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Anthem Reports Third Quarter 2021 Results, Raises Full Year Outlook

Anthem, Inc. (NYSE: ANTM) reported third quarter 2021 results reflecting strong financial performance.

"Our deep connection to the communities we serve, commitment to advancing a digital platform for health and our differentiated approach to addressing the whole health of the people we serve has underpinned our strong performance despite the challenging environment due to COVID," said Gail Boudreaux, President and CEO. "The strong growth we saw across all of our benefits business in the third quarter demonstrates that our core offerings, as well as additional innovative products and services continue to resonate in the market. We believe the momentum we are seeing and our ability to deliver on our strategy will be further accelerated by recent changes in our leadership."

*Refer to GAAP reconciliation tables.

CONSOLIDATED HIGHLIGHTS

Earnings Per Share: GAAP net income was $6.13 per share in the third quarter, including net negative adjustment items of $0.66 per share. Adjusted net income was $6.79* per share.

*Please refer to the GAAP reconciliation tables.

Membership: Medical enrollment totaled approximately 45.1 million members at September 30, 2021, an increase of 2.4 million lives, or 5.7 percent from the prior year quarter. Government Business enrollment increased by 2.3 million lives compared to the prior year quarter, primarily driven by organic growth in the Medicaid business, aided by the temporary suspension of eligibility recertification efforts in our markets, the acquisition of MMM, the launch of HealthyBlue in North Carolina, and organic growth in our Medicare Advantage business. Commercial & Specialty Business enrollment increased by 162 thousand lives compared to the prior year quarter primarily driven by strong risk-based membership growth, partially offset by in-group attrition in the group fee-based business as a result of the economic environment.

During the third quarter of 2021, medical enrollment increased sequentially by 730 thousand lives, driven by the launch of HealthyBlue in North Carolina, incremental growth in the Medicaid business, and sales in excess of lapses in our Commercial risk-based businesses, partially offset by in-group attrition in the group fee-based business.

Operating Revenue: Operating revenue was $35.5 billion in the third quarter of 2021, an increase of $4.9 billion, or 16.0 percent, from the prior year quarter and 17.5 percent after adjusting for the repeal of the health insurance tax in 2021. The increase was driven by higher premium revenue due to growth in Medicaid and Medicare and growth in pharmacy product revenue related to IngenioRx, partially offset by the repeal of the health insurance tax.

Benefit Expense Ratio: The benefit expense ratio was 87.7 percent in the third quarter of 2021, an increase of 90 basis points versus the prior year quarter and a decrease of 50 basis points after adjusting for the repeal of the health insurance tax in 2021. Excluding the impact of the repeal of the health insurance tax, the decrease was primarily driven by unfavorable rate adjustments in our Medicaid business in the third quarter of 2020.

Medical claims reserves established at December 31, 2020 developed better than the Company’s expectations during the third quarter of 2021, with the majority offset by rebates, risk-corridors and other related mechanisms.

Days in Claims Payable: Days in Claims Payable was 46.8 days as of September 30, 2021, a decrease of 1.3 days from June 30, 2021 and an increase of 5.7 days as compared to September 30, 2020. The timing of the acquisitions of MMM and myNEXUS increased Days in Claims Payable at June 30, 2021. Normalizing for timing impacts associated with these acquisitions, Days in Claims payable would have increased by 0.2 days sequentially.

SG&A Expense Ratio: The SG&A expense ratio was 11.1 percent in the third quarter of 2021, a decrease of 620 basis points from 17.3 percent in the third quarter of 2020, primarily driven by the absence of charges related to business optimization and the BCBSA litigation settlement taken in the third quarter of 2020, growth in operating revenue, and the repeal of the health insurance tax in 2021, partially offset by increased spend to support growth.

Operating Cash Flow: Operating cash flow was $2.5 billion, or 1.7 times net income in the third quarter of 2021, an increase of $3.7 billion as compared to the prior year quarter. The year-on-year increase was primarily driven by outflows in the third quarter of 2020 which did not repeat in 2021, principally the payment of the health insurance tax as well as estimated Federal income tax payments which were deferred from the second quarter of 2020, as was permitted by the IRS.

Share Repurchase Program: During the third quarter of 2021, the Company repurchased 1.2 million shares of its common stock for $450 million, at a weighted average price of $378.85. As of September 30, 2021, the Company had approximately $4.7 billion of Board-approved share repurchase authorization remaining.

Cash Dividend: During the third quarter of 2021, the Company paid a quarterly dividend of $1.13 per share, representing a distribution of cash totaling $276 million.

On October 19, 2021, the Audit Committee declared a fourth quarter 2021 dividend to shareholders of $1.13 per share. On an annualized basis, this equates to a dividend of $4.52 per share. The fourth quarter dividend is payable on December 21, 2021 to shareholders of record at the close of business on December 3, 2021.

Investment Portfolio & Capital Position: During the third quarter of 2021, the Company recorded net realized losses of $61 million. During the third quarter of 2020, the Company recorded net realized gains of $229 million. These amounts are excluded from adjusted earnings per share.

As of September 30, 2021, the Company’s net unrealized gain position in the investment portfolio was $878 million, consisting primarily of fixed maturity securities. As of September 30, 2021 cash and investments at the parent company totaled approximately $1.4 billion.

REPORTABLE SEGMENTS

Anthem, Inc. has four reportable segments: Commercial & Specialty Business (comprised of Individual, Group risk-based, Group fee-based, and BlueCard businesses); Government Business (comprised of the Medicaid, Medicare, and Federal Health Products & Services businesses); IngenioRx, and Other (comprised of the Diversified Business Group and corporate expenses not allocated to our other reportable segments).

Anthem, Inc.

Reportable Segment Highlights

(Unaudited)

(In millions)

Three Months Ended September 30

Nine Months Ended September 30

2021

2020

Change

2021

2020

Change

Operating Revenue

Commercial & Specialty Business

$9,863

$9,326

5.8

%

$28,904

$27,476

5.2

%

Government Business

21,658

18,101

19.7

%

61,007

52,809

15.5

%

IngenioRx

6,549

5,582

17.3

%

18,630

16,048

16.1

%

Other

2,670

1,798

48.5

%

7,557

4,277

76.7

%

Eliminations

(5,192)

(4,158)

NM2

(15,173)

(11,335)

NM2

Total Operating Revenue1

$35,548

$30,649

16.0

%

$100,925

$89,275

13.0

%

Operating Gain (Loss)3

Commercial & Specialty Business

$620

($234)

NM2

$2,679

$2,558

4.7

%

Government Business

967

246

293.1

%

2,313

2,275

1.7

%

IngenioRx

445

345

29.0

%

1,257

998

26.0

%

Other

27

(156)

NM2

52

(76)

NM2

Total Operating Gain1

$2,059

$201

924.4

%

$6,301

$5,755

9.5

%

Operating Margin

Commercial & Specialty Business

6.3

%

(2.5)

%

880 bp

9.3

%

9.3

%

— bp

Government Business

4.5

%

1.4

%

310 bp

3.8

%

4.3

%

(50) bp

IngenioRx

6.8

%

6.2

%

60 bp

6.7

%

6.2

%

50 bp

Total Operating Margin1

5.8

%

0.7

%

510 bp

6.2

%

6.4

%

(20) bp

1.

See “Basis of Presentation.”

2.

"NM" = calculation not meaningful.

3.

Operating gain for the three months ended September 30, 2020 included $607 related to business optimization charges; $299 for Commercial & Specialty Business; $183 for the Government Business; $3 for IngenioRx; and $122 for the Other segment. Operating gain for the three months ended September 30, 2020 included $594 related to the BCBSA litigation settlement accrual; $566 for the Commercial & Specialty Business and $28 for the Government Business.

Commercial & Specialty Business: Operating gain in the Commercial & Specialty Business segment totaled $620 million in the third quarter of 2021, an increase of $854 million from an operating loss of $234 million in the third quarter of 2020. The increase was primarily attributable to BCBSA litigation settlement and business optimization charges taken in the third quarter of 2020.

Government Business: Operating gain in the Government Business segment was $967 million in the third quarter of 2021, an increase of $721 million from $246 million in the third quarter of 2020. The increase was primarily attributable to the impact of negative rate adjustments in the Medicaid business in the third quarter of 2020 associated with COVID-19, BCBSA litigation settlement and business optimization charges taken in the third quarter of 2020, and membership growth in the Medicaid and Medicare businesses, including growth resulting from the acquisition of MMM.

IngenioRx: Operating gain was $445 million in the third quarter of 2021, an increase of $100 million, or 29.0 percent, from $345 million in the third quarter of 2020. The increase was driven by growth in integrated medical and pharmacy membership.

Other: The Company reported an operating gain of $27 million in the Other segment for the third quarter of 2021, compared with an operating loss of $156 million in the prior year quarter. The increase was primarily driven by business optimization charges taken in the third quarter of 2020 and a decline in unallocated corporate expenses.

OUTLOOK

Full Year 2021:

  • GAAP net income is now expected to be greater than $24.70 per share, including approximately $1.15 per share of net unfavorable items. Excluding these items, adjusted net income is now expected to be greater than $25.85* per share.
  • Operating cash flow is now expected to be greater than $6.0 billion.
  • Investment income is now expected to be approximately $1.2 billion.

* Refer to the GAAP reconciliation tables.

Basis of Presentation

  1. Operating revenue and operating gain/loss 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/loss is calculated as total operating revenue less benefit expense, cost of products sold and selling, general and administrative expense. It does not include net investment income, net realized gains/losses on financial instruments, 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 third 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:

888-947-9963 (Domestic)

800-945-7761 (Domestic Replay)

312-470-0178 (International)

203-369-3954 (International Replay)

The access code for today's conference call is 3972058. The replay will be available from 11:30 a.m. EDT today, until the end of the day on November 19, 2021. 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 117 million people, including more than 45 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.

Anthem, Inc.

Membership Summary

(Unaudited and in Thousands)

Change from

Medical Membership

September 30,
2021

September 30,
2020

June 30,
2021

September 30,
2020

June 30,
2021

Commercial & Specialty Business

Individual

769

701

738

9.7

%

4.2

%

Group Risk-Based

3,946

3,774

3,851

4.6

%

2.5

%

Commercial Risk-Based

4,715

4,475

4,589

5.4

%

2.7

%

BlueCard®

6,166

6,106

6,235

1.0

%

(1.1

)%

Group Fee-Based

19,370

19,508

19,372

(0.7

)%

%

Commercial Fee-Based

25,536

25,614

25,607

(0.3

)%

(0.3

)%

Total Commercial & Specialty Business

30,251

30,089

30,196

0.5

%

0.2

%

Government Business

Medicare Advantage

1,853

1,416

1,824

30.9

%

1.6

%

Medicare Supplement

947

933

936

1.5

%

1.2

%

Total Medicare

2,800

2,349

2,760

19.2

%

1.4

%

Medicaid

10,391

8,569

9,754

21.3

%

6.5

%

Federal Employees Health Benefits

1,629

1,618

1,631

0.7

%

(0.1

)%

Total Government Business

14,820

12,536

14,145

18.2

%

4.8

%

Total Medical Membership

45,071

42,625

44,341

5.7

%

1.6

%

Other Membership

Life and Disability Members

4,695

5,029

4,732

(6.6

)%

(0.8

)%

Dental Members

6,637

6,356

6,606

4.4

%

0.5

%

Dental Administration Members

1,486

1,315

1,497

13.0

%

(0.7

)%

Vision Members

7,974

7,487

7,819

6.5

%

2.0

%

Medicare Part D Standalone Members

438

405

433

8.1

%

1.2

%

Anthem, Inc.

Consolidated Statements of Income

(Unaudited)

(In millions, except per share data)

Three Months Ended
September 30

2021

2020

Change

Revenues

Premiums

$

30,395

$

26,392

15.2

%

Product revenue

3,353

2,598

29.1

%

Administrative fees and other revenue

1,800

1,659

8.5

%

Total operating revenue

35,548

30,649

16.0

%

Net investment income

335

280

19.6

%

Net realized (losses) gains on financial instruments

(61

)

229

NM

Total revenues

35,822

31,158

15.0

%

Expenses

Benefit expense

26,645

22,921

16.2

%

Cost of products sold

2,898

2,222

30.4

%

Selling, general and administrative expense

3,946

5,305

(25.6

)%

Interest expense

201

198

1.5

%

Amortization of other intangible assets

136

93

46.2

%

Loss on extinguishment of debt

30

NM

Total expenses

33,826

30,769

9.9

%

Income before income tax expense

1,996

389

413.1

%

Income tax expense

494

167

195.8

%

Net income

1,502

222

576.6

%

Net loss attributable to noncontrolling interests

7

NM

Shareholders' net income

$

1,509

$

222

579.7

%

Shareholders' net income per diluted share

$

6.13

$

0.87

604.6

%

Diluted shares

246.0

254.2

(3.2

)%

Benefit expense as a percentage of premiums

87.7

%

86.8

%

90

bp

Selling, general and administrative expense as a percentage of total operating revenue

11.1

%

17.3

%

(620

)bp

Income before income tax expense as a percentage of total revenue

5.6

%

1.2

%

440

bp

"NM" = calculation not meaningful

Anthem, Inc.

Consolidated Statements of Income

(Unaudited)

(In millions, except per share data)

Nine Months Ended

September 30

2021

2020

Change

Revenues

Premiums

$

86,604

$

77,001

12.5

%

Product revenue

9,132

7,485

22.0

%

Administrative fees and other revenue

5,189

4,789

8.4

%

Total operating revenue

100,925

89,275

13.0

%

Net investment income

1,026

591

73.6

%

Net realized gains on financial instruments

107

177

(39.5

)%

Total revenues

102,058

90,043

13.3

%

Expenses

Benefit expense

75,107

63,957

17.4

%

Cost of products sold

7,825

6,431

21.7

%

Selling, general and administrative expense

11,692

13,132

(11.0

)%

Interest expense

598

593

0.8

%

Amortization of other intangible assets

306

269

13.8

%

Loss on extinguishment of debt

5

34

(85.3

)%

Total expenses

95,533

84,416

13.2

%

Income before income tax expense

6,525

5,627

16.0

%

Income tax expense

1,555

1,606

(3.2

)%

Net income

4,970

4,021

23.6

%

Net income attributable to noncontrolling interests

(3

)

NM

Shareholders' net income

$

4,967

$

4,021

23.5

%

Shareholders' net income per diluted share

$

20.09

$

15.75

27.6

%

Diluted shares

247.2

255.3

(3.2

)%

Benefit expense as a percentage of premiums

86.7

%

83.1

%

360

bp

Selling, general and administrative expense as a percentage of total operating revenue

11.6

%

14.7

%

(310

)bp

Income before income tax expense as a percentage of total revenue

6.4

%

6.2

%

20

bp

"NM" = calculation not meaningful

Anthem, Inc.

Consolidated Balance Sheets

(In millions)

September 30,
2021

December 31,
2020

Assets

(Unaudited)

Current assets:

Cash and cash equivalents

$

5,490

$

5,741

Fixed maturity securities

26,348

23,433

Equity securities, current

2,119

1,559

Premium receivables

6,008

5,279

Self-funded receivables

3,349

2,849

Other receivables

3,450

2,830

Other current assets

5,140

4,060

Total current assets

51,904

45,751

Long-term investments:

Fixed maturity securities

625

562

Other invested assets

4,959

4,285

Property and equipment, net

3,835

3,483

Goodwill

24,184

21,691

Other intangible assets

10,749

9,405

Other noncurrent assets

1,804

1,438

Total assets

$

98,060

$

86,615

Liabilities and equity

Liabilities

Current liabilities:

Medical claims payable

$

13,562

$

11,359

Other policyholder liabilities

5,201

4,590

Unearned income

954

1,259

Accounts payable and accrued expenses

5,960

5,493

Short-term borrowings

175

Current portion of long-term debt

849

700

Other current liabilities

8,461

6,052

Total current liabilities

35,162

29,453

Long-term debt, less current portion

21,761

19,335

Reserves for future policy benefits

788

794

Deferred tax liabilities, net

2,629

2,019

Other noncurrent liabilities

1,912

1,815

Total liabilities

62,252

53,416

Shareholders’ equity

Common stock

2

3

Additional paid-in capital

9,138

9,244

Retained earnings

26,700

23,802

Accumulated other comprehensive (loss) income

(103

)

150

Total shareholders’ equity

35,737

33,199

Noncontrolling interests

71

Total equity

35,808

33,199

Total liabilities and equity

$

98,060

$

86,615

Anthem, Inc.

Consolidated Statements of Cash Flows

(Unaudited)

(In millions)

Nine Months Ended September 30

2021

2020

Operating activities

Net income

$4,970

$4,021

Adjustments to reconcile net income to net cash provided by operating activities:

Net realized gains on financial instruments

(107

)

(177

)

Depreciation and amortization

942

864

Deferred income taxes

114

(102

)

Impairment of property and equipment

195

Share-based compensation

196

214

Changes in operating assets and liabilities:

Receivables, net

(1,751

)

(845

)

Other invested assets

(56

)

6

Other assets

(470

)

(988

)

Policy liabilities

2,328

1,624

Unearned income

(308

)

(95

)

Accounts payable and other liabilities

1,093

1,953

Income taxes

168

104

Other, net

(427

)

101

Net cash provided by operating activities

6,692

6,875

Investing activities

Purchases of investments

(15,130

)

(16,708

)

Proceeds from sale of investments

8,339

8,739

Maturities, calls and redemptions from investments

3,388

3,763

Changes in securities lending collateral

(1,030

)

(668

)

Purchases of subsidiaries, net of cash acquired

(3,442

)

(1,973

)

Purchases of property and equipment

(747

)

(743

)

Other, net

(50

)

(39

)

Net cash used in investing activities

(8,672

)

(7,629

)

Financing activities

Net (repayments of) commercial paper borrowings

(150

)

(400

)

Net proceeds from (repayments of) short-term borrowings

175

(550

)

Net proceeds from long-term borrowings

2,508

1,521

Changes in securities lending payable

1,030

668

Repurchase and retirement of common stock

(1,378

)

(1,342

)

Cash dividends

(831

)

(720

)

Proceeds from issuance of common stock under employee stock plans

161

112

Taxes paid through withholding of common stock under employee stock plans

(101

)

(112

)

Other, net

324

623

Net cash provided by (used in) financing activities

1,738

(200

)

Effect of foreign exchange rates on cash and cash equivalents

(9

)

1

Change in cash and cash equivalents

(251

)

(953

)

Cash and cash equivalents at beginning of period

5,741

4,937

Cash and cash equivalents at end of period

$5,490

$3,984

Anthem, Inc.

Reconciliation of Medical Claims Payable

Nine Months Ended
September 30

Years Ended December 31

2021

2020

2020

2019

2018

(In millions)

(Unaudited)

(Unaudited)

Gross medical claims payable, beginning of period

$

11,135

$

8,647

$

8,647

$

7,266

$

7,814

Ceded medical claims payable, beginning of period

(46

)

(33

)

(33

)

(34

)

(105

)

Net medical claims payable, beginning of period

11,089

8,614

8,614

7,232

7,709

Business combinations and purchase adjustments

420

339

339

199

Net incurred medical claims:

Current year

74,097

61,977

85,094

78,695

69,581

Prior years redundancies(1)

(1,822

)

(700

)

(637

)

(500

)

(930

)

Total net incurred medical claims

72,275

61,277

84,457

78,195

68,651

Net payments attributable to:

Current year medical claims

62,123

52,879

74,629

70,294

62,748

Prior years medical claims

8,400

7,489

7,692

6,519

6,579

Total net payments

70,523

60,368

82,321

76,813

69,327

Net medical claims payable, end of period

13,261

9,862

11,089

8,614

7,232

Ceded medical claims payable, end of period

38

129

46

33

34

Gross medical claims payable, end of period

$

13,299

$

9,991

$

11,135

$

8,647

$

7,266

Current year medical claims paid as a percentage of current year net incurred medical claims

83.8

%

85.3

%

87.7

%

89.3

%

90.2

%

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

19.7

%

8.8

%

8.0

%

7.4

%

13.7

%

Prior year redundancies in the current year as a percentage of prior year net incurred medical claims

2.2

%

0.9

%

0.8

%

0.7

%

1.3

%

(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 grouped differently to conform to current presentation.

Three Months Ended
September 30

Nine Months Ended
September 30

(In millions, except per share data)

2021

2020

Change

2021

2020

Change

Shareholders' net income

$

1,509

$

222

579.7

%

$

4,967

$

4,021

23.5

%

Add / (Subtract):

Net realized losses (gains) on financial instruments

61

(229

)

(107

)

(177

)

Amortization of other intangible assets

136

93

306

269

Loss on extinguishment of debt

30

5

34

Business optimization charges

607

607

BCBSA litigation settlement

594

594

Transaction and integration related costs

14

4

35

27

Litigation expenses

3

5

15

34

Tax impact of non-GAAP adjustments

(52

)

(258

)

(71

)

(329

)

Net adjustment items

162

846

183

1,059

Adjusted shareholders' net income

$

1,671

$

1,068

56.5

%

$

5,150

$

5,080

1.4

%

Shareholders' net income per diluted share

$

6.13

$

0.87

604.6

%

$

20.09

$

15.75

27.6

%

Add / (Subtract):

Net realized losses (gains) on financial instruments

0.25

(0.90

)

(0.43

)

(0.69

)

Amortization of other intangible assets

0.55

0.37

1.24

1.05

Loss on extinguishment of debt

0.12

0.02

0.13

Business optimization charges

2.39

2.38

BCBSA litigation settlement

2.34

2.33

Transaction and integration related costs

0.06

0.02

0.14

0.11

Litigation expenses

0.01

0.02

0.06

0.13

Tax impact of non-GAAP adjustments

(0.21

)

(1.01

)

(0.29

)

(1.29

)

Rounding impact

(0.02

)

Net adjustment items

0.66

3.33

0.74

4.15

Adjusted shareholders' net income per diluted share

$

6.79

$

4.20

61.7

%

$

20.83

$

19.90

4.7

%

Full Year 2021 Outlook

Shareholders' net income per diluted share

Greater than $24.70

Add / (Subtract):

Net realized gains on financial instruments

($0.43

)

Loss on extinguishment of debt

$0.02

Transaction and integration related costs

$0.14

Litigation expenses

$0.06

Amortization of other intangible assets

Approximately $1.79

Tax impact of non-GAAP adjustments

Approximately $(0.43)

Net adjustment items

Approximately $1.15

Adjusted shareholders' net income per diluted share

Greater than $25.85

Three Months Ended
September 30

Nine Months Ended
September 30

(In millions)

2021

2020

Change

2021

2020

Change

Reportable segments operating gain

$

2,059

$

201

924.4

%

$

6,301

$

5,755

9.5

%

Net investment income

335

280

1,026

591

Net realized (losses) gains on financial instruments

(61

)

229

107

177

Interest expense

(201

)

(198

)

(598

)

(593

)

Amortization of other intangible assets

(136

)

(93

)

(306

)

(269

)

Loss on extinguishment of debt

(30

)

(5

)

(34

)

Income before income tax expense

$

1,996

$

389

413.1

%

$

6,525

$

5,627

16.0

%

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 large scale medical emergencies, such as public health epidemics and pandemics, including COVID-19, and catastrophes; trends in healthcare costs and utilization rates; our ability to secure sufficient premium rates, including regulatory approval for and implementation of such rates; 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; changes in economic and market conditions, as well as regulations that may negatively affect our liquidity and investment portfolios; our ability to contract with providers on cost-effective and competitive terms; 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 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; risks and uncertainties related to our pharmacy benefit management (“PBM”), business including non-compliance by any party with the PBM services agreement between us and CaremarkPCS Health, L.L.C.; medical malpractice or professional liability claims or other risks related to healthcare and PBM services provided by our subsidiaries; general risks associated with mergers, acquisitions, joint ventures and strategic alliances; changes in U.S. tax laws; possible impairment of the value of our intangible assets if future results do not adequately support goodwill and other intangible assets; 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; the impact of international laws and regulations; 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.

Contacts:

Anthem Contacts:
Investor Relations
Stephen Tanal
Stephen.Tanal@anthem.com

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