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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

October 18, 2023

Date of Report (Date of earliest event reported)

 

 

Elevance Health, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

Indiana   001-16751   35-2145715

(State or other jurisdiction of

incorporation or organization)

 

(Commission

File Number)

 

(I.R.S. Employer

Identification Number)

220 Virginia Ave

Indianapolis, IN 46204

(Address of principal executive offices and zip code)

(833) 401-1577

(Registrant’s telephone number, including area code)

 

 

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:

 

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

 

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 Rule 405 of the Securities Act (§230.405 of this chapter) or Rule 12b-2 of the Exchange Act (§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 October 18, 2023, Elevance Health, Inc. issued a press release reporting its financial results for the quarter ended September 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 October 18, 2023, reporting Elevance Health, Inc. financial results for the quarter ended September 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.

 

2


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.

 

3


SIGNATURES

Dated: October 18, 2023

 

ELEVANCE HEALTH, INC.
By:  

/s/ Kathleen S. Kiefer

Name:   Kathleen S. Kiefer
Title:   Chief Governance Officer and Corporate Secretary

 

4

EX-99.1 2 d568311dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

 

LOGO

 

LOGO

ELEVANCE HEALTH REPORTS THIRD QUARTER 2023 RESULTS

 

   

Third quarter GAAP net income was $5.45 per share, including net negative adjustment items of $3.54 per share. Adjusted net income was $8.99* per share.

 

   

Operating gain, excluding adjustment items, grew 12.6% year-over-year to $2.5 billion.

 

   

Operating cash flow was $2.6 billion.

Indianapolis, Ind. - October 18, 2023 - Elevance Health, Inc. (NYSE: ELV) reported third quarter 2023 results reflecting strong financial performance across the enterprise.

“Elevance Health delivered another quarter of solid performance reflecting the strength and balance of our diversified portfolio of businesses, our continued investments in innovation and growth, and our relentless focus on affordability, simplicity, and customer experience,” said Gail K. Boudreaux, President and CEO. “With affordability a paramount concern for all payors and a more uncertain forward-looking operating environment, we took action during the third quarter that will enhance our ability to act nimbly and operate efficiently. Along with the earnings power of our Health Benefits and Carelon businesses, we are well-positioned to meet our commitments to all of our stakeholders while continuing to advance our whole health strategy.”

As a result of outperformance year-to-date, the Company now expects GAAP net income to be greater than $26.40 per share in 2023, and adjusted net income to be greater than $33.00 per share.

 

*

Refer to GAAP reconciliation tables on page 14.

 

1


CONSOLIDATED HIGHLIGHTS

Earnings Per Share: GAAP net income was $5.45 per share in the third quarter, including net negative adjustment items of $3.54 per share. Adjusted net income was $8.99* per share.

 

*

Please refer to the GAAP reconciliation tables on page 14.

Membership: Medical membership totaled approximately 47.3 million as of September 30, 2023, an increase of 42 thousand, or 0.1 percent year-over-year, driven primarily by growth in BlueCard, Affordable Care Act health plans, and Medicare Advantage membership, partially offset by attrition in Medicaid due to the resumption of eligibility redeterminations and a new entrant into one of our state Medicaid programs in the third quarter, as well as declines in our Employer Group risk-based business.

During the third quarter of 2023, medical membership decreased by 664 thousand driven by attrition in Medicaid due to the aforementioned dynamics.

Operating Revenue: Operating revenue was $42.5 billion in the third quarter of 2023, an increase of $2.9 billion, or 7.2 percent year-over-year. The increase was primarily driven by higher premium revenue in our Health Benefits business and growth in pharmacy product revenue in CarelonRx due to 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 86.8 percent in the third quarter, an improvement of 40 basis points year-over-year. The improvement was driven by premium rate adjustments in recognition of medical cost trend.

Medical claims reserves established at December 31, 2022 developed within the range of the Company’s expectations as of the third quarter of 2023.

Days in Claims Payable: Days in Claims Payable was 48.6 days as of September 30, 2023, an increase of 2.1 days from June 30, 2023 and an increase of 0.9 days compared to September 30, 2022.

