First quarter GAAP net income was $7.39 per share, including net negative adjustment items of $0.86 per share. Adjusted net income was $8.25* per share.
Operating revenue grew by 18.0% over the prior year quarter to $37.9 billion.
Operating gain grew by 13.2% over the prior year quarter to $2.4 billion.
Medical enrollment increased by 3.3 million members year-over-year and 1.4 million members sequentially to 46.8 million members.
Second quarter 2022 dividend of $1.28 per share declared to shareholders.
INDIANAPOLIS--(BUSINESS WIRE)--Anthem, Inc. (NYSE: ANTM) reported first quarter 2022 results reflecting strong financial performance, including double-digit top and bottom line growth.
"Our strong momentum across all our businesses is evidence that our transformation to become a lifetime, trusted health partner continues to drive our growth and accelerate our capabilities focused on whole person health," said Gail K. Boudreaux, President and CEO. "The shared commitment of our more than 98,000 associates to our purpose to improve the health of humanity, is both profound and powerful, and inspires a culture of performance that remains focused on customers and communities we serve."
The Company now expects GAAP net income to be greater than $26.43 per share, including approximately $1.97 per share of net unfavorable items. The Company now expects full-year adjusted net income to be greater than $28.40 per share, based on stronger than expected first quarter results.
*Refer to GAAP reconciliation tables. |
CONSOLIDATED HIGHLIGHTS
Earnings Per Share: GAAP net income was $7.39 per share in the first quarter, including net negative adjustment items of $0.86 per share. Adjusted net income was $8.25* per share, up 17.7% from $7.01 in the same period a year ago.
*Please refer to the GAAP reconciliation tables. |
Membership: Medical enrollment totaled approximately 46.8 million members as of March 31, 2022, an increase of 3.3 million, or 7.5 percent from the prior year quarter. Government Business enrollment increased by 2.1 million lives compared to the prior year quarter, primarily driven by organic growth in the Medicaid business, aided by the suspension of eligibility recertification efforts in our markets, the acquisitions of MMM and Paramount Advantage, the launch of HealthyBlue in North Carolina, and organic growth in Medicare Advantage. Commercial & Specialty Business enrollment increased by 1.1 million year over year primarily driven by strong sales in both fee-based and risk-based businesses.
During the first quarter of 2022, medical enrollment increased by 1.4 million lives driven by organic growth in our Commercial fee-based business, the acquisition of Paramount Advantage's Medicaid members in Ohio, and growth in Individual Medicare Advantage enrollment.
Operating Revenue: Operating revenue was $37.9 billion in the first quarter of 2022, an increase of $5.8 billion, or 18.0 percent, from the prior year quarter. The increase was driven by higher premium revenue due to membership growth in Medicaid, the acquisitions of MMM and Paramount, growth in Medicare Advantage and Commercial risk-based membership, and premium rate increases to cover overall cost trends. The increase was further attributable to growth in pharmacy product revenue within IngenioRx.
Benefit Expense Ratio: The benefit expense ratio was 86.1 percent in the first quarter of 2022, an increase of 50 basis points versus the prior year quarter. The increase was primarily driven by the continued shift in mix of business, as Anthem has grown Government Business, which has a higher benefit expense ratio, faster than the Commercial & Specialty risk business.
Medical claims reserves established at December 31, 2021, developed in line with the Company’s expectations as of the first quarter of 2022.
Days in Claims Payable: Days in Claims Payable was 46.9 days as of March 31, 2022, an increase of 1.7 days from December 31, 2021 and unchanged compared to March 31, 2021.
SG&A Expense Ratio: The SG&A expense ratio was 11.5 percent in the first quarter of 2022, a decrease of 70 basis points from 12.2 percent in the first quarter of 2021. The decrease was primarily driven by operating expense leverage associated with growth in operating revenue, partially offset by increased spend to support growth.
Operating Cash Flow: Operating cash flow was approximately $2.5 billion, or 1.4 times net income in the first quarter of 2022, an increase of $36 million as compared to the prior year quarter. The year-on-year increase was driven by an increase in net income, partially offset by the impact of working capital changes.
Share Repurchase Program: During the first quarter of 2022, the Company repurchased 1.2 million shares of its common stock for $545 million, at a weighted average price of $453.32. As of March 31, 2022, the Company had approximately $3.6 billion of Board-approved share repurchase authorization remaining.
Cash Dividend: During the first quarter of 2022, the Company paid a quarterly dividend of $1.28 per share, representing a distribution of cash totaling $309 million.
On April 19, 2022, the Audit Committee of the Company's Board of Directors declared a second quarter 2022 dividend to shareholders of $1.28 per share. The second quarter dividend is payable on June 24, 2022, to shareholders of record at the close of business on June 10, 2022.
Investment Portfolio & Capital Position: During the first quarter of 2022, the Company recorded net losses of $151 million. During the first quarter of 2021, the Company recorded net losses of $4 million. These amounts are excluded from adjusted earnings per share.
As of March 31, 2022, the Company’s net unrealized loss position in the investment portfolio was $755 million, consisting primarily of fixed maturity securities. As of March 31, 2022 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).
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Anthem, Inc. |
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Reportable Segment Highlights |
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(Unaudited) |
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(In millions) |
Three Months Ended March 31 |
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|
2022 |
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2021 |
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Change |
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|
Operating Revenue |
|
|
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|
Commercial & Specialty Business |
$10,269 |
|
$9,491 |
|
8.2 % |
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Government Business |
23,758 |
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19,283 |
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23.2 % |
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|
IngenioRx |
6,683 |
|
5,862 |
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14.0 % |
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Other |
3,221 |
|
2,370 |
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35.9 % |
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Eliminations |
(6,045) |
|
(4,908) |
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23.2 % |
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Total Operating Revenue1 |
$37,886 |
|
$32,098 |
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18.0 % |
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Operating Gain |
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|
Commercial & Specialty Business |
$1,082 |
|
$1,268 |
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(14.7) % |
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Government Business |
789 |
|
478 |
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65.1 % |
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IngenioRx |
398 |
|
407 |
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(2.2) % |
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Other |
178 |
|
8 |
|
NM |
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Total Operating Gain1 |
$2,447 |
|
$2,161 |
|
13.2 % |
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Operating Margin |
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Commercial & Specialty Business |
10.5 % |
|
13.4 % |
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(290) bp |
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Government Business |
3.3 % |
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2.5 % |
|
80 bp |
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IngenioRx |
6.0 % |
|
6.9 % |
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(90) bp |
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Total Operating Margin1 |
6.5 % |
|
6.7 % |
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(20) bp |
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1. |
See “Basis of Presentation.” |
2. |
"NM" = calculation not meaningful. |
Commercial & Specialty Business: Operating gain in the Commercial & Specialty Business segment totaled $1,082 million in the first quarter of 2022, a decrease of $186 million from $1,268 million in the first quarter of 2021. The decrease was primarily driven by the net unfavorable effect of COVID and increased spend to support growth and innovation. These impacts were partially offset by the positive contribution from growth in risk-based and fee-based membership.
Government Business: Operating gain in the Government Business segment was $789 million in the first quarter of 2022, an increase of $311 million from $478 million in the first quarter of 2021. The increase was primarily attributable to the acquisition of MMM, membership growth in Medicaid, improved risk revenue in Medicare, and out-of-period items in Medicaid. These impacts were partially offset by increased spend in support of growth.
IngenioRx: Operating gain was $398 million in the first quarter of 2022, a decrease of $9 million from $407 million in the first quarter of 2021. The decrease was primarily driven by the non-recurrence of a favorable out-of-period adjustment in the first quarter of 2021, partially offset by the impact of higher prescription volume resulting from growth in integrated medical and pharmacy members.
Other: The Company reported an operating gain of $178 million in the Other segment for the first quarter of 2022, an increase of $170 million from $8 million in the prior year quarter. The increase was driven by improved performance in the Diversified Business Group's Affiliated and Unaffiliated earnings and the acquisition of myNEXUS in April 2021. This increase in operating gain was further driven by changes in unallocated corporate costs year-over-year.
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 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 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:
888-947-9963 (Domestic) |
800-813-5525 (Domestic Replay) |
312-470-0178 (International) |
203-369-3346 (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 May 20, 2022. 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 company dedicated to improving lives and communities, and making healthcare simpler. Through its affiliated companies, Anthem serves approximately 118 million people, including nearly 47 million within its family of health plans. Delivering health beyond healthcare, Anthem is expanding from being a partner in health benefits to a lifetime, trusted health partner. For more information, please visit www.antheminc.com or follow @AnthemInc on Twitter.
