(in accordance with Generally AcceptedAccounting Principles)
For the year endingDecember 31, 2014 (FY14)
For the year endingDecember 31, 2015 (FY15)
Comments Diluted earnings per common share$7.40 to $7.60 (adjusted)(a)
$8.50 to $9.00 (a) Adjusted earnings per share for 2014 excludes approximately $0.15 per share associated with the early retirement of debt in the fourth quarter of 2014. The Company has included this financial measure (not in accordance with Generally Accepted Accounting Principles (GAAP)) in its summary of financial results within this earnings press release as management believes that this measure, when presented in conjunction with the comparable GAAP measure, is useful to both management and its investors in analyzing the company’s ongoing business and operating performance. The excluded item (retirement of debt) is not a recurring part of the company’s operating plan. Consequently, management uses this non-GAAP financial measure as an indicator of business performance, as well as for operational planning and decision making purposes. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. To reconcile the non-GAAP to the GAAP amount, approximately $0.15 per share associated with the early retirement of debt in the fourth quarter of 2014 should be deducted, to arrive at GAAPEPS guidance of $7.25 to $7.45.
Revenues Revenues include expected interest Consolidated $48 billion to $49 billion $53.5 billion to $54.5 billion income. Segments Segment-level revenues include Retail Segment $33.5 billion to $34.5 billion $38.5 billion to $40.0 billion intersegment amounts that eliminate in consolidation. Employer Group Segment $12.0 billion to $12.5 billion $12 billion to $13 billionHealthcare Services Segment
$19.5 billion to $20.0 billion $22.5 billion to $23.5 billion Consolidated investment income $350 million to $400 million $350 million to $400 million Investment income is included in revenue guidance above. Ending medical membership; and changes Retail Segment Medicare Advantage (MA)2,443,700 to 2,453,700; Up 375,000 to
2,683,700 to 2,703,700; Up Includes MA membership sold385,000
235,000 to 255,000 directly to individuals as well as dual-eligible MA members from state-based contracts.
Medicare stand-alone PDPs
3,829,100 to 3,879,100; Up 650,000
4,329,100 to 4,379,100; Up Medicare stand-alone PDPsto 700,000
475,000 to 525,000 exclude Limited Income Newly Eligible Transitions (LI-NET)
membership.
State-based Medicaid
275,500 to 295,500; Up 190,000 to
285,500 to 290,500; Flat to Up Includes Medicaid Temporary210,000
5,000
Assistance for Needy Families (TANF) which contracts are generally reinsured through partnering relationships, and Long-Term Support Services (LTSS) membership from state- based contracts. Individual commercial 980,400 to 1,030,400; Up 475,000 to 915,400 to 925,400; Down Includes membership expectations525,000
80,000 to 90,000 for both on-exchange and off- exchange enrollment. Medicare Supplement 129,700 to 139,700; Up 35,000 to 170,000 to 180,000; Up45,000
35,000 to 45,000 Employer Group Segment Medicare Advantage 479,100 to 499,100; Up 50,000 to 479,100 to 489,100; Flat to70,000
Down 10,000 Commercial fully-insured 1,187,000 to 1,197,000; Down 40,000 1,162,000 to 1,172,000; Down to 50,000 20,000 to 30,000 Commercial ASO 1,092,800 to 1,102,800; Down 60,000 672,800 to 697,800; Down to 70,000 400,000 to 425,000 Benefit ratios Benefits expense as a percent of Retail Segment 83.5% to 84.5% 83.5% to 84.5%premiums.
Employer Group Segment 83.5% to 84.5% 83.5% to 84.5% Operating cost ratios Operating costs as a percent of Consolidated 15.75% to 16.25% 14.5% to 15.5% total revenues excluding investment income. Healthcare Services Segment 95.25% to 95.75% 95.5% to 96.0% Consolidated depreciation and amortization Certain D&A is included in benefits (D&A) expense on the income statement Income statement $330 million to $340 million $350 million to $370 million but shown as a non-cash item on the cash flows statement. Cash flows statement $435 million to $445 million $470 million to $490 million Consolidated interest expense $190 million to $195 million $185 million to $190 million Interest expense for FY14 includes $0.15 per share of expenses from early retirement of debt in 4Q14. Pretax results Segment-level pretax results include the impact of net investment income. Retail Segment $1.13 billion to $1.18 billion $1.425 billion to $1.525 billion FY15 includes $0.30 to $0.35 per share of investment spending related to state-based contracts. Employer Group Segment $250 million to $290 million $275 million to $325 million Healthcare Services Segment $725 million to $775 million $775 million to $825 million Effective Tax Rate 46% to 47% 49.0% to 49.5% Reflects the non-deductibility of the industry fee. Weighted average shares for diluted earnings per Approximately 156 million Approximately 150 million Reflects impact of repurchases. common share Cash flows from operations $1.1 billion to $1.4 billion $1.5 billion to $1.8 billion Includes anticipated FY14 receivables of $700 million to $750 million and FY15 receivables of $325 million to $400 million related to health care exchange risk adjustment, reinsurance, and risk corridor programs. Capital expenditures $500 million to $525 million $575 million to $625 million| < Prev | Next > |
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