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     153  0 Kommentare Elevance Health Reports First Quarter 2024 Results

    Elevance Health, Inc. (NYSE: ELV) reported first quarter 2024 results.

    “First quarter results reflect disciplined execution of our strategic initiatives during a dynamic time for our industry. We are making significant progress expanding Carelon’s capabilities, scaling our flywheel for enterprise growth, and delivering results for all stakeholders. Given the solid start to the year, we have increased our outlook for full year earnings. Earlier this week, we also announced the next step in our journey to expand access to high-quality, patient-centered, value-based care in our local markets. This strategic partnership with Clayton, Dubilier & Rice has the potential to accelerate innovation in care delivery, enhance healthcare experiences, and improve health outcomes, all while advancing our value-based care and physician enablement strategy.”

    Gail K. Boudreaux
    President and Chief Executive Officer

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    1.  

    Earnings per diluted share ("EPS").

    2.  

    Refer to GAAP reconciliation tables.

     

     

     

     

     

     

     

     

     

     

    Elevance Health

     

     

    Consolidated Enterprise Highlights

     

     

    (Unaudited)

     

     

     

     

     

     

     

     

     

     

     

    (In billions)

    Three Months Ended

     

     

     

     

    March 31,
    2024

     

    March 31,
    2023

     

    December 31,
    2023

     

     

     

     

     

     

     

     

     

     

     

     

    Operating Revenue1

    $42.3

     

    $41.9

     

    $42.5

     

     

     

    Operating Gain1,2

    $3.0

     

    $2.8

     

    $1.3

     

     

     

     

     

     

     

     

     

     

     

     

    Operating Margin1

    7.1 %

     

    6.8 %

     

    3.0 %

     

     

     

     

     

     

     

     

     

     

     

    1.  

    See “Basis of Presentation.”

    2.  

    Operating Gain for the three months ended March 31, 2024 and March 31, 2023, include items that are excluded from adjusted shareholders' net income. See "GAAP Reconciliation."

    Operating revenue was $42.3 billion in the first quarter of 2024, an increase of $0.4 billion, or approximately 1 percent compared to the prior year quarter. This increase was driven by higher premium yields to reflect medical cost trend, and growth in Carelon, including a full quarter of revenue from BioPlus, which closed in February of 2023, partially offset by attrition in Medicaid membership.

    The benefit expense ratio was 85.6 percent, an improvement of 20 basis points, driven primarily by premium rate adjustments to cover medical cost trend in our Health Benefits business. Days in Claims Payable was 49.0 days as of March 31, 2024, an increase of 1.7 days from December 31, 2023, and an increase of 3.0 days compared to March 31, 2023.

    The operating expense ratio was 11.6 percent, an increase of 10 basis points due to investment and integration costs. Excluding adjustment items, the operating expense ratio was unchanged at 11.4 percent.

    Elevance Health now expects net income per diluted share to be greater than $34.05 in 2024 and adjusted diluted net income per share to be greater than $37.20.

    Cash Flow & Balance Sheet

    Operating cash flow for the first quarter was $2.0 billion, or 0.9 times net income. As of March 31, 2024, cash and investments at the parent company totaled approximately $1.0 billion.

    During the first quarter of 2024, the Company repurchased 1.1 million shares of its common stock for $566 million, at a weighted average price of $492.76. As of March 31, 2024, the Company had approximately $3.6 billion of Board approved share repurchase authorization remaining. During the first quarter of 2024, the Company paid a quarterly dividend of $1.63 per share, representing a distribution of cash totaling $379 million.

    Health Benefits is comprised of Individual, Employer Group risk-based, Employer Group fee-based, BlueCard, Medicare, Medicaid, and Federal Health Products & Services businesses.

     

     

     

     

     

     

     

     

     

     

    Health Benefits

     

     

    Reportable Segment Highlights

     

     

    (Unaudited)

     

     

     

     

     

     

     

     

     

     

     

    (In billions)

    Three Months Ended

     

     

     

     

    March 31,
    2024

     

    March 31,
    2023

     

    December 31,
    2023

     

     

     

     

     

     

     

     

     

     

     

     

    Operating Revenue1

    $37.3

     

    $37.3

     

    $36.5

     

     

     

    Operating Gain1,2

    $2.3

     

    $2.1

     

    $0.8

     

     

     

     

     

     

     

     

     

     

     

     

    Operating Margin1

    6.1 %

     

    5.8 %

     

    2.1 %

     

     

     

     

     

     

     

     

     

     

     

    1.  

    See “Basis of Presentation.”

    2.  

    Operating Gain for the three months ended March 31, 2023, has been restated for the realignment of Carelon Global Solutions. See footnote 4 to the Reportable Segment Highlight Details table.

