Item 6. SELECTED FINANCIAL DATA

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Item 6. SELECTED FINANCIAL DATA

201920182017 (a)2016 (b)2015
(dollars in millions, except per common share results)
Summary of Operating Results
Total revenues$64,888$56,912$53,767$54,379$54,289
Income from operations3,1923,1004,2621,7412,347
Loss (gain) on Sale of Business—786——(270)
Interest expense242218242189186
Other (income) expense, net(506)33———
Income before income taxes and equity in net earnings3,4562,0634,0201,5522,431
Provision for income taxes7633911,5729381,155
Equity in net earnings of Kindred at Home1411———
Net income$2,707$1,683$2,448$614$1,276
Basic earnings per common share$20.20$12.24$16.94$4.11$8.54
Diluted earnings per common share$20.10$12.16$16.81$4.07$8.44
Dividends declared per common share$2.20$2.00$1.60$1.16$1.15
Financial Position
Cash and investments$15,432$12,780$16,344$13,675$11,681
Total assets29,07425,41327,17825,39624,678
Benefits payable6,0044,8624,6684,5634,976
Debt5,6666,0694,9204,0924,093
Stockholders’ equity12,03710,1619,84210,68510,346
Cash flows from operations$5,284$2,173$4,051$1,936$868
Key Financial Indicators
Benefit ratio85.6%83.5%83.0%84.9%84.5%
Operating cost ratio11.5%13.3%12.3%13.3%13.6%
Membership
Total medical membership16,667,20016,576,70014,003,10014,230,20014,222,800
Total specialty membership5,425,9006,072,3006,986,0006,961,2007,221,800
(a)Included in operating expenses is $936 million (or $4.31 per diluted common stock) associated with the merger termination fee and related costs, net. Under the terms of the Agreement and Plan of Merger with Aetna Inc., and certain wholly owned subsidiaries of Aetna Inc., which we collectively refer to as Aetna, we received a breakup fee of $1 billion from Aetna included in this amount.
(b)Includes a reduction in premiums revenue of $583 million ($367 million after tax, or $2.43 per diluted common share) associated with the write-off of commercial risk corridor receivables. Also includes benefits expense of $505 million ($318 million after tax, or $2.11 per diluted common share) for reserve strengthening associated with our non-strategic closed block of long-term care insurance policies, which were sold in 2018.

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