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 |
March 31, 2022 |
|
March 31, 2021 |
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December 31, 2021 |
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March 31,
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December 31, 2021 |
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Commercial & Specialty Business |
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Individual |
818 |
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731 |
|
759 |
|
11.9 |
% |
|
7.8 |
% |
|
Group Risk-Based |
4,028 |
|
3,837 |
|
4,006 |
|
5.0 |
% |
|
0.5 |
% |
|
Commercial Risk-Based |
4,846 |
|
4,568 |
|
4,765 |
|
6.1 |
% |
|
1.7 |
% |
|
BlueCard® |
6,370 |
|
6,166 |
|
6,178 |
|
3.3 |
% |
|
3.1 |
% |
|
Group Fee-Based |
20,148 |
|
19,515 |
|
19,395 |
|
3.2 |
% |
|
3.9 |
% |
|
Commercial Fee-Based |
26,518 |
|
25,681 |
|
25,573 |
|
3.3 |
% |
|
3.7 |
% |
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Total Commercial & Specialty Business |
31,364 |
|
30,249 |
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30,338 |
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3.7 |
% |
|
3.4 |
% |
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Government Business |
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Medicare Advantage |
1,921 |
|
1,538 |
|
1,859 |
|
24.9 |
% |
|
3.3 |
% |
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Medicare Supplement |
939 |
|
930 |
|
952 |
|
1.0 |
% |
|
(1.4 |
) % |
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Total Medicare |
2,860 |
|
2,468 |
|
2,811 |
|
15.9 |
% |
|
1.7 |
% |
|
Medicaid |
10,919 |
|
9,172 |
|
10,600 |
|
19.0 |
% |
|
3.0 |
% |
|
Federal Employees Health Benefits |
1,632 |
|
1,632 |
|
1,625 |
|
— |
% |
|
0.4 |
% |
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Total Government Business |
15,411 |
|
13,272 |
|
15,036 |
|
16.1 |
% |
|
2.5 |
% |
|
Total Medical Membership |
46,775 |
|
43,521 |
|
45,374 |
|
7.5 |
% |
|
3.1 |
% |
|
Other Membership |
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|
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Life and Disability Members |
4,679 |
|
4,766 |
|
4,782 |
|
(1.8 |
) % |
|
(2.2 |
) % |
|
Dental Members |
6,649 |
|
6,599 |
|
6,674 |
|
0.8 |
% |
|
(0.4 |
) % |
|
Dental Administration Members |
1,588 |
|
1,488 |
|
1,491 |
|
6.7 |
% |
|
6.5 |
% |
|
Vision Members |
9,211 |
|
7,798 |
|
8,031 |
|
18.1 |
% |
|
14.7 |
% |
|
Medicare Part D Standalone Members |
279 |
|
450 |
|
438 |
|
(38.0 |
) % |
|
(36.3 |
) % |
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) |
|
Three Months Ended March 31 |
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|
|||||||
|
|
|
2022 |
|
|
|
2021 |
|
|
Change |
|
Revenues |
|
|
|
|
|
|
|||||
Premiums |
|
$ |
32,785 |
|
|
$ |
27,676 |
|
|
18.5 |
% |
Product revenue |
|
|
3,301 |
|
|
|
2,737 |
|
|
20.6 |
% |
Administrative fees and other revenue |
|
|
1,800 |
|
|
|
1,685 |
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|
6.8 |
% |
Total operating revenue |
|
|
37,886 |
|
|
|
32,098 |
|
|
18.0 |
% |
Net investment income |
|
|
360 |
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|
|
291 |
|
|
23.7 |
% |
Net losses on financial instruments |
|
|
(151 |
) |
|
|
(4 |
) |
|
NM |
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|
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|
|||||
Total revenues |
|
|
38,095 |
|
|
|
32,385 |
|
|
17.6 |
% |
|
|
|
|
|
|
|
|||||
Expenses |
|
|
|
|
|
|
|||||
Benefit expense |
|
|
28,215 |
|
|
|
23,699 |
|
|
19.1 |
% |
Cost of products sold |
|
|
2,883 |
|
|
|
2,313 |
|
|
24.6 |
% |
Selling, general and administrative expense |
|
|
4,341 |
|
|
|
3,925 |
|
|
10.6 |
% |
Interest expense |
|
|
201 |
|
|
|
192 |
|
|
4.7 |
% |
Amortization of other intangible assets |
|
|
129 |
|
|
|
80 |
|
|
61.3 |
% |
|
|
|
|
|
|
|
|||||
Total expenses |
|
|
35,769 |
|
|
|
30,209 |
|
|
18.4 |
% |
|
|
|
|
|
|
|
|||||
Income before income tax expense |
|
|
2,326 |
|
|
|
2,176 |
|
|
6.9 |
% |
|
|
|
|
|
|
|
|||||
Income tax expense |
|
|
531 |
|
|
|
509 |
|
|
4.3 |
% |
|
|
|
|
|
|
|
|||||
Net income |
|
|
1,795 |
|
|
|
1,667 |
|
|
7.7 |
% |
|
|
|
|
|
|
|
|||||
Net loss/(income) attributable to noncontrolling interests |
|
|
10 |
|
|
|
(2 |
) |
|
NM |
|
|
|
|
|
|
|
|
|||||
Shareholders' net income |
|
$ |
1,805 |
|
|
$ |
1,665 |
|
|
8.4 |
% |
|
|
|
|
|
|
|
|||||
Shareholders' net income per diluted share |
|
$ |
7.39 |
|
|
$ |
6.71 |
|
|
10.1 |
% |
|
|
|
|
|
|
|
|||||
Diluted shares |
|
|
244.4 |
|
|
|
248.2 |
|
|
(1.5 |
) % |
|
|
|
|
|
|
|
|||||
Benefit expense as a percentage of premiums |
|
|
86.1 |
% |
|
|
85.6 |
% |
|
50 bp |
|
Selling, general and administrative expense as a percentage of total operating revenue |
|
|
11.5 |
% |
|
|
12.2 |
% |
|
(70) bp |
|
Income before income tax expense as a percentage of total revenue |
|
|
6.1 |
% |
|
|
6.7 |
% |
|
(60) bp |
|
"NM" = calculation not meaningful |
Anthem, Inc. |
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Consolidated Balance Sheets |
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(In millions) |
March 31,
|
|
December 31,
|
|||||||
Assets |
(Unaudited) |
|
|
|||||||
Current assets: |
|
|
|
|||||||
Cash and cash equivalents |
$ |
6,161 |
|
|
$ |
4,880 |
|
|||
Fixed maturity securities |
|
26,219 |
|
|
|
26,267 |
|
|||
Equity securities, current |
|
1,662 |
|
|
|
1,881 |
|
|||
Premium receivables |
|
7,349 |
|
|
|
5,681 |
|
|||
Self-funded receivables |
|
3,979 |
|
|
|
4,010 |
|
|||
Other receivables |
|
3,334 |
|
|
|
3,749 |
|
|||
Other current assets |
|
5,193 |
|
|
|
4,654 |
|
|||
Total current assets |
|
53,897 |
|
|
|
51,122 |
|
|||
|
|
|
|
|||||||
Long-term investments: |
|
|
|
|||||||
Fixed maturity securities |
|
596 |
|
|
|
632 |
|
|||
Other invested assets |
|
5,365 |
|
|
|
5,225 |
|
|||
Property and equipment, net |
|
3,986 |
|
|
|
3,919 |
|
|||
Goodwill |
|
24,251 |
|
|
|
24,228 |
|
|||
Other intangible assets |
|
10,588 |
|
|
|
10,615 |
|
|||
Other noncurrent assets |
|
1,803 |
|
|
|
1,719 |
|
|||
Total assets |
$ |
100,486 |
|
|
$ |
97,460 |
|
|||
|
|
|
|
|||||||
Liabilities and equity |
|
|
|
|||||||
Liabilities |
|
|
|
|||||||
Current liabilities: |
|
|
|
|||||||
Medical claims payable |
$ |
14,713 |
|
|
$ |
13,518 |
|
|||
Other policyholder liabilities |
|
5,396 |
|
|
|
5,521 |
|
|||
Unearned income |
|
1,210 |
|
|
|
1,153 |
|
|||
Accounts payable and accrued expenses |
|
5,493 |
|
|
|
4,970 |
|
|||
Short-term borrowings |
|
275 |
|
|
|
275 |
|
|||
Current portion of long-term debt |
|
3,097 |
|
|
|
1,599 |
|
|||
Other current liabilities |
|
9,549 |
|
|
|
7,849 |
|
|||
Total current liabilities |
|
39,733 |
|
|
|
34,885 |
|
|||
|
|
|
|
|||||||
Long-term debt, less current portion |
|
19,883 |
|
|
|
21,157 |
|
|||
Reserves for future policy benefits |
|
811 |
|
|
|
802 |
|
|||
Deferred tax liabilities, net |
|
2,349 |
|
|
|
2,805 |
|
|||
Other noncurrent liabilities |
|
1,679 |
|
|
|
1,683 |
|
|||
Total liabilities |
|
64,455 |
|
|
|
61,332 |
