EX-99.12d270615dex991.htmEX-99.1 EX-99.1
Exhibit 99.1
E A R
N I N G S R E L E A S E
ELEVANCE HEALTH REPORTS THIRD QUARTER 2025 RESULTS
•
Executing with discipline to improve affordability and elevate the member experience
•
3Q 2025 operating revenue of $50.1 billion, up 12.0% from 3Q 2024
•
3Q 2025 diluted
EPS1 of $5.32; adjusted diluted EPS2 of $6.03
•
G1G2T1Reaffirm FY 2025 benefit expense ratio and adjusted diluted EPS guidance of approximately
90.0% and approximately $30.00, respectively
•
Returned $3.3 billion of capital to shareholders year-to-date
Indianapolis, IN - October 21, 2025 - Elevance
Health, Inc. (NYSE: ELV) reported third quarter 2025 results.
“Our third quarter results were in line with expectations and
reflect disciplined execution across Elevance Health. In a dynamic healthcare environment, T2we’re focused on advancing affordability and elevating the member experience through T3our growing value-based care partnerships and T4AI-enabled digital solutions that simplify access and improve outcomes. As we plan for 2026, we remain disciplined in managing what we can control – positioning our businesses for long-term, sustainable growth
and value creation for all stakeholders.”
Gail K. Boudreaux
President and Chief Executive Officer
1.
Earnings per diluted share (“EPS”).
2.
Refer to GAAP reconciliation tables on pages 13 and 14 herein for reconciliation of GAAP to adjusted measures.
1
Elevance Health
Consolidated
Enterprise Highlights
(Unaudited)
(In billions)
Three Months Ended
September 30,
2025
September 30,
2024
Operating Revenue1
$50.1
$44.7
Operating Gain1,2
$1.3
$1.4
Adjusted Operating Gain1,3
$1.3
$2.5
Operating Margin1
2.6%
3.1%
Adjusted Operating
Margin1,3
2.7%
5.5%
1.
See “Basis of Presentation” on page 5 herein.
2.
Operating Gain for the three months ended September 30, 2025, and September 30, 2024,
include items that are excluded from adjusted shareholders’ net income. See “GAAP Reconciliation” on pages 13 and 14 herein.
3.
Adjusted Operating Gain for the three months ended September 30, 2025, and
September 30, 2024, exclude items that are excluded from adjusted shareholders’ net income. See “GAAP Reconciliation” on pages 13 and 14 herein.
Operating revenue was $50.1 billion in the third quarter of 2025, an increase of $5.4 billion, or 12 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 Medicare Advantage membership, partially offset by T5ongoing Medicaid membership losses due to eligibility
reverifications.
The benefit expense ratio was 91.3 percent, an increase of 180 basis points year over year, reflecting T6elevated,
but expected, cost trend primarily in our Medicare business given pronounced seasonality in Part D benefits associated with changes made in the Inflation Reduction Act. Days in Claims Payable stood at 42.6 days as of September 30, 2025, when
adjusted for our acquisition of CareBridge. This represents a decrease of 0.2 days year over year on a comparable basis.
The operating
expense ratio was 10.5 percent, an improvement of 130 basis points. The adjusted operating expense ratio was 10.4 percent, an increase of 100 basis points, primarily driven by targeted investments to scale Carelon’s capabilities,
support and strengthen our workforce, and accelerate technology adoption while maintaining expense discipline.
Cash Flow &
Balance Sheet
Operating cash flow was $4.2 billionyear-to-date, or 0.8 times GAAP net income, a decrease of $0.9 billion year over year reflecting in part the Provider Settlement Agreement payment for the
multi-district BCBSA litigation. As of September 30, 2025, cash and investments at the parent company totaled approximately $2.6 billion.
During the third quarter of 2025, the Company T7repurchased 2.9 million shares of its common stock for $875 million, at a weighted
average price of $303.48, and paid a quarterly dividend of $1.71 per share, representing a distribution of cash totaling $381 million. As of September 30, 2025, the Company had approximately $7.2 billion of Board approved share
repurchase authorization remaining.
