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     153  0 Kommentare Elevance Health Reports Second Quarter 2023 Results

    Elevance Health, Inc. (NYSE: ELV) reported second quarter 2023 results reflecting strong financial performance, including double-digit growth in revenue, operating earnings, and adjusted earnings per share.

    “Our solid execution and continued progress of our strategy to become a lifetime trusted health partner resulted in strong second quarter and first half results,” said Gail K. Boudreaux, President and CEO. “Our focused efforts to optimize our mature businesses, invest in high-growth opportunities, and accelerate our growth through Carelon to meet the whole health needs of consumers positions us well for the rest of 2023 and beyond.”

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    Given the strong performance in the first half of the year and momentum across Elevance Health, we now expect GAAP net income to be greater than $29.09 per share in 2023, and adjusted net income to be greater than $32.85 per share.

    *Refer to GAAP reconciliation tables.

    CONSOLIDATED HIGHLIGHTS

    Earnings Per Share: GAAP net income was $7.79 per share in the second quarter, including net negative adjustment items of $1.25 per share. Adjusted net income was $9.04* per share.

    *Please refer to the GAAP reconciliation tables.

    Membership: Medical membership totaled approximately 48.0 million as of June 30, 2023, an increase of 938 thousand, or 2.0 percent year-over-year, driven primarily by growth in Medicaid, BlueCard, ACA health plan, and Medicare Advantage members, partially offset by attrition in our Employer Group risk-based business.

    During the second quarter of 2023, medical membership decreased by 135 thousand driven by attrition in Medicaid due to the resumption of eligibility redeterminations.

    Operating Revenue: Operating revenue was $43.4 billion in the second quarter of 2023, an increase of $4.9 billion, or 12.7 percent year-over-year. The increase was primarily driven by premium rate increases in our Health Benefits business and higher premium revenue due to membership growth in Medicaid and Medicare. The increase in operating revenue was further attributable to growth in pharmacy product revenue within CarelonRx driven by growth in external pharmacy members served and the acquisition of BioPlus in the first quarter of 2023.

    Benefit Expense Ratio: The benefit expense ratio was 86.4 percent in the second quarter of 2023, a decrease of 70 basis points year-over-year. The decrease was driven by premium rate adjustments to more accurately reflect cost of care.

    Medical claims reserves established at December 31, 2022 developed in line with the Company’s expectations as of the second quarter of 2023.

    Days in Claims Payable: Days in Claims Payable was 46.5 days as of June 30, 2023, an increase of 0.5 days from March 31, 2023 and a decrease of 1.3 days compared to June 30, 2022. The timing of certain provider pass-through payments and corresponding reserves set in the prior year had the effect of increasing Days in Claims Payable by 1.8 days in the second quarter of 2022. Adjusting for these impacts, Days in Claims Payable would have increased 0.5 days year-over-year.

    Operating Expense Ratio: The operating expense ratio was 11.1 percent in the second quarter of 2023, unchanged from 11.1 percent in the second quarter of 2022.

    Operating Cash Flow: Operating cash flow was approximately $2.0 billion, or 1.1 times net income in the second quarter of 2023.

    Share Repurchase Program: During the second quarter of 2023, the Company repurchased 1.4 million shares of its common stock for $646 million, at a weighted average price of $457.34. Year-to-date, as of the end of the second quarter, the Company repurchased 2.7 million shares of its common stock for $1.3 billion, at a weighted average price of $466.62. As of June 30, 2023, the Company had approximately $5.6 billion of Board-approved share repurchase authorization remaining.

    Cash Dividend:During the second quarter of 2023, the Company paid a quarterly dividend of $1.48 per share, representing a distribution of cash totaling $350 million.

    On July 18, 2023, the Audit Committee of the Company's Board of Directors declared a third quarter 2023 dividend to shareholders of $1.48 per share. The third quarter dividend is payable on September 22, 2023, to shareholders of record at the close of business on September 8, 2023.

    Investment Portfolio & Capital Position: During the second quarter of 2023, the Company recorded net losses of $121 million. During the second quarter of 2022, the Company recorded net losses of $231 million. These amounts are excluded from adjusted earnings per share.

    As of June 30, 2023, the Company’s net unrealized loss position in the investment portfolio was $1.9 billion, consisting primarily of fixed maturity securities. As of June 30, 2023, cash and investments at the parent company totaled approximately $1.0 billion.