|
|||
|
|
|
|
|||||||
Shareholders’ equity |
|
|
|
|||||||
Common stock |
|
2 |
|
|
|
2 |
|
|||
Additional paid-in capital |
|
9,151 |
|
|
|
9,148 |
|
|||
Retained earnings |
|
28,058 |
|
|
|
27,088 |
|
|||
Accumulated other comprehensive loss |
|
(1,236 |
) |
|
|
(178 |
) |
|||
Total shareholders’ equity |
|
35,975 |
|
|
|
36,060 |
|
|||
Noncontrolling interests |
|
56 |
|
|
|
68 |
|
|||
Total equity |
|
36,031 |
|
|
|
36,128 |
|
|||
Total liabilities and equity |
$ |
100,486 |
|
|
$ |
97,460 |
|
Anthem, Inc. |
||||||||
Consolidated Statements of Cash Flows |
||||||||
(Unaudited) |
||||||||
|
|
|
|
|||||
(In millions) |
Three Months Ended March 31 |
|||||||
|
|
2022 |
|
|
|
2021 |
|
|
Operating activities |
|
|
|
|||||
Net income |
$ |
1,795 |
|
|
$ |
1,667 |
|
|
Adjustments to reconcile net income to net cash provided by operating activities: |
|
|
|
|||||
Net losses on financial instruments |
|
151 |
|
|
|
4 |
|
|
Equity in net earnings of other invested assets |
|
(153 |
) |
|
|
(108 |
) |
|
Depreciation and amortization |
|
358 |
|
|
|
282 |
|
|
Deferred income taxes |
|
(92 |
) |
|
|
31 |
|
|
Share-based compensation |
|
50 |
|
|
|
64 |
|
|
Changes in operating assets and liabilities: |
|
|
|
|||||
Receivables, net |
|
(1,348 |
) |
|
|
(1,258 |
) |
|
Other invested assets |
|
7 |
|
|
|
(20 |
) |
|
Other assets |
|
(353 |
) |
|
|
(288 |
) |
|
Policy liabilities |
|
1,075 |
|
|
|
1,455 |
|
|
Unearned income |
|
57 |
|
|
|
(119 |
) |
|
Accounts payable and other liabilities |
|
428 |
|
|
|
358 |
|
|
Income taxes |
|
568 |
|
|
|
438 |
|
|
Other, net |
|
(2 |
) |
|
|
(1 |
) |
|
Net cash provided by operating activities |
|
2,541 |
|
|
|
2,505 |
|
|
|
|
|
|
|||||
Investing activities |
|
|
|
|||||
Purchases of investments |
|
(5,050 |
) |
|
|
(6,978 |
) |
|
Proceeds from sale of investments |
|
3,047 |
|
|
|
4,650 |
|
|
Maturities, calls and redemptions from investments |
|
1,209 |
|
|
|
998 |
|
|
Changes in securities lending collateral |
|
(441 |
) |
|
|
(731 |
) |
|
Purchases of subsidiaries, net of cash acquired |
|
(61 |
) |
|
|
(27 |
) |
|
Purchases of property and equipment |
|
(254 |
) |
|
|
(204 |
) |
|
Other, net |
|
(28 |
) |
|
|
(15 |
) |
|
Net cash used in investing activities |
|
(1,578 |
) |
|
|
(2,307 |
) |
|
|
|
|
|
|||||
Financing activities |
|
|
|
|||||
Net proceeds from (repayments of) commercial paper borrowings |
|
225 |
|
|
|
(250 |
) |
|
Net (repayments of) proceeds from long-term borrowings |
|
(14 |
) |
|
|
3,462 |
|
|
Changes in securities lending payable |
|
441 |
|
|
|
731 |
|
|
Repurchase and retirement of common stock |
|
(545 |
) |
|
|
(447 |
) |
|
Cash dividends |
|
(309 |
) |
|
|
(277 |
) |
|
Proceeds from issuance of common stock under employee stock plans |
|
76 |
|
|
|
89 |
|
|
Taxes paid through withholding of common stock under employee stock plans |
|
(86 |
) |
|
|
(91 |
) |
|
Other, net |
|
534 |
|
|
|
171 |
|
|
Net cash provided by financing activities |
|
322 |
|
|
|
3,388 |
|
|
|
|
|
|
|||||
Effect of foreign exchange rates on cash and cash equivalents |
|
(4 |
) |
|
|
(1 |
) |
|
|
|
|
|
|||||
Change in cash and cash equivalents |
|
1,281 |
|
|
|
3,585 |
|
|
Cash and cash equivalents at beginning of period |
|
4,880 |
|
|
|
5,741 |
|
|
|
|
|
|
|||||
Cash and cash equivalents at end of period |
$ |
6,161 |
|
|
$ |
9,326 |
|
Anthem, Inc. |
|||||||||||||||||||
Reconciliation of Medical Claims Payable |
|||||||||||||||||||
|
|||||||||||||||||||
|
Three Months Ended March 31 |
|
Years Ended December 31 |
||||||||||||||||
|
|
2022 |
|
|
|
2021 |
|
|
|
2021 |
|
|
|
2020 |
|
|
|
2019 |
|
(In millions) |
(Unaudited) |
|
(Unaudited) |
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
||||||||||
Gross medical claims payable, beginning of period |
$ |
13,282 |
|
|
$ |
11,135 |
|
|
$ |
11,135 |
|
|
$ |
8,647 |
|
|
$ |
7,266 |
|
Ceded medical claims payable, beginning of period |
|
(21 |
) |
|
|
(46 |
) |
|
|
(46 |
) |
|
|
(33 |
) |
|
|
(34 |
) |
Net medical claims payable, beginning of period |
|
13,261 |
|
|
|
11,089 |
|
|
|
11,089 |
|
|
|
8,614 |
|
|
|
7,232 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Business combinations and purchase adjustments |
|
3 |
|
|
|
— |
|
|
|
420 |
|
|
|
339 |
|
|
|
— |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Net incurred medical claims: |
|
|
|
|
|
|
|
|
|
||||||||||
Current year |
|
28,064 |
|
|
|
24,215 |
|
|
|
100,440 |
|
|
|
85,094 |
|
|
|
78,695 |
|
Prior years redundancies(1) |
|
(933 |
) |
|
|
(1,488 |
) |
|
|
(1,703 |
) |
|
|
(637 |
) |
|
|
(500 |
) |
Total net incurred medical claims |
|
27,131 |
|
|
|
22,727 |
|
|
|
98,737 |
|
|
|
84,457 |
|
|
|
78,195 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Net payments attributable to: |
|
|
|
|
|
|
|
|
|
||||||||||
Current year medical claims |
|
17,116 |
|
|
|
15,031 |
|
|
|
88,156 |
|
|
|
74,629 |
|
|
|
70,294 |
|
Prior years medical claims |
|
8,826 |
|
|
|
6,748 |
|
|
|
8,829 |
|
|
|
7,692 |
|
|
|
6,519 |
|
Total net payments |
|
25,942 |
|
|
|
21,779 |
|
|
|
96,985 |
|
|
|
82,321 |
|
|
|
76,813 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Net medical claims payable, end of period |
|
14,453 |
|
|
|
12,037 |
|
|
|
13,261 |
|
|
|
11,089 |
|
|
|
8,614 |
|
Ceded medical claims payable, end of period |
|
17 |
|
|
|
39 |
|
|
|
21 |
|
|
|
46 |
|
|
|
33 |
|
Gross medical claims payable, end of period |
$ |
14,470 |
|
|
$ |
12,076 |
|
|
$ |
13,282 |
|
|
$ |
11,135 |
|
|
$ |
8,647 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Current year medical claims paid as a percentage of current year net incurred medical claims |
|
61.0 |
% |
|
|
62.1 |
% |
|
|
87.8 |
% |
|
|
87.7 |
% |
|
|
89.3 |
% |
|
|
|
|
|
|
|
|
|
|
||||||||||
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 |
|
7.6 |
% |
|
|
15.5 |
% |
|
|
18.1 |
% |
|
|
8.0 |
% |
|
|
7.4 |
% |
|
|
|
|
|
|
|
|
|
|
||||||||||
Prior year redundancies in the current year as a percentage of prior year net incurred medical claims |
|
0.9 |
% |
|
|
1.8 |
% |
|
|
2.0 |
% |
|
|
0.8 |
% |
|
|
0.7 |
% |
|
|
|
|
|
|
|
|
|
|
||||||||||
(1) Negative amounts reported for net incurred medical claims related to prior years result from claims being settled for
|
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 March 31 |
|
|
||||||||
(In millions, except per share data) |
|
2022 |
|
|
|
2021 |
|
|
Change |
||
Shareholders' net income |
$ |
1,805 |
|
|
$ |
1,665 |
|
|
8.4 |
% |
|
Add / (Subtract): |
|
|
|
|
|
||||||
Net losses on financial instruments |
|
151 |
|
|
|
4 |
|
|
|
||
Amortization of other intangible assets |
|
129 |
|
|
|
80 |
|
|
|
||
Transaction and integration related costs |
|
9 |
|
|
|
9 |
|
|
|
||
Litigation expenses |
|
1 |
|
|
|
6 |
|
|
|
||
Tax impact of non-GAAP adjustments |
|
(78 |
) |
|
|
(25 |
) |
|
|
||
Net adjustment items |
|
212 |
|
|
|
74 |
|
|
|
||
Adjusted shareholders' net income |
$ |
2,017 |
|
|
$ |
1,739 |
|
|
16.0 |
% |
|
|
|
|
|
|
|
||||||
Shareholders' net income per diluted share |
$ |
7.39 |
|
|
$ |
6.71 |
|
|
10.1 |
% |
|
Add / (Subtract): |