2
Health Benefits is comprised of Individual, Employer Group risk-based, Employer Groupfee-based, BlueCard®, Medicare, Medicaid, and Federal Employee Program businesses.
Health Benefits
Reportable Segment Highlights
(Unaudited)
(In billions)
Three Months Ended
September 30,
2025
September 30,
2024
Operating Revenue1
$42.2
$38.3
Operating Gain1,2
$0.6
$1.6
Adjusted Operating Gain1,3
$0.6
$1.6
Operating Margin1
1.4%
4.2%
Adjusted Operating
Margin1
1.4%
4.2%
1.
See “Basis of Presentation” on page 5 herein.
2.
Operating Gain for the three months ended September 30, 2024, includes items that are
excluded from adjusted shareholders’ net income. See “GAAP Reconciliation” on pages 13 and 14 herein.
3.
Adjusted Operating Gain for the three months ended September 30, 2024, excludes
$19 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 $42.2 billion in the third quarter of 2025, an increase of $4.0 billion, or
10 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 ongoing Medicaid reverifications.
Operating gain totaled $0.6 billion, impacted principally by higher medical cost trend and increased investments to support and
strengthen our workforce and accelerate technology adoption, partially offset by higher revenue.
Medical membership totaled
approximately 45.4 million as of September 30, 2025, driven by lower year over year BlueCard® and Medicaid membership.
3
Carelon is comprised of CarelonRx and Carelon Services.
Carelon Reportable
Segment Highlights
(Unaudited)
(In billions)
Three Months Ended
September 30,
2025
September 30,
2024
Operating Revenue1,2
$18.3
$13.8
Operating Gain1,3
$0.8
$0.8
Adjusted Operating Gain1,4
$0.8
$0.9
Operating Margin1
4.2%
5.8%
Adjusted Operating
Margin1
4.2%
6.2%
1.
See “Basis of Presentation” on page 5 herein.
2.
Operating Revenue for the three months ended September 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 September 30, 2024, includes items that are
excluded from adjusted shareholders’ net income. See “GAAP Reconciliation” on pages 13 and 14 herein.
4.
Adjusted Operating Gain for the three months ended September 30, 2024, excludes
$53 million of 2024 business dispositions and related items adjusted out of adjusted shareholders’ net income for the Carelon segment.
T8Operating revenue for Carelon was $18.3 billion in the third quarter of 2025, an increase of $4.5 billion, or 33 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 Carelon Services risk-based solutions.
Operating gain for Carelon totaled $0.8 billion, reflecting strong Carelon Services performance offset by targeted platform investments
to support growth and the scaling of our pharmacy assets.
4
Quarterly Dividend
On October 15, 2025, the Audit Committee of the Company’s Board of Directors declared a fourth quarter 2025 dividend to
shareholders of $1.71 per share. The fourth quarter dividend is payable on December 19, 2025, to shareholders of record at the close of business on December 5, 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 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 www.elevancehealth.com or follow us @ElevanceHealth on X and Elevance Health on LinkedIn.
Conference Call and Webcast
Management will host a conference call and webcast today at 8:30 a.m. Eastern Daylight Time (“EDT”) to discuss the
company’s 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)
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 November 21, 2025. The call will also be available through a live webcast at www.elevancehealth.com under the “Investors” link. A
webcast replay will be available following the call.
Basis of Presentation
1.
Operating revenue and operating gain/loss are the key measures used by management to evaluate
performance in each of its reporting segments, allocate resources, set incentive compensation targets and to forecast future operating performance. Operating gain/loss is calculated as total operating revenue less benefit expense, cost of products
sold and operating expense. It does not include net investment income, net gains/losses on financial instruments, interest expense, amortization of other intangible assets, gains/losses on extinguishment of debt or income taxes, as these items are
managed in a corporate shared service environment and are not the responsibility of operating segment management. Refer to pages 13 and 14 for the GAAP reconciliation tables.