    Operating revenue was $37.3 billion in the first quarter of 2024, unchanged compared to the prior year quarter, as premium rate increases to reflect medical cost trends were offset by Medicaid membership attrition associated with eligibility redeterminations and expected footprint adjustments.

    Operating gain totaled $2.3 billion, an increase of 6 percent, driven by premium yields, including disciplined commercial underwriting.

    Medical membership totaled approximately 46.2 million as of March 31, 2024, a decrease of 1.9 million, or 4 percent compared to the prior year quarter, driven by attrition in our Medicaid business associated with eligibility redeterminations and expected footprint adjustments. These membership losses were partially offset by growth in our commercial Employer Group fee-based, Affordable Care Act, and BlueCard membership.

    Carelon is comprised of CarelonRx and Carelon Services.

     

     

     

     

     

     

     

     

     

     

    Carelon

     

     

    Reportable Segment Highlights

     

     

    (Unaudited)

     

     

     

     

     

     

     

     

     

     

     

    (In billions)

    Three Months Ended

     

     

     

     

    March 31,
    2024

     

    March 31,
    2023

     

    December 31,
    2023

     

     

     

     

     

     

     

     

     

     

     

     

    Operating Revenue1,2,3

    $12.1

     

    $11.5

     

    $12.4

     

     

     

    Operating Gain1,2,3

    $0.8

     

    $0.7

     

    $0.6

     

     

     

     

     

     

     

     

     

     

     

     

    Operating Margin1

    6.7 %

     

    6.5 %

     

    4.8 %

     

     

     

     

     

     

     

     

     

     

     

    1.  

    See “Basis of Presentation.”

    2.  

    Operating Revenue and Operating Gain for Carelon in millions for the three months ended March 31, 2024, included $8,067 and $523 for CarelonRx; and $4,009 and $290 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the three months ended March 31, 2023, included $8,024 and $512 for CarelonRx; and $3,460 and $229 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the three months ended December 31, 2023, included $8,827 and $490 for CarelonRx; and $3,574 and $102 for Carelon Services, respectively.

    3.  

    Operating Revenue and Operating Gain for the three months ended March 31, 2023, has been restated for the realignment of Carelon Global Solutions. See footnote 4 to the Reportable Segment Highlight Details table.

    Operating revenue for Carelon was $12.1 billion in the first quarter of 2024, an increase of $0.6 billion, or 5 percent compared to the prior year quarter. This increase was driven by the launch of new risk-based capabilities in Carelon Services and growth in CarelonRx, including a full quarter of revenue from the acquisition of BioPlus, which closed in February of 2023, and growth in external customers served, partially offset by the impact of Medicaid membership attrition on affiliated revenue streams.

    Operating gain for Carelon totaled $0.8 billion, an increase of $72 million, or 10 percent, primarily driven by improved performance on certain risk-based arrangements in Carelon Services.

    Quarterly Dividend

    On April 16, 2024, the Audit Committee of the Company's Board of Directors declared a second quarter 2024 dividend to shareholders of $1.63 per share. The second quarter dividend is payable on June 25, 2024, to shareholders of record at the close of business on June 10, 2024.

    About Elevance Health

    Elevance Health is a lifetime, trusted health partner whose purpose is to improve the health of humanity. The company supports consumers, families, and communities across the entire healthcare journey – connecting them to the care, support, and resources they need to lead better lives. Elevance Health’s companies serve approximately 115 million consumers through a diverse portfolio of industry-leading medical, pharmacy, behavioral, clinical, and complex care solutions. For more information, please visit www.elevancehealth.com or follow us @ElevanceHealth on X and Elevance Health on LinkedIn.

    Conference Call and Webcast

    Management will host a conference call and webcast today at 8:30 a.m. Eastern Daylight Time (“EDT”) to discuss the company’s first quarter results and outlook. The conference call should be accessed at least 15 minutes prior to the start of the call with the following numbers:

     

    888-947-9963 (Domestic)

    800-876-4955 (Domestic Replay)

     
     

    312-470-0178 (International)

    203-369-3997 (International Replay)

     

    The access code for today's conference call is 3972058. There is no access code for the replay. The replay will be available from 11:30 a.m. EDT today, until the end of the day on May 17, 2024. The call will also be available through a live webcast at www.elevancehealth.com under the “Investors” link. A webcast replay will be available following the call.

    Basis of Presentation

    1.   

    Operating revenue and operating gain/loss are the key measures used by management to evaluate performance in each of its reporting segments, allocate resources, set incentive compensation targets and to forecast future operating performance. Operating gain/loss is calculated as total operating revenue less benefit expense, cost of products sold and operating expense. It does not include net investment income, net gains/losses on financial instruments, interest expense, amortization of other intangible assets, gains/losses on extinguishment of debt or income taxes, as these items are managed in a corporate shared service environment and are not the responsibility of operating segment management. Refer to the GAAP reconciliation tables.