|
|
|
|
|
||||||
Net losses on financial instruments |
|
0.62 |
|
|
|
0.02 |
|
|
|
||
Amortization of other intangible assets |
|
0.53 |
|
|
|
0.32 |
|
|
|
||
Transaction and integration related costs |
|
0.04 |
|
|
|
0.04 |
|
|
|
||
Litigation expenses |
|
— |
|
|
|
0.02 |
|
|
|
||
Tax impact of non-GAAP adjustments |
|
(0.32 |
) |
|
|
(0.10 |
) |
|
|
||
Rounding impact |
|
(0.01 |
) |
|
|
— |
|
|
|
||
Net adjustment items |
|
0.86 |
|
|
|
0.30 |
|
|
|
||
Adjusted shareholders' net income per diluted share |
$ |
8.25 |
|
|
$ |
7.01 |
|
|
17.7 |
% |
|
|
|
|
|
|
|
||||||
|
Full Year 2022 Outlook |
|
|
||||||||
Shareholders' net income per diluted share |
Greater than $26.43 |
|
|
||||||||
Add / (Subtract): |
|
|
|
||||||||
Net losses on financial instruments |
$ |
0.61 |
|
|
|
||||||
Transaction and integration related costs |
$ |
0.04 |
|
|
|
||||||
Amortization of other intangible assets |
Approximately $2.11 |
|
|
||||||||
Tax impact of non-GAAP adjustments |
Approximately $(0.79) |
|
|
||||||||
Net adjustment items |
Approximately $1.97 |
|
|
||||||||
Adjusted shareholders' net income per diluted share |
Greater than $28.40 |
|
|
||||||||
|
|
|
|
|
|
||||||
|
Three Months Ended March 31 |
|
|
||||||||
(In millions) |
|
2022 |
|
|
|
2021 |
|
|
Change |
||
Income before income tax expense |
$ |
2,326 |
|
|
$ |
2,176 |
|
|
6.9 |
% |
|
Net investment income |
|
(360 |
) |
|
|
(291 |
) |
|
|
||
Net losses on financial instruments |
|
151 |
|
|
|
4 |
|
|
|
||
Interest expense |
|
201 |
|
|
|
192 |
|
|
|
||
Amortization of other intangible assets |
|
129 |
|
|
|
80 |
|
|
|
||
Reportable segments operating gain |
$ |
2,447 |
|
|
$ |
2,161 |
|
|
13.2 |
% |
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, state and international law and 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; the impact of a cyber-attack or other cyber security breach resulting in 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 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; intense competition to attract and retain employees; risks associated with our international operations; and various laws and provisions in our governing documents that may prevent or discourage takeovers and business combinations.
Чистая прибыль по ОПБУ за первый квартал составила 7,39 доллара на акцию, включая чистые отрицательные корректировки в размере 0,86 доллара на акцию. Скорректированная чистая прибыль составила $8,25* на акцию.
Операционная выручка выросла на 18,0% по сравнению с предыдущим кварталом и составила 37,9 млрд долларов.
Операционная прибыль выросла на 13,2% по сравнению с предыдущим кварталом и составила 2,4 миллиарда долларов.
Охват медицинскими услугами увеличился на 3,3 миллиона человек в годовом исчислении и на 1,4 миллиона человек последовательно до 46,8 миллиона человек.
Акционерам объявлены дивиденды за второй квартал 2022 года в размере 1,28 доллара на акцию.
ИНДИАНАПОЛИС--(BUSINESS WIRE)--Anthem, Inc. (NYSE: ANTM) сообщила о результатах за первый квартал 2022 года, отражающих высокие финансовые показатели, включая двузначный рост прибыли и прибыли.
"Наша сильная динамика во всех наших компаниях свидетельствует о том, что наша трансформация в пожизненного надежного партнера в области здравоохранения продолжает стимулировать наш рост и расширять наши возможности, ориентированные на здоровье всего человека", - сказала Гейл К. Будро, президент и генеральный директор. "Общая приверженность наших более чем 98 000 сотрудников нашей цели улучшения здоровья человечества является одновременно глубокой и мощной и вдохновляет культуру работы, которая остается ориентированной на клиентов и сообщества, которым мы служим".
В настоящее время Компания ожидает, что чистая прибыль по GAAP превысит 26,43 доллара на акцию, включая примерно 1,97 доллара на акцию чистых неблагоприятных статей. Теперь Компания ожидает, что скорректированная чистая прибыль за весь год превысит 28,40 доллара на акцию, основываясь на более сильных, чем ожидалось, результатах первого квартала.
*Refer to GAAP reconciliation tables. |
сводные основные моменты
Прибыль на акцию: Чистая прибыль по GAAP в первом квартале составила 7,39 доллара на акцию, включая чистые отрицательные корректировки в размере 0,86 доллара на акцию. Скорректированная чистая прибыль составила $8,25* на акцию, что на 17,7% больше, чем $7,01 за аналогичный период прошлого года.
*Please refer to the GAAP reconciliation tables. |
Членство: По состоянию на 31 марта 2022 года число зарегистрированных медицинских работников составило около 46,8 миллиона человек, что на 3,3 миллиона больше, или на 7,5 процента, по сравнению с предыдущим кварталом. Число зарегистрированных в государственных компаниях увеличилось на 2,1 миллиона человек по сравнению с предыдущим кварталом, в основном за счет органического роста бизнеса Medicaid, чему способствовали приостановка усилий по переаттестации на наших рынках, приобретения MMM и Paramount Advantage, запуск HealthyBlue в Северной Каролине и органический рост Medicare Advantage. Число зарегистрированных в коммерческих и специализированных компаниях увеличилось на 1,1 миллиона в годовом исчислении, главным образом благодаря высоким продажам как в платных, так и в риск-ориентированных компаниях.
В течение первого квартала 2022 года число обращений за медицинской помощью увеличилось на 1,4 миллиона жизней благодаря органическому росту нашего коммерческого платного бизнеса, приобретению участников программы Paramount Advantage Medicaid в Огайо и росту числа индивидуальных обращений по программе Medicare Advantage.
Операционная выручка: Операционная выручка в первом квартале 2022 года составила 37,9 миллиарда долларов, увеличившись на 5,8 миллиарда долларов, или на 18,0 процента, по сравнению с предыдущим кварталом. Рост был обусловлен увеличением доходов от премий в связи с увеличением членства в Medicaid, приобретением MMM и Paramount, ростом членства в Medicare Advantage и членства, основанного на коммерческих рисках, а также повышением ставок премий для покрытия общих тенденций в расходах. Увеличение было также связано с ростом выручки от аптечных продуктов IngenioRx.
Коэффициент расходов на пособия: Коэффициент расходов на пособия в первом квартале 2022 года составил 86,1 процента, что на 50 базисных пунктов больше, чем в предыдущем квартале. Рост был в первую очередь обусловлен продолжающимся изменением структуры бизнеса, поскольку Anthem увеличил государственный бизнес, который имеет более высокое соотношение выгод и расходов, быстрее, чем бизнес с коммерческим и специализированным риском.
Резервы по медицинским претензиям, созданные по состоянию на 31 декабря 2021 года, сформированы в соответствии с ожиданиями Компании по состоянию на первый квартал 2022 года.
Количество дней, подлежащих выплате по претензиям: Количество дней, подлежащих выплате по претензиям, составило 46,9 дней по состоянию на 31 марта 2022 года, что на 1,7 дня больше, чем 31 декабря 2021 года, и не изменилось по сравнению с 31 марта 2021 года.