    REPORTABLE SEGMENTS

    Elevance Health has four reportable segments: Health Benefits, the aggregation of our Commercial & Specialty Business and Government Business (comprised of Individual, Employer Group risk-based, Employer Group fee-based, BlueCard businesses, Medicaid, Medicare, and Federal Health Products & Services businesses); CarelonRx (formerly IngenioRx); Carelon Services (formerly known as Diversified Business Group); 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, Inc.

     

     

    Reportable Segment Highlights

     

     

    (Unaudited)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    (In millions)

    Three Months Ended June 30

     

    Six Months Ended June 30

     

     

     

    2023

     

    2022

     

    Change

     

    2023

     

    2022

     

    Change

     

     

     

     

     

    (Restated)

     

     

     

     

     

    (Restated)

     

     

     

     

    Operating Revenue

     

     

     

     

     

     

     

     

     

     

     

     

     

    Health Benefits

    $38,000

     

     

    $34,396

     

     

    10.5

    %

     

    $75,280

     

     

    $68,423

     

     

    10.0

    %

     

     

    Carelon1

    11,907

     

     

    10,054

     

     

    18.4

    %

     

    23,243

     

     

    19,685

     

     

    18.1

    %

     

     

    Corporate & Other

    287

     

     

    315

     

     

    (8.9

    )%

     

    538

     

     

    588

     

     

    (8.5

    )%

     

     

    Eliminations

    (6,817

    )

     

    (6,283

    )

     

    8.5

    %

     

    (13,786

    )

     

    (12,328

    )

     

    11.8

    %

     

     

    Total Operating Revenue2

    $43,377

     

     

    $38,482

     

     

    12.7

    %

     

    $85,275

     

     

    $76,368

     

     

    11.7

    %

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Operating Gain (Loss)

     

     

     

     

     

     

     

     

     

     

     

     

     

    Health Benefits

    $2,148

     

     

    $1,781

     

     

    20.6

    %

     

    $4,307

     

     

    $3,632

     

     

    18.6

    %

     

     

    Carelon1

    632

     

     

    592

     

     

    6.8

    %

     

    1,353

     

     

    1,190

     

     

    13.7

    %

     

     

    Corporate & Other

    (152

    )

     

    (27

    )

     

    NM3

     

     

    (201

    )

     

    (49

    )

     

    NM3

     

     

     

    Total Operating Gain2

    $2,628

     

     

    $2,346

     

     

    12.0

    %

     

    $5,459

     

     

    $4,773

     

     

    14.4

    %

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Operating Margin

     

     

     

     

     

     

     

     

     

     

     

     

     

    Health Benefits

    5.7

    %

     

    5.2

    %

     

    50

    bp

     

    5.7

    %

     

    5.3

    %

     

    40

    bp

     

     

    Carelon1

    5.3

    %

     

    5.9

    %

     

    (60

    ) bp

     

    5.8

    %

     

    6.0

    %

     

    (20

    ) bp

     

     

    Total Operating Margin2

    6.1

    %

     

    6.1

    %

     

    bp

     

    6.4

    %

     

    6.3

    %

     

    10

    bp

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    1.

    Operating Revenue and Operating Gain for Carelon for the three months ended June 30, 2023 included $8,466 and $496 for CarelonRx; $3,441 and $136 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the three months ended June 30, 2022 included $7,071 and $479 for CarelonRx; $2,983 and $113 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the six months ended June 30, 2023 included $16,490 and $1,008 for CarelonRx; $6,753 and $345 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the six months ended June 30, 2022 included $13,754 and $877 for CarelonRx; $5,931 and $313 for Carelon Services, respectively.

    2.

    See “Basis of Presentation.”

    3.

    "NM" = calculation not meaningful.

    Health Benefits: Operating gain in the Health Benefits segment totaled $2.1 billion in the second quarter of 2023, an increase of $367 million from $1.8 billion in the second quarter of 2022, representing growth of approximately 21%. The increase was primarily driven by premium rate adjustments to more accurately reflect cost of care and membership growth in Medicaid, partially offset by a charge associated with a court ruling impacting health plans in a certain state related to prior years' COVID-19 costs.

    Carelon: Operating gain in the Carelon segment was $632 million in the second quarter of 2023, an increase of $40 million from $592 million in the second quarter of 2022. The increase was primarily driven by improved performance in our medical management business and the expansion of our post-acute care services, partially offset by higher medical cost trends and the non-recurrence of an out of period favorable adjustment in the second quarter of 2022 in CarelonRx.

    Corporate & Other: The Company reported an operating loss of $152 million in the Corporate & Other segment for the second quarter of 2023, a decrease of $125 million from an operating loss of $27 million in the second quarter of 2022, driven by an increase in unallocated corporate expenses.