    2.  

    Operating margin is defined as operating gain divided by operating revenue.

     Elevance Health
    Earnings Release Financial Schedules and Supplementary Information
    Quarter Ended March 31, 2024

    • Membership and Other Metrics
    • Quarterly Consolidated Statements of Income
    • Condensed Consolidated Balance Sheet
    • Condensed Consolidated Statement of Cash Flows
    • Supplemental Financial Information - Reportable Segments
    • Supplemental Financial Information - Reconciliation of Medical Claims Payable
    • Reconciliation of Non-GAAP Financial Measures

    Elevance Health

    Membership and Other Metrics

    (Unaudited)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Change from

    Medical Membership (in thousands)

    March 31,
    2024

     

    March 31,
    2023

     

    December 31,
    2023

     

    March 31,
    2023

     

    December 31,
    2023

    Individual

    1,246

     

    942

     

    1,025

     

    32.3 %

     

    21.6 %

    Employer Group Risk-Based

    3,648

     

    3,798

     

    3,756

     

    (3.9) %

     

    (2.9) %

    Commercial Risk-Based

    4,894

     

    4,740

     

    4,781

     

    3.2 %

     

    2.4 %

    BlueCard

    6,825

     

    6,607

     

    6,838

     

    3.3 %

     

    (0.2) %

    Employer Group Fee-Based

    20,622

     

    20,278

     

    20,227

     

    1.7 %

     

    2.0 %

    Commercial Fee-Based

    27,447

     

    26,885

     

    27,065

     

    2.1 %

     

    1.4 %

    Medicare Advantage

    2,017

     

    2,053

     

    2,047

     

    (1.8) %

     

    (1.5) %

    Medicare Supplement

    896

     

    925

     

    923

     

    (3.1) %

     

    (2.9) %

    Total Medicare

    2,913

     

    2,978

     

    2,970

     

    (2.2) %

     

    (1.9) %

    Medicaid

    9,327

     

    11,889

     

    10,503

     

    (21.5) %

     

    (11.2) %

    Federal Employees Health Benefits

    1,658

     

    1,632

     

    1,642

     

    1.6 %

     

    1.0 %

    Total Medical Membership

    46,239

     

    48,124

     

    46,961

     

    (3.9) %

     

    (1.5) %

    Other Membership (in thousands)

     

     

     

     

     

     

     

     

     

    Life and Disability Members

    4,469

     

    4,771

     

    4,629

     

    (6.3) %

     

    (3.5) %

    Dental Members

    6,970

     

    6,743

     

    6,820

     

    3.4 %

     

    2.2 %

    Dental Administration Members

    1,841

     

    1,697

     

    1,729

     

    8.5 %

     

    6.5 %

    Vision Members

    10,251

     

    9,904

     

    9,944

     

    3.5 %

     

    3.1 %

    Medicare Part D Standalone Members

    262

     

    264

     

    260

     

    (0.8) %

     

    0.8 %

    Other Metrics (in millions)

     

     

     

     

     

     

     

     

     

    CarelonRx Quarterly Adjusted Scripts

    77.0

     

    75.7

     

    78.0

     

    1.7 %

     

    (1.3) %

    Carelon Services Consumers Served

    102.9

     

    104.0

     

    103.3

     

    (1.1) %

     

    (0.4) %

     

     

     

     

     

     

     

     

     

     

    Elevance Health

    Consolidated Statements of Income

    (Unaudited)

     

     

     

     

     

     

    (In millions, except per share data)

    Three Months Ended

    March 31

     

     

    2024

     

     

     

    2023

     

     

    Change

     

     

     

     

     

     

    Revenues

     

     

     

     

     

    Premiums

    $

    35,696

     

     

    $

    35,868

     

     

    (0.5

    )%

    Product revenue

     

    4,499

     

     

     

    4,022

     

     

    11.9

    %

    Service fees

     

    2,078

     

     

     

    2,008

     

     

    3.5

    %

    Total operating revenue

     

    42,273

     

     

     

    41,898

     

     

    0.9

    %

    Net investment income

     

    465

     

     

     

    387

     

     

    20.2

    %

    Net losses on financial instruments

     

    (161

    )

     

     

    (113

    )

     

    NM

     

    Total revenues

     

    42,577

     

     

     

    42,172

     

     

    1.0

    %

    Expenses

     

     

     

     

     

    Benefit expense

     

    30,546

     

     

     

    30,786

     

     

    (0.8

    )%

    Cost of products sold

     

    3,825

     

     

     

    3,481

     

     

    9.9

    %

    Operating expense

     

    4,886

     

     

     