Коэффициент расходов SG&A: Коэффициент расходов SG&A составил 11,5 процента в первом квартале 2022 года, что на 70 базисных пунктов меньше, чем 12,2 процента в первом квартале 2021 года. Снижение было в основном обусловлено левереджем операционных расходов, связанным с ростом операционной выручки, что частично компенсировалось увеличением расходов на поддержку роста.
Операционный денежный поток: Операционный денежный поток составил примерно 2,5 миллиарда долларов, или в 1,4 раза больше чистой прибыли в первом квартале 2022 года, увеличившись на 36 миллионов долларов по сравнению с предыдущим кварталом. Рост в годовом исчислении был обусловлен увеличением чистой прибыли, частично компенсированным влиянием изменений в оборотном капитале.
Программа обратного выкупа акций: В течение первого квартала 2022 года Компания выкупила 1,2 миллиона своих обыкновенных акций за 545 миллионов долларов по средневзвешенной цене 453,32 доллара. По состоянию на 31 марта 2022 года у Компании оставалось около 3,6 миллиарда долларов одобренного Советом директоров разрешения на выкуп акций.
Дивиденды наличными: В течение первого квартала 2022 года Компания выплатила ежеквартальные дивиденды в размере 1,28 доллара на акцию, что представляет собой распределение денежных средств на общую сумму 309 миллионов долларов.
19 апреля 2022 года Комитет по аудиту Совета директоров Компании объявил акционерам дивиденды за второй квартал 2022 года в размере 1,28 доллара на акцию. Дивиденды за второй квартал выплачиваются 24 июня 2022 года акционерам record на момент закрытия бизнеса 10 июня 2022 года.
Инвестиционный портфель и положение с капиталом: В течение первого квартала 2022 года Компания зафиксировала чистые убытки в размере 151 миллиона долларов. В течение первого квартала 2021 года Компания зафиксировала чистые убытки в размере 4 миллионов долларов. Эти суммы исключаются из скорректированной прибыли на акцию.
По состоянию на 31 марта 2022 года чистая нереализованная убыточная позиция Компании в инвестиционном портфеле составляла 755 миллионов долларов, состоящая в основном из ценных бумаг с фиксированным сроком погашения. По состоянию на 31 марта 2022 года денежные средства и инвестиции в материнской компании составили около 1,4 миллиарда долларов.
отчетные сегменты
Anthem, Inc. имеет четыре отчетных сегмента: Коммерческий и специализированный бизнес (состоящий из индивидуальных, групповых риск-ориентированных, групповых платных и BlueCard бизнесов); Государственный бизнес (состоящий из Medicaid, Medicare и Федеральных медицинских продуктов и услуг); IngenioRx; и Другие (состоящие из Диверсифицированная бизнес-группа и корпоративные расходы, не отнесенные на другие наши отчетные сегменты).
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Anthem, Inc. |
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Reportable Segment Highlights |
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(Unaudited) |
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(In millions) |
Three Months Ended March 31 |
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2022 |
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2021 |
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Change |
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Operating Revenue |
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Commercial & Specialty Business |
$10,269 |
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$9,491 |
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8.2 % |
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Government Business |
23,758 |
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19,283 |
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23.2 % |
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IngenioRx |
6,683 |
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5,862 |
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14.0 % |
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Other |
3,221 |
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2,370 |
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35.9 % |
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Eliminations |
(6,045) |
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(4,908) |
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23.2 % |
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Total Operating Revenue1 |
$37,886 |
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$32,098 |
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18.0 % |
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Operating Gain |
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Commercial & Specialty Business |
$1,082 |
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$1,268 |
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(14.7) % |
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Government Business |
789 |
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478 |
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65.1 % |
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IngenioRx |
398 |
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407 |
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(2.2) % |
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Other |
178 |
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8 |
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NM |
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Total Operating Gain1 |
$2,447 |
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$2,161 |
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13.2 % |
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Operating Margin |
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Commercial & Specialty Business |
10.5 % |
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13.4 % |
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(290) bp |
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Government Business |
3.3 % |
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2.5 % |
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80 bp |
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IngenioRx |
6.0 % |
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6.9 % |
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(90) bp |
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Total Operating Margin1 |
6.5 % |
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6.7 % |
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(20) bp |
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1. |
See “Basis of Presentation.” |
2. |
"NM" = calculation not meaningful. |
Коммерческий и специализированный бизнес: Операционная прибыль в сегменте коммерческого и специализированного бизнеса составила 1 082 миллиона долларов в первом квартале 2022 года, что на 186 миллионов долларов меньше, чем 1 268 миллионов долларов в первом квартале 2021 года. Снижение было вызвано главным образом чистым неблагоприятным воздействием COVID и увеличением расходов на поддержку роста и инноваций. Эти последствия были частично компенсированы положительным вкладом от роста членства, основанного на риске и на плате.
Государственный бизнес: Операционная прибыль в сегменте государственного бизнеса в первом квартале 2022 года составила 789 миллионов долларов, увеличившись на 311 миллионов долларов по сравнению с 478 миллионами долларов в первом квартале 2021 года. Увеличение было в основном связано с приобретением MMM, увеличением членства в Medicaid, увеличением доходов от рисков в Medicare и просроченными статьями в Medicaid. Эти последствия были частично компенсированы увеличением расходов на поддержку экономического роста.
IngenioRx: Операционная прибыль в первом квартале 2022 года составила 398 миллионов долларов, что на 9 миллионов долларов меньше, чем 407 миллионов долларов в первом квартале 2021 года. Снижение было вызвано главным образом тем, что благоприятная внепериодическая корректировка в первом квартале 2021 года не повторилась, что частично компенсировалось влиянием увеличения объема выписываемых рецептов в результате роста числа интегрированных медицинских и аптечных организаций.
Другой: Компания сообщила об операционной прибыли в размере 178 миллионов долларов в Другом сегменте за первый квартал 2022 года, увеличившись на 170 миллионов долларов по сравнению с 8 миллионами долларов в предыдущем квартале. Рост был обусловлен улучшением показателей Дочерней и неаффилированной прибыли Диверсифицированной бизнес-группы и приобретением myNEXUS в апреле 2021 года. Это увеличение операционной прибыли было дополнительно обусловлено изменениями в нераспределенных корпоративных расходах в годовом исчислении.
Основа представления
1. Операционная выручка и операционная прибыль/убыток являются ключевыми показателями, используемыми руководством для оценки результатов деятельности в каждом из своих отчетных сегментов, распределения ресурсов, установления целевых показателей вознаграждения и прогнозирования будущих операционных показателей. Операционная прибыль/убыток рассчитывается как общая операционная выручка за вычетом расходов на выплату пособий, себестоимости проданной продукции и продаж, общих и административных расходов. Он не включает чистый инвестиционный доход, чистые прибыли/убытки по финансовым инструментам, процентные расходы, амортизацию прочих нематериальных активов, прибыли/убытки от погашения задолженности или налогов на прибыль, поскольку эти статьи управляются в корпоративной среде совместного обслуживания и не являются ответственностью руководства операционного сегмента. Обратитесь к таблицам сверки ОПБУ.
2. Операционная маржа определяется как операционная прибыль, деленная на операционную выручку.
Конференц-связь и веб-трансляция
Руководство проведет телефонную конференцию и веб-трансляцию сегодня в 8:30 утра по восточному поясному времени (“EDT”), чтобы обсудить результаты и перспективы компании за первый квартал. Конференц-связь должна быть доступна по крайней мере за 15 минут до начала вызова по следующим номерам:
888-947-9963 (Domestic) |
800-813-5525 (Domestic Replay) |
312-470-0178 (International) |
203-369-3346 (International Replay) |
Код доступа для сегодняшней телефонной конференции - 3972058. Повтор будет доступен с 11:30 утра по восточному времени сегодня и до конца дня 20 мая 2022 года. Звонок также будет доступен через прямую веб-трансляцию по адресу www.antheminc.com по ссылке “Инвесторы”. Повтор веб-трансляции будет доступен после звонка.
О компании Anthem, Inc.
Anthem - ведущая медицинская компания, занимающаяся улучшением жизни людей и сообществ, а также упрощением медицинского обслуживания. Через свои дочерние компании Anthem обслуживает около 118 миллионов человек, в том числе почти 47 миллионов в рамках своей системы медицинских планов. Обеспечивая здоровье помимо здравоохранения, Anthem превращается из партнера по оказанию медицинских услуг в пожизненного надежного партнера в области здравоохранения. Для получения дополнительной информации, пожалуйста, посетите www.antheminc.com или подписывайтесь на @AnthemInc в Твиттере.
