10-QPeriod: Q2 FY2009

Elevance Health, Inc. Quarterly Report for Q2 Ended Jun 30, 2009

Filed July 29, 2009For Securities:ELV

Summary

Elevance Health, Inc. (formerly WellPoint, Inc.) reported its second-quarter and year-to-date results for 2009. The company saw a slight decrease in operating revenue, primarily due to declining membership in fully-insured plans, offset by premium rate increases. Net income decreased year-over-year for both the quarter and the six-month period, driven by lower operating revenue and increased administrative expenses, though partially mitigated by lower benefit expenses. Key financial developments include a significant increase in operating cash flow year-over-year, demonstrating strong operational cash generation. The company also announced its definitive agreement to sell its PBM (Pharmacy Benefit Management) business, NextRx, to Express Scripts, which is expected to provide substantial cash proceeds. Significant share repurchases continue to be a focus for capital allocation, reducing the outstanding share count. The company's financial position remains solid, with substantial cash and investments, though it faces ongoing challenges in the healthcare industry, including managing cost of care trends and navigating regulatory environments.

Financial Statements
Beta

Key Highlights

  • 1Total operating revenue for the quarter was $15.3 billion, a 1% decrease year-over-year, primarily due to membership declines in fully-insured plans, partially offset by premium rate increases.
  • 2Net income for the quarter was $693.5 million, an 8% decrease compared to the same period in 2008, attributed to lower operating revenue and higher administrative expenses.
  • 3The company announced an agreement to sell its PBM business (NextRx) to Express Scripts for $4.675 billion, expected to close in the second half of 2009.
  • 4Operating cash flow for the six months ended June 30, 2009, was $1.6 billion, a significant increase from $1.2 billion in the prior year period.
  • 5The company repurchased approximately 9.8 million shares of common stock in the second quarter of 2009 for $437.0 million.
  • 6Medical membership decreased by 1,053,000 (3%) to 34.2 million as of June 30, 2009, primarily due to declines in Local Group and State-Sponsored businesses.
  • 7The company reported a benefit expense ratio of 82.9% for the quarter, a decrease from 83.3% in the prior year, indicating improved cost management in certain segments.

Frequently Asked Questions

For the second quarter of 2009, Elevance Health (WellPoint) reported a slight decrease in operating revenue to $15.3 billion and a decrease in net income to $693.5 million. However, operating cash flow for the six-month period saw a significant increase to $1.6 billion compared to the prior year. The company continues to manage membership declines in fully-insured plans while implementing premium rate increases.

The most significant strategic action announced is the definitive agreement to sell its Pharmacy Benefit Management (PBM) business, NextRx, to Express Scripts for $4.675 billion. This divestiture is expected to close in the second half of 2009. The company also completed the acquisition of DeCare Dental, LLC in April 2009.

The company classifies its investment securities as available-for-sale and reports them at fair value. As of June 30, 2009, investments totaled $15.9 billion. The company is subject to investment risks, including credit quality, interest rate, and market valuation risks. It experienced other-than-temporary impairment losses on investments totaling $74.0 million in the quarter, primarily related to fixed maturity and equity securities due to deteriorating credit ratings and equity market declines. The company actively reviews its investment portfolio for impairment and acknowledges the ongoing risk of further impairment losses given market conditions.

Total medical membership decreased by 3% year-over-year to 34.2 million as of June 30, 2009, primarily driven by declines in Local Group and State-Sponsored businesses, influenced by economic conditions and program withdrawals. The company's estimated cost of care trend for the rolling 12 months ended June 30, 2009, was 8.0% (plus or minus 0.5%), driven by unit costs in inpatient services, outpatient services, and pharmacy costs. The company is implementing various strategies to manage these cost trends.