Total Revenue
(in billions)
$104.2
$121.9
$138.6
Total Medical Membership
(in millions)
41.0
42.9
45.4
Net Income Per Diluted Share
(in whole dollars)
$18.47
$17.98
$24.73
Adjusted Net Income Per Diluted Share
(in whole dollars)
$19.44
$22.48
$25.98
Selling, General and Administrative Expense Ratio
13.0%
14.4%
11.6%
Benefit Expense Ratio
86.8%
84.6%
87.5%
Operating Cash Flow
(in billions)
$6.1
$10.7
$8.4
Total Medical Membership (in millions, funding arrangement below)
Risk-Based 15.6
Fee-Based 25.4
Risk-Based 17.3
Fee-Based 25.6
Risk-Based 19.8
Fee-Based 25.6
| (dollars in millions, except per share data) | 2021 | 2020 | 2019 |
|---|---|---|---|
| Operating Results | |||
| Total Operating Revenue | $136,943 | $120,808 | $103,141 |
| Total Revenue | 138,639 | 121,867 | 104,213 |
| Shareholders' Net Income | 6,104 | 4,572 | 4,807 |
| Net Income Per Share | |||
| Basic | $25.04 | $18.23 | $18.81 |
| Diluted | 24.73 | 17.98 | 18.47 |
| Dividends Per Share | 4.52 | 3.80 | 3.20 |
| Balance Sheet Information | |||
| Total Assets | $97,460 | $86,615 | $77,453 |
| Total Liabilities | 61,332 | 53,416 | 45,725 |
| Total Equity | 36,128 | 33,199 | 31,728 |
| Customer Type | |||
| Commercial & Specialty Business | |||
| Individual | 759 | 680 | 684 |
| Group Risk-Based | 4,006 | 3,799 | 3,938 |
| BlueCard® | 6,178 | 6,059 | 6,060 |
| Group Fee-Based | 19,395 | 19,551 | 19,340 |
| Government Business | |||
| Medicare | 2,811 | 2,361 | 2,119 |
| Medicaid | 10,600 | 8,852 | 7,265 |
| FEHB | 1,625 | 1,623 | 1,594 |
| Total Medical Membership | 45,374 | 42,925 | 41,000 |
| Funding Arrangement | |||
| Fee-Based | 25,586 | 25,629 | 25,418 |
| Risk-Based | 19,788 | 17,296 | 15,582 |
| Total Medical Membership | 45,374 | 42,925 | 41,000 |
| Other Membership | |||
| Life and Disability Members | 4,782 | 5,064 | 5,259 |
| Dental Members | 6,674 | 6,385 | 6,263 |
| Dental Administration Members | 1,491 | 1,316 | 5,516 |
| Vision Members | 8,031 | 7,536 | 7,261 |
| (in millions, except per share data) | 2021 | 2020 | 2019 |
|---|---|---|---|
| Assets | |||
| Current Assets: | |||
| Cash and Cash Equivalents | $4,880 | $5,741 | $4,937 |
| Fixed Maturity Securities | 26,267 | 23,433 | 19,676 |
| Equity Securities | 1,881 | 1,559 | 1,009 |
| Premium Receivables | 5,681 | 5,279 | 5,014 |
| Self-Funded Receivables | 4,010 | 2,849 | 2,570 |
| Other Receivables | 3,749 | 2,830 | 2,807 |
| Other Current Assets | 4,654 | 4,060 | 3,020 |
| Total Current Assets | 51,122 | 45,751 | 39,033 |
| Long-Term Investments: | |||
| Fixed Maturity Securities | 632 | 562 | 505 |
| Other Invested Assets | 5,225 | 4,285 | 4,258 |
| Property and Equipment, Net | 3,919 | 3,483 | 3,133 |
| Goodwill | 24,228 | 21,691 | 20,500 |
| Other Intangible Assets | 10,615 | 9,405 | 8,674 |
| Other Noncurrent Assets | 1,719 | 1,438 | 1,350 |
| Total Assets | $97,460 | $86,615 | $77,453 |
| Liabilities and Equity | |||
| Liabilities | |||
| Current Liabilities: | |||
| Medical Claims Payable | $13,518 | $11,359 | $8,842 |
| Other Policyholder Liabilities | 5,521 | 4,590 | 3,050 |
| Unearned Income | 1,153 | 1,259 | 1,017 |
| Accounts Payable and Accrued Expenses | 4,970 | 5,493 | 4,198 |
| Short-Term Borrowings | 275 | — | 700 |
| Current Portion of Long-Term Debt | 1,599 | 700 | 1,598 |
| Other Current Liabilities | 7,849 | 6,052 | 4,127 |
| Total Current Liabilities | 34,885 | 29,453 | 23,532 |
| Long-Term Debt, Less Current Portion | 21,157 | 19,335 | 17,787 |
| Reserves for Future Policy Benefits | 802 | 794 | 759 |
| Deferred Tax Liabilities, Net | 2,805 | 2,019 | 2,227 |
| Other Noncurrent Liabilities | 1,683 | 1,815 | 1,420 |
| Total Liabilities | $61,332 | $53,416 | $45,725 |
| Shareholders’ Equity | |||
| Common Stock | 2 | 3 | 3 |
| Additional Paid-In Capital | 9,148 | 9,244 | 9,448 |
| Retained Earnings | 27,088 | 23,802 | 22,573 |
| Accumulated Other Comprehensive Income (Loss) | (178) | 150 | (296) |
| Total Shareholders’ Equity | 36,060 | 33,199 | 31,728 |
| Noncontrolling Interests | 68 | — | — |
| Total Equity | 36,128 | 33,199 | 31,728 |
| Total Liabilities and Equity | $97,460 | $86,615 | $77,453 |