Operating Expense Ratio: The operating expense ratio was 12.9% percent in the third quarter of 2023, an increase of 150 basis points from 11.4% in the third quarter of 2022. The increase was due to a business optimization charge recognized in the quarter.

In the third quarter, we completed a strategic review of our operations, assets, and investments to enhance operating efficiency, refine the focus of our investments in innovation and optimize our physical footprint. This resulted in a net charge of $697 million, comprised of the write-off of certain information technology assets and contract exit costs, a reduction in staff including the relocation of certain job functions, and the impairment of assets associated with the closure or partial closure of data centers and offices.

Operating Cash Flow: Operating cash flow was approximately $2.6 billion, or 2.0 times net income in the third quarter of 2023, a decrease of $2.3 billion as compared to the prior year quarter. The year-on-year decrease was driven by the receipt of an additional month of CMS payments in the third quarter of 2022.

 

2


Share Repurchase Program: During the third quarter of 2023, the Company repurchased 1.1 million shares of its common stock for $480 million, at a weighted average price of $451.68. Year-to-date, as of the end of the third quarter, the Company repurchased 3.8 million shares of its common stock for $1.7 billion, at a weighted average price of $462.42. As of September 30, 2023, the Company had approximately $5.1 billion of Board-approved share repurchase authorization remaining.

Cash Dividend: During the third quarter of 2023, the Company paid a quarterly dividend of $1.48 per share, representing a distribution of cash totaling $348 million.

On October 17, 2023, the Audit Committee of the Company’s Board of Directors declared a fourth quarter 2023 dividend to shareholders of $1.48 per share. The fourth quarter dividend is payable on December 21, 2023, to shareholders of record at the close of business on December 6, 2023.

Investment Portfolio & Capital Position: During the third quarter of 2023, the Company recorded net losses of $124 million. During the third quarter of 2022, the Company recorded net losses of $57 million. These amounts are excluded from adjusted earnings per share.

As of September 30, 2023, the Company’s net unrealized loss position in the investment portfolio was $2.4 billion, consisting primarily of fixed maturity securities. As of September 30, 2023, cash and investments at the parent company totaled approximately $1.7 billion.

 

3


REPORTABLE SEGMENTS

Elevance Health has four reportable segments: Health Benefits (comprised of Individual, Employer Group risk-based, Employer Group fee-based, BlueCard, Medicaid, Medicare, 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, Inc.

Reportable Segment Highlights

(Unaudited)

 

(In millions)    Three Months Ended September 30     Nine Months Ended September 30  
     2023     2022     Change     2023     2022     Change  
           (Restated)                 (Restated)        

Operating Revenue

            

Health Benefits

   $ 36,744     $ 35,065       4.8   $ 112,024     $ 103,488       8.2

Carelon1

     11,892       10,403       14.3     35,135       30,088       16.8

Corporate & Other

     242       211       14.7     780       799       (2.4 )% 

Eliminations

     (6,398     (6,054     5.7     (20,184     (18,382     9.8
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total Operating Revenue2

   $ 42,480     $ 39,625       7.2   $ 127,755     $ 115,993       10.1

Operating Gain (Loss)

            

Health Benefits

   $ 1,847     $ 1,634       13.0   $ 6,154     $ 5,266       16.9

Carelon1

     650       641       1.4     2,003       1,831       9.4

Corporate & Other2

     (741     (24     NM     (942     (73     NM
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total Operating Gain3

   $ 1,756     $ 2,251       (22.0 )%    $ 7,215     $ 7,024       2.7

Operating Margin

            

Health Benefits

     5.0     4.7     30  bp      5.5     5.1     40  bp 

Carelon1

     5.5     6.2     (70 ) bp      5.7     6.1     (40 ) bp 

Total Operating Margin2

     4.1     5.7     (160 ) bp      5.6     6.1     (50 ) bp 

 

1.

Operating Revenue and Operating Gain for Carelon for the three months ended September 30, 2023 included $8,518 and $477 for CarelonRx; $3,374 and $173 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the three months ended September 30, 2022 included $7,249 and $516 for CarelonRx; $3,154 and $125 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the nine months ended September 30, 2023 included $25,008 and $1,485 for CarelonRx; $10,127 and $518 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the nine months ended September 30, 2022 included $21,003 and $1,393 for CarelonRx; $9,085 and $438 for Carelon Services, respectively.