    4,800

     

     

    1.8

    %

    Interest expense

     

    265

     

     

     

    251

     

     

    5.6

    %

    Amortization of other intangible assets

     

    116

     

     

     

    235

     

     

    (50.6

    )%

    Total expenses

     

    39,638

     

     

     

    39,553

     

     

    0.2

    %

     

     

     

     

     

     

    Income before income tax expense

     

    2,939

     

     

     

    2,619

     

     

    12.2

    %

     

     

     

     

     

     

    Income tax expense

     

    690

     

     

     

    615

     

     

    12.2

    %

    Net income

     

    2,249

     

     

     

    2,004

     

     

    12.2

    %

     

     

     

     

     

     

    Net income attributable to noncontrolling interests

     

    (3

    )

     

     

    (15

    )

     

    NM

     

    Shareholders' net income

    $

    2,246

     

     

    $

    1,989

     

     

    12.9

    %

    Shareholders' earnings per diluted share

    $

    9.59

     

     

    $

    8.30

     

     

    15.5

    %

    Diluted shares

     

    234.2

     

     

     

    239.7

     

     

    (2.3

    )%

     

     

     

     

     

     

    Benefit expense as a percentage of premiums

     

    85.6

    %

     

     

    85.8

    %

     

    (20) bp

    Operating expense as a percentage of total operating revenue

     

    11.6

    %

     

     

    11.5

    %

     

    10 bp

    Income before income tax expense as a percentage of total revenue

     

    6.9

    %

     

     

    6.2

    %

     

    70 bp

     

    "NM" = calculation not meaningful

     

    Elevance Health

    Condensed Consolidated Balance Sheet

    (In millions)

    March 31,
    2024

     

    December 31,
    2023

    Assets

    (Unaudited)

     

     

    Current assets:

     

     

     

    Cash and cash equivalents

    $

    6,226

     

    $

    6,526

    Fixed maturity and equity securities

     

    30,041

     

     

    29,843

    Premium and other receivables

     

    18,293

     

     

    17,865

    Other current assets

     

    6,388

     

     

    5,795

    Total current assets

     

    60,948

     

     

    60,029

     

     

     

     

    Long-term investments

     

    7,593

     

     

    6,983

    Property and equipment, net

     

    4,451

     

     

    4,359

    Goodwill and other intangible assets

     

    36,657

     

     

    35,590

    Other noncurrent assets

     

    2,245

     

     

    1,967

    Total assets

    $

    111,894

     

    $

    108,928

     

     

     

     

    Liabilities and equity

     

     

     

    Liabilities

     

     

     

    Current liabilities:

     

     

     

    Medical claims payable

    $

    16,459

     

    $

    16,111

    Short-term borrowings

     

    1,575

     

     

    225

    Current portion of long-term debt

     

    2,900

     

     

    1,649

    Other current liabilities

     

    23,400

     

     

    23,806

    Total current liabilities

     

    44,334

     

     

    41,791

     

     

     

     

    Long-term debt, less current portion

     

    21,976

     

     

    23,246

    Other noncurrent liabilities

     

    4,874

     

     

    4,486

    Total liabilities

     

    71,184

     

     

    69,523

     

     

     

     

    Total shareholders’ equity

     

    40,608

     

     

    39,306

    Noncontrolling interests

     

    102

     

     

    99

    Total equity

     

    40,710

     

     

    39,405

    Total liabilities and equity

    $

    111,894

     

    $

    108,928

    Elevance Health

    Condensed Consolidated Statement of Cash Flows

    (Unaudited)

     

     

     

     

    (In millions)

    Three Months Ended March 31

     

     

    2024

     

     

     

    2023

     

     

     

     

     

    Operating activities

     

     

     

    Net income

    $

    2,249

     

     

    $

    2,004

     

    Depreciation and amortization

     

    331

     

     

     

    462

     

    Share-based compensation

     

    62

     

     

     

    61

     

    Changes in operating assets and liabilities

     

    (988

    )

     

     

    4,054

     

    Other non-cash items

     

    324

     

     

     

    (112

    )

    Net cash provided by operating activities

     

    1,978

     

     

     

    6,469

     

     

     

     

     

    Investing activities

     

     

     

    Purchases of investments, net of sales and maturities

     

    (670

    )

     

     

    (1,421

    )

    Purchases of subsidiaries, net of cash acquired

     

    (1,120

    )

     

     

    (1,638

    )

    Purchases of property and equipment

     

    (279

    )

     

     

    (301

    )

    Other, net

     

    (241

    )

     

     

    176

     

    Net cash used in investing activities

     

    (2,310

    )

     

     

    (3,184

    )

     

     

     

     

    Financing activities

     

     

     

    Net change in short-term and long-term borrowings

     

