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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): July 19, 2023

 

 

Elevance Health, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

Indiana   001-16751   35-2145715

(State or other jurisdiction

of incorporation)

 

(Commission

File Number)

 

(IRS Employer

Identification No.)

220 Virginia Ave

Indianapolis, IN 46204

(Address of principal executive offices) (Zip Code)

Registrant’s telephone number, including area code: (833) 401-1577

N/A

(Former name or former address, if changed since last report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading

Symbol(s)

 

Name of each exchange

on which registered

Common Stock, Par Value $0.01   ELV   NYSE

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

 

 


Item 2.02 Results of Operations and Financial Condition.

On July 19, 2023, Elevance Health, Inc. issued a press release reporting its financial results for the quarter ended June 30, 2023. A copy of the press release is furnished as Exhibit 99.1 to this report and incorporated herein by reference.

None of the information furnished in Item 2.02 or Exhibit 99.1 hereto shall be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended. Unless expressly set forth by specific reference in such filings, none of the information furnished in this report shall be incorporated by reference in any filing under the Securities Act of 1933, as amended, whether made before or after the date hereof and regardless of any general incorporation language in such filings.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits.

 

Exhibit

No.

  

Exhibit

99.1    Press Release, dated July 19, 2023, reporting Elevance Health, Inc. financial results for the quarter ended June 30, 2023.
104    Cover Page Interactive Data File (embedded within the Inline XBRL document)

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 Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.


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.


SIGNATURES

Dated: July 19, 2023

 

ELEVANCE HEALTH, INC.
By:  

/s/ Kathleen S. Kiefer

Name:   Kathleen S. Kiefer
Title:   Chief Governance Officer and Corporate Secretary
EX-99.1 2 d528939dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

P R E S S      R E L E A S E

 

LOGO

ELEVANCE HEALTH REPORTS SECOND QUARTER 2023 RESULTS

 

   

Second quarter GAAP net income was $7.79 per share, including net negative adjustment items of $1.25 per share. Adjusted net income was $9.04* per share.

 

   

Operating revenue grew 12.7% year-over-year to $43.4 billion

 

   

Operating gain grew 12.0% year-over-year to $2.6 billion

 

   

Medical enrollment increased 938 thousand members year-over-year to 48.0 million members

 

   

Third quarter 2023 dividend of $1.48 per share declared to shareholders

Indianapolis, Ind.—July 19, 2023—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.”

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 on page 14.

 

1


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 on page 14.

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.

 

2


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.

 

3


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     NM     (201     (49     NM
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

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” on page 6 herein.

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.

 

4


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.

 

5


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 page 14 for 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.

 

Elevance Health Contacts:   
Investor Relations    Media
Stephen Tanal    Leslie Porras
Stephen.Tanal@elevancehealth.com    Leslie.Porras@elevancehealth.com

 

6


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.

 

7


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 )% 

 

8


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

 

9


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

 

10


Elevance Health, Inc.

Consolidated Balance Sheets

 

(In millions)    June 30,
2023
    December 31,
2022
 
     (Unaudited)     (Restated)  

Assets

    

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  
  

 

 

   

 

 

 

 

11


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  
  

 

 

   

 

 

 

 

12


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.

 

13


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
  

 

 

   

 

 

     

 

 

   

 

 

   

 

14


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.

 

15