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5 days ago
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Elevance Health shares dip on Q2 earnings, annual outlook miss
-- Shares in Elevance Health (NYSE: ELV) slumped over 8% on Thursday after the health insurance provider's second-quarter earnings and full-year guide missed analyst estimates. The company reported Q2 earnings per share (EPS) of $8.84, falling short of the $9.07 consensus estimate. Revenue for the period reached $49.4 billion, up from $43.2 billion in the year-ago quarter and ahead of expectations of $48.14 billion. The company's operating margin declined to 4.9% from 6.4% a year earlier. "In the second quarter, Elevance Health made meaningful progress in delivering an experience that is simple and personal to those we serve, while advancing our efforts to enhance efficiency across the healthcare system," said Gail K. Boudreaux, President and CEO of Elevance. "With the embedded earnings power of our diversified Health Benefits and Carelon businesses, we remain confident in achieving at least 12% average annual growth in adjusted diluted EPS over time," he added. For full-year 2025, Elevance now expects EPS of $30.00, well below the consensus forecast of $34.48. The company said the guidance revision reflects the continued, industry-wide pressure from elevated cost trends in the ACA and Medicaid segments. Related articles Elevance Health shares dip on Q2 earnings, annual outlook miss Risks Rising? Smart Money Dodged 46%+ Drawdowns on These High-Flying Names Surge of 50% since our AI selection, this chip giant still has great potential Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
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Elevance Health Reports Second Quarter 2025 Results
2Q 2025 operating revenue of $49.4 billion, up 14.3% from 2Q 2024 2Q 2025 diluted EPS1 of $7.72; adjusted diluted EPS2 of $8.84 Revising FY 2025 adjusted diluted EPS guidance to approximately $30.00 Returned $2.0 billion of capital to shareholders year-to-date INDIANAPOLIS, July 17, 2025--(BUSINESS WIRE)--Elevance Health, Inc. (NYSE: ELV) reported second quarter 2025 results. "In the second quarter, Elevance Health made meaningful progress in delivering an experience that is simple and personal to those we serve, while advancing our efforts to enhance efficiency across the healthcare system. We are updating our outlook to reflect elevated medical cost trends in ACA and slower rate alignment in Medicaid. While the external environment continues to evolve, we are focused on the areas within our control - managing healthcare costs, deploying targeted investments in advanced technology and value-based care delivery, and reinforcing the operational foundation that supports long-term value creation. With the embedded earnings power of our diversified Health Benefits and Carelon businesses, we remain confident in achieving at least 12% average annual growth in adjusted diluted EPS over time." Gail K. BoudreauxPresident and Chief Executive Officer Given the ongoing and industry-wide impact of elevated cost trends in ACA and Medicaid, Elevance Health now expects 2025 GAAP net income per diluted share to be approximately $24.10 and adjusted net income per diluted share to be approximately $30.00. 1. Earnings per diluted share ("EPS"). 2. Refer to GAAP reconciliation tables for reconciliation of GAAP to adjusted measures. Elevance Health Consolidated Enterprise Highlights (Unaudited) (In billions) Three Months Ended June 30, 2025 June 30, 2024 Operating Revenue1 $49.4 $43.2 Operating Gain1,2 $2.4 $2.8 Adjusted Operating Gain1,3 $2.5 $2.9 Operating Margin1 4.9 % 6.4 % Adjusted Operating Margin1,3 5.0 % 6.7 % 1. See "Basis of Presentation." 2. Operating Gain for the three months ended June 30, 2025, and June 30, 2024, include items that are excluded from adjusted shareholders' net income. See "GAAP Reconciliation." 