    1,350

     

     

     

    991

     

    Repurchase and retirement of common stock

     

    (566

    )

     

     

    (622

    )

    Cash dividends

     

    (379

    )

     

     

    (351

    )

    Other, net

     

    (373

    )

     

     

    (549

    )

    Net cash provided by (used in) financing activities

     

    32

     

     

     

    (531

    )

     

     

     

     

    Effect of foreign exchange rates on cash and cash equivalents

     

     

     

     

    1

     

     

     

     

     

    Change in cash and cash equivalents

     

    (300

    )

     

     

    2,755

     

    Cash and cash equivalents at beginning of period

     

    6,526

     

     

     

    7,387

     

     

     

     

     

    Cash and cash equivalents at end of period

    $

    6,226

     

     

    $

    10,142

     

    REPORTABLE SEGMENTS

    Elevance Health has four reportable segments: Health Benefits (comprised of Individual, Employer Group risk-based, Employer Group fee-based, BlueCard, Medicare, Medicaid, and Federal Health Products & Services businesses); CarelonRx; Carelon Services; and Corporate & Other (comprised of businesses that do not individually meet the quantitative thresholds for an operating division as well as corporate expenses not allocated to our other reportable segments).

     

     

     

     

     

     

     

     

    Elevance Health

     

    Reportable Segment Highlight Details

     

    (Unaudited)

     

     

     

     

     

     

     

     

    (In millions)

    Three Months Ended March 31

     

     

    2024

     

    2023

     

    Change

     

     

     

     

     

     

     

     

    Operating Revenue

     

     

     

     

     

     

    Health Benefits

    $37,258

     

    $37,280

     

    (0.1) %

     

    Carelon2,4

    12,076

     

    11,484

     

    5.2 %

     

    Corporate & Other4

    127

     

    91

     

    39.6 %

     

    Eliminations4

    (7,188)

     

    (6,957)

     

    3.3 %

     

    Total Operating Revenue1

    $42,273

     

    $41,898

     

    0.9 %

     

     

     

     

     

     

     

     

    Operating Gain (Loss)

     

     

     

     

     

     

    Health Benefits4

    $2,287

     

    $2,149

     

    6.4 %

     

    Carelon2,4

    813

     

    741

     

    9.7 %

     

    Corporate & Other3,4

    (84)

     

    (59)

     

    NM5

     

    Total Operating Gain1

    $3,016

     

    $2,831

     

    6.5 %

     

     

     

     

     

     

     

     

    Operating Margin

     

     

     

     

     

     

    Health Benefits

    6.1 %

     

    5.8 %

     

    30 bp

     

    Carelon

    6.7 %

     

    6.5 %

     

    20 bp

     

    Total Operating Margin1

    7.1 %

     

    6.8 %

     

    30 bp

    1.  

    See “Basis of Presentation.”

    2.   

    Operating Revenue and Operating Gain for Carelon for the three months ended March 31, 2024, included $8,067 and $523 for CarelonRx; and $4,009 and $290 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the three months ended March 31, 2023, included $8,024 and $512 for CarelonRx; and $3,460 and $229 for Carelon Services, respectively.

    3.   

    Operating Gain for the three months ended March 31, 2024, and March 31, 2023, included items adjusted out of adjusted shareholders' net income. See "GAAP Reconciliation.”

    4.   

    Operating Revenue and Operating Gain for the three months ended March 31, 2023 are restated for the realignment of Carelon Global Solutions. For the three months ended March 31, 2023, $148 of Operating Revenue was realigned to Carelon Services, $160 of Operating Revenue was realigned away from the Corporate & Other segment, and $12 of Operating Revenue was realigned to Eliminations. For the three months ended March 31, 2023, $20 of Operating Gain was realigned to Carelon Services, $10 of Operating Gain was realigned away from the Health Benefits segment, and $10 of Operating Gain was realigned away from Corporate & Other.

    5.  

    "NM" = calculation not meaningful.

    Elevance Health

    Reconciliation of Medical Claims Payable

     

     

    Three Months Ended March 31

     

    Years Ended December 31

     

     

    2024

     

     

     

    2023

     

     

     

    2023

     

     

     

    2022

     

     

     

    2021

     

    (In millions)

    (Unaudited)

     

    (Unaudited)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Gross medical claims payable, beginning of period

    $

    15,865

     

     

    $

    15,348

     

     

    $

    15,348

     

     

    $

    13,282

     

     

    $

    11,135

     

    Ceded medical claims payable, beginning of period

     

    (7

    )

     

     

    (6

    )

     

     

    (6

    )

     

     

    (21

    )

     

     

    (46

    )

    Net medical claims payable, beginning of period

     

    15,858

     

     

     

    15,342

     

     

     

    15,342

     

     