    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.

    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 second 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)

    800-391-9853 (Domestic Replay)

    312-470-0178 (International)

    203-369-3269 (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 August 18, 2023. 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.

    About Elevance Health, Inc.

    Elevance Health is a lifetime, trusted health partner fueled by its purpose to improve the health of humanity. The company supports consumers, families, and communities across the entire care journey – connecting them to the care, support, and resources they need to lead healthier lives. Elevance Health’s companies serve approximately 118 million people through a diverse portfolio of industry-leading medical, digital, pharmacy, behavioral, clinical, and complex care solutions. For more information, please visit www.elevancehealth.com or follow us @ElevanceHealth on Twitter and Elevance Health on LinkedIn.

    Elevance Health, Inc.

    Membership and Other Metrics

    (Unaudited)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Change from

    Medical Membership (in thousands)

    June 30,
    2023

     

    June 30,
    2022

     

    March 31,
    2023

     

    June 30,
    2022

     

    March 31,
    2023

    Individual

    949

     

    803

     

    942

     

    18.2

    %

     

    0.7

    %

    Employer Group Risk-Based

    3,765

     

    4,020

     

    3,798

     

    (6.3

    )%

     

    (0.9

    )%

    Commercial Risk-Based

    4,714

     

    4,823

     

    4,740

     

    (2.3

    )%

     

    (0.5

    )%

    BlueCard

    6,737

     

    6,445

     

    6,607

     

    4.5

    %

     

    2.0

    %

    Employer Group Fee-Based

    20,160

     

    20,086

     

    20,278

     

    0.4

    %

     

    (0.6

    )%

    Commercial Fee-Based

    26,897

     

    26,531

     

    26,885

     

    1.4

    %

     

    %

    Medicare Advantage

    2,059

     

    1,946

     

    2,053

     

    5.8

    %

     

    0.3

    %

    Medicare Supplement

    926

     

    942

     

    925

     

    (1.7

    )%

     

    0.1

    %

    Total Medicare

    2,985

     

    2,888

     

    2,978

     

    3.4

    %

     

    0.2

    %

    Medicaid

    11,759

     

    11,181

     

    11,889

     

    5.2

    %

     

    (1.1

    )%

    Federal Employees Health Benefits

    1,634

     

    1,628

     

    1,632

     

    0.4

    %

     

    0.1

    %

    Total Medical Membership

    47,989

     

    47,051

     

    48,124

     

    2.0

    %

     

    (0.3

    )%

    Other Membership (in thousands)

     

     

     

     

     

     

     

     

     

    Life and Disability Members

    4,686

     

    4,779

     

    4,771

     

    (1.9

    )%

     

    (1.8

    )%

    Dental Members

    6,728

     

    6,620

     

    6,743

     

    1.6

    %

     

    (0.2

    )%

    Dental Administration Members

    1,694

     

    1,589

     

    1,697

     

    6.6

    %

     

    (0.2

    )%

    Vision Members

    9,850

     

    9,385

     

    9,904

     

    5.0

    %

     

    (0.5

    )%

    Medicare Part D Standalone Members

    263

     

    276

     

    264

     

    (4.7

    )%

     

    (0.4

    )%

    Other Metrics (in millions)

     

     

     

     

     

     

     

     

     

    CarelonRx Quarterly Adjusted Scripts

    77.4

     

    76.4

     

    75.7

     

    1.3

    %

     

    2.2

    %

    Carelon Services Consumers Served

    103.6

     

    104.7

     

    104.0

     

    (1.1

    )%

     

    (0.4

    )%

    Elevance Health, Inc.

    Consolidated Statements of Income

    (Unaudited)

     

     

     

     

     

     

     

    (In millions, except per share data)

     

    Three Months Ended

    June 30

     

     

     

     

    2023

     

    2022

     

    Change

     

     

     

     

    (Restated)

     

     

    Revenues

     

     

     

     

     

     

    Premiums

     

    $

    36,589

     

     

    $

    33,076

     

     

    10.6

    %

    Product revenue

     

     

    4,859

     

     

     

    3,568

     

     

    36.2

    %

    Service fees

     

     

    1,929

     

     

     

    1,838

     

     

    5.0

    %

    Total operating revenue

     

     

    43,377

     

     

     

    38,482

     

     

    12.7

    %

    Net investment income

     

     

    416

     

     

     

    381

     

     

    9.2

    %

    Net losses on financial instruments

     

     

    (121

    )

     

     

    (231

    )

     

    NM

     

