 %
Other-than-temporary impairment losses on investments:
Total other-than-temporary impairment losses on investments (7.3 ) (33.8 ) (78.4 )%
Portion of other-than-temporary impairment losses recognized in other comprehensive income 0.1   8.1   (98.8 )%
Other-than-temporary impairment losses recognized in income (7.2 ) (25.7 ) (72.0 )%
 
Total revenues 22,407.2 21,456.2 4.4 %
 
Expenses
Benefit expense 17,917.2 16,805.2 6.6 %
Selling, general and administrative expense:
Selling expense 345.5 351.5 (1.7 )%
General and administrative expense 2,708.3   2,617.6   3.5 %
Total selling, general and administrative expense 3,053.8 2,969.1 2.9 %
Interest expense 189.9 185.7 2.3 %
Amortization of other intangible assets 40.6   47.9   (15.2 )%
 
Total expenses 21,201.5   20,007.9   6.0 %
 
Income before income tax expense 1,205.7 1,448.3 (16.8 )%
 
Income tax expense 350.4   667.7   (47.5 )%
 
Net income $ 855.3   $ 780.6   9.6 %
 
Net income per diluted share $ 3.16   $ 2.91   8.6 %
 
Diluted shares 270.8 268.2 1.0 %
 
Benefit expense as a percentage of premiums 86.1 % 84.2 % 190bp
Selling, general and administrative expense as a percentage of total operating revenue 13.8 % 14.0 % (20)bp
Income before income taxes as a percentage of total revenue 5.4 % 6.8 % (140)bp
 
Anthem, Inc.
Consolidated Statements of Income
(Unaudited)
     
Six Months Ended
(In millions, except per share data) June 30
2017 2016 Change
Revenues
Premiums $ 41,764.4 $ 38,936.9 7.3 %
Administrative fees 2,742.1 2,626.8 4.4 %
Other revenue 11.0   20.2   (45.5 )%
Total operating revenue 44,517.5 41,583.9 7.1 %
Net investment income 407.4 366.0 11.3 %
Net realized gains (losses) on financial instruments 23.5 (112.6 ) (120.9 )%
Other-than-temporary impairment losses on investments:
Total other-than-temporary impairment losses on investments (16.9 ) (119.0 ) (85.8 )%
Portion of other-than-temporary impairment losses recognized in other comprehensive income 1.6   26.4   (93.9 )%
Other-than-temporary impairment losses recognized in income (15.3 ) (92.6 ) (83.5 )%
 
Total revenues 44,933.1 41,744.7 7.6 %
 
Expenses
Benefit expense 35,460.0 32,344.0 9.6 %
Selling, general and administrative expense:
Selling expense 694.1 701.4 (1.0 )%
General and administrative expense 5,551.0   5,467.9   1.5 %
Total selling, general and administrative expense 6,245.1 6,169.3 1.2 %
Interest expense 424.9 372.8 14.0 %
Amortization of other intangible assets 82.4   98.3   (16.2 )%
 
Total expenses 42,212.4   38,984.4   8.3 %
 
Income before income tax expense 2,720.7 2,760.3 (1.4 )%
 
Income tax expense 855.5   1,276.7   (33.0 )%
 
Net income $ 1,865.2   $ 1,483.6   25.7 %
 
Net income per diluted share $ 6.89   $ 5.54   24.4 %
 
Diluted shares 270.6 267.8 1.0 %
 
Benefit expense as a percentage of premiums 84.9 % 83.1 % 180bp
Selling, general and administrative expense as a percentage of total operating revenue 14.0 % 14.8 % (80)bp
Income before income taxes as a percentage of total revenue 6.1 % 6.6 % (50)bp
 
Anthem, Inc.
Consolidated Balance Sheets
 
  June 30,   December 31,
(In millions) 2017 2016
Assets (Unaudited)
Current assets:
Cash and cash equivalents $ 4,561.2 $ 4,075.3
Investments available-for-sale, at fair value:
Fixed maturity securities 18,948.2 17,163.1
Equity securities 1,823.8 1,468.5
Other invested assets, current 19.1 15.8
Accrued investment income 158.2 164.5
Premium and self-funded receivables 6,105.7 5,860.8
Other receivables 2,525.4 2,536.6
Income taxes receivable 168.7
Securities lending collateral 1,214.5 1,079.8
Other current assets 1,774.6   1,781.8  
Total current assets 37,130.7 34,314.9
 