2.
Operating margin is defined as operating gain divided by operating revenue.
Elevance Health Contacts:
Investor Relations
Media
Nathan Rich
Leslie Porras
Investor.Relations@elevancehealth.com
Leslie.Porras@elevancehealth.com
5
Elevance Health
Earnings Release Financial Schedules and Supplementary Information
Quarter & Year-to-Date Ended
September 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 & Health Benefits Revenue
Detail
•
Supplemental Financial Information - Reconciliation of Medical Claims Payable
•
Reconciliation of Non-GAAP Financial Measures
6
Elevance Health
Membership and Other Metrics
(Unaudited)
Change from
Medical Membership (in thousands)
September 30,
2025
September 30,
2024
June 30,
2025
September 30,
2024
June 30,
2025
Individual
1,354
1,299
1,348
4.2 %
0.4 %
Employer Group Risk-Based
3,616
3,672
3,615
(1.5) %
— %
Commercial Risk-Based
4,970
4,971
4,963
— %
0.1 %
BlueCard®
6,394
6,677
6,570
(4.2) %
(2.7) %
Employer Group Fee-Based
20,608
20,589
20,584
0.1 %
0.1 %
Commercial Fee-Based
27,002
27,266
27,154
(1.0) %
(0.6) %
Medicare Advantage
2,245
2,047
2,255
9.7 %
(0.4) %
Medicare Supplement
877
894
874
(1.9) %
0.3 %
Total Medicare
3,122
2,941
3,129
6.2 %
(0.2) %
Medicaid
8,645
8,926
8,733
(3.1) %
(1.0) %
Federal Employee Program
1,630
1,656
1,642
(1.6) %
(0.7) %
Total Medical Membership
45,369
45,760
45,621
(0.9) %
(0.6) %
Other Metrics (in millions)
CarelonRx Quarterly Adjusted Scripts
85.0
80.2
83.3
6.0 %
2.0 %
Carelon Services Consumers Served
97.6
101.3
97.3
(3.7) %
0.3 %
7
Elevance Health
Consolidated Statements of Income
(Unaudited)
(In millions, except per share data)
Three Months Ended
September 30
Nine Months Ended
September 30
2025
2024
Change
2025
2024
Change
Revenues
Premiums
$
41,791
$
36,809
13.5%
$
123,949
$
107,921
14.9%
Product revenue
6,159
5,887
4.6%
18,010
15,916
13.2%
Service fees
2,137
2,023
5.6%
6,314
6,378
(1.0)%
Total operating revenue
50,087
44,719
12.0%
148,273
130,215
13.9%
Net investment income
625
551
13.4%
1,701
1,524
11.6%
Net losses on financial instruments
(1)
(125)
NM
(596)
(371)
NM
Gain (loss) on sale of business
—
(39)
NM
—
201
NM
Total revenues
50,711
45,106
12.4%
149,378
131,569
13.5%
Expenses
Benefit expense
38,140
32,949
15.8%
110,158
94,067
17.1%
Cost of products sold
5,380
5,093
5.6%
15,656
13,738
14.0%
Operating expense
5,272
5,269
0.1%
15,569
15,221
2.3%
Interest expense
351
300
17.0%
1,036
845
22.6%
Amortization of other intangible assets
162
122
32.8%
464
400
16.0%
Total expenses
49,305
43,733
12.7%
142,883
124,271
15.0%
Income before income tax expense
1,406
1,373
2.4%
6,495
7,298
(11.0)%
Income tax expense
219
365
(40.0)%
1,380
1,740
(20.7)%
Net income
1,187
1,008
17.8%
5,115
5,558
(8.0)%
Net loss attributable to noncontrolling interests
2
8
NM
—
4
NM
Shareholders’ net income
$
1,189
$
1,016
17.0%
$
5,115
$
5,562
(8.0)%
Shareholders’ earnings per diluted share
$
5.32
$
4.36
22.0%
$
22.67
$
23.81
(4.8)%
Diluted shares
223.7
233.1
(4.0)%
225.6
233.6
(3.4)%
Benefit expense as a percentage of premiums
91.3
%
89.5
%
180 bp
88.9
%
87.2
%
170 bp
Operating expense as a percentage of total operating revenue
10.5
%
11.8
%
(130)bp
10.5
%
11.7
%
(120)bp
Income before income tax expense as a percentage of total revenue
2.8
%
3.0
%
(20)bp
4.3
%
5.5
%
(120)bp