     

    13,261

     

     

     

    11,089

     

     

     

     

     

     

     

     

     

     

     

    Business combinations and purchase adjustments

     

     

     

     

     

     

     

     

     

     

    133

     

     

     

    420

     

     

     

     

     

     

     

     

     

     

     

    Net incurred medical claims:

     

     

     

     

     

     

     

     

     

    Current year

     

    30,708

     

     

     

    30,751

     

     

     

    121,798

     

     

     

    113,414

     

     

     

    100,440

     

    Prior years redundancies1

     

    (1,205

    )

     

     

    (1,068

    )

     

     

    (1,571

    )

     

     

    (869

    )

     

     

    (1,703

    )

    Total net incurred medical claims

     

    29,503

     

     

     

    29,683

     

     

     

    120,227

     

     

     

    112,545

     

     

     

    98,737

     

     

     

     

     

     

     

     

     

     

     

    Net payments attributable to:

     

     

     

     

     

     

     

     

     

    Current year medical claims

     

    19,580

     

     

     

    19,948

     

     

     

    107,146

     

     

     

    98,997

     

     

     

    88,156

     

    Prior years medical claims

     

    9,606

     

     

     

    9,593

     

     

     

    12,565

     

     

     

    11,600

     

     

     

    8,829

     

    Total net payments

     

    29,186

     

     

     

    29,541

     

     

     

    119,711

     

     

     

    110,597

     

     

     

    96,985

     

     

     

     

     

     

     

     

     

     

     

    Net medical claims payable, end of period

     

    16,175

     

     

     

    15,484

     

     

     

    15,858

     

     

     

    15,342

     

     

     

    13,261

     

    Ceded medical claims payable, end of period

     

    8

     

     

     

    7

     

     

     

    7

     

     

     

    6

     

     

     

    21

     

    Gross medical claims payable, end of period2

    $

    16,183

     

     

    $

    15,491

     

     

    $

    15,865

     

     

    $

    15,348

     

     

    $

    13,282

     

     

     

     

     

     

     

     

     

     

     

    Current year medical claims paid as a percentage of current year net incurred medical claims

     

    63.8

    %

     

     

    64.9

    %

     

     

    88.0

    %

     

     

    87.3

    %

     

     

    87.8

    %

     

     

     

     

     

     

     

     

     

     

    Prior year redundancies in the current year as a percentage of prior year net medical claims payable less prior year redundancies in the current year

     

    8.2

    %

     

     

    7.5

    %

     

     

    11.4

    %

     

     

    7.0

    %

     

     

    18.1

    %

     

     

     

     

     

     

     

     

     

     

    Prior year redundancies in the current year as a percentage of prior year net incurred medical claims

     

    1.0

    %

     

     

    0.9

    %

     

     

    1.4

    %

     

     

    0.9

    %

     

     

     

     

    2.0

    %

    1.  

    Negative amounts reported for net incurred medical claims related to prior years result from claims being settled for amounts less than originally estimated.

    2.  

    Excludes insurance lines other than short duration

    Elevance Health
    GAAP Reconciliation
    (Unaudited)

    This document references non-GAAP measures, including “Adjusted Shareholders’ Net Income,” “Adjusted Shareholders’ Net Income Per Share,” “Adjusted EPS,” “Adjusted Operating Gain,” “Adjusted Operating Expense” and “Adjusted Operating Expense Ratio,” which are non-GAAP measures. These non-GAAP measures are intended to aid investors when comparing Elevance Health’s financial results among periods and are not intended to be alternatives to any measure calculated in accordance with GAAP. Reconciliations of these non-GAAP measures to the most directly comparable measures calculated in accordance with GAAP are available below. In addition to these non-GAAP measures, references are made to the measures “Operating Revenue” and “Operating Gain/Loss,” “Operating Margin” and “Adjusted EPS”. Operating revenue and operating gain/loss are the key measures used by management to evaluate performance in each of its reportable segments, allocate resources, set incentive compensation targets and to forecast future operating performance. Operating gain/loss is calculated as total operating revenue less benefit expense, cost of products sold and operating expense. It does not include net investment income, net gains/losses on financial instruments, interest expense, amortization of other intangible assets and gains/losses on extinguishment of debt or income taxes, as these items are managed in a corporate shared service environment and are not the responsibility of operating segment management. Each of these measures is provided to further aid investors in understanding and analyzing Elevance Health’s operating and financial results. A reconciliation of Operating Revenue to Total Revenue is set forth in the Consolidated Statements of Income herein. A reconciliation of the non-GAAP measures to the most directly comparable measures calculated in accordance with GAAP, together with a reconciliation of reportable segments operating gain to income before income tax expense, is provided below. Prior amounts may be grouped differently to conform to the current presentation. Net adjustment items per share may not sum due to rounding. A reconciliation of Operating Revenue to Total Revenue is set forth in the Consolidated Statements of Income herein.