2.

Operating gain for Corporate & Other for the three and nine months ended September 30, 2023 included a business optimization charge of $697.

3.

See “Basis of Presentation” on page 6 herein.

4.

“NM” = calculation not meaningful.

Health Benefits: Operating gain in the Health Benefits segment totaled $1.8 billion in the third quarter of 2023, an increase of $213 million from $1.6 billion in the third quarter of 2022, representing growth of 13.0%. The increase was primarily driven by premium rate adjustments to cover medical cost trend on higher levels of post-pandemic care.

Carelon: Operating gain in the Carelon segment was $650 million in the third quarter of 2023, an increase of $9 million from $641 million in the third quarter of 2022. The increase was primarily driven by the continued expansion of our post-acute care services business, the acquisition of BioPlus in the first quarter of 2023, and improved performance in our Behavioral Health business, partially offset by the non-recurrence of out of period fee-based revenue recognized in the third quarter of 2022 in CarelonRx.

 

4


Corporate & Other: The Company reported an operating loss of $741 million in the Corporate & Other segment for the third quarter of 2023, a decrease of $717 million from an operating loss of $24 million in the third quarter of 2022, driven by business optimization charges.

 

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 third 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)

   866-405-7293 (Domestic Replay)

312-470-0178 (International)

   203-369-0605 (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 November 17, 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 117 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)

   September 30,
2023
     September 30,
2022
     June 30,
2023
     September 30,
2022
    June 30,
2023
 

Individual

     999        800        949        24.9     5.3

Employer Group Risk-Based

     3,754        3,988        3,765        (5.9 )%      (0.3 )% 
  

 

 

    

 

 

    

 

 

      

Commercial Risk-Based

     4,753        4,788        4,714        (0.7 )%      0.8

BlueCard®

     6,756        6,453        6,737        4.7     0.3

Employer Group Fee-Based

     20,166        20,184        20,160        (0.1 )%     
  

 

 

    

 

 

    

 

 

      

Commercial Fee-Based

     26,922        26,637        26,897        1.1     0.1

Medicare Advantage

     2,064        1,969        2,059        4.8     0.2

Medicare Supplement

     928        945        926        (1.8 )%      0.2
  

 

 

    

 

 

    

 

 

      

Total Medicare

     2,992        2,914        2,985        2.7     0.2

Medicaid

     11,018        11,319        11,759        (2.7 )%      (6.3 )% 

Federal Employees Health Benefits

     1,640        1,625        1,634        0.9     0.4
  

 

 

    

 

 

    

 

 

      

Total Medical Membership

     47,325        47,283        47,989        0.1     (1.4 )% 
  

 

 

    

 

 

    

 

 

      

Other Membership (in thousands)

             

Life and Disability Members

     4,611        4,796        4,686        (3.9 )%      (1.6 )% 

Dental Members

     6,775        6,655        6,728        1.8     0.7

Dental Administration Members

     1,708        1,577        1,694        8.3     0.8

Vision Members

     9,861        9,628        9,850        2.4     0.1

Medicare Part D Standalone Members

     261        274        263        (4.7 )%      (0.8 )% 

Other Metrics (in millions)

             

CarelonRx Quarterly Adjusted Scripts

     77.3        76.9        77.4        0.5     (0.1 )% 

Carelon Services Consumers Served

     104.8        105.3        103.6        (0.5 )%      1.2

 

8


Elevance Health, Inc.

Consolidated Statements of Income

(Unaudited)

 

(In millions, except per share data)    Three Months Ended
September 30
       
     2023     2022     Change  
           (Restated)        

Revenues

      

Premiums

   $ 35,259     $ 33,722       4.6

Product revenue

     5,177       3,972       30.3

Service fees

     2,044       1,931       5.9
  

 

 

   

 

 

   

Total operating revenue

     42,480       39,625       7.2

Net investment income

     493       371       32.9

Net losses on financial instruments

     (124     (57     NM  
  

 

 

   

 

 

   

Total revenues

     42,849       39,939       7.3

Expenses

      

Benefit expense

     30,606       29,421       4.0

Cost of products sold

     4,648       3,437       35.2

Operating expense

     5,470       4,516       21.1

Interest expense

     259       213       21.6

Amortization of other intangible assets

     212       225       (5.8 )% 
  

 