“NM” = calculation not meaningful
8
Elevance Health
Condensed Consolidated Balance Sheet
(In millions)
September 30,
2025
December 31,
2024
Assets
(Unaudited)
Current assets:
Cash and cash equivalents
$8,713
$8,288
Fixed maturity and equity securities
27,503
26,393
Premium and other receivables
22,349
19,071
Other current assets
5,213
4,700
Assets held for sale
—
490
Total current assets
63,778
58,942
Long-term investments
11,759
10,784
Property and equipment, net
4,657
4,652
Goodwill and other intangible assets
39,778
40,371
Other noncurrent assets
2,777
2,140
Total assets
$122,749
$116,889
Liabilities and equity
Liabilities
Current liabilities:
Medical claims payable
$17,148
$15,746
Short-term borrowings
180
365
Current portion of long-term debt
749
1,649
Other current liabilities
22,801
22,668
Liabilities held for sale
—
153
Total current liabilities
40,878
40,581
Long-term debt, less current portion
31,173
29,218
Other noncurrent liabilities
6,616
5,664
Total liabilities
78,667
75,463
Total shareholders’ equity
43,953
41,315
Noncontrolling interests
129
111
Total equity
44,082
41,426
Total liabilities and equity
$122,749
$116,889
9
Elevance Health
Condensed Consolidated Statement of Cash Flows
(Unaudited)
(In millions)
Nine Months Ended
September 30
2025
2024
Operating activities
Net income
$5,115
$5,558
Depreciation and amortization
1,140
995
Share-based compensation
246
220
Changes in operating assets and liabilities
(2,753)
(1,701)
Other non-cash items
458
30
Net cash provided by operating activities
4,206
5,102
Investing activities
Purchases of investments, net of sales and maturities
(412)
(1,614)
Proceeds from (purchases of) subsidiaries, net of cash
55
(725)
Purchases of property and equipment
(823)
(934)
Other, net
(628)
(256)
Net cash used in investing activities
(1,808)
(3,529)
Financing activities
Net change in short-term and long-term borrowings
659
1,915
Repurchase and retirement of common stock
(2,134)
(1,089)
Cash dividends
(1,152)
(1,135)
Other, net
653
94
Net cash (used in) provided by financing activities
(1,974)
(215)
Effect of foreign exchange rates on cash and cash equivalents
1
2
Change in cash and cash equivalents
425
1,360
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
—
(20)
Cash and cash equivalents at end of period
$8,713
$7,866
10
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 Details
(Unaudited)
(In millions)
Three Months Ended September 30
Nine Months Ended September 30
2025
2024
Change
2025
2024
Change
Operating Revenue
Health Benefits
$42,246
$38,278
10.4 %
$125,259
$112,695
11.1 %
CarelonRx
10,997
9,143
20.3 %
31,756
25,984
22.2 %
Carelon Services
7,324
4,638
57.9 %
21,301
13,192
61.5 %
Corporate & Other
149
74
101.4 %
546
323
69.0 %
Eliminations
(10,629)
(7,414)
NM6
(30,589)
(21,979)
NM6
Total Operating Revenue1
$50,087
$44,719
12.0 %
$148,273
$130,215
13.9 %
Operating Gain (Loss)
Health Benefits2
$601
$1,604
(62.5)%
$4,378
$6,036
(27.5)%
CarelonRx
556
619
(10.2)%
1,694
1,639
3.4 %
Carelon Services2
219
184
19.0 %
1,110
682
62.8 %
Corporate & Other2,3
(81)
(999)
NM6
(292)
(1,168)
NM6
Total Operating Gain1,4
$1,295
$1,408
(8.0)%
$6,890
$7,189
(4.2)%
Operating Margin
Health Benefits
1.4 %
4.2 %
(280)bp
3.5 %
5.4 %
(190)bp
CarelonRx
5.1 %
6.8 %
(170)bp
5.3 %
6.3 %
(100)bp
