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Elevance Health Reports First Quarter 2024 Results

INDIANAPOLIS, April 18, 2024 (BUSINESS WIRE) --
Elevance Health, Inc. (NYSE: ELV) reported first quarter 2024 results.

"First quarter results reflect disciplined execution of our strategic initiatives during a dynamic time for our industry. We are making significant progress expanding Carelon's capabilities, scaling our flywheel for enterprise growth, and delivering results for all stakeholders. Given the solid start to the year, we have increased our outlook for full year earnings. Earlier this week, we also announced the next step in our journey to expand access to high-quality, patient-centered, value-based care in our local markets. This strategic partnership with Clayton, Dubilier & Rice has the potential to accelerate innovation in care delivery, enhance healthcare experiences, and improve health outcomes, all while advancing our value-based care and physician enablement strategy."

Gail K. Boudreaux President and Chief Executive Officer

1.   Earnings per diluted share ("EPS").
                 
                                                                    Elevance Health                                                                   
                                                          Consolidated Enterprise Highlights                                                          
                                                                      (Unaudited)                                                                     
                 
  (In billions)                                                   Three Months Ended                                               
                                          ----------------------------------------------------------------------------------------------------
          March 31,              March 31,            December 31,        
                                                  2024                                      2023                                      2023
                                          --------------------                      --------------------                      --------------------
                 
  Operating Revenue(1)                $42.3                  $41.9                  $42.5    
  Operating Gain(1,2)                  $3.0                   $2.8                   $1.3    
                 
  Operating Margin(1)                 7.1 %                  6.8 %                  3.0 %    
1.   See "Basis of Presentation."

Operating revenue was $42.3 billion in the first quarter of 2024, an increase of $0.4 billion, or approximately 1 percent compared to the prior year quarter. This increase was driven by higher premium yields to reflect medical cost trend, and growth in Carelon, including a full quarter of revenue from BioPlus, which closed in February of 2023, partially offset by attrition in Medicaid membership.

The benefit expense ratio was 85.6 percent, an improvement of 20 basis points, driven primarily by premium rate adjustments to cover medical cost trend in our Health Benefits business. Days in Claims Payable was 49.0 days as of March 31, 2024, an increase of 1.7 days from December 31, 2023, and an increase of 3.0 days compared to March 31, 2023.

The operating expense ratio was 11.6 percent, an increase of 10 basis points due to investment and integration costs. Excluding adjustment items, the operating expense ratio was unchanged at 11.4 percent.

Elevance Health now expects net income per diluted share to be greater than $34.05 in 2024 and adjusted diluted net income per share to be greater than $37.20.

Cash Flow & Balance Sheet

Operating cash flow for the first quarter was $2.0 billion, or 0.9 times net income. As of March 31, 2024, cash and investments at the parent company totaled approximately $1.0 billion.

During the first quarter of 2024, the Company repurchased 1.1 million shares of its common stock for $566 million, at a weighted average price of $492.76. As of March 31, 2024, the Company had approximately $3.6 billion of Board approved share repurchase authorization remaining. During the first quarter of 2024, the Company paid a quarterly dividend of $1.63 per share, representing a distribution of cash totaling $379 million.

Health Benefits is comprised of Individual, Employer Group risk-based, Employer Group fee-based, BlueCard, Medicare, Medicaid, and Federal Health Products & Services businesses.

                 
                                                                    Health Benefits                                                                   
                                                             Reportable Segment Highlights                                                            
                                                                      (Unaudited)                                                                     
                 
  (In billions)                                                   Three Months Ended                                               
                                          ----------------------------------------------------------------------------------------------------
          March 31,              March 31,            December 31,        
                                                  2024                                      2023                                      2023
                                          --------------------                      --------------------                      --------------------
                 
  Operating Revenue(1)                $37.3                  $37.3                  $36.5    
  Operating Gain(1,2)                  $2.3                   $2.1                   $0.8    
                 
  Operating Margin(1)                 6.1 %                  5.8 %                  2.1 %    
1.   See "Basis of Presentation."