3. Adjusted Operating Gain for the three months ended June 30, 2025, and June 30, 2024, exclude items that are excluded from adjusted shareholders' net income. See "GAAP Reconciliation." Operating revenue was $49.4 billion in the second quarter of 2025, an increase of $6.2 billion, or 14 percent compared to the prior year quarter. This was driven by higher premium yields in our Health Benefits segment, recently closed acquisitions, and growth in our Medicare Advantage membership, partially offset by membership attrition in our Medicaid business. The benefit expense ratio was 88.9 percent, an increase of 260 basis points year over year, reflecting higher medical cost trend primarily in our Medicaid business and ACA health plans. Days in Claims Payable stood at 43.9 days as of June 30, 2025, when adjusted for our acquisition of CareBridge. This represents a decrease of 0.1 days sequentially on a comparable basis. The operating expense ratio was 10.1 percent, an improvement of 160 basis points. The adjusted operating expense ratio was 10.0 percent, an improvement of 140 basis points, primarily driven by expense leverage associated with growth in operating revenue and ongoing expense discipline as we prioritize investments to support our long-term strategy. Cash Flow & Balance Sheet Operating cash flow was $3.1 billion year-to-date, or 0.8 times GAAP net income, an increase of $0.6 billion year over year. As of June 30, 2025, cash and investments at the parent company totaled approximately $2.2 billion. During the second quarter of 2025, the Company repurchased 0.9 million shares of its common stock for $379 million, at a weighted average price of $410.05, and paid a quarterly dividend of $1.71 per share, representing a distribution of cash totaling $385 million. As of June 30, 2025, the Company had approximately $8.0 billion of Board approved share repurchase authorization remaining. Health Benefits is comprised of Individual, Employer Group risk-based, Employer Group fee-based, BlueCard®, Medicare, Medicaid, and Federal Employee Program businesses. Health Benefits Reportable Segment Highlights (Unaudited) (In billions) Three Months Ended June 30, 2025 June 30, 2024 Operating Revenue1 $41.6 $37.2 Operating Gain1,2 $1.6 $2.1 Adjusted Operating Gain1,3 $1.6 $2.2 Operating Margin1 3.8 % 5.8 % Adjusted Operating Margin1 3.8 % 5.8 % 1. See "Basis of Presentation." 2. Operating Gain for the three months ended June 30, 2024, includes items that are excluded from adjusted shareholders' net income. See "GAAP Reconciliation." 3. Adjusted Operating Gain for the three months ended June 30, 2024, excludes $15 million of 2024 business dispositions and related items adjusted out of adjusted shareholders' net income for the Health Benefits segment. Health Benefits segment operating revenue was $41.6 billion in the second quarter of 2025, an increase of $4.4 billion, or 12 percent compared to the prior year quarter, driven primarily by higher premium yields, recently closed acquisitions, and growth in our Medicare Advantage membership, partially offset by lower Medicaid membership. Operating gain totaled $1.6 billion, impacted principally by higher medical cost trend in our Medicaid business and ACA health plans. Medical membership totaled approximately 45.6 million as of June 30, 2025, a decline of 212 thousand from the first quarter of 2025, driven by lower Medicaid membership and attrition resulting from lower effectuation rates in our Individual ACA business. Carelon is comprised of CarelonRx and Carelon Services. Carelon Reportable Segment Highlights (Unaudited) (In billions) Three Months Ended June 30, 2025 June 30, 2024 Operating Revenue1,2 $18.1 $13.3 Operating Gain1,3 $0.9 $0.7 Adjusted Operating Gain1,4 $0.9 $0.7 Operating Margin1 5.2 % 5.3 % Adjusted Operating Margin1 5.2 % 5.6 % 1. See "Basis of Presentation." 