Anthem, Inc. announced unaudited consolidated earnings results for the fourth quarter and full year ended December 31, 2015. For the quarter, the company reported total operating revenue of $20,023.7 million against $18,776.2 million a year ago. Total revenues were $20,187.9 million against $18,984.3 million a year ago. Income from continuing operations before income tax expense was $374.3 million against $887.1 million a year ago. Income before income tax expense was $374.3 million against $887.1 million a year ago. Net income was $180.9 million or $0.68 per diluted share against $506.7 million or $1.80 per diluted share a year ago. These results included net negative adjustment items of $0.46 per share. Adjusted net income was $305.8 million or $1.14 per diluted share against $521.5 million or $1.86 per diluted share a year ago. The growth in revenue reflected premium increases to cover overall cost trends and higher enrollment in the Medicaid and Commercial self-funded businesses. These increases were partially offset by a decline in Local Group fully insured and Individual enrollment.

For the full year, the company reported total operating revenue of $78,404.8 million against $73,021.7 million a year ago. Total revenues were $79,156.5 million against $73,874.1 million a year ago. Income from continuing operations before income tax expense was $4,631.0 million against $4,368.1 million a year ago. Income from continuing operations was $2,560.0 million against $2,560.1 million a year ago. Net income was $2,560.0 million or $9.38 per diluted share against $2,569.7 million or $8.99 per diluted share a year ago. Net cash provided by operating activities was $4,116.0 million against $3,369.3 million a year ago. Net purchases of property and equipment were $602.9 million against $626.6 million a year ago. Adjusted net income was $2,771.7 million or $10.16 per diluted share against $2,673.2 million or $9.35 per diluted share a year ago.

For the full year 2016, GAAP EPS is expected to be greater than $10.35 per share. Full year adjusted net income is expected to be greater than $10.80 per share. Operating revenue is expected to be within the range of $80.0 billion to $81.0 billion. Interest expense expected to be $630 million. Effective tax rate is expected to be 43.5% to 45.5%. Operating cash flow is expected to be greater than $3.0 billion. Tax rate to be in the range of 43.5% to 45.5%.