Anthem, Inc. reported unaudited consolidated earnings results for the fourth quarter and full year ended December 31, 2017. For the quarter, the company reported premiums of $21,086.3 million compared to $20,137.1 million a year ago. Total operating revenue was $22,447.0 million compared to $21,484.9 million a year ago. Total revenues were $22,680.3 million compared to $21,714.4 million a year ago. Income before income tax expense was $124.2 million compared to $658.6 million a year ago. Net income was $1,230.7 million or $4.67 per diluted share compared to $368.4 million or $1.37 per diluted share a year ago. Adjusted net income was $338.8 million or $1.29 per diluted share compared to $473.2 million or $1.76 per diluted share a year ago.

For the year, the company reported premiums of $83,647.7 million compared to $78,860.1 million a year ago. Total operating revenue was $89,061.2 million compared to $84,194.0 million a year ago. Total revenues were $90,039.4 million compared to $84,863.0 million a year ago. Income before income tax expense was $3,963.8 million compared to $4,555.4 million a year ago. Net income was $3,842.8 million or $14.35 per diluted share compared to $2,469.8 million or $9.21 per diluted share a year ago. Net cash provided by operating activities was $4,184.8 million compared to $3,270.2 million a year ago. Net purchases of property and equipment was $790.2 million compared to $583.6 million a year ago. Adjusted net income was $3,224.2 million or $12.04 per diluted share compared to $2,948.5 million or $11.00 per diluted share a year ago.

The company provided earnings guidance for the full year 2018. For the year, the company expects net income per diluted share of greater than $14.28 and adjusted net income per diluted share of greater than $15.00. Operating revenue expects to be $90.5 - $91.5 billion. Effective tax rate expects to be 25.5% - 27.5% and operating cash flow expects to be greater than $4.0 billion. Operating cash flow is expected to be relatively consistent with 2017 at greater than $4 billion. The company expects investment income of approximately $825 million and interest expense of approximately of $775 million. Operating gain is expected to be greater than $5.25 billion.