    Total revenues

     

     

    43,672

     

     

     

    38,632

     

     

    13.0

    %

     

     

     

     

     

     

     

    Expenses

     

     

     

     

     

     

    Benefit expense

     

     

    31,604

     

     

     

    28,795

     

     

    9.8

    %

    Cost of products sold

     

     

    4,327

     

     

     

    3,069

     

     

    41.0

    %

    Operating expense

     

     

    4,818

     

     

     

    4,272

     

     

    12.8

    %

    Interest expense

     

     

    261

     

     

     

    208

     

     

    25.5

    %

    Amortization of other intangible assets

     

     

    221

     

     

     

    166

     

     

    33.1

    %

    Total expenses

     

     

    41,231

     

     

     

    36,510

     

     

    12.9

    %

     

     

     

     

     

     

     

    Income before income tax expense

     

     

    2,441

     

     

     

    2,122

     

     

    15.0

    %

     

     

     

     

     

     

     

    Income tax expense

     

     

    585

     

     

     

    488

     

     

    19.9

    %

     

     

     

     

     

     

     

    Net income

     

     

    1,856

     

     

     

    1,634

     

     

    13.6

    %

     

     

     

     

     

     

     

    Net (income) loss attributable to noncontrolling interests

     

     

    (3

    )

     

     

    3

     

     

    NM

     

     

     

     

     

     

     

     

    Shareholders' net income

     

    $

    1,853

     

     

    $

    1,637

     

     

    13.2

    %

     

     

     

     

     

     

     

    Shareholders' net income per diluted share

     

    $

    7.79

     

     

    $

    6.73

     

     

    15.8

    %

     

     

     

     

     

     

     

    Diluted shares

     

     

    237.8

     

     

     

    243.4

     

     

    (2.3

    )%

     

     

     

     

     

     

     

    Benefit expense as a percentage of premiums

     

     

    86.4

    %

     

     

    87.1

    %

     

    (70

    ) bp

    Operating expense as a percentage of total operating revenue

     

     

    11.1

    %

     

     

    11.1

    %

     

    bp

    Income before income tax expense as a percentage of total revenue

     

     

    5.6

    %

     

     

    5.5

    %

     

    10

    bp

     

    "NM" = calculation not meaningful

    Elevance Health, Inc.

    Consolidated Statements of Income

    (Unaudited)

     

     

     

     

     

     

     

    (In millions, except per share data)

     

    Six Months Ended

    June 30

     

     

     

     

    2023

     

    2022

     

    Change

     

     

     

     

    (Restated)

     

     

    Revenues

     

     

     

     

     

     

    Premiums

     

    $

    72,457

     

     

    $

    65,861

     

     

    10.0

    %

    Product revenue

     

     

    8,881

     

     

     

    6,869

     

     

    29.3

    %

    Service fees

     

     

    3,937

     

     

     

    3,638

     

     

    8.2

    %

    Total operating revenue

     

     

    85,275

     

     

     

    76,368

     

     

    11.7

    %

    Net investment income

     

     

    803

     

     

     

    741

     

     

    8.4

    %

    Net losses on financial instruments

     

     

    (234

    )

     

     

    (382

    )

     

    NM

     

    Total revenues

     

     

    85,844

     

     

     

    76,727

     

     

    11.9

    %

     

     

     

     

     

     

     

    Expenses

     

     

     

     

     

     

    Benefit expense

     

     

    62,390

     

     

     

    57,026

     

     

    9.4

    %

    Cost of products sold

     

     

    7,808

     

     

     

    5,952

     

     

    31.2

    %

    Operating expense

     

     

    9,618

     

     

     

    8,617

     

     

    11.6

    %

    Interest expense

     

     

    512

     

     

     

    409

     

     

    25.2

    %

    Amortization of other intangible assets

     

     

    456

     

     

     

    295

     

     

    54.6

    %

     

     

     

     

     

     

     

    Total expenses

     

     

    80,784

     

     

     

    72,299

     

     

    11.7

    %

     

     

     

     

     

     

     

    Income before income tax expense

     

     

    5,060

     

     

     

    4,428

     

     

    14.3

    %

     

     

     

     

     

     

     

    Income tax expense

     

     

    1,200

     

     

     

    1,015

     

     

    18.2

    %

     

     

     

     

     

     

     

    Net income

     

     

    3,860

     

     

     

    3,413

     

     

    13.1

    %

     

     

     

     

     

     

     

    Net (income) loss attributable to noncontrolling interests

     

     

    (18

    )

     

     

    13

     

     