Long-term investments available-for-sale, at fair value:
Fixed maturity securities 524.8 524.4
Equity securities 32.3 31.4
Other invested assets, long-term 2,352.1 2,240.5
Property and equipment, net 1,975.7 1,977.9
Goodwill 17,561.2 17,561.2
Other intangible assets 7,882.4 7,964.9
Other noncurrent assets 778.4   467.9  
Total assets $ 68,237.6   $ 65,083.1  
 
Liabilities and shareholders’ equity
Liabilities
Current liabilities:
Policy liabilities:
Medical claims payable $ 7,969.5 $ 7,892.6
Reserves for future policy benefits 69.6 71.8
Other policyholder liabilities 2,447.5   2,221.1  
Total policy liabilities 10,486.6 10,185.5
Unearned income 1,837.8 971.9
Accounts payable and accrued expenses 3,815.7 4,014.9
Income taxes payable 113.0
Security trades pending payable 227.8 93.5
Securities lending payable 1,213.7 1,078.9
Short-term borrowings 580.0 440.0
Current portion of long-term debt 624.4 928.4
Other current liabilities 3,668.9   3,581.3  
Total current liabilities 22,567.9 21,294.4
 
Long-term debt, less current portion 15,088.0 14,358.5
Reserves for future policy benefits, noncurrent 619.0 666.1
Deferred tax liabilities, net 2,632.7 2,779.9
Other noncurrent liabilities 898.3   883.8  
Total liabilities 41,805.9   39,982.7  
 
Shareholders’ equity
Common stock 2.6 2.6
Additional paid-in capital 8,897.0 8,805.1
Retained earnings 17,667.0 16,560.6
Accumulated other comprehensive loss (134.9 ) (267.9 )
Total shareholders’ equity 26,431.7   25,100.4  
Total liabilities and shareholders’ equity $ 68,237.6   $ 65,083.1  
 
Anthem, Inc.
Consolidated Statements of Cash Flows
(Unaudited)
   
(In millions) Six Months Ended June 30
2017 2016
Operating activities
Net income $1,865.2 $1,483.6
Adjustments to reconcile net income to net cash provided by operating activities:
Net realized (gains) losses on financial instruments (23.5 ) 112.6
Other-than-temporary impairment losses recognized in income 15.3 92.6
Loss on disposal of assets 0.4 0.6
Deferred income taxes (209.9 ) 99.7
Amortization, net of accretion 385.0 399.4
Depreciation expense 54.5 51.7
Share-based compensation 87.1 82.4
Excess tax benefits from share-based compensation (46.0 )
Changes in operating assets and liabilities:
Receivables, net (134.7 ) (332.8 )
Other invested assets (22.4 ) (13.2 )
Other assets (322.4 ) (284.5 )
Policy liabilities 254.0 54.1
Unearned income 865.9 (312.7 )
Accounts payable and accrued expenses (53.0 ) 343.1
Other liabilities 81.5 (17.1 )
Income taxes 281.7 338.2
Other, net (43.4 ) (22.3 )
Net cash provided by operating activities 3,081.3 2,029.4
 
Investing activities
Purchases of fixed maturity securities (7,637.0 ) (5,509.3 )
Proceeds from sales and maturities of fixed maturity securities 6,119.3 4,836.8
Purchases of equity securities (506.0 ) (1,032.3 )
Proceeds from sales of equity securities 214.7 486.4
Purchases of other invested assets (162.3 ) (261.1 )
Proceeds from sales of other invested assets 121.8 219.4
Change in collateral and settlements of non-hedging derivatives (2.1 ) 14.7
Changes in securities lending collateral (134.8 ) (211.2 )
Net purchases of property and equipment (294.2 ) (251.2 )
Other, net 11.8    
Net cash used in investing activities (2,268.8 ) (1,707.8 )
 
Financing activities
Net proceeds from/(repayments of) commercial paper borrowings 1,347.8 (225.2 )
Net proceeds from/(repayments of) short-term borrowings 140.0 (100.0 )
Net repayments of long-term borrowings (929.9 )
Changes in securities lending payable 134.8 211.1
Changes in bank overdrafts (146.2 ) 15.2
Repurchase and retirement of common stock (509.0 )
Change in collateral and settlements of debt-related derivatives (128.4 ) (467.5 )
Cash dividends (344.0 ) (341.6 )
Proceeds from issuance of common stock under employee stock plans 151.0 71.7
Taxes paid through withholding of common stock under employee stock plans (45.6 ) (63.1 )
Excess tax benefits from share-based compensation   46.0  
Net cash used in financing activities (329.5 ) (853.4 )
 
Effect of foreign exchange rates on cash and cash equivalents 2.9   1.0  
 
Change in cash and cash equivalents 485.9 (530.8 )
Cash and cash equivalents at beginning of year 4,075.3   2,113.5  
 