2. Operating Revenue for the three months ended June 30, 2024, includes $0.2 billion of revenue related to 2024 business dispositions and related items that have been excluded from adjusted operating gain. 3. Operating Gain for the three months ended June 30, 2024, includes items that are excluded from adjusted shareholders' net income. See "GAAP Reconciliation." 4. Adjusted Operating Gain for the three months ended June 30, 2024, excludes $44 million of 2024 business dispositions and related items adjusted out of adjusted shareholders' net income for the Carelon segment. Operating revenue for Carelon was $18.1 billion in the second quarter of 2025, an increase of $4.8 billion, or 36 percent compared to the prior year quarter. This was driven by recent acquisitions in home health and pharmacy services, growth in CarelonRx product revenue, and the scaling of innovative risk-based capabilities in Carelon Services. Operating gain for Carelon totaled $0.9 billion, an increase of $0.2 billion, or 33 percent, primarily driven by improved Carelon Health performance and higher CarelonRx product revenue. Quarterly Dividend On July 16, 2025, the Audit Committee of the Company's Board of Directors declared a third quarter 2025 dividend to shareholders of $1.71 per share. The third quarter dividend is payable on September 25, 2025, to shareholders of record at the close of business on September 10, 2025. 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 over 109 million consumers through a diverse portfolio of industry-leading medical, pharmacy, behavioral, clinical, home health, and complex care solutions. For more information, please visit 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 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) 866-511-1890 (Domestic Replay) 312-470-0178 (International) 203-369-1945 (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 15, 2025. The call will also be available through a live webcast at under the "Investors" link. A webcast replay will be available following the call. Basis of Presentation 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 the GAAP reconciliation tables. Operating margin is defined as operating gain divided by operating revenue. Elevance HealthEarnings Release Financial Schedules and Supplementary InformationQuarter & Year-to-Date Ended June 30, 2025 Membership and Other Metrics Quarterly & Year-to-Date 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) June 30,2025 June 30,2024 March 31,2025 June 30,2024 March 31,2025 Individual 1,348 1,281 1,423 5.2 % (5.3) % Employer Group Risk-Based 3,615 3,648 3,638 (0.9) % (0.6) % Commercial Risk-Based 4,963 4,929 5,061 0.7 % (1.9) % BlueCard® 6,570 6,692 6,608 (1.8) % (0.6) % Employer Group Fee-Based 20,584 20,542 20,522 0.2 % 0.3 % Commercial Fee-Based 27,154 27,234 27,130 (0.3) % 0.1 % Medicare Advantage 2,255 2,031 2,255 11.0 % — % Medicare Supplement 874 894 876 (2.2) % (0.2) % Total Medicare 3,129 2,925 3,131 7.0 % (0.1) % Medicaid 8,733 9,028 8,862 (3.3) % (1.5) % Federal Employee Program 1,642 1,660 1,649 (1.1) % (0.4) % Total Medical Membership 45,621 45,776 45,833 (0.3) % (0.5) % Other Metrics (in millions) CarelonRx Quarterly Adjusted Scripts 83.3 78.2 83.9 6.5 % (0.7) % Carelon Services Consumers Served 97.3 102.3 99.5 (4.9) % (2.2) % Elevance Health Consolidated Statements of Income (Unaudited) (In millions, except per share data) Three Months Ended June 30 Six Months Ended June 30 2025 2024 Change 2025 2024 Change Revenues Premiums $ 41,271 $ 35,416 16.5 % $ 82,158 $ 71,112 15.5 % Product revenue 6,042 5,530 9.3 % 11,851 10,029 18.2 % Service fees 2,108 2,277 (7.4 )% 4,177 4,355 (4.1 )% Total operating revenue 49,421 43,223 14.3 % 98,186 85,496 14.8 % Net investment income 486 508 (4.3 )% 1,076 973 10.6 % Net losses on financial instruments (131 ) (85 ) NM (595 ) (246 ) NM Gain on sale of business — 240 NM — 240 NM Total revenues 49,776 43,886 13.4 % 98,667 86,463 14.1 % Expenses Benefit expense 36,706 30,572 20.1 % 72,018 61,118 17.8 % Cost of products sold 5,293 4,820 9.8 % 10,276 8,645 18.9 % Operating expense 4,997 5,066 (1.4 )% 10,297 9,952 3.5 % Interest expense 341 280 21.8 % 685 545 25.7 % Amortization of other intangible assets 147 162 (9.3 )% 302 278 8.6 % Total expenses 47,484 40,900 16.1 % 93,578 80,538 16.2 % Income before income tax expense 2,292 2,986 (23.2 )% 5,089 5,925 (14.1 )% Income tax expense 548 685 (20.0 )% 1,161 1,375 (15.6 )% Net income 1,744 2,301 (24.2 )% 3,928 4,550 (13.7 )% Net income attributable to noncontrolling interests (1 ) (1 ) NM (2 ) (4 ) NM Shareholders' net income $ 1,743 $ 2,300 (24.2 )% $ 3,926 $ 4,546 (13.6 )% Shareholders' earnings per diluted share $ 7.72 $ 9.85 (21.6 )% $ 17.33 $ 19.44 (10.9 )% Diluted shares 225.8 233.4 (3.3 )% 226.5 233.8 (3.1 )% Benefit expense as a percentage of premiums 88.9 % 86.3 % 260 bp 87.7 % 85.9 % 180 bp Operating expense as a percentage of total operating revenue 10.1 % 11.7 % (160) bp 10.5 % 11.6 % (110) bp Income before income tax expense as a percentage of total revenue 4.6 % 6.8 % (220) bp 5.2 % 6.9 % (170) bp "NM" = calculation not meaningful Elevance Health Condensed Consolidated Balance Sheet (In millions) June 30, 2025 December 31, 2024 Assets (Unaudited) Current assets: Cash and cash equivalents $8,560 $8,288 Fixed maturity and equity securities 26,232 26,393 Premium and other receivables 23,125 19,071 Other current assets 5,407 4,700 Assets held for sale — 490 Total current assets 63,324 58,942 Long-term investments 11,553 10,784 Property and equipment, net 4,641 4,652 Goodwill and other intangible assets 39,858 40,371 Other noncurrent assets 2,562 2,140 Total assets $121,938 $116,889 Liabilities and equity Liabilities Current liabilities: Medical claims payable $17,155 $15,746 Short-term borrowings 360 365 Current portion of long-term debt 1,648 1,649 Other current liabilities 24,671 22,668 Liabilities held for sale — 153 Total current liabilities 43,834 40,581 Long-term debt, less current portion 28,178 29,218 Other noncurrent liabilities 6,075 5,664 Total liabilities 78,087 75,463 Total shareholders' equity 43,722 41,315 Noncontrolling interests 129 111 Total equity 43,851 41,426 Total liabilities and equity $121,938 $116,889 Elevance Health Condensed Consolidated Statement of Cash Flows (Unaudited) (In millions) Six Months Ended June 30 2025 2024 Operating activities Net income $3,928 $4,550 Depreciation and amortization 753 666 Share-based compensation 162 154 Changes in operating assets and liabilities (2,003) (2,943) Other non-cash items 231 (2) Net cash provided by operating activities 3,071 2,425 Investing activities Proceeds from (purchases of) investments, net of sales and maturities 329 (1,415) Purchases of subsidiaries, net of cash acquired/sold 54 (725) Purchases of property and equipment (463) (602) Other, net (504) (386) Net cash used in investing activities (584) (3,128) Financing activities Net change in short-term and long-term borrowings (1,255) 2,580 Repurchase and retirement of common stock (1,258) (1,029) Cash dividends (771) (757) Other, net 1,067 (94) Net cash (used in) provided by financing activities (2,217) 700 Effect of foreign exchange rates on cash and cash equivalents 2 (5) Change in cash and cash equivalents 272 (8) Cash and cash equivalents at beginning of period 8,288 6,526 Cash and equivalents included in assets held for sale at end of period — (21) Cash and cash equivalents at end of period $8,560 $6,497 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 Employee Program 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 June 30 Six Months Ended June 30 2025 2024 Change 