Operating revenue was $37.3 billion in the first quarter of 2024, unchanged compared to the prior year quarter, as premium rate increases to reflect medical cost trends were offset by Medicaid membership attrition associated with eligibility redeterminations and expected footprint adjustments.

Operating gain totaled $2.3 billion, an increase of 6 percent, driven by premium yields, including disciplined commercial underwriting.

Medical membership totaled approximately 46.2 million as of March 31, 2024, a decrease of 1.9 million, or 4 percent compared to the prior year quarter, driven by attrition in our Medicaid business associated with eligibility redeterminations and expected footprint adjustments. These membership losses were partially offset by growth in our commercial Employer Group fee-based, Affordable Care Act, and BlueCard membership.

Carelon is comprised of CarelonRx and Carelon Services.

                     
                                                                          Carelon                                                                         
                                                               Reportable Segment Highlights                                                              
                                                                        (Unaudited)                                                                       
                     
  (In billions)                                                       Three Months Ended                                               
                                              ----------------------------------------------------------------------------------------------------
              March 31,              March 31,            December 31,        
                                                      2024                                      2023                                      2023
                                              --------------------                      --------------------                      --------------------
                     
  Operating Revenue(1,2,3)                $12.1                  $11.5                  $12.4    
  Operating Gain(1,2,3)                    $0.8                   $0.7                   $0.6    
                     
  Operating Margin(1)                     6.7 %                  6.5 %                  4.8 %    
1.   See "Basis of Presentation."
2.   Operating Revenue and Operating Gain for Carelon in millions for the three months ended March 31, 2024, included $8,067 and $523 for CarelonRx; and $4,009 and $290 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the three months ended March 31, 2023, included $8,024 and $512 for CarelonRx; and $3,460 and $229 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the three months ended December 31, 2023, included $8,827 and $490 for CarelonRx; and $3,574 and $102 for Carelon Services, respectively.

Operating revenue for Carelon was $12.1 billion in the first quarter of 2024, an increase of $0.6 billion, or 5 percent compared to the prior year quarter. This increase was driven by the launch of new risk-based capabilities in Carelon Services and growth in CarelonRx, including a full quarter of revenue from the acquisition of BioPlus, which closed in February of 2023, and growth in external customers served, partially offset by the impact of Medicaid membership attrition on affiliated revenue streams.

Operating gain for Carelon totaled $0.8 billion, an increase of $72 million, or 10 percent, primarily driven by improved performance on certain risk-based arrangements in Carelon Services.

Quarterly Dividend

On April 16, 2024, the Audit Committee of the Company's Board of Directors declared a second quarter 2024 dividend to shareholders of $1.63 per share. The second quarter dividend is payable on June 25, 2024, to shareholders of record at the close of business on June 10, 2024.

About Elevance Health

Elevance Health is a lifetime, trusted health partner whose purpose is to improve the health of humanity. The company supports consumers, families, and communities across the entire healthcare journey - connecting them to the care, support, and resources they need to lead better lives. Elevance Health's companies serve approximately 115 million consumers through a diverse portfolio of industry-leading medical, pharmacy, behavioral, clinical, and complex care solutions. For more information, please visit www.elevancehealth.com or follow us @ElevanceHealth on X and Elevance Health on LinkedIn.

Conference Call and Webcast

Management will host a conference call and webcast today at 8:30 a.m. Eastern Daylight Time ("EDT") to discuss the company's first quarter results and outlook. The conference call should be accessed at least 15 minutes prior to the start of the call with the following numbers:

  888-947-9963 (Domestic) 800-876-4955 (Domestic Replay)  

The access code for today's conference call is 3972058. There is no access code for the replay. The replay will be available from 11:30 a.m. EDT today, until the end of the day on May 17, 2024. The call will also be available through a live webcast at www.elevancehealth.com under the "Investors" link. A webcast replay will be available following the call.

