Anthem, Inc. reported unaudited consolidated earnings results for the third quarter and nine months ended September 30, 2016. For the quarter, the company reported total operating revenue of $21,125.2 million against $19,771.4 million a year ago. Total revenues were $21,403.9 million against $19,901.6 million a year ago. Income from continuing operations before income tax expense was $1,136.5 million against $1,129.6 million a year ago. Net income was $617.8 million against $654.8 million a year ago. Net income per diluted share was $2.30 against $2.43 a year ago. Adjusted net income was $656.8 million against $735.0 million a year ago. Adjusted net income per diluted share was $2.45 against $2.73 a year ago. Operating cash flow was $964 million, or 1.6 times net income in the third quarter of 2016.

For the nine months, the company reported total operating revenue of $62,709.1 million against $58,381.1 million a year ago. Total revenues were $63,148.6 million against $58,968.6 million a year ago. Income from continuing operations before income tax expense was $3,896.8 million against $4,256.7 million a year ago. Net income was $2,101.4 million against $2,379.1 million a year ago. Net income per diluted share was $7.84 against $8.66 a year ago. Net cash provided by operating activities was $2,929.8 million against $3,166.9 million a year ago. Net purchases of property and equipment was $415.6 million against $373.0 million a year ago. Adjusted net income was $2,475.3 million against $2,465.9 million a year ago. Adjusted net income per diluted share was $9.24 against $8.98 a year ago. Operating cash flow approximately $2.9 billion, or 1.4 times net income for the first nine months of 2016.

For the full year, the company expects net income is now expected to be approximately $9.28 per share, including approximately $1.52 per share of net unfavorable items. Excluding these items, adjusted net income is now expected to be approximately $10.80. Operating revenue is now expected to be approximately $83.5 billion. Operating cash flow is expected to be approximately $3.0 billion.