10-QPeriod: Q1 FY2016

Elevance Health, Inc. Quarterly Report for Q1 Ended Mar 31, 2016

Filed April 27, 2016For Securities:ELV

Summary

Elevance Health, Inc. (ELV) reported its first quarter 2016 financial results, showing a solid increase in total operating revenue, driven by higher premium revenues in its Government Business segment and increased administrative fees. While revenue growth was positive, the company experienced a decline in net income and diluted earnings per share compared to the prior year's quarter. This decrease was primarily attributed to higher investment-related losses, increased interest expenses