Carelon Services
3.0 %
4.0 %
(100)bp
5.2 %
5.2 %
— bp
Total Operating Margin1
2.6 %
3.1 %
(50)bp
4.6 %
5.5 %
(90)bp
Health Benefits Revenue Details
(In millions)
Three Months Ended September 30
Nine Months Ended September 30
2025
2024
Change
2025
2024
Change
Health Benefits Operating Revenue
Commercial
$12,849
$11,639
10.4 %
$37,654
$34,965
7.7 %
Individual5
2,358
2,082
13.3 %
7,047
6,178
14.1 %
Medicare
11,138
9,385
18.7 %
33,990
27,741
22.5 %
Medicaid
14,166
13,063
8.4 %
42,120
39,182
7.5 %
Federal Employee Program
4,093
4,191
(2.3)%
11,495
10,807
6.4 %
Total Health Benefits Operating
Revenue1
$42,246
$38,278
10.4 %
$125,259
$112,695
11.1 %
1.
See “Basis of Presentation” on page 5 herein.
2.
Operating Gain for the three and nine months ended September 30, 2024, included $72 and $191 million,
respectively, of 2024 business dispositions and related items; including $53 and $141 million, respectively, for the Carelon Services segment; and $19 and $50 million, respectively, for the Health Benefits segment. Operating Gain for the
three and nine months ended September 30, 2024, included $42 and $158 million, respectively, of transaction and integration related costs, $669 and $680 million, respectively, of litigation and settlement expenses, and $268 and
$268 million, respectively, of business optimization charges, all of which reside in the Corporate & Other reportable segment.
3.
Operating Gain for the three and nine months ended September 30, 2025, included $49 and $182 million,
respectively, of transaction and integration related costs, $4 and $19 million, respectively, of litigation and settlement expenses, and ($4) and ($4), respectively, of business optimization charges, all of which reside in the
Corporate & Other reportable segment.
4.
Operating Gain for the three and nine months ended September 30, 2025, and September 30, 2024,
included items excluded from adjusted shareholders’ net income. See “GAAP Reconciliation” on pages 13 and 14 herein.
5.
The Individual business, including ACA products, is reported as part of Commercial Operating Revenue.
6.
“NM” = calculation not meaningful.
11
Elevance Health
Reconciliation of Medical Claims Payable
Nine Months
Ended
September 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
344
—
143
—
133
Net incurred medical claims:
Current year
108,423
92,715
125,370
121,798
113,414
Prior years redundancies1
(1,266)
(1,610)
(1,731)
(1,571)
(869)
Total net incurred medical claims
107,157
91,105
123,639
120,227
112,545
Net payments attributable to:
Current year medical claims
93,545
79,220
110,930
107,146
98,997
Prior years medical claims
12,699
12,567
13,143
12,565
11,600
Total net payments
106,244
91,787
124,073
119,711
110,597
Net medical claims payable, end of period
16,824
15,176
15,567
15,858
15,342
Ceded medical claims payable, end of period
44
9
13
7
6
Gross medical claims payable, end of
period2
$
16,868
$
15,185
$
15,580
$
15,865
$
15,348
Current year medical claims paid as a percentage of current year net incurred medical claims
86.3%
85.4%
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
8.9%
11.3%
12.3%
11.4%
7.0%
Prior year redundancies in the current year as a percentage of prior year net incurred medical
claims
1.0%
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.
