Aetna 2015 Annual Report Download - page 13

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Annual Report- Page 7
appropriate to exclude that item from net income attributable to Aetna. Non-GAAP financial measures we disclose,
such as operating earnings, should not be considered a substitute for, or superior to, financial measures determined
or calculated in accordance with GAAP.
HEALTH CARE
Health Care consists of medical, pharmacy benefit management services, dental, behavioral health and vision plans
offered on both an Insured basis (where we assume all or a majority of the risk for medical and dental care costs)
and an employer-funded basis (where the plan sponsor under an administrative services contract (“ASC”) assumes
all or a majority of this risk) and emerging businesses products and services, such as Accountable Care Solutions,
that complement and enhance our medical products. We also offer Medicare and Medicaid products and services
and other medical products, such as medical management and data analytics services, medical stop loss insurance,
workers’ compensation administrative services and products that provide access to our provider networks in select
geographies. We separately track premiums and health care costs for Government businesses (which represents our
combined Medicare and Medicaid products). All other medical, dental and other Health Care products are referred
to as Commercial.
Operating Summary
(Millions) 2015 2014 2013
Premiums:
Commercial $ 28,708.6 $ 28,563.2 $ 24,481.2
Government 22,909.5 20,999.0 15,178.5
Total premiums 51,618.1 49,562.2 39,659.7
Fees and other revenue 5,584.5 5,114.4 4,425.5
Net investment income 408.4 367.6 309.3
Net realized capital (losses) gains (50.4) 64.4 2.7
Total revenue 57,560.6 55,108.6 44,397.2
Health care costs 41,712.0 40,746.7 32,896.0
Operating expenses:
Selling expenses 1,489.7 1,536.9 1,242.8
General and administrative expenses 9,765.9 8,801.1 7,061.8
Total operating expenses 11,255.6 10,338.0 8,304.6
Amortization of other acquired intangible assets 255.2 242.2 210.2
Total benefits and expenses 53,222.8 51,326.9 41,410.8
Income before income taxes 4,337.8 3,781.7 2,986.4
Income taxes 1,908.1 1,587.2 1,078.4
Net income including non-controlling interests 2,429.7 2,194.5 1,908.0
Less: Net income (loss) attributable to non-controlling interests 2.9 1.1 (4.5)
Net income attributable to Aetna for Health Care $ 2,426.8 $ 2,193.4 $ 1,912.5