    NM

     

     

     

     

     

     

     

     

    Shareholders' net income

     

    $

    3,842

     

     

    $

    3,426

     

     

    12.1

    %

     

     

     

     

     

     

     

    Shareholders' net income per diluted share

     

    $

    16.10

     

     

    $

    14.05

     

     

    14.6

    %

     

     

     

     

     

     

     

    Diluted shares

     

     

    238.7

     

     

     

    243.9

     

     

    (2.1

    )%

     

     

     

     

     

     

     

    Benefit expense as a percentage of premiums

     

     

    86.1

    %

     

     

    86.6

    %

     

    (50

    ) bp

    Operating expense as a percentage of total operating revenue

     

     

    11.3

    %

     

     

    11.3

    %

     

    bp

    Income before income tax expense as a percentage of total revenue

     

     

    5.9

    %

     

     

    5.8

    %

     

    10

    bp

     

    "NM" = calculation not meaningful

    Elevance Health, Inc.

    Consolidated Balance Sheets

     

    (In millions)

    June 30,
    2023

     

    December 31,
    2022

    Assets

    (Unaudited)

     

    (Restated)

    Current assets:

     

     

     

    Cash and cash equivalents

    $

    9,991

     

     

    $

    7,387

     

    Fixed maturity securities

     

    28,021

     

     

     

    25,952

     

    Equity securities

     

    272

     

     

     

    953

     

    Premium receivables

     

    7,431

     

     

     

    7,083

     

    Self-funded receivables

     

    3,896

     

     

     

    4,663

     

    Other receivables

     

    5,196

     

     

     

    4,298

     

    Other current assets

     

    4,936

     

     

     

    5,281

     

    Total current assets

     

    59,743

     

     

     

    55,617

     

     

     

     

     

    Long-term investments:

     

     

     

    Fixed maturity securities

     

    775

     

     

     

    752

     

    Other invested assets

     

    5,993

     

     

     

    5,685

     

    Property and equipment, net

     

    4,547

     

     

     

    4,316

     

    Goodwill

     

    25,274

     

     

     

    24,383

     

    Other intangible assets

     

    10,703

     

     

     

    10,315

     

    Other noncurrent assets

     

    2,133

     

     

     

    1,687

     

    Total assets

    $

    109,168

     

     

    $

    102,755

     

     

     

     

     

    Liabilities and equity

     

     

     

    Liabilities

     

     

     

    Current liabilities:

     

     

     

    Medical claims payable

    $

    16,165

     

     

    $

    15,596

     

    Other policyholder liabilities

     

    5,954

     

     

     

    5,933

     

    Unearned income

     

    4,458

     

     

     

    1,112

     

    Accounts payable and accrued expenses

     

    5,033

     

     

     

    5,607

     

    Short-term borrowings

     

    265

     

     

     

    265

     

    Current portion of long-term debt

     

     

     

     

    1,500

     

    Other current liabilities

     

    9,696

     

     

     

    9,683

     

    Total current liabilities

     

    41,571

     

     

     

    39,696

     

     

     

     

     

    Long-term debt, less current portion

     

    24,859

     

     

     

    22,349

     

    Reserves for future policy benefits

     

    797

     

     

     

    803

     

    Deferred tax liabilities, net

     

    1,852

     

     

     

    2,015

     

    Other noncurrent liabilities

     

    1,777

     

     

     

    1,562

     

    Total liabilities

     

    70,856

     

     

     

    66,425

     

     

     

     

     

    Shareholders’ equity

     

     

     

    Common stock

     

    2

     

     

     

    2

     

    Additional paid-in capital

     

    8,761

     

     

     

    9,084

     

    Retained earnings

     

    31,608

     

     

     

    29,647

     

    Accumulated other comprehensive loss

     

    (2,166

    )

     

     

    (2,490

    )

    Total shareholders’ equity

     

    38,205

     

     

     

    36,243

     

    Noncontrolling interests

     

    107

     

     

     

    87

     

    Total equity

     

    38,312

     

     

     

    36,330

     

    Total liabilities and equity

    $

    109,168

     

     

    $

    102,755

     

    Elevance Health, Inc.