12
Elevance Health
GAAP Reconciliation
(Unaudited)
This document references non-GAAP measures, including “Adjusted
Shareholders’ Net Income,” “Adjusted Shareholders’ Net Income Per Share,” “Adjusted EPS,” “Adjusted Operating Gain,” “Adjusted Operating Expense” and “Adjusted Operating Expense
Ratio,” which are non-GAAP measures. These non-GAAP measures are intended to aid investors when comparing Elevance Health’s financial results among periods
and are not intended to be alternatives to any measure calculated in accordance with GAAP. Reconciliations of these non-GAAP measures to the most directly comparable measures calculated in accordance with GAAP
are available below. In addition to these non-GAAP measures, references are made to the measures “Operating Revenue” and “Operating Gain/Loss,” “Operating Margin” and
“Adjusted EPS”. Operating revenue and operating gain/loss are the key measures used by management to evaluate performance in each of its reportable segments, allocate resources, set incentive compensation targets and to forecast future
operating performance. Operating gain/loss is calculated as total operating revenue less benefit expense, cost of products sold and operating expense. It does not include net investment income, net gains/losses on financial instruments, interest
expense, amortization of other intangible assets and gains/losses on extinguishment of debt or income taxes, as these items are managed in a corporate shared service environment and are not the responsibility of operating segment management. Each of
these measures is provided to further aid investors in understanding and analyzing Elevance Health’s operating and financial results. A reconciliation of Operating Revenue to Total Revenue is set forth in the Consolidated Statements of Income
herein. A reconciliation of the non-GAAP measures to the most directly comparable measures calculated in accordance with GAAP, together with a reconciliation of reportable segments operating gain to income
before income tax expense, is provided below. Prior amounts may be grouped differently to conform to the current presentation. Net adjustment items per share may not sum due to rounding. A reconciliation of Operating Revenue to Total Revenue is set
forth in the Consolidated Statements of Income herein.
Three Months Ended
September 30
Nine Months Ended
September 30
(In millions, except per share data)
2025
2024
Change
2025
2024
Change
Shareholders’ net income
$
1,189
$
1,016
17.0%
$
5,115
$
5,562
(8.0)%
Add / (Subtract):
Amortization of other intangible assets
162
122
464
400
Transaction and integration related costs1
49
42
182
158
Litigation and settlement expenses1
4
669
19
680
Net losses on financial instruments
1
125
596
371
Business dispositions and related items2
—
72
—
191
(Gain) loss on sale of business
—
39
—
(201)
Business optimization charges1
(4)
268
(4)
268
Tax impact of non-GAAPadjustments
(52)
(348)
(307)
(482)
Net adjustment items
160
989
950
1,385
Adjusted shareholders’ net income
$
1,349
$
2,005
(32.7)%
$
6,065
$
6,947
(12.7)%
Shareholders’ earnings per diluted share
$
5.32
$
4.36
22.0%
$
22.67
$
23.81
(4.8)%
Add / (Subtract):
Amortization of other intangible assets
0.72
0.52
2.06
1.71
Transaction and integration related costs1
0.22
0.18
0.81
0.68
Litigation and settlement expenses1
0.02
2.87
0.08
2.91
Net losses on financial instruments
—
0.54
2.64
1.59
Business dispositions and related items2
—
0.31
—
0.82
(Gain) loss on sale of business
—
0.17
—
(0.86)
Business optimization charges1
(0.02)
1.15
(0.02)
1.15
Tax impact of non-GAAPadjustments
(0.23)
(1.49)
(1.36)
(2.06)
Net adjustment items
0.71
4.24
4.21
5.93
Adjusted shareholders’ earnings per diluted share
$
6.03
$
8.60
(29.9)%
$
26.88
$
29.74
(9.6)%
Three Months Ended
September 30
Nine Months Ended
September 30
(In millions)
2025
2024
Change
2025
2024
Change
Income before income tax expense
$
1,406
$
1,373
2.4%
$
6,495
$
7,298
(11.0)%
Net investment income
(625)
(551)
(1,701)
(1,524)
(Gain) loss on sale of business
—
39
—
(201)
Net losses on financial instruments
1
125
596
371
Interest expense
351
300
1,036
845
Amortization of other intangible assets
162
122
464
400
Reportable segments operating gain
$
1,295
$
1,408
(8.0)%
$
6,890
$
7,189
(4.2)%
1.