     

    Three Months Ended
    March 31

     

     

    (In millions, except per share data)

     

    2024

     

     

     

    2023

     

     

    Change

    Shareholders' net income

    $

    2,246

     

     

    $

    1,989

     

     

    12.9

    %

    Add / (Subtract):

     

     

     

     

     

    Net losses on financial instruments

     

    161

     

     

     

    113

     

     

     

    Amortization of other intangible assets

     

    116

     

     

     

    235

     

     

     

    Transaction and integration related costs1

     

    52

     

     

     

    26

     

     

     

    Litigation expenses1

     

    2

     

     

     

    1

     

     

     

    Business optimization charges1

     

    (4

    )

     

     

     

     

     

    Tax impact of non-GAAP adjustments

     

    (81

    )

     

     

    (97

    )

     

     

    Net adjustment items

     

    246

     

     

     

    278

     

     

     

    Adjusted shareholders' net income

    $

    2,492

     

     

    $

    2,267

     

     

    9.9

    %

     

     

     

     

     

     

    Shareholders' earnings per diluted share

    $

    9.59

     

     

    $

    8.30

     

     

    15.5

    %

    Add / (Subtract):

     

     

     

     

     

    Net losses on financial instruments

     

    0.69

     

     

     

    0.47

     

     

     

    Amortization of other intangible assets

     

    0.50

     

     

     

    0.98

     

     

     

    Transaction and integration related costs1

     

    0.22

     

     

     

    0.11

     

     

     

    Litigation expenses1

     

    0.01

     

     

     

     

     

     

    Business optimization charges1

     

    (0.02

    )

     

     

     

     

     

    Tax impact of non-GAAP adjustments

     

    (0.35

    )

     

     

    (0.40

    )

     

     

    Net adjustment items

     

    1.05

     

     

     

    1.16

     

     

     

    Adjusted shareholders' earnings per diluted share

    $

    10.64

     

     

    $

    9.46

     

     

    12.5

    %

     

     

     

     

     

     

     

    Three Months Ended March 31

     

     

    (In millions)

     

    2024

     

     

     

    2023

     

     

    Change

     

     

     

     

     

     

    Income before income tax expense

    $

    2,939

     

     

    $

    2,619

     

     

    12.2

    %

    Net investment income

     

    (465

    )

     

     

    (387

    )

     

     

    Net losses on financial instruments

     

    161

     

     

     

    113

     

     

     

    Interest expense

     

    265

     

     

     

    251

     

     

     

    Amortization of other intangible assets

     

    116

     

     

     

    235

     

     

     

    Reportable segments operating gain

    $

    3,016

     

     

    $

    2,831

     

     

    6.5

    %

    1.  

    Adjustment item resides in the Corporate & Other reportable segment.

    Elevance Health

    GAAP Reconciliation

    (Unaudited)

     

     

    Three Months Ended
    March 31

     

     

    (In millions)

     

    2024

     

     

     

    2023

     

     

    Change

     

     

     

     

     

     

    Reportable segments operating gain

    $

    3,016

     

     

    $

    2,831

     

     

    6.5

    %

    Add / (Subtract):

     

     

     

     

     

    Transaction and integration related costs1

     

    52

     

     

     

    26

     

     

     

    Litigation expenses1

     

    2

     

     

     

    1

     

     

     

    Business optimization charges1

     

    (4

    )

     

     

     

     

     

    Net Adjustment items

     

    50

     

     

     

    27

     

     

     

    Reportable segments adjusted operating gain

    $

    3,066

     

     

    $

    2,858

     

     

    7.3

    %

     

     

     

     

     

     

     

    Three Months Ended
    March 31

     

     

    (In millions)

     

    2024

     

     

     

    2023

     

     

    Change

    Operating expense

    $

    4,886

     

     

    $

    4,800

     

     

    1.8

    %

    Add / (Subtract):

     

     

     

     

     

    Transaction and integration related costs1

     

    (52

    )

     

     

    (26

    )

     

     

    Litigation expenses1

     

    (2

    )

     

     

    (1

    )

     

     

    Business optimization charges1

     

    4

     

     

     

     

     

     

    Net adjustment items

     

    (50

    )

     

     

    (27

    )

     

     

    Adjusted operating expense

    $

    4,836

     

     

    $

    4,773

     

     

    1.3

    %

     

     

     

     

     

     

    Operating revenue

    $

    42,273

     

     

    $

    41,898

     

     

    0.9

    %

     

     

     

     

     

     

    Operating expense ratio

     

    11.6

    %

     

     

    11.5

    %

     

    10 bp

    Adjusted operating expense ratio

     