Basis of Presentation

1.    Operating revenue and operating gain/loss are the key measures used by management to evaluate performance in each of its reporting segments, allocate resources, set incentive compensation targets and to forecast future operating performance. Operating gain/loss is calculated as total operating revenue less benefit expense, cost of products sold and operating expense. It does not include net investment income, net gains/losses on financial instruments, interest expense, amortization of other intangible assets, gains/losses on extinguishment of debt or income taxes, as these items are managed in a corporate shared service environment and are not the responsibility of operating segment management. Refer to the GAAP reconciliation tables.

Elevance Health Earnings Release Financial Schedules and Supplementary Information Quarter Ended March 31, 2024

Membership and Other Metrics Quarterly Consolidated Statements of Income Condensed Consolidated Balance Sheet Condensed Consolidated Statement of Cash Flows Supplemental Financial Information - Reportable Segments Supplemental Financial Information - Reconciliation of Medical Claims Payable Reconciliation of Non-GAAP Financial Measures

                                                                                                           Elevance Health
                                                                                                    Membership and Other Metrics
                                                                                                             (Unaudited)
                                      
                                                           Change from
                                                                                                                                                                      ------------------------------------------------------------
Medical Membership (in thousands)             March 31,              March 31,            December 31,             March 31,            December 31,
                                                2024                                      2023                                      2023                                      2023                                      2023
--------------------------------------- --------------------                      --------------------                      --------------------                      --------------------                      --------------------
                                                       1,246                    942                  1,025                 32.3 %                 21.6 %
      Individual
                                                       3,648                  3,798                  3,756                (3.9) %                (2.9) %
      Employer Group Risk-Based
                                        --------------------                      --------------------                      --------------------
                                                       4,894                  4,740                  4,781                  3.2 %                  2.4 %
   Commercial Risk-Based
                                                       6,825                  6,607                  6,838                  3.3 %                (0.2) %
      BlueCard(R)
                                                      20,622                 20,278                 20,227                  1.7 %                  2.0 %
      Employer Group Fee-Based
                                        --------------------                      --------------------                      --------------------
                                                      27,447                 26,885                 27,065                  2.1 %                  1.4 %
   Commercial Fee-Based
                                                       2,017                  2,053                  2,047                (1.8) %                (1.5) %
      Medicare Advantage
                                                         896                    925                    923                (3.1) %                (2.9) %
      Medicare Supplement
                                        --------------------                      --------------------                      --------------------
                                                       2,913                  2,978                  2,970                (2.2) %                (1.9) %
   Total Medicare
                                                       9,327                 11,889                 10,503               (21.5) %               (11.2) %
   Medicaid
                                                       1,658                  1,632                  1,642                  1.6 %                  1.0 %
   Federal Employees Health Benefits
                                        --------------------                      --------------------                      --------------------
Total Medical Membership                              46,239                 48,124                 46,961                (3.9) %                (1.5) %
                                        ====================                      ====================                      ====================
Other Membership (in thousands)                          
---------------------------------------
                                                       4,469                  4,771                  4,629                (6.3) %                (3.5) %
   Life and Disability Members
                                                       6,970                  6,743                  6,820                  3.4 %                  2.2 %
   Dental Members
                                                       1,841                  1,697                  1,729                  8.5 %                  6.5 %
   Dental Administration Members
                                                      10,251                  9,904                  9,944                  3.5 %                  3.1 %
   Vision Members
                                                         262                    264                    260                (0.8) %                  0.8 %
   Medicare Part D Standalone Members
Other Metrics (in millions)                              
---------------------------------------
                                                        77.0                   75.7                   78.0                  1.7 %                (1.3) %
   CarelonRx Quarterly Adjusted Scripts
                                                       102.9                  104.0                  103.3                (1.1) %                (0.4) %
   Carelon Services Consumers Served
                                                                                                                              Elevance Health
                                                                                                                     Consolidated Statements of Income
                                                                                                                                (Unaudited)
                                                                                                                                            