2025 2024 Change Operating Revenue Health Benefits $41,582 $37,159 11.9 % $83,013 $74,417 11.6 % CarelonRx 10,643 8,774 21.3 % 20,759 16,841 23.3 % Carelon Services 7,441 4,545 63.7 % 13,977 8,554 63.4 % Corporate & Other 232 122 90.2 % 397 249 59.4 % Eliminations (10,477) (7,377) NM5 (19,960) (14,565) NM5 Total Operating Revenue1 $49,421 $43,223 14.3 % $98,186 $85,496 14.8 % Operating Gain (Loss) Health Benefits2 $1,560 $2,145 (27.3) % $3,777 $4,432 (14.8) % CarelonRx 536 497 7.8 % 1,138 1,020 11.6 % Carelon Services2 400 208 92.3 % 891 498 78.9 % Corporate & Other2,3 (71) (85) NM5 (211) (169) NM5 Total Operating Gain1,4 $2,425 $2,765 (12.3) % $5,595 $5,781 (3.2) % Operating Margin Health Benefits 3.8 % 5.8 % (200) bp 4.5 % 6.0 % (150) bp CarelonRx 5.0 % 5.7 % (70) bp 5.5 % 6.1 % (60) bp Carelon Services 5.4 % 4.6 % 80 bp 6.4 % 5.8 % 60 bp Total Operating Margin1 4.9 % 6.4 % (150) bp 5.7 % 6.8 % (110) bp 1. See "Basis of Presentation." 2. Operating Gain for the three and six months ended June 30, 2024, included $59 and $119 million, respectively, of 2024 business dispositions and related items; including $44 and $88 million, respectively, for the Carelon Services segment; and $15 and $31 million, respectively, for the Health Benefits segment. Operating Gain for the three and six months ended June 30, 2024, included $64 and $116 million, respectively, of transaction and integration related costs, $9 and $11 million, respectively, of litigation and settlement expenses, and $4 and $0 million, respectively, of business optimization charges, all of which reside in the Corporate & Other reportable segment. 3. Operating Gain for the three and six months ended June 30, 2025, included $53 and $133 million, respectively, of transaction and integration related costs and $10 and $15 million, respectively, of litigation and settlement expenses, which reside in the Corporate & Other reportable segment. 4. Operating Gain for the three and six months ended June 30, 2025, and June 30, 2024, included items excluded from adjusted shareholders' net income. See "GAAP Reconciliation." 5. "NM" = calculation not meaningful. Elevance Health Reconciliation of Medical Claims Payable Six Months Ended June 30 Years Ended December 31 2025 2024 2024 2023 2022 (In millions) (Unaudited) (Unaudited) Gross medical claims payable, beginning of period $ 15,580 $ 15,865 $ 15,865 $ 15,348 $ 13,282 Ceded medical claims payable, beginning of period (13 ) (7 ) (7 ) (6 ) (21 ) Net medical claims payable, beginning of period 15,567 15,858 15,858 15,342 13,261 Business combinations and purchase adjustments 182 — 143 — 133 Net incurred medical claims: Current year 71,090 60,551 125,370 121,798 113,414 Prior years redundancies1 (1,065 ) (1,473 ) (1,731 ) (1,571 ) (869 ) Total net incurred medical claims 70,025 59,078 123,639 120,227 112,545 Net payments attributable to: Current year medical claims 57,117 48,297 110,930 107,146 98,997 Prior years medical claims 11,802 11,584 13,143 12,565 11,600 Total net payments 68,919 59,881 124,073 119,711 110,597 Net medical claims payable, end of period 16,855 15,055 15,567 15,858 15,342 Ceded medical claims payable, end of period 16 12 13 7 6 Gross medical claims payable, end of period2 $ 16,871 $ 15,067 $ 15,580 $ 15,865 $ 15,348 Current year medical claims paid as a percentage of current year net incurred medical claims 80.3 % 79.8 % 88.5 % 88.0 % 87.3 % 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 7.3 % 10.2 % 12.3 % 11.4 % 7.0 % Prior year redundancies in the current year as a percentage of prior year net incurred medical claims 0.9 % 1.3 % 1.4 % 1.4 % 0.9 % 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 HealthGAAP 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 EndedJune 30 Six Months EndedJune 30 (In millions, except per share data) 2025 2024 Change 2025 2024 Change