    11.4

    %

     

     

    11.4

    %

     

    — bp

     

     

     

     

     

     

     

     

     

     

     

     

     

    Full Year 2024 Outlook

     

     

    Shareholders' earnings per diluted share

    Greater than $34.05

     

     

    Add / (Subtract):

     

     

     

    Amortization of other intangibles

    $1.93

     

     

     

    Net losses on financial instruments

    $1.35

     

     

     

    Transaction and integration related costs1

    $0.75

     

     

     

    Litigation expenses1

    $0.03

     

     

     

    Business optimization charges1

    ($0.02

    )

     

     

    Tax impact of non-GAAP adjustments

    Approximately ($0.89)

     

     

    Net adjustment items

    $3.15

     

     

     

    Adjusted shareholders' earnings per diluted share

    Greater Than $37.20

     

     

    1.  

    Adjustment item resides in the Corporate & Other reportable segment.

    Forward-Looking Statements

    This document contains certain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements reflect our views about future events and financial performance and are generally not historical facts. Words such as “expect,” “feel,” “believe,” “will,” “may,” “should,” “anticipate,” “intend,” “estimate,” “project,” “forecast,” “plan” and similar expressions are intended to identify forward-looking statements. These statements include, but are not limited to: financial projections and estimates and their underlying assumptions; statements regarding plans, objectives and expectations with respect to future operations, products and services; and statements regarding future performance. Such statements are subject to certain risks and uncertainties, many of which are difficult to predict and generally beyond our control, that could cause actual results to differ materially from those expressed in, or implied or projected by, the forward-looking statements. You are cautioned not to place undue reliance on these forward-looking statements that speak only as of the date hereof. You are also urged to carefully review and consider the various risks and other disclosures discussed in our reports filed with the U.S. Securities and Exchange Commission from time to time, which attempt to advise interested parties of the factors that affect our business. Except to the extent required by law, we do not update or revise any forward-looking statements to reflect events or circumstances occurring after the date hereof. These risks and uncertainties include, but are not limited to: trends in healthcare costs and utilization rates; reduced enrollment; our ability to secure and implement sufficient premium rates; the impact of large scale medical emergencies, such as public health epidemics and pandemics, and other catastrophes; the impact of new or changes in existing federal, state and international laws or regulations, including laws and regulations impacting healthcare, insurance, pharmacy services and other diversified products and services, or their enforcement or application; the impact of cyber-attacks or other privacy or data security incidents or breaches or our failure to comply with any privacy, data or security laws or regulations, including any investigations, claims or litigation related thereto; information technology disruptions; changes in economic and market conditions, as well as regulations that may negatively affect our liquidity and investment portfolios; competitive pressures and our ability to adapt to changes in the industry and develop and implement strategic growth opportunities; risks and uncertainties regarding Medicare and Medicaid programs, including those related to non-compliance with the complex regulations imposed thereon; our ability to maintain and achieve improvement in Centers for Medicare and Medicaid Services Star ratings and other quality scores and funding risks with respect to revenue received from participation therein; a negative change in our healthcare product mix; costs and other liabilities associated with litigation, government investigations, audits or reviews; our ability to contract with providers on cost-effective and competitive terms; failure to effectively maintain and modernize our information systems; risks associated with providing healthcare, pharmacy and other diversified products and services, including medical malpractice or professional liability claims and non-compliance by any party with the pharmacy services agreement between us and CaremarkPCS Health, L.L.C.; risks associated with mergers, acquisitions, joint ventures and strategic alliances; possible impairment of the value of our intangible assets if future results do not adequately support goodwill and other intangible assets; possible restrictions in the payment of dividends from our subsidiaries and increases in required minimum levels of capital; our ability to repurchase shares of our common stock and pay dividends on our common stock due to the adequacy of our cash flow and earnings and other considerations; the potential negative effect from our substantial amount of outstanding indebtedness and the risk that increased interest rates or market volatility could impact our access to or further increase the cost of financing; a downgrade in our financial strength ratings; the effects of any negative publicity related to the health benefits industry in general or us in particular; events that may negatively affect our licenses with the Blue Cross and Blue Shield Association; intense competition to attract and retain employees; risks associated with our international operations; and various laws and provisions in our governing documents that may prevent or discourage takeovers and business combinations.


    The Elevance Health Stock at the time of publication of the news with a raise of +1,51 % to 484,2EUR on Tradegate stock exchange (18. April 2024, 10:56 Uhr).


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    Elevance Health Reports First Quarter 2024 Results Elevance Health, Inc. (NYSE: ELV) reported first quarter 2024 results. “First quarter results reflect disciplined execution of our strategic initiatives during a dynamic time for our industry. We are making significant progress expanding Carelon’s …