(In millions, except per share data)                                                                                                                         Three Months Ended
                                                                                                                                                                  March 31
                                                                  ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                         2024                       2023                          Change
                                                                  -------------------- -------------------- --------------------                      -------------------- -------------------- --------------------                      ------------------------------
                                                                                                                                            
Revenues                                                                                                                                                       
                                                                                     $               35,696                        $               35,868           (0.5 )%
   Premiums
                                                                                   4,499                      4,022           11.9 %
   Product revenue
                                                                                   2,078                      2,008            3.5 %
   Service fees
                                                                  -------------------- -------------------- --------------------                      -------------------- -------------------- --------------------
                                                                                  42,273                     41,898            0.9 %
   Total operating revenue
                                                                                     465                        387           20.2 %
   Net investment income
                                                                                    (161                    )                     (113                    )           NM  
   Net losses on financial instruments
                                                                  -------------------- -------------------- --------------------                      -------------------- -------------------- --------------------
                                                                                  42,577                     42,172            1.0 %
   Total revenues
Expenses                                                                                                                                                       
                                                                                  30,546                     30,786           (0.8 )%
   Benefit expense
                                                                                   3,825                      3,481            9.9 %
   Cost of products sold
                                                                                   4,886                      4,800            1.8 %
   Operating expense
                                                                                     265                        251            5.6 %
   Interest expense
                                                                                     116                        235          (50.6 )%
   Amortization of other intangible assets
                                                                  -------------------- -------------------- --------------------                      -------------------- -------------------- --------------------
                                                                                  39,638                     39,553            0.2 %
   Total expenses
                                                                                                                                            
Income before income tax expense                                                   2,939                      2,619           12.2 %
                                                                                                                                            
Income tax expense                                                                   690                        615           12.2 %
                                                                  -------------------- -------------------- --------------------                      -------------------- -------------------- --------------------
Net income                                                                         2,249                      2,004           12.2 %
                                                                                                                                            
Net income attributable to noncontrolling interests                                   (3                    )                      (15                    )           NM  
                                                                  -------------------- -------------------- --------------------                      -------------------- -------------------- --------------------
Shareholders' net income                                                             $                2,246                        $                1,989           12.9 %
                                                                  -------------------- -------------------- --------------------                      -------------------- -------------------- --------------------
Shareholders' earnings per diluted share                                             $                 9.59                        $                 8.30           15.5 %
                                                                  ==================== ==================== ====================                      ==================== ==================== ====================
Diluted shares                                                                     234.2                      239.7           (2.3 )%
                                                                                                                                            
Benefit expense as a percentage of premiums                                         85.6                    %                     85.8                    %                           (20) bp
Operating expense as a percentage of total operating revenue                        11.6                    %                     11.5                    %                             10 bp
Income before income tax expense as a percentage of total revenue                    6.9                    %                      6.2                    %                             70 bp
                                                                
                                                              Elevance Health
                                                   Condensed Consolidated Balance Sheet
(In millions)                                                     March 31,                       December 31,
                                                                    2024                                                 2023
                                                      ------------------------------                       ------------------------------
Assets                                                           (Unaudited)             
                                                                      
   Current assets:
                                                                         $      6,226                      $      6,526
      Cash and cash equivalents
                                                            30,041         29,843
      Fixed maturity and equity securities
                                                            18,293         17,865
      Premium and other receivables
                                                             6,388          5,795
      Other current assets
                                                      -------------------- ----------                      -------------------- ----------
                                                            60,948         60,029
   Total current assets
                                                                      