 

   

 

 

   

Total expenses

     41,195       37,812       8.9

Income before income tax expense

     1,654       2,127       (22.2 )% 

Income tax expense

     354       529       (33.1 )% 
  

 

 

   

 

 

   

Net income

     1,300       1,598       (18.6 )% 

Net (income) loss attributable to noncontrolling interests

     (11     5       NM  
  

 

 

   

 

 

   

Shareholders’ net income

   $ 1,289     $ 1,603       (19.6 )% 
  

 

 

   

 

 

   

Shareholders’ net income per diluted share

   $ 5.45     $ 6.62       (17.7 )% 
  

 

 

   

 

 

   

Diluted shares

     236.5       242.2       (2.4 )% 

Benefit expense as a percentage of premiums

     86.8     87.2     (40 )bp 

Operating expense as a percentage of total operating revenue

     12.9     11.4     150 bp 

Income before income tax expense as a percentage of total revenue

     3.9     5.3     (140 )bp 

“NM” = calculation not meaningful

 

9


Elevance Health, Inc.

Consolidated Statements of Income

(Unaudited)

 

(In millions, except per share data)    Nine Months Ended
September 30
       
     2023     2022     Change  
           (Restated)        

Revenues

      

Premiums

   $ 107,716     $ 99,583       8.2

Product revenue

     14,058       10,841       29.7

Service fees

     5,981       5,569       7.4
  

 

 

   

 

 

   

Total operating revenue

     127,755       115,993       10.1

Net investment income

     1,296       1,112       16.5

Net losses on financial instruments

     (358     (439     NM  
  

 

 

   

 

 

   

Total revenues

     128,693       116,666       10.3

Expenses

      

Benefit expense

     92,996       86,447       7.6

Cost of products sold

     12,456       9,389       32.7

Operating expense

     15,088       13,133       14.9

Interest expense

     771       622       24.0

Amortization of other intangible assets

     668       520       28.5
  

 

 

   

 

 

   

Total expenses

     121,979       110,111       10.8

Income before income tax expense

     6,714       6,555       2.4

Income tax expense

     1,554       1,544       0.6
  

 

 

   

 

 

   

Net income

     5,160       5,011       3.0

Net (income) loss attributable to noncontrolling interests

     (29     18       NM  
  

 

 

   

 

 

   

Shareholders’ net income

   $ 5,131     $ 5,029       2.0
  

 

 

   

 

 

   

Shareholders’ net income per diluted share

   $ 21.56     $ 20.67       4.3
  

 

 

   

 

 

   

Diluted shares

     238.0       243.3       (2.2 )% 

Benefit expense as a percentage of premiums

     86.3     86.8     (50 )bp 

Operating expense as a percentage of total operating revenue

     11.8     11.3     50  bp 

Income before income tax expense as a percentage of total revenue

     5.2     5.6     (40 )bp 

“NM” = calculation not meaningful

 

10


Elevance Health, Inc.

Consolidated Balance Sheets

 

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

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 10,919     $ 7,387  

Fixed maturity securities

     27,811       25,952  

Equity securities

     165       953  

Premium receivables

     7,883       7,083  

Self-funded receivables

     3,756       4,663  

Other receivables

     5,293       4,298  

Other current assets

     5,358       5,281  
  

 

 

   

 

 

 

Total current assets

     61,185       55,617  

Long-term investments:

    

Fixed maturity securities

     816       752  

Other invested assets

     6,118       5,685  

Property and equipment, net

     4,248       4,316  

Goodwill

     25,291       24,383  

Other intangible assets

     10,491       10,315  

Other noncurrent assets

     2,329       1,687  
  

 

 

   

 

 

 

Total assets

   $ 110,478     $ 102,755  
  

 

 

   

 

 

 

Liabilities and equity

    

Liabilities

    

Current liabilities:

    

Medical claims payable

   $ 16,176     $ 15,596  

Other policyholder liabilities

     5,681       5,933  

Unearned income

     4,332       1,112  

Accounts payable and accrued expenses

     5,983       5,607  

Short-term borrowings

     —        265  

Current portion of long-term debt

     799       1,500  

Other current liabilities

     10,366       9,683  
  

 