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 |
March 31, 2022 |
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March 31, 2021 |
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December 31, 2021 |
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March 31,
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December 31, 2021 |
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Commercial & Specialty Business |
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Individual |
818 |
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731 |
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759 |
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11.9 |
% |
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7.8 |
% |
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Group Risk-Based |
4,028 |
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3,837 |
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4,006 |
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5.0 |
% |
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0.5 |
% |
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Commercial Risk-Based |
4,846 |
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4,568 |
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4,765 |
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6.1 |
% |
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1.7 |
% |
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BlueCard® |
6,370 |
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6,166 |
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6,178 |
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3.3 |
% |
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3.1 |
% |
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Group Fee-Based |
20,148 |
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19,515 |
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19,395 |
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3.2 |
% |
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3.9 |
% |
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Commercial Fee-Based |
26,518 |
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25,681 |
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25,573 |
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3.3 |
% |
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3.7 |
% |
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Total Commercial & Specialty Business |
31,364 |
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30,249 |
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30,338 |
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3.7 |
% |
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3.4 |
% |
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Government Business |
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Medicare Advantage |
1,921 |
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1,538 |
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1,859 |
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24.9 |
% |
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3.3 |
% |
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Medicare Supplement |
939 |
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930 |
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952 |
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1.0 |
% |
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(1.4 |
) % |
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Total Medicare |
2,860 |
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2,468 |
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2,811 |
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15.9 |
% |
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1.7 |
% |
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Medicaid |
10,919 |
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9,172 |
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10,600 |
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19.0 |
% |
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3.0 |
% |
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Federal Employees Health Benefits |
1,632 |
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1,632 |
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1,625 |
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— |
% |
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0.4 |
% |
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Total Government Business |
15,411 |
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13,272 |
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15,036 |
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16.1 |
% |
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2.5 |
% |
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Total Medical Membership |
46,775 |
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43,521 |
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45,374 |
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7.5 |
% |
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3.1 |
% |
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Other Membership |
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Life and Disability Members |
4,679 |
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4,766 |
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4,782 |
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(1.8 |
) % |
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(2.2 |
) % |
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Dental Members |
6,649 |
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6,599 |
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6,674 |
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0.8 |
% |
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(0.4 |
) % |
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Dental Administration Members |
1,588 |
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1,488 |
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1,491 |
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6.7 |
% |
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6.5 |
% |
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Vision Members |
9,211 |
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7,798 |
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8,031 |
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18.1 |
% |
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14.7 |
% |
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Medicare Part D Standalone Members |
279 |
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450 |
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438 |
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(38.0 |
) % |
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(36.3 |
) % |
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 Ended March 31 |
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2022 |
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2021 |
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Change |
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Revenues |
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Premiums |
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$ |
32,785 |
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$ |
27,676 |
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18.5 |
% |
Product revenue |
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3,301 |
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2,737 |
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20.6 |
% |
Administrative fees and other revenue |
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1,800 |
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1,685 |
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6.8 |
% |
Total operating revenue |
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37,886 |
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32,098 |
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18.0 |
% |
Net investment income |
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360 |
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291 |
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23.7 |
% |
Net losses on financial instruments |
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(151 |
) |
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(4 |
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NM |
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Total revenues |
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38,095 |
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32,385 |
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17.6 |
% |
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Expenses |
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Benefit expense |
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28,215 |
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23,699 |
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19.1 |
% |
Cost of products sold |
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2,883 |
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2,313 |
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24.6 |
% |
Selling, general and administrative expense |
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4,341 |
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3,925 |
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10.6 |
% |
Interest expense |
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201 |
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192 |
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4.7 |
% |
Amortization of other intangible assets |
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129 |
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80 |
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61.3 |
% |
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|
|
|
|
|
|||||
Total expenses |
|
|
35,769 |
|
|
|
30,209 |
|
|
18.4 |
% |
|
|
|
|
|
|
|
|||||
Income before income tax expense |
|
|
2,326 |
|
|
|
2,176 |
|
|
6.9 |
% |
|
|
|
|
|
|
|
|||||
Income tax expense |
|
|
531 |
|
|
|
509 |
|
|
4.3 |
% |
|
|
|
|
|
|
|
|||||
Net income |
|
|
1,795 |
|
|
|
1,667 |
|
|
7.7 |
% |
|
|
|
|
|
|
|
|||||
Net loss/(income) attributable to noncontrolling interests |
|
|
10 |
|
|
|
(2 |
) |
|
NM |
|
|
|
|
|
|
|
|
|||||
Shareholders' net income |
|
$ |
1,805 |
|
|
$ |
1,665 |
|
|
8.4 |
% |
|
|
|
|
|
|
|
|||||
Shareholders' net income per diluted share |
|
$ |
7.39 |
|
|
$ |
6.71 |
|
|
10.1 |
% |
|
|
|
|
|
|
|
|||||
Diluted shares |
|
|
244.4 |
|
|
|
248.2 |
|
|
(1.5 |
) % |
|
|
|
|
|
|
|
|||||
Benefit expense as a percentage of premiums |
|
|
86.1 |
% |
|
|
85.6 |
% |
|
50 bp |
|
Selling, general and administrative expense as a percentage of total operating revenue |
|
|
11.5 |
% |
|
|
12.2 |
% |
|
(70) bp |
|
Income before income tax expense as a percentage of total revenue |
|
|
6.1 |
% |
|
|
6.7 |
% |
|
(60) bp |
|
"NM" = calculation not meaningful |
Anthem, Inc. |
||||||||||
Consolidated Balance Sheets |
||||||||||
|
||||||||||
(In millions) |
March 31,
|
|
December 31,
|
|||||||
Assets |
(Unaudited) |
|
|
|||||||
Current assets: |
|
|
|
|||||||
Cash and cash equivalents |
$ |
6,161 |
|
|
$ |
4,880 |
|
|||
Fixed maturity securities |
|
26,219 |
|
|
|
26,267 |
|
|||
Equity securities, current |
|
1,662 |
|
|
|
1,881 |
|
|||
Premium receivables |
|
7,349 |
|
|
|
5,681 |
|
|||
Self-funded receivables |
|
3,979 |
|
|
|
4,010 |
|
|||
Other receivables |
|
3,334 |
|
|
|
3,749 |
|
|||
Other current assets |
|
5,193 |
|
|
|
4,654 |
|
|||
Total current assets |
|
53,897 |
|
|
|
51,122 |
|
|||
|
|
|
|
|||||||
Long-term investments: |
|
|
|
|||||||
Fixed maturity securities |
|
596 |
|
|
|
632 |
|
|||
Other invested assets |
|
5,365 |
|
|
|
5,225 |
|
|||
Property and equipment, net |
|
3,986 |
|
|
|
3,919 |
|
|||
Goodwill |
|
24,251 |
|
|
|
24,228 |
|
|||
Other intangible assets |
|
10,588 |
|
|
|
10,615 |
|
|||
Other noncurrent assets |
|
1,803 |
|
|
|
1,719 |
|
|||
Total assets |
$ |
100,486 |
|
|
$ |
97,460 |
|
|||
|
|
|
|
|||||||
Liabilities and equity |
|
|
|
|||||||
Liabilities |
|
|
|
|||||||
Current liabilities: |
|
|
|
|||||||
Medical claims payable |
$ |
14,713 |
|
|
$ |
13,518 |
|
|||
Other policyholder liabilities |
|
5,396 |
|
|
|
5,521 |
|
|||
Unearned income |
|
1,210 |
|
|
|
1,153 |
|
|||
Accounts payable and accrued expenses |
|
5,493 |
|
|
|
4,970 |
|
|||
Short-term borrowings |
|
275 |
|
|
|
275 |
|
|||
Current portion of long-term debt |
|
3,097 |
|
|
|
1,599 |
|
|||
Other current liabilities |
|
9,549 |
|
|
|
7,849 |
|
|||
Total current liabilities |
|
39,733 |
|
|
|
34,885 |
|
|||
|
|
|
|
|||||||
Long-term debt, less current portion |
|
19,883 |
|
|
|
21,157 |
|
|||
Reserves for future policy benefits |
|
811 |
|
|
|
802 |
|
|||
Deferred tax liabilities, net |
|
2,349 |
|
|
|
2,805 |
|
|||
Other noncurrent liabilities |
|
1,679 |
|
|
|
1,683 |
|
|||
Total liabilities |
|
64,455 |
|
|
|
61,332 |
|
|||
|
|
|
|
|||||||
Shareholders’ equity |
|
|
|
|||||||
Common stock |
|
2 |
|
|
|
2 |
|
|||
Additional paid-in capital |
|
9,151 |
|
|
|
9,148 |
|
|||
Retained earnings |
|
28,058 |
|
|
|
27,088 |
|
|||
Accumulated other comprehensive loss |
|
(1,236 |
) |
|
|
(178 |
) |
|||
Total shareholders’ equity |
|
35,975 |
|
|
|
36,060 |
|
|||
Noncontrolling interests |
|
56 |
|
|
|
68 |
|
|||
Total equity |
|
36,031 |
|
|
|
36,128 |
|
|||
Total liabilities and equity |
$ |
100,486 |
|
|
$ |
97,460 |
|
Anthem, Inc. |
||||||||
Consolidated Statements of Cash Flows |
||||||||
(Unaudited) |
||||||||
|
|
|
|
|||||
(In millions) |
Three Months Ended March 31 |
|||||||
|
|
2022 |
|
|
|
2021 |
|
|
Operating activities |
|
|
|
|||||
Net income |
$ |
1,795 |
|
|
$ |
1,667 |
|
|
Adjustments to reconcile net income to net cash provided by operating activities: |
|
|
|
|||||
Net losses on financial instruments |
|
151 |
|
|
|
4 |
|
|
Equity in net earnings of other invested assets |
|
(153 |
) |
|
|
(108 |
) |
|
Depreciation and amortization |
|
358 |
|
|
|
282 |
|
|
Deferred income taxes |
|
(92 |
) |
|
|
31 |
|
|
Share-based compensation |
|
50 |
|
|
|
64 |
|
|
Changes in operating assets and liabilities: |
|
|
|
|||||
Receivables, net |
|
(1,348 |
) |
|
|
(1,258 |
) |
|
Other invested assets |
|
7 |
|
|
|
(20 |
) |
|
Other assets |
|
(353 |
) |
|
|
(288 |
) |
|
Policy liabilities |
|
1,075 |
|
|
|
1,455 |
|
|
Unearned income |
|
57 |
|
|
|
(119 |
) |
|
Accounts payable and other liabilities |
|
428 |
|
|
|
358 |
|
|
Income taxes |
|
568 |
|
|
|
438 |
|
|
Other, net |
|
(2 |
) |
|
|
(1 |
) |
|
Net cash provided by operating activities |
|
2,541 |
|
|
|
2,505 |
|
|
|
|
|
|
|||||
Investing activities |
|
|
|
|||||
Purchases of investments |
|
(5,050 |
) |
|
|
(6,978 |
) |
|
Proceeds from sale of investments |
|
3,047 |
|
|
|
4,650 |
|
|
Maturities, calls and redemptions from investments |
|
1,209 |
|
|
|
998 |
|
|
Changes in securities lending collateral |
|
(441 |
) |
|
|
(731 |
) |
|
Purchases of subsidiaries, net of cash acquired |
|
(61 |
) |
|
|
(27 |
) |
|
Purchases of property and equipment |
|
(254 |
) |
|
|
(204 |
) |
|
Other, net |
|
(28 |
) |
|
|
(15 |
) |
|
Net cash used in investing activities |
|
(1,578 |
) |
|
|
(2,307 |
) |
|
|
|
|
|
|||||
Financing activities |
|
|
|
|||||
Net proceeds from (repayments of) commercial paper borrowings |
|
225 |
|
|
|
(250 |
) |
|
Net (repayments of) proceeds from long-term borrowings |
|
(14 |
) |
|
|
3,462 |
|
|
Changes in securities lending payable |
|
441 |
|
|
|
731 |
|
|
Repurchase and retirement of common stock |
|
(545 |
) |
|
|
(447 |
) |
|
Cash dividends |
|
(309 |
) |
|
|
(277 |
) |
|
Proceeds from issuance of common stock under employee stock plans |
|
76 |
|
|
|
89 |
|
|
Taxes paid through withholding of common stock under employee stock plans |
|
(86 |
) |
|
|
(91 |
) |
|
Other, net |
|
534 |
|
|
|
171 |
|
|
Net cash provided by financing activities |
|
322 |
|
|
|
3,388 |
|
|
|
|
|
|
|||||
Effect of foreign exchange rates on cash and cash equivalents |
|
(4 |
) |
|
|
(1 |
) |
|
|
|
|
|
|||||
Change in cash and cash equivalents |
|
1,281 |
|
|
|
3,585 |
|
|
Cash and cash equivalents at beginning of period |
|
4,880 |
|
|
|
5,741 |
|
|
|
|
|
|
|||||
Cash and cash equivalents at end of period |
$ |
6,161 |
|
|
$ |
9,326 |
|
Anthem, Inc. |
|||||||||||||||||||
Reconciliation of Medical Claims Payable |
|||||||||||||||||||
|
|||||||||||||||||||
|
Three Months Ended March 31 |
|
Years Ended December 31 |
||||||||||||||||
|
|
2022 |
|
|
|
2021 |
|
|
|
2021 |
|
|
|
2020 |
|
|
|
2019 |
|
(In millions) |
(Unaudited) |
|
(Unaudited) |
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
||||||||||
Gross medical claims payable, beginning of period |
$ |
13,282 |
|
|
$ |
11,135 |
|
|
$ |
11,135 |
|
|
$ |
8,647 |
|
|
$ |
7,266 |
|
Ceded medical claims payable, beginning of period |
|
(21 |
) |
|
|
(46 |
) |
|
|
(46 |
) |
|
|
(33 |
) |
|
|
(34 |
) |
Net medical claims payable, beginning of period |
|
13,261 |
|
|
|
11,089 |
|
|
|
11,089 |
|
|
|
8,614 |
|
|
|
7,232 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Business combinations and purchase adjustments |
|
3 |
|
|
|
— |
|
|
|
420 |
|
|
|
339 |
|
|
|
— |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Net incurred medical claims: |
|
|
|
|
|
|
|
|
|
||||||||||
Current year |
|
28,064 |
|
|
|
24,215 |
|
|
|
100,440 |
|
|
|
85,094 |
|
|
|
78,695 |
|
Prior years redundancies(1) |
|
(933 |
) |
|
|
(1,488 |
) |
|
|
(1,703 |
) |
|
|
(637 |
) |
|
|
(500 |
) |
Total net incurred medical claims |
|
27,131 |
|
|
|
22,727 |
|
|
|
98,737 |
|
|
|
84,457 |
|
|
|
78,195 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Net payments attributable to: |
|
|
|
|
|
|
|
|
|
||||||||||
Current year medical claims |
|
17,116 |
|
|
|
15,031 |
|
|
|
88,156 |
|
|
|
74,629 |
|
|
|
70,294 |
|
Prior years medical claims |
|
8,826 |
|
|
|
6,748 |
|
|
|
8,829 |
|
|
|
7,692 |
|
|
|
6,519 |
|
Total net payments |
|
25,942 |
|
|
|
21,779 |
|
|
|
96,985 |
|
|
|
82,321 |
|
|
|
76,813 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Net medical claims payable, end of period |
|
14,453 |
|
|
|
12,037 |
|
|
|
13,261 |
|
|
|
11,089 |
|
|
|
8,614 |
|
Ceded medical claims payable, end of period |
|
17 |
|
|
|
39 |
|
|
|
21 |
|
|
|
46 |
|
|
|
33 |
|
Gross medical claims payable, end of period |
$ |
14,470 |
|
|
$ |
12,076 |
|
|
$ |
13,282 |
|
|
$ |
11,135 |
|
|
$ |
8,647 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Current year medical claims paid as a percentage of current year net incurred medical claims |
|
61.0 |
% |
|
|
62.1 |
% |
|
|
87.8 |
% |
|
|
87.7 |
% |
|
|
89.3 |
% |
|
|
|
|
|
|
|
|
|
|
||||||||||
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 |
|
7.6 |
% |
|
|
15.5 |
% |
|
|
18.1 |
% |
|
|
8.0 |
% |
|
|
7.4 |
% |
|
|
|
|
|
|
|
|
|
|
||||||||||
Prior year redundancies in the current year as a percentage of prior year net incurred medical claims |
|
0.9 |
% |
|
|
1.8 |
% |
|
|
2.0 |
% |
|
|
0.8 |
% |
|
|
0.7 |
% |
|
|
|
|
|
|
|
|
|
|
||||||||||
(1) Negative amounts reported for net incurred medical claims related to prior years result from claims being settled for
|
Anthem, Inc. Сверка ОПБУ (Неаудировано)
Anthem, Inc. в этом документе ссылается на “Скорректированную чистую прибыль” и “Скорректированную чистую прибыль на акцию”, которые не являются показателями GAAP. Эти показатели, не относящиеся к GAAP, не предназначены в качестве альтернативы каким-либо показателям, рассчитанным в соответствии с GAAP. В дополнение к этим показателям, не относящимся к GAAP, приводятся ссылки на показатели “Операционная выручка” и “Операционная прибыль”. Каждый из этих показателей предоставляется для дальнейшего содействия инвесторам в понимании и анализе основных операционных результатов компании и сравнении финансовых результатов Anthem, Inc. Сверка Операционной выручки с Общей выручкой приведена в настоящем Консолидированном отчете о прибылях и убытках. Ниже приводится сверка показателей, не относящихся к GAAP, с наиболее непосредственно сопоставимыми показателями, рассчитанными в соответствии с GAAP, вместе с сверкой операционной прибыли отчетных сегментов с доходом до вычета расходов по налогу на прибыль. Предыдущие суммы могут быть сгруппированы по-разному, чтобы соответствовать текущему представлению.