    Consolidated Statements of Cash Flows

    (Unaudited)

     

     

     

     

    (In millions)

    Six Months Ended June 30

     

    2023

     

    2022

     

     

     

    (Restated)

    Operating activities

     

     

     

    Net income

    $

    3,860

     

     

    $

    3,413

     

    Adjustments to reconcile net income to net cash provided by operating activities:

     

     

     

    Net losses on financial instruments

     

    234

     

     

     

    382

     

    Equity in net earnings of other invested assets

     

    73

     

     

     

    (258

    )

    Depreciation and amortization

     

    895

     

     

     

    751

     

    Deferred income taxes

     

    (393

    )

     

     

    (181

    )

    Share-based compensation

     

    139

     

     

     

    122

     

    Changes in operating assets and liabilities:

     

     

     

    Receivables, net

     

    (299

    )

     

     

    (662

    )

    Other invested assets

     

    (42

    )

     

     

    32

     

    Other assets

     

    (529

    )

     

     

    (412

    )

    Policy liabilities

     

    583

     

     

     

    1,548

     

    Unearned income

     

    3,346

     

     

     

    (182

    )

    Accounts payable and other liabilities

     

    160

     

     

     

    632

     

    Income taxes

     

    391

     

     

     

    (159

    )

    Other, net

     

    1

     

     

     

    (33

    )

    Net cash provided by operating activities

     

    8,419

     

     

     

    4,993

     

     

     

     

     

    Investing activities

     

     

     

    Purchases of investments

     

    (17,648

    )

     

     

    (13,253

    )

    Proceeds from sale of investments

     

    5,339

     

     

     

    7,140

     

    Maturities, calls and redemptions from investments

     

    10,656

     

     

     

    4,347

     

    Changes in securities lending collateral

     

    145

     

     

     

    (620

    )

    Purchases of subsidiaries, net of cash acquired

     

    (1,651

    )

     

     

    (609

    )

    Purchases of property and equipment

     

    (651

    )

     

     

    (549

    )

    Other, net

     

    (46

    )

     

     

    (58

    )

    Net cash used in investing activities

     

    (3,856

    )

     

     

    (3,602

    )

     

     

     

     

    Financing activities

     

     

     

    Net proceeds from commercial paper borrowings

     

    90

     

     

     

    250

     

    Net proceeds from (repayments of) short-term borrowings

     

    (90

    )

     

     

    (100

    )

    Net proceeds from (repayments of) long-term borrowings

     

    666

     

     

     

    357

     

    Changes in securities lending payable

     

    (145

    )

     

     

    620

     

    Changes in bank overdrafts

     

    (500

    )

     

     

    817

     

    Repurchase and retirement of common stock

     

    (1,268

    )

     

     

    (1,169

    )

    Cash dividends

     

    (701

    )

     

     

    (618

    )

    Proceeds from issuance of common stock under employee stock plans

     

    81

     

     

     

    116

     

    Taxes paid through withholding of common stock under employee stock plans

     

    (99

    )

     

     

    (88

    )

    Other, net

     

    5

     

     

     

    10

     

    Net cash (used in) provided by financing activities

     

    (1,961

    )

     

     

    195

     

     

     

     

     

    Effect of foreign exchange rates on cash and cash equivalents

     

    2

     

     

     

    (10

    )

     

     

     

     

    Change in cash and cash equivalents

     

    2,604

     

     

     

    1,576

     

    Cash and cash equivalents at beginning of period

     

    7,387

     

     

     

    4,880

     

     

     

     

     

    Cash and cash equivalents at end of period

    $

    9,991

     

     

    $

    6,456

     

    Elevance Health, Inc.

    Reconciliation of Medical Claims Payable

     

     

    Six Months Ended June 30

     

    Years Ended December 31

     

    2023

     

    2022

     

    2022

     

    2021

     

    2020

    (In millions)

    (Unaudited)

     

    (Unaudited)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Gross medical claims payable, beginning of period

    $

    15,348

     

     

    $

    13,282

     

     

    $

    13,282

     

     

    $

    11,135

     

     

    $

    8,647

     

    Ceded medical claims payable, beginning of period

     

    (6

    )

     

     

    (21

    )

     

     

    (21

    )

     

     

    (46

    )

     

     

    (33

    )

    Net medical claims payable, beginning of period

     

    15,342

     

     

     

    13,261

     

     

     

    13,261

     

     

     

    11,089

     

     

     

    8,614

     

     

     

     

     

     

     

     

     

     

     

    Business combinations and purchase adjustments

     

     

     

     

    133

     

     

     

    133

     

     

     

    420

     

     

     

    339

     

     

     

     

     

     

     

     

     

     

     

    Net incurred medical claims:

     

     

     

     

     

     

     

     

     

    Current year

     

    61,290

     

     

     

    55,737

     

     

     

    113,414

     

     

     

    100,440

     

     

     

    85,094

     

    Prior years redundancies1

     

    (1,112

    )