 

   

 

 

 

Total current liabilities

     43,337       39,696  

Long-term debt, less current portion

     24,045       22,349  

Reserves for future policy benefits

     807       803  

Deferred tax liabilities, net

     1,779       2,015  

Other noncurrent liabilities

     1,971       1,562  
  

 

 

   

 

 

 

Total liabilities

     71,939       66,425  
  

 

 

   

 

 

 

Shareholders’ equity

    

Common stock

     2       2  

Additional paid-in capital

     8,830       9,084  

Retained earnings

     32,103       29,647  

Accumulated other comprehensive loss

     (2,512     (2,490
  

 

 

   

 

 

 

Total shareholders’ equity

     38,423       36,243  

Noncontrolling interests

     116       87  
  

 

 

   

 

 

 

Total equity

     38,539       36,330  
  

 

 

   

 

 

 

Total liabilities and equity

   $ 110,478     $ 102,755  
  

 

 

   

 

 

 

 

11


Elevance Health, Inc.

Consolidated Statements of Cash Flows

(Unaudited)

 

(In millions)    Nine Months Ended September 30  
     2023     2022  
           (Restated)  

Operating activities

    

Net income

   $ 5,160     $ 5,011  

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

    

Net losses on financial instruments

     358       439  

Equity in net earnings of other invested assets

     70       (304

Depreciation and amortization

     1,321       1,202  

Deferred income taxes

     (361     (183

Impairment of property and equipment

     446       —   

Share-based compensation

     217       191  

Changes in operating assets and liabilities:

    

Receivables, net

     (727     (678

Other invested assets

     (46     46  

Other assets

     (936     (465

Policy liabilities

     333       1,588  

Unearned income

     3,220       2,548  

Accounts payable and other liabilities

     1,717       598  

Income taxes

     257       (41

Other, net

     3       (35
  

 

 

   

 

 

 

Net cash provided by operating activities

     11,032       9,917  

Investing activities

    

Purchases of investments

     (24,337     (19,612

Proceeds from sale of investments

     7,830       9,402  

Maturities, calls and redemptions from investments

     14,531       7,606  

Changes in securities lending collateral

     55       (677

Purchases of subsidiaries, net of cash acquired

     (1,570     (623

Purchases of property and equipment

     (970     (854

Other, net

     (82     (91
  

 

 

   

 

 

 

Net cash used in investing activities

     (4,543     (4,849

Financing activities

    

Net proceeds from commercial paper borrowings

     —        375  

Net proceeds from (repayments of) short-term borrowings

     (265     (10

Net proceeds from (repayments of) long-term borrowings

     666       304  

Changes in securities lending payable

     (54     685  

Changes in bank overdrafts

     (523     181  

Repurchase and retirement of common stock

     (1,748     (1,748

Cash dividends

     (1,049     (924

Proceeds from issuance of common stock under employee stock plans

     112       152  

Taxes paid through withholding of common stock under employee stock plans

     (99     (91

Other, net

     5       16  
  

 

 

   

 

 

 

Net cash used in financing activities

     (2,955     (1,060

Effect of foreign exchange rates on cash and cash equivalents

     (2     (16
  

 

 

   

 

 

 

Change in cash and cash equivalents

     3,532       3,992  

Cash and cash equivalents at beginning of period

     7,387       4,880  
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 10,919     $ 8,872  
  

 

 

   

 

 

 

 

12


Elevance Health, Inc.

Reconciliation of Medical Claims Payable

 

     Nine Months Ended
September 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

     91,058       84,177       113,414       100,440       85,094  

Prior years redundancies1

     (1,342     (901     (869     (1,703     (637
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total net incurred medical claims

     89,716       83,276       112,545       98,737       84,457  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net payments attributable to:

          

Current year medical claims

     77,048       70,453       98,997       88,156       74,629  

Prior years medical claims

     12,097       11,219       11,600       8,829       7,692  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total net payments

     89,145       81,672       110,597       96,985       82,321  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net medical claims payable, end of period

     15,913       14,998       15,342       13,261       11,089  

Ceded medical claims payable, end of period

     4       3       6       21       46  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Gross medical claims payable, end of period

   $ 15,917     $ 15,001     $ 15,348     $ 13,282     $ 11,135  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

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

     84.6     83.7     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

     9.6     7.3     7.0     18.1     8.0

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

     1.2     0.9     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. Net adjustment items per share may not sum due to rounding.

