Elevance Health Reports First Quarter 2024 Results

Published
  • 1Q 2024 operating revenue of $42.3 billion, up 0.9% from 1Q 2023
  • 1Q 2024 diluted EPS1 of $9.59, up 15.5% from 1Q 2023 and adjusted diluted EPS2 of $10.64, up 12.5%
  • FY 2024 diluted EPS and adjusted diluted EPS guidance raised to greater than $34.05 and $37.20, respectively
  • Launching strategic partnership to advance primary care and physician enablement

INDIANAPOLIS--(BUSINESS WIRE)-- 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

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.

Investor Relations Stephen Tanal Investor.Relations@elevancehealth.com

Media Leslie Porras Leslie.Porras@elevancehealth.com

Source: Elevance Health, Inc.

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