|
Three Months Ended March 31 |
|
|
||||||||
(In millions, except per share data) |
|
2022 |
|
|
|
2021 |
|
|
Change |
||
Shareholders' net income |
$ |
1,805 |
|
|
$ |
1,665 |
|
|
8.4 |
% |
|
Add / (Subtract): |
|
|
|
|
|
||||||
Net losses on financial instruments |
|
151 |
|
|
|
4 |
|
|
|
||
Amortization of other intangible assets |
|
129 |
|
|
|
80 |
|
|
|
||
Transaction and integration related costs |
|
9 |
|
|
|
9 |
|
|
|
||
Litigation expenses |
|
1 |
|
|
|
6 |
|
|
|
||
Tax impact of non-GAAP adjustments |
|
(78 |
) |
|
|
(25 |
) |
|
|
||
Net adjustment items |
|
212 |
|
|
|
74 |
|
|
|
||
Adjusted shareholders' net income |
$ |
2,017 |
|
|
$ |
1,739 |
|
|
16.0 |
% |
|
|
|
|
|
|
|
||||||
Shareholders' net income per diluted share |
$ |
7.39 |
|
|
$ |
6.71 |
|
|
10.1 |
% |
|
Add / (Subtract): |
|
|
|
|
|
||||||
Net losses on financial instruments |
|
0.62 |
|
|
|
0.02 |
|
|
|
||
Amortization of other intangible assets |
|
0.53 |
|
|
|
0.32 |
|
|
|
||
Transaction and integration related costs |
|
0.04 |
|
|
|
0.04 |
|
|
|
||
Litigation expenses |
|
— |
|
|
|
0.02 |
|
|
|
||
Tax impact of non-GAAP adjustments |
|
(0.32 |
) |
|
|
(0.10 |
) |
|
|
||
Rounding impact |
|
(0.01 |
) |
|
|
— |
|
|
|
||
Net adjustment items |
|
0.86 |
|
|
|
0.30 |
|
|
|
||
Adjusted shareholders' net income per diluted share |
$ |
8.25 |
|
|
$ |
7.01 |
|
|
17.7 |
% |
|
|
|
|
|
|
|
||||||
|
Full Year 2022 Outlook |
|
|
||||||||
Shareholders' net income per diluted share |
Greater than $26.43 |
|
|
||||||||
Add / (Subtract): |
|
|
|
||||||||
Net losses on financial instruments |
$ |
0.61 |
|
|
|
||||||
Transaction and integration related costs |
$ |
0.04 |
|
|
|
||||||
Amortization of other intangible assets |
Approximately $2.11 |
|
|
||||||||
Tax impact of non-GAAP adjustments |
Approximately $(0.79) |
|
|
||||||||
Net adjustment items |
Approximately $1.97 |
|
|
||||||||
Adjusted shareholders' net income per diluted share |
Greater than $28.40 |
|
|
||||||||
|
|
|
|
|
|
||||||
|
Three Months Ended March 31 |
|
|
||||||||
(In millions) |
|
2022 |
|
|
|
2021 |
|
|
Change |
||
Income before income tax expense |
$ |
2,326 |
|
|
$ |
2,176 |
|
|
6.9 |
% |
|
Net investment income |
|
(360 |
) |
|
|
(291 |
) |
|
|
||
Net losses on financial instruments |
|
151 |
|
|
|
4 |
|
|
|
||
Interest expense |
|
201 |
|
|
|
192 |
|
|
|
||
Amortization of other intangible assets |
|
129 |
|
|
|
80 |
|
|
|
||
Reportable segments operating gain |
$ |
2,447 |
|
|
$ |
2,161 |
|
|
13.2 |
% |
Прогнозные заявления
Этот документ содержит определенные прогнозные заявления по смыслу Закона о реформе судебных разбирательств по частным ценным бумагам 1995 года. Прогнозные заявления отражают наши взгляды на будущие события и финансовые показатели и, как правило, не являются историческими фактами. Такие слова, как “ожидать”, “чувствовать”, “верить”, “будет”, “может”, “должен”, “предвидеть”, “намереваться”, “оценивать”, “проект”, "прогноз”, “план” и подобные выражения предназначены для обозначения перспективных заявления. Эти заявления включают, но не ограничиваются ими: финансовые прогнозы и оценки и лежащие в их основе допущения; заявления относительно планов, целей и ожиданий в отношении будущих операций, продуктов и услуг; и заявления относительно будущих результатов. Такие заявления подвержены определенным рискам и неопределенностям, многие из которых трудно предсказать и, как правило, находятся вне нашего контроля, что может привести к тому, что фактические результаты будут существенно отличаться от тех, которые выражены, подразумеваются или прогнозируются в прогнозных заявлениях. Вас предостерегают от чрезмерного доверия к этим прогнозным заявлениям, которые действуют только на дату настоящего Соглашения. Вам также настоятельно рекомендуется внимательно изучить и рассмотреть различные риски и другую информацию, обсуждаемую в наших отчетах, время от времени подаваемых в Комиссию по ценным бумагам и биржам США, в которых делается попытка информировать заинтересованные стороны о факторах, влияющих на наш бизнес. За исключением случаев, когда иное требуется федеральным законодательством о ценных бумагах, мы не берем на себя никаких обязательств по повторной публикации пересмотренных прогнозных заявлений, отражающих события или обстоятельства после даты настоящего Соглашения. Эти риски и неопределенности включают, но не ограничиваются следующим: влияние крупных скорой медицинской помощи, такие как здравоохранение эпидемии и пандемии, в том числе COVID-19, и катастроф; тенденции в здравоохранении затрат и коэффициенты использования; нам возможность обеспечить достаточный ставки страховых взносов, в том числе нормативного утверждения и реализации таких ставок; влияние федеральных, государственных и международных законов и правил, в том числе изменения, происходящие в защите пациентов и доступных медицинских закона, здравоохранение и образование акт сверки 2010 года, с поправками; изменения в экономической и рыночной конъюнктуры, а также положений, которые могут негативно сказаться на нашей ликвидности и инвестиционных портфелей; нам возможность заключить контракт с поставщиками на экономичных и выгодных условиях; конкурентное давление и наша способность адаптироваться к изменениям в отрасли и разрабатывать и реализовывать стратегические возможности роста; снижение подачи заявок; последствия кибер-атаки или иные нарушения информационной безопасности в результате несанкционированного разглашения членом или работником служебной или конфиденциальной информации, в том числе воздействие и результат любого исследования, запросы, претензии и судебные разбирательства, связанные с ними; риски и неопределенности в отношении Medicare и Medicaid программ, в том числе связанных с несоблюдением комплекс ограничений, налагаемых на них; наша способность поддерживать и добиться улучшения в центры для Medicare и Medicaid Звездные рейтинги и другие показатели качества и финансирования рисков в отношении доходов, полученных от участия в нем; негативные изменения в нашем здравоохранении ассортимента продукции; расходы и прочие обязательства, связанные с судебным разбирательством, правительственных расследований, проверок и обзоров; риски и неопределенности, связанные с нашей аптеке пользу управления (“ПМ”) деловой, в том числе за неисполнение какой-либо стороной с РВМ Договор оказания услуг между нами и CaremarkPCS здоровья, Л. Л. С.; медицинской халатности или профессиональной ответственности, претензий или иных рисков, которые связаны со здравоохранением и ПБМ услуг предприятий; общие риски, связанные с слияний, поглощений, создания совместных предприятий и стратегических альянсов; изменение налогового законодательства; возможно снижение стоимости нематериальных активов, если будущие результаты не обеспечивают надлежащую поддержку гудвила и других нематериальных активов; возможные ограничения в выплате дивидендов от своих дочерних компаний и увеличения необходимого минимального уровня капитала; нам возможность выкупа обыкновенных акций и выплачивать дивиденды на обыкновенные акции за счет правильности нашего движения денежных средств и доходов и других факторов; потенциальный негативный эффект от наших значительную сумму непогашенной задолженности; снижение наши финансовой устойчивости оценок; последствия какого-либо негативных публикаций, связанных со здоровьем преимущества отрасли в целом и США в частности; неспособность эффективно поддерживать и модернизировать свои информационные системы; события, которые могут отрицательно повлиять на наш лицензии с голубого Креста и голубого щита Ассоциации; интенсивная конкуренция, чтобы привлекать и удерживать сотрудников; риски, связанные с международными операциями, а также различные законы и положения, в наших руководящих документах, что может препятствовать поглощения и объединения предприятий.
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