     

     

    (972

    )

     

     

    (869

    )

     

     

    (1,703

    )

     

     

    (637

    )

    Total net incurred medical claims

     

    60,178

     

     

     

    54,765

     

     

     

    112,545

     

     

     

    98,737

     

     

     

    84,457

     

     

     

     

     

     

     

     

     

     

     

    Net payments attributable to:

     

     

     

     

     

     

     

     

     

    Current year medical claims

     

    48,217

     

     

     

    42,882

     

     

     

    98,997

     

     

     

    88,156

     

     

     

    74,629

     

    Prior years medical claims

     

    11,409

     

     

     

    10,401

     

     

     

    11,600

     

     

     

    8,829

     

     

     

    7,692

     

    Total net payments

     

    59,626

     

     

     

    53,283

     

     

     

    110,597

     

     

     

    96,985

     

     

     

    82,321

     

     

     

     

     

     

     

     

     

     

     

    Net medical claims payable, end of period

     

    15,894

     

     

     

    14,876

     

     

     

    15,342

     

     

     

    13,261

     

     

     

    11,089

     

    Ceded medical claims payable, end of period

     

    8

     

     

     

    13

     

     

     

    6

     

     

     

    21

     

     

     

    46

     

    Gross medical claims payable, end of period

    $

    15,902

     

     

    $

    14,889

     

     

    $

    15,348

     

     

    $

    13,282

     

     

    $

    11,135

     

     

     

     

     

     

     

     

     

     

     

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

     

    78.7

    %

     

     

    76.9

    %

     

     

    87.3

    %

     

     

    87.8

    %

     

     

    87.7

    %

     

     

     

     

     

     

     

     

     

     

    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

     

    7.8

    %

     

     

    7.9

    %

     

     

    7.0

    %

     

     

    18.1

    %

     

     

    8.0

    %

     

     

     

     

     

     

     

     

     

     

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

     

    1.0

    %

     

     

    1.0

    %

     

     

    0.9

    %

     

     

    2.0

    %

     

     

    0.8

    %

     

     

     

     

     

     

     

     

     

     

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

    Elevance Health, Inc.
    GAAP Reconciliation
    (Unaudited)

     

    Elevance Health, Inc. has referenced “Adjusted Net Income” and “Adjusted Net Income Per Share,” which are non-GAAP measures, in this document. These non-GAAP measures are not intended to be alternatives to any measure calculated in accordance with GAAP. In addition to these non-GAAP measures, references are made to the measures “Operating Revenue” and “Operating Gain.” Each of these measures is provided to further aid investors in understanding and analyzing the company’s core operating results and comparing Elevance Health, Inc.’s 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 reported below. Prior amounts may be grouped differently to conform to current presentation.

     

     

    Three Months Ended
    June 30

     

     

     

    Six Months Ended
    June 30

     

     

    (In millions, except per share data)

    2023

     

    2022

     

    Change

     

    2023

     

    2022

     

    Change

    Shareholders' net income - As reported

    $

    1,853

     

     

    $

    1,653

     

     

    12.1

    %

     

    $

    3,842

     

     

    $

    3,458

     

     

    11.1

    %

    Impact of Accounting Standards Update 2018-12 Adoption

     

     

     

     

    (16

    )

     

     

     

     

     

     

     

    (32

    )

     

     

    Shareholders' net income - Restated

    $

    1,853

     

     

    $

    1,637

     

     

    13.2

    %

     

    $

    3,842

     

     

    $

    3,426

     

     

    12.1

    %

    Add / (Subtract):

     

     

     

     

     

     

     

     

     

     

     

    Net losses on financial instruments

     

    121

     

     

     

    231

     

     

     

     

     

    234

     

     

     

    382

     

     

     

    Amortization of other intangible assets

     

    221

     

     

     

    166

     

     

     

     

     

    456

     

     

     

    295

     

     

     

    Transaction and integration related costs

     

    55

     

     

     

    14

     

     

     

     

     

    81

     

     

     

    23

     

     

     

    Litigation expenses

     

    2

     

     

     

    4

     

     

     

     

     

    3

     

     

     

    5

     

     

     

    Tax impact of non-GAAP adjustments

     

    (103

    )

     

     

    (111

    )

     

     

     

     

    (200

    )

     

     

    (189

    )

     

     

    Net adjustment items

     

    296

     

     

     

    304

     

     

     

     

     

    574

     

     

     

    516

     

     

     

    Adjusted shareholders' net income

    $

    2,149

     

     

    $

    1,941

     

     

    10.7

    %

     

    $

    4,416

     

     

    $

    3,942

     

     

    12.0

    %

     

     

     

     

     

     

     

     

     

     

     

     

    Shareholders' net income per diluted share - As reported

    $

    7.79

     

     

    $

    6.79

     

     

    14.7

    %

     

    $

    16.10

     

     

    $

    14.18

     

     

    13.5

    %

    Impact of Accounting Standards Update 2018-12 Adoption

     

     

     

     

    (0.06

    )

     

     

     

     

     

     

     

    (0.13

    )

     

     

    Shareholders' net income per diluted share - Restated

     

    7.79

     

     

     

    6.73

     

     

    15.8

    %

     

     

    16.10

     

     

     

    14.05

     

     

    14.6

    %

    Add / (Subtract):

     

     

     

     

     

     

     

     

     

     

     

    Net losses on financial instruments

     

    0.51

     

     

     

    0.95

     

     

     

     

     

    0.98

     

     

     

    1.57

     

     

     

    Amortization of other intangible assets

     

    0.93

     

     

     

    0.68

     

     

     

     

     

    1.91

     

     

     

    1.21

     

     

     

    Transaction and integration related costs

     

    0.23

     

     

     

    0.06

     

     

     

     

     

    0.34

     

     

     

    0.09

     

     

     

    Litigation expenses

     

    0.01

     

     

     

    0.02

     

     

     

     

     

    0.01

     

     

     

    0.02

     

     

     

    Tax impact of non-GAAP adjustments

     

    (0.43

    )

     

     

    (0.46

    )

     

     

     

     

    (0.84

    )

     

     

    (0.77

    )

     

     

    Rounding impact

     

     

     

     

    (0.01

    )

     

     

     

     

     

     

     

    (0.01

    )

     

     

    Net adjustment items

     

    1.25

     

     

     

    1.24

     

     

     

     

     

    2.40

     

     

     

    2.11

     

     

     

    Adjusted shareholders' net income per diluted share

    $

    9.04

     

     

    $

    7.97

     

     

    13.4

    %

     

    $

    18.50

     

     

    $

    16.16

     

     

    14.5

    %

     

     

     

     

     

     

     

     

     

     

     

     

     

    Full Year 2023 Outlook

     

     

     

     

     

     

    Shareholders' net income per diluted share

    Greater than $29.09

     

     

     

     

     

     

     

    Add / (Subtract):

     

     

     

     

     

     

     

    Net losses on financial instruments

    $0.98

     

     

     

     

     

     

     

    Transaction and integration related costs

    $0.34

     

     

     

     

     

     

     

    Litigation expenses

    $0.01

     

     

     

     

     

     

     

    Amortization of other intangible assets

    $3.68

     

     

     

     

     

     

     

    Tax impact of non-GAAP adjustments

    Approximately $(1.25

    )

     

     

     

     

     

     

    Net adjustment items

    $3.76

     

     

     

     

     

     

     

    Adjusted shareholders' net income per diluted share

    Greater Than $32.85

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Three Months Ended
    June 30

     

     

     

    Six Months Ended
    June 30

     

     

    (In millions)

    2023

     

    2022

     

    Change

     

    2023

     

    2022

     

    Change

     

     

     

    (Restated)

     

     

     

     

     

    (Restated)

     

     

    Income before income tax expense

    $

    2,441

     

     

    $

    2,122

     

     

    15.0

    %

     

    $

    5,060

     

     

    $

    4,428

     

     

    14.3

    %

    Net investment income

     

    (416

    )

     

     

    (381

    )

     

     

     

     

    (803

    )

     

     

    (741

    )

     

     

    Net losses on financial instruments

     

    121

     

     

     

    231

     

     

     

     

     

    234

     

     

     

    382

     

     

     

    Interest expense

     

    261

     

     

     

    208

     

     

     

     

     

    512

     

     

     

    409

     

     

     

    Amortization of other intangible assets

     

    221

     

     

     

    166

     

     

     

     

     

    456

     

     

     

    295

     

     

     

    Reportable segments operating gain

    $

    2,628

     

     

    $

    2,346

     

     

    12.0

    %

     

    $

    5,459

     

     

    $

    4,773

     

     

    14.4

    %

    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 undertake to 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, including COVID-19, and other catastrophes; the impact of new or changes in existing federal, state and international laws or regulations, including healthcare laws and regulations, 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 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 pharmacy, healthcare 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 +2,27 % to 406EUR on Lang & Schwarz stock exchange (19. Juli 2023, 12:02 Uhr).


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