Cash and cash equivalents at end of period $4,561.2 $1,582.7
 
Anthem, Inc.
Reconciliation of Medical Claims Payable
 
  Six Months Ended  
June 30 Years Ended December 31
2017   2016 2016   2015   2014
(In millions) (Unaudited)   (Unaudited)
 
Gross medical claims payable, beginning of period $ 7,892.6 $ 7,569.8 $ 7,569.8 $ 6,861.2 $ 6,127.2
Ceded medical claims payable, beginning of period (539.1 ) (645.6 ) (645.6 ) (767.4 ) (23.4 )
Net medical claims payable, beginning of period 7,353.5   6,924.2   6,924.2   6,093.8   6,103.8  
 
Business combinations and purchase adjustments 121.8
 
Net incurred medical claims:
Current year 35,686.5 32,452.2 66,371.4 60,708.4 56,305.8
Prior years redundancies(1) (951.0 ) (726.3 ) (850.4 ) (800.2 ) (541.9 )
Total net incurred medical claims 34,735.5   31,725.9   65,521.0   59,908.2   55,763.9  
 
Net payments attributable to:
Current year medical claims 28,540.4 26,197.1 59,156.6 54,067.7 50,353.9
Prior years medical claims 6,070.9   5,541.4   5,935.1   5,131.9   5,420.0  
Total net payments 34,611.3   31,738.5   65,091.7   59,199.6   55,773.9  
 
Net medical claims payable, end of period 7,477.7 6,911.6 7,353.5 6,924.2 6,093.8
Ceded medical claims payable, end of period 491.8   587.0   539.1   645.6   767.4  
Gross medical claims payable, end of period $ 7,969.5   $ 7,498.6   $ 7,892.6   $ 7,569.8   $ 6,861.2  
 
Current year medical claims paid as a percentage of current year net incurred medical claims 80.0 % 80.7 % 89.1 % 89.1 % 89.4 %
 
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 14.9 % 11.7 % 14.0 % 15.1 % 9.7 %
 
Prior year redundancies in the current year as a percentage of prior year net incurred medical claims 1.5 % 1.2 % 1.4 % 1.4 % 1.0 %
 

(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.

       
Three Months Ended Six Months Ended
June 30 June 30
(In millions, except per share data) 2017   2016 Change 2017   2016 Change
Net income $ 855.3 $ 780.6 9.6 % $ 1,865.2 $ 1,483.6 25.7 %
Add / (Subtract):
Net realized (gains)/losses on financial instruments (16.2 ) (12.5 ) (23.5 ) 112.6
Other-than-temporary impairment losses recognized in income 7.2 25.7 15.3 92.6
Transaction related costs 51.2 79.2 150.9 174.7
Income tax true-up of prior transaction costs (69.3 ) (69.3 )
2015 cyber attack litigation settlement 115.0 115.0
Amortization of other intangible assets 40.6 47.9 82.4 98.3
Penn Treaty assessment costs 253.8
Deferred tax asset write-off from California tax legislation 20.7 20.7
Tax impact of non-GAAP adjustments (71.4 ) (48.2 ) (212.0 ) (164.0 )
Net adjustment items 57.1   112.8   312.6   334.9  
Adjusted net income $ 912.4   $ 893.4   2.1 % $ 2,177.8   $ 1,818.5   19.8 %
 
Net income per diluted share $ 3.16 $ 2.91 8.6 % $ 6.89 $ 5.54 24.4 %
Add / (Subtract):
Net realized (gains)/losses on financial instruments (0.06 ) (0.05 ) (0.09 ) 0.42
Other-than-temporary impairment losses recognized in income 0.03 0.10 0.06 0.35
Transaction related costs 0.19 0.30 0.56 0.65
Income tax true-up of prior transaction costs (0.26 ) (0.26 )
2015 cyber attack litigation settlement 0.42 0.42
Amortization of other intangible assets 0.15 0.18 0.30 0.37
Penn Treaty assessment costs 0.94
Deferred tax asset write-off from California tax legislation 0.08 0.08
Tax impact of non-GAAP adjustments (0.26 ) (0.18 ) (0.78 ) (0.61 )
Rounding Impact   (0.01 ) 0.01   (0.01 )
Net adjustment items 0.21   0.42   1.16   1.25  
Adjusted net income per diluted share $ 3.37   $ 3.33   1.2 % $ 8.05   $ 6.79   18.6 %
 