    
                                                             7,593          6,983
   Long-term investments
                                                             4,451          4,359
   Property and equipment, net
                                                            36,657         35,590
   Goodwill and other intangible assets
                                                             2,245          1,967
   Other noncurrent assets
                                                      -------------------- ----------                      -------------------- ----------
                                                                         $    111,894                      $    108,928
   Total assets
                                                      ==================== ==========                      ==================== ==========
                                                                      
    
Liabilities and equity                                                
Liabilities                                                           
                                                                      
   Current liabilities:
                                                                         $     16,459                      $     16,111
      Medical claims payable
                                                             1,575            225
      Short-term borrowings
                                                             2,900          1,649
      Current portion of long-term debt
                                                            23,400         23,806
      Other current liabilities
                                                      -------------------- ----------                      -------------------- ----------
                                                            44,334         41,791
   Total current liabilities
                                                      -------------------- ----------                      -------------------- ----------
                                                                      
    
                                                            21,976         23,246
   Long-term debt, less current portion
                                                             4,874          4,486
   Other noncurrent liabilities
                                                      -------------------- ----------                      -------------------- ----------
                                                            71,184         69,523
   Total liabilities
                                                      -------------------- ----------                      -------------------- ----------
                                                   
Total shareholders' equity       40,608         39,306
Noncontrolling interests                                       102             99
                                                      -------------------- ----------                      -------------------- ----------
Total equity                                                40,710         39,405
                                                      -------------------- ----------                      -------------------- ----------
                                                                                         Elevance Health
                                                                         Condensed Consolidated Statement of Cash Flows
                                                                                           (Unaudited)
                                                                                       
(In millions)                                                                                                      Three Months Ended March 31
                                                                 ------------------------------------------------------------------------------------------------------------------------
                                                     2024             2023   
                                                                 -------------------- -------------- --------------------                      -------------------- ------ --------------------
                                                                                       
Operating activities                                                                                      
                                                                                    $          2,249                        $  2,004  
   Net income
                                                                              331          462  
         Depreciation and amortization
                                                                               62           61  
         Share-based compensation
                                                                             (988                    )      4,054  
         Changes in operating assets and liabilities
                                                                              324         (112                    )
         Other non-cash items
                                                                 -------------------- -------------- --------------------                      -------------------- ------ --------------------
                                                                            1,978        6,469  
   Net cash provided by operating activities
                                                                                                          
    
Investing activities                                                                                      
                                                                             (670                    )     (1,421                    )
      Purchases of investments, net of sales and maturities
                                                                           (1,120                    )     (1,638                    )
      Purchases of subsidiaries, net of cash acquired
                                                                             (279                    )       (301                    )
      Purchases of property and equipment
                                                                             (241                    )        176  
      Other, net
                                                                 -------------------- -------------- --------------------                      -------------------- ------ --------------------
                                                                           (2,310                    )     (3,184                    )
   Net cash used in investing activities
                                                                                                          
    
Financing activities                                                                                      
                                                                            1,350          991  
      Net change in short-term and long-term borrowings
                                                                             (566                    )       (622                    )
      Repurchase and retirement of common stock
                                                                             (379                    )       (351                    )
      Cash dividends
                                                                             (373                    )       (549                    )
      Other, net
                                                                 -------------------- -------------- --------------------                      -------------------- ------ --------------------
                                                                               32         (531                    )
   Net cash provided by (used in) financing activities
                                                                                                          
    
                                                                   --            1  
   Effect of foreign exchange rates on cash and cash equivalents
                                                                 -------------------- -------------- --------------------                      -------------------- ------ --------------------
                                                                                                          
    
                                                                             (300                    )      2,755  
   Change in cash and cash equivalents
                                                                            6,526        7,387  
   Cash and cash equivalents at beginning of period
                                                                 -------------------- -------------- --------------------                      -------------------- ------ --------------------
                                                                                                          
    

REPORTABLE SEGMENTS

Elevance Health has four reportable segments: Health Benefits (comprised of Individual, Employer Group risk-based, Employer Group fee-based, BlueCard, Medicare, Medicaid, and Federal Health Products & Services businesses); CarelonRx; Carelon Services; and Corporate & Other (comprised of businesses that do not individually meet the quantitative thresholds for an operating division as well as corporate expenses not allocated to our other reportable segments).