Shareholders' net income $ 1,743 $ 2,300 (24.2 )% $ 3,926 $ 4,546 (13.6 )% Add / (Subtract): Amortization of other intangible assets 147 162 302 278 Net losses on financial instruments 131 85 595 246 Transaction and integration related costs1 53 64 133 116 Litigation and settlement expenses1 10 9 15 11 Business dispositions and related items2 — 59 — 119 Business optimization charges1 — 4 — — Gain on sale of business — (240 ) — (240 ) Tax impact of non-GAAP adjustments (87 ) (38 ) (255 ) (134 ) Net adjustment items 254 105 790 396 Adjusted shareholders' net income $ 1,997 $ 2,405 (17.0 )% $ 4,716 $ 4,942 (4.6 )% Shareholders' earnings per diluted share $ 7.72 $ 9.85 (21.6 )% $ 17.33 $ 19.44 (10.9 )% Add / (Subtract): Amortization of other intangible assets 0.65 0.69 1.33 1.19 Net losses on financial instruments 0.58 0.36 2.63 1.05 Transaction and integration related costs1 0.23 0.27 0.59 0.50 Litigation and settlement expenses1 0.04 0.04 0.07 0.05 Business dispositions and related items2 — 0.25 — 0.51 Business optimization charges1 — 0.02 — — Gain on sale of business — (1.03 ) — (1.03 ) Tax impact of non-GAAP adjustments (0.39 ) (0.16 ) (1.13 ) (0.57 ) Net adjustment items 1.12 0.45 3.49 1.70 Adjusted shareholders' earnings per diluted share $ 8.84 $ 10.30 (14.2 )% $ 20.82 $ 21.14 (1.5 )% Three Months EndedJune 30 Six Months EndedJune 30 (In millions) 2025 2024 Change 2025 2024 Change Income before income tax expense $ 2,292 $ 2,986 (23.2 )% $ 5,089 $ 5,925 (14.1 )% Net investment income (486 ) (508 ) (1,076 ) (973 ) Gain on sale of business — (240 ) — (240 ) Net losses on financial instruments 131 85 595 246 Interest expense 341 280 685 545 Amortization of other intangible assets 147 162 302 278 Reportable segments operating gain $ 2,425 $ 2,765 (12.3 )% $ 5,595 $ 5,781 (3.2 )% 1. Adjustment item resides in the Corporate & Other reportable segment. 2. Adjustment item resides in the Health Benefits and Carelon Services reportable segments. Elevance HealthGAAP Reconciliation(Unaudited) Three Months EndedJune 30 Six Months EndedJune 30 (In millions) 2025 2024 Change 2025 2024 Change Reportable segments operating gain $ 2,425 $ 2,765 (12.3 )% $ 5,595 $ 5,781 (3.2 )% Add / (Subtract): Transaction and integration related costs1 53 64 133 116 Litigation and settlement expenses1 10 9 15 11 Business dispositions and related items2 — 59 — 119 Business optimization charges1 — 4 — — Net adjustment items 63 136 148 246 Reportable segments adjusted operating gain $ 2,488 $ 2,901 (14.2 )% $ 5,743 $ 6,027 (4.7 )% Three Months EndedJune 30 Six Months EndedJune 30 (In millions) 2025 2024 Change 2025 2024 Change Operating expense $ 4,997 $ 5,066 (1.4 )% $ 10,297 $ 9,952 3.5 % Add / (Subtract): Transaction and integration related costs1 (53 ) (64 ) (133 ) (116 ) Litigation and settlement expenses1 (10 ) (9 ) (15 ) (11 ) Business dispositions and related items2 — (59 ) — (119 ) Business optimization charges1 — (4 ) — — Net adjustment items (63 ) (136 ) (148 ) (246 ) Adjusted operating expense $ 4,934 $ 4,930 0.1 % $ 10,149 $ 9,706 4.6 % Operating revenue $ 49,421 $ 43,223 14.3 % $ 98,186 $ 85,496 14.8 % Operating expense ratio 10.1 % 11.7 % (160) bp 10.5 % 11.6 % (110) bp Adjusted operating expense ratio 10.0 % 11.4 % (140) bp 10.3 % 11.4 % (110) bp Full Year2025 Outlook Shareholders' earnings per diluted share Approximately $24.10 Add / (Subtract): Net losses on financial instruments3 $ 3.28 Amortization of other intangible assets3 $ 2.98 Transaction and integration related costs1,3 $ 1.35 Litigation and settlement expenses1,3 $ 0.10 Tax impact of non-GAAP adjustments3 Approximately ($1.81) Net adjustment items $ 5.90 Adjusted shareholders' earnings per diluted share Approximately $30.00 1. Adjustment item resides in the Corporate & Other reportable segment. 2. Adjustment item resides in the Health Benefits and Carelon Services reportable segments. 3. Adjustment item represents the midpoint of a projected range and serves as the estimated full year adjustment amount. 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 our failure to comply with any privacy, data or security laws or regulations, including any investigations, claims or litigation related thereto; failure to effectively maintain and modernize our information systems, or failure of our information systems or technology, including artificial intelligence, to operate as intended; failure to effectively maintain the availability and integrity of our data; 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; 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.; the effects of any negative publicity related to the health benefits industry in general or us in particular; 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; 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. 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Forbes
5 days ago
- Business
- Forbes
Elevance Health Is Latest Insurer To Cut Profit Targets As Costs Surge
Elevance Health Thursday became the latest health insurer to lower its profit forecast for the rest ... More of 2025 due to rising costs in its Medicaid plans and individual policies it sells under the Affordable Care Act. Elevance Health Thursday became the latest health insurer to lower its profit forecast for the rest of 2025 due to rising costs in its Medicaid plans and individual policies it sells under the Affordable Care Act. Citing the 'ongoing and industry-wide impact of elevated cost trends in ACA and Medicaid,' Elevance Health said it now expects adjusted net income per diluted share to be approximately $30.00. That compares to an earlier forecast of 2025 adjusted diluted earnings per share of $34.15 to $34.85. 'We are updating our outlook to reflect elevated medical cost trends in ACA and slower rate alignment in Medicaid,' Elevance Health president and chief executive Gail K. Boudreaux said in a statement accompanying earnings. 'While the external environment continues to evolve, we are focused on the areas within our control - managing healthcare costs, deploying targeted investments in advanced technology and value-based care delivery, and reinforcing the operational foundation that supports long-term value creation. With the embedded earnings power of our diversified Health Benefits and Carelon businesses, we remain confident in achieving at least 12% average annual growth in adjusted diluted EPS over time." The Elevance Health report comes after government-subsidized health insurance provider Centene withdrew its 2025 financial guidance earlier this month due to higher costs in the individual health plans it sells under the Affordable Care Act as well as rising expenses from enrollees in its Medicaid plans. Centene's announcement was only the latest from a parade of health insurance companies that have struggled in the last two years to control costs of subscribers in plans subsidized by the government. Just last week, Molina Healthcare lowered its earnings guidance for the rest of the year in the face of cost pressures in all three of the government-subsidized health insurance programs it helps manage: Medicaid, Medicare Advantage and individual coverage under the ACA, also known as Obamacare. And in May, UnitedHealth suspended its financial outlook for the rest of the year and replaced its top executive as the parent of UnitedHealthcare grapples with rising healthcare costs in its Medicare Advantage business. Medicare Advantage plans contract with the federal government to provide health benefits to seniors. In its second quarter, Elevance Health said net income fell 24% to $1.7 billion from $2.3 billion in the year ago quarter thanks in part to rising costs. Total revenues were up 14% to $49 billion.