Full Year 2017
Outlook
Net income per diluted share Greater than $10.35
Add / (Subtract):
Net realized (gains)/losses on financial instruments (0.09 )
Other-than-temporary impairment losses recognized in income 0.06
Transaction related costs 0.56
Income tax true-up of prior transaction costs (0.26 )
2015 cyber attack litigation settlement 0.42
Penn Treaty assessment costs 0.94
Amortization of other intangible assets Approximately $0.60
Tax impact of non-GAAP adjustments Approximately ($0.88)
Net adjustment items Approximately $1.35
Adjusted net income per diluted share Greater than $11.70
 
Three Months Ended Six Months Ended
June 30 June 30
(In millions) 2017 2016 Change 2017 2016 Change
Reportable segments operating gain $ 1,227.0 $ 1,500.2 (18.2 )% $ 2,812.4 $ 3,070.6 (8.4 )%
Net investment income 200.2 194.9 407.4 366.0
Net realized gains/(losses) on financial instruments 16.2 12.5 23.5 (112.6 )
Other-than-temporary impairment losses recognized in income (7.2 ) (25.7 ) (15.3 ) (92.6 )
Interest expense (189.9 ) (185.7 ) (424.9 ) (372.8 )
Amortization of other intangible assets (40.6 ) (47.9 ) (82.4 ) (98.3 )
Income from continuing operations before income tax expense $ 1,205.7   $ 1,448.3   (16.8 )% $ 2,720.7   $ 2,760.3   (1.4 )%
 

Forward-Looking Statements

This document contains certain forward-looking information about us that is intended to be covered by the safe harbor for “forward-looking statements” provided by the Private Securities Litigation Reform Act of 1995. Forward-looking statements 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. These risks and uncertainties include: those discussed and identified in our public filings with the U.S. Securities and Exchange Commission, or SEC; increased government participation in, or regulation or taxation of health benefits and managed care operations, including, but not limited to, the impact of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, or Health Care Reform, and the impact of any future modification, repeal or replacement of Health Care Reform; trends in health care costs and utilization rates; our ability to secure sufficient premium rates including regulatory approval for and implementation of such rates; our participation in federal and state health insurance exchanges under Health Care Reform, which have experienced and continue to experience challenges due to implementation of initial and phased-in provisions of Health Care Reform, and which entail uncertainties associated with the mix and volume of business, particularly in our Individual and Small Group markets, that could negatively impact the adequacy of our premium rates and which may not be sufficiently offset by the risk apportionment provisions of Health Care Reform; the ultimate outcome of litigation between Cigna Corporation (“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 positions; our ability to contract with providers on cost-effective and competitive terms; competitor pricing below market trends of increasing costs; reduced enrollment, as well as a negative change in our health care product mix; risks and uncertainties regarding Medicare and Medicaid programs, including those related to non-compliance with the complex regulations imposed thereon and funding risks with respect to revenue received from participation therein; a downgrade in our financial strength ratings; increases in costs and other liabilities associated with increased litigation, government investigations, audits or reviews; medical malpractice or professional liability claims or other risks related to health care services provided by our subsidiaries; 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; non-compliance by any party with the Express Scripts, Inc. pharmacy benefit management services agreement, which could result in financial penalties; our inability to meet customer demands, and sanctions imposed by governmental entities, including the Centers for Medicare and Medicaid Services; events that result in negative publicity for us or the health benefits industry; failure to effectively maintain and modernize our information systems; events that may negatively affect our licenses with the Blue Cross and Blue Shield Association; state guaranty fund assessments for insolvent insurers; possible impairment of the value of our intangible assets if future results do not adequately support goodwill and other intangible assets; intense competition to attract and retain employees; unauthorized disclosure of member or employee sensitive or confidential information, including the impact and outcome of investigations, inquiries, claims and litigation related to the cyber attack we reported in February 2015; changes in economic and market conditions, as well as regulations that may negatively affect our investment portfolios and liquidity; possible restrictions in the payment of dividends by our subsidiaries and increases in required minimum levels of capital and the potential negative effect from our substantial amount of outstanding indebtedness; general risks associated with mergers, acquisitions and strategic alliances; various laws and provisions in our governing documents that may prevent or discourage takeovers and business combinations; future public health epidemics and catastrophes; and general economic downturns. Readers are cautioned not to place undue reliance on these forward-looking statements that speak only as of the date hereof. We do not undertake to update or revise any forward-looking statements, except as required by applicable securities laws. Investors are also advised to carefully review and consider the various risks and other disclosures discussed in our SEC reports.

Source: Anthem, Inc.

Anthem Contacts:
Investor Relations
Will Feest, 317-488-6057
William.feest@anthem.com
or
Media
Jill Becher, 414-234-1573
Jill.becher@anthem.com

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