                   
                                                             Elevance Health
                                                  Reportable Segment Highlight Details
                                                               (Unaudited)
                   
  (In millions)                                                     Three Months Ended March 31
                                                ----------------------------------------------------------------------------------------------------
                  2024                   2023                  Change
                                                --------------------                      --------------------                      --------------------
                   
  Operating Revenue                   
  Health Benefits                         $37,258                $37,280                (0.1) %
                                           12,076                 11,484                  5.2 %
                        Carelon(2,4)
                                              127                     91                 39.6 %
                        Corporate & Other(4)
                                          (7,188)                (6,957)                  3.3 %
                        Eliminations(4)
                                                --------------------                      --------------------                      --------------------
  Total Operating Revenue(1)              $42,273                $41,898                  0.9 %
                                                ====================                      ====================                      ====================
                   
  Operating Gain (Loss)               
                                           $2,287                 $2,149                  6.4 %
                        Health Benefits(4)
                                              813                    741                  9.7 %
                        Carelon(2,4)
                                             (84)                   (59)                  NM(5)
                        Corporate & Other(3,4)
                                                --------------------                      --------------------                      --------------------
  Total Operating Gain(1)                  $3,016                 $2,831                  6.5 %
                                                ====================                      ====================                      ====================
                   
  Operating Margin                    
                                            6.1 %                  5.8 %                  30 bp
                        Health Benefits
                                            6.7 %                  6.5 %                  20 bp
                        Carelon
1.                       See "Basis of Presentation."
2.    Operating Revenue and Operating Gain for Carelon for the three months ended March 31, 2024, included $8,067 and $523 for CarelonRx; and $4,009 and $290 for Carelon Services, respectively. Operating Revenue and Operating Gain for Carelon for the three months ended March 31, 2023, included $8,024 and $512 for CarelonRx; and $3,460 and $229 for Carelon Services, respectively.
3.    Operating Gain for the three months ended March 31, 2024, and March 31, 2023, included items adjusted out of adjusted shareholders' net income. See "GAAP Reconciliation."
4.    Operating Revenue and Operating Gain for the three months ended March 31, 2023 are restated for the realignment of Carelon Global Solutions. For the three months ended March 31, 2023, $148 of Operating Revenue was realigned to Carelon Services, $160 of Operating Revenue was realigned away from the Corporate & Other segment, and $12 of Operating Revenue was realigned to Eliminations. For the three months ended March 31, 2023, $20 of Operating Gain was realigned to Carelon Services, $10 of Operating Gain was realigned away from the Health Benefits segment, and $10 of Operating Gain was realigned away from Corporate & Other.
                                                                                                                                                                                                                                     Elevance Health
                                                                                                                                                                                                                                     Reconciliation of Medical Claims Payable
 
                                                                                                                                                                                            Three Months Ended March 31                                                                                                                                                Years Ended December 31
                                                                                                                                                         --------------------------------------------------------------------------------------------------------------------------------                            --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                                             2024                 2023                 2023              2022          2021   
                                                                                                                                                         -------------------- -------------- -------------------- -------------------- -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- ------- --------------------                      -------------------- ------- --------------------
(In millions)                                                                                                                                                                   (Unaudited)                                                (Unaudited)                                                                                                   
                                                                                                                                                                                                                                                                                                
Gross medical claims payable, beginning of period                                                                                                                           $         15,865                        $         15,348                        $         15,348                        $  13,282                        $  11,135  
Ceded medical claims payable, beginning of period                                                                                                                      (7                    )                 (6                    )                 (6                    )         (21                    )         (46                    )
                                                                                                                                                         -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- ------- --------------------                      -------------------- ------- --------------------
Net medical claims payable, beginning of period                                                                                                                    15,858               15,342               15,342        13,261        11,089  
                                                                                                                                                         -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- ------- --------------------                      -------------------- ------- --------------------
                                                                                                                                                                                                                                                                                                