Adjustment item resides in the Corporate & Other reportable segment.
2.
Adjustment item resides in the Health Benefits and Carelon Services reportable segments.
13
Elevance Health
GAAP Reconciliation
(Unaudited)
Three Months Ended
September 30
Nine Months Ended
September 30
(In millions)
2025
2024
Change
2025
2024
Change
Reportable segments operating gain
$ 1,295
$ 1,408
(8.0)%
$ 6,890
$ 7,189
(4.2)%
Add / (Subtract):
Transaction and integration related
costs1
49
42
182
158
Litigation and settlement expenses1
4
669
19
680
Business dispositions and related
items2
—
72
—
191
Business optimization charges1
(4)
268
(4)
268
Net adjustment items
49
1,051
197
1,297
Reportable segments adjusted operating gain
$ 1,344
$ 2,459
(45.3)%
$ 7,087
$ 8,486
(16.5)%
Three Months Ended
September 30
Nine Months Ended
September 30
(In millions)
2025
2024
Change
2025
2024
Change
Operating expense
$ 5,272
$ 5,269
0.1%
$ 15,569
$ 15,221
2.3%
Add / (Subtract):
Transaction and integration related
costs1
(49)
(42)
(182)
(158)
Litigation and settlement expenses1
(4)
(669)
(19)
(680)
Business dispositions and related
items2
—
(72)
—
(191)
Business optimization charges1
4
(268)
4
(268)
Net adjustment items
(49)
(1,051)
(197)
(1,297)
Adjusted operating expense
$ 5,223
$ 4,218
23.8%
$ 15,372
$ 13,924
10.4%
Operating revenue
$
50,087
$
44,719
12.0%
$
148,273
$
130,215
13.9%
Operating expense ratio
10.5%
11.8%
(130)bp
10.5%
11.7%
(120)bp
Adjusted operating expense ratio
10.4%
9.4%
100 bp
10.4%
10.7%
(30) bp
Full Year
2025 Outlook
G3Shareholders’ earnings per diluted share
Approximately $24.70
Add / (Subtract):
Amortization of other intangible
assets3
$2.98
Net losses on financial instruments3
$2.90
Transaction and integration related
costs1,3
$1.03
Litigation and settlement expenses1,3
$0.10
Business optimization charges1
($0.02)
Tax impact of non-GAAP adjustments3
Approximately ($1.69)
Net adjustment items
$5.30
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.
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 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.
15
Mentions · how they’re counted
| Category | Underlined | Word counter | Model’s count |
|---|---|---|---|
| AI AI, artificial intelligence, generative AI, machine learning, large language model, LLM | 2 | 2 | 1 |
| Layoffs layoffs, RIF, headcount reduction, workforce optimization, restructuring | 0 | — | 0 |
| Recession recession, downturn, contraction, slowdown | 0 | 0 | 0 |
| Tariffs tariff, trade war, trade barriers, trade restrictions, trade policy | 0 | 0 | 0 |
| Buybacks share repurchase, buyback program | 0 | — | 2 |
Underlines use the same word lists the scores use. AI, recession and tariffs follow Palanor’s word counter, so those counts match it exactly on the same text. Layoffs and buybacks use the terms the model was given. The model’s count is an estimate by meaning, not by string, so it can differ from the underlines.
Source: SEC EDGAR · public domain · Highlights by Palanor