 

     Three Months Ended
September 30
          Nine Months Ended
September 30
       
(In millions, except per share data)    2023     2022     Change     2023     2022     Change  

Shareholders’ net income - As reported

   $ 1,289     $ 1,618       (20.3 )%    $ 5,131     $ 5,076       1.1

Impact of Accounting Standards Update 2018-12 Adoption

     —        (15       —        (47  

Shareholders’ net income - Restated

   $ 1,289     $ 1,603       (19.6 )%    $ 5,131     $ 5,029       2.0

Add / (Subtract):

            

Net losses on financial instruments

     124       57         358       439    

Amortization of other intangible assets

     212       225         668       520    

Business optimization charges

     697       —          697       —     

BCBSA litigation settlement

     —        (24       —        (24  

Transaction and integration related costs

     73       13         154       36    

Litigation expenses

     2       6         5       11    

Tax impact of non-GAAP adjustments

     (270     (72       (470     (261  
  

 

 

   

 

 

     

 

 

   

 

 

   

Net adjustment items

     838       205         1,412       721    
  

 

 

   

 

 

     

 

 

   

 

 

   

Adjusted shareholders’ net income

   $ 2,127     $ 1,808       17.6   $ 6,543     $ 5,750       13.8
  

 

 

   

 

 

     

 

 

   

 

 

   

Shareholders’ net income per diluted share - As reported

   $ 5.45     $ 6.68       (18.4 )%    $ 21.56     $ 20.86       3.4

Impact of Accounting Standards Update 2018-12 Adoption

     —        (0.06       —        (0.19  

Shareholders’ net income per diluted share - Restated

     5.45       6.62       (17.7 )%      21.56       20.67       4.3

Add / (Subtract):

            

Net losses on financial instruments

     0.52       0.24         1.50       1.80    

Amortization of other intangible assets

     0.90       0.93         2.81       2.14    

Business optimization charges

     2.95       —          2.93       —     

BCBSA litigation settlement

     —        (0.10       —        (0.10  

Transaction and integration related costs

     0.31       0.05         0.65       0.15    

Litigation expenses

     0.01       0.02         0.02       0.05    

Tax impact of non-GAAP adjustments

     (1.14     (0.30       (1.97     (1.07  

Net adjustment items

     3.54       0.84         5.93       2.96    
  

 

 

   

 

 

     

 

 

   

 

 

   

Adjusted shareholders’ net income per diluted share

   $ 8.99     $ 7.46       20.5   $ 27.49     $ 23.63       16.3
  

 

 

   

 

 

     

 

 

   

 

 

   

 

     Full Year 2023 Outlook  

Shareholders’ net income per diluted share

   Greater than $ 26.40  

Add / (Subtract):

  

Net losses on financial instruments

   $ 1.50  

Business optimization charges

   $ 2.93  

Transaction and integration related costs

   $ 0.65  

Litigation expenses

   $ 0.02  

Amortization of other intangible assets

   $ 3.69  

Tax impact of non-GAAP adjustments

   Approximately $ (2.19
  

 

 

 

Net adjustment items

   $ 6.60  
  

 

 

 

Adjusted shareholders’ net income per diluted share

   Greater Than $ 33.00  
  

 

 

 

 

     Three Months Ended
September 30
          Nine Months Ended
September 30
       
(In millions)    2023     2022     Change     2023     2022     Change  
           (Restated)                 (Restated)        

Income before income tax expense

   $ 1,654     $ 2,127       (22.2 )%    $ 6,714     $ 6,555       2.4

Net investment income

     (493     (371       (1,296     (1,112  

Net losses on financial instruments

     124       57         358       439    

Interest expense

     259       213         771       622    

Amortization of other intangible assets

     212       225         668       520    
  

 

 

   

 

 

     

 

 

   

 

 

   

Reportable segments operating gain

   $ 1,756     $ 2,251       (22.0 )%    $ 7,215     $ 7,024       2.7
  

 

 

   

 

 

     

 

 

   

 

 

   

 

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