Business combinations and purchase adjustments                                                                                                             --       --       --           133           420  
                                                                                                                                                                                                                                                                                                
Net incurred medical claims:                                                                                                                                                                                                                                                                                       
                                                                                                                                                                   30,708               30,751              121,798       113,414       100,440  
   Current year
                                                                                                                                                                   (1,205                    )             (1,068                    )             (1,571                    )        (869                    )      (1,703                    )
   Prior years redundancies(1)
                                                                                                                                                         -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- ------- --------------------                      -------------------- ------- --------------------
Total net incurred medical claims                                                                                                                                  29,503               29,683              120,227       112,545        98,737  
                                                                                                                                                         -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- ------- --------------------                      -------------------- ------- --------------------
                                                                                                                                                                                                                                                                                                
Net payments attributable to:                                                                                                                                                                                                                                                                                      
                                                                                                                                                                   19,580               19,948              107,146        98,997        88,156  
   Current year medical claims
                                                                                                                                                                    9,606                9,593               12,565        11,600         8,829  
   Prior years medical claims
                                                                                                                                                         -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- ------- --------------------                      -------------------- ------- --------------------
Total net payments                                                                                                                                                 29,186               29,541              119,711       110,597        96,985  
                                                                                                                                                         -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- ------- --------------------                      -------------------- ------- --------------------
                                                                                                                                                                                                                                                                                                
Net medical claims payable, end of period                                                                                                                          16,175               15,484               15,858        15,342        13,261  
Ceded medical claims payable, end of period                                                                                                                             8                    7                    7             6            21  
                                                                                                                                                         -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- -------------- --------------------                      -------------------- ------- --------------------                      -------------------- ------- --------------------
Gross medical claims payable, end of period(2)                                                                                                                              $         16,183                        $         15,491                        $         15,865                        $  15,348                        $  13,282  
                                                                                                                                                         ==================== ============== ====================                      ==================== ============== ====================                      ==================== ============== ====================                      ==================== ======= ====================                      ==================== ======= ====================
                                                                                                                                                                                                                                                                                                
                                                                                                                                                                     63.8                    %               64.9                    %               88.0                    %        87.3                    %        87.8                    %
   Current year medical claims paid as a percentage of current year net incurred medical claims
                                                                                                                                                                                                                                                                                                
                                                                                                                                                                      8.2                    %                7.5                    %               11.4                    %         7.0                    %        18.1                    %
   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
                                                                                                                                                                                                                                                                                                
1.   Negative amounts reported for net incurred medical claims related to prior years result from claims being settled for amounts less than originally estimated.

Elevance Health GAAP Reconciliation (Unaudited)

This document references non-GAAP measures, including "Adjusted Shareholders' Net Income," "Adjusted Shareholders' Net Income Per Share," "Adjusted EPS," "Adjusted Operating Gain," "Adjusted Operating Expense" and "Adjusted Operating Expense Ratio," which are non-GAAP measures. These non-GAAP measures are intended to aid investors when comparing Elevance Health's financial results among periods and are not intended to be alternatives to any measure calculated in accordance with GAAP. Reconciliations of these non-GAAP measures to the most directly comparable measures calculated in accordance with GAAP are available below. In addition to these non-GAAP measures, references are made to the measures "Operating Revenue" and "Operating Gain/Loss," "Operating Margin" and "Adjusted EPS". Operating revenue and operating gain/loss are the key measures used by management to evaluate performance in each of its reportable segments, allocate resources, set incentive compensation targets and to forecast future operating performance. Operating gain/loss is calculated as total operating revenue less benefit expense, cost of products sold and operating expense. It does not include net investment income, net gains/losses on financial instruments, interest expense, amortization of other intangible assets and gains/losses on extinguishment of debt or income taxes, as these items are managed in a corporate shared service environment and are not the responsibility of operating segment management. Each of these measures is provided to further aid investors in understanding and analyzing Elevance Health's operating and financial results. A reconciliation of Operating Revenue to Total Revenue is set forth in the Consolidated Statements of Income herein. A reconciliation of the non-GAAP measures to the most directly comparable measures calculated in accordance with GAAP, together with a reconciliation of reportable segments operating gain to income before income tax expense, is provided below. Prior amounts may be grouped differently to conform to the current presentation. Net adjustment items per share may not sum due to rounding. A reconciliation of Operating Revenue to Total Revenue is set forth in the Consolidated Statements of Income herein.

                                                                                      Three Months Ended                                                          
                                                                                                              March 31
                                                   ------------------------------------------------------------------------------------------------------------------------
(In millions, except per share data)                  2024             2023                 Change
                                                   -------------------- ------ --------------------                      -------------------- -------------- --------------------                      -------------------
Shareholders' net income                                              $  2,246                        $          1,989           12.9 %
                                                                                                                            
   Add / (Subtract):
                                                        161                  113      
      Net losses on financial instruments
                                                        116                  235      
      Amortization of other intangible assets
                                                         52                   26      
      Transaction and integration related costs(1)
                                                          2                    1      
      Litigation expenses(1)
                                                         (4                    )     --      
      Business optimization charges(1)
                                                        (81                    )                (97                    )    
      Tax impact of non-GAAP adjustments
                                                   -------------------- ------ --------------------                      -------------------- -------------- --------------------
                                                        246                  278      
   Net adjustment items
                                                   -------------------- ------ --------------------                      -------------------- -------------- --------------------
Adjusted shareholders' net income                                     $  2,492                        $          2,267            9.9 %
                                                   ==================== ====== ====================                      ==================== ============== ====================
                                                                                                                            
       
Shareholders' earnings per diluted share                              $   9.59                        $           8.30           15.5 %
                                                                                                                            
   Add / (Subtract):
                                                       0.69                 0.47      
      Net losses on financial instruments
                                                       0.50                 0.98      
      Amortization of other intangible assets
                                                       0.22                 0.11      
      Transaction and integration related costs(1)
                                                       0.01       --      
      Litigation expenses(1)
                                                      (0.02                    )     --      
      Business optimization charges(1)
                                                      (0.35                    )              (0.40                    )    
      Tax impact of non-GAAP adjustments
                                                   -------------------- ------ --------------------                      -------------------- -------------- --------------------
                                                       1.05                 1.16      
   Net adjustment items
                                                   -------------------- ------ --------------------                      -------------------- -------------- --------------------
Adjusted shareholders' earnings per diluted share                     $  10.64                        $           9.46           12.5 %
                                                   ==================== ====== ====================                      ==================== ============== ====================
                                                                                                                            
       
                                                                                                     Three Months Ended March 31                                                     
       
                                                   ------------------------------------------------------------------------------------------------------------------------
(In millions)                                         2024             2023                 Change
                                                   -------------------- ------ --------------------                      -------------------- -------------- --------------------                      -------------------
                                                                                                                            
       
Income before income tax expense                                      $  2,939                        $          2,619           12.2 %
                                                       (465                    )               (387                    )    
   Net investment income
                                                        161                  113      
   Net losses on financial instruments
                                                        265                  251      
   Interest expense
                                                        116                  235      
   Amortization of other intangible assets
                                                   -------------------- ------ --------------------                      -------------------- -------------- --------------------
1.   Adjustment item resides in the Corporate & Other reportable segment.
                                                                                                       Elevance Health
                                                                                                     GAAP Reconciliation
                                                                                                         (Unaudited)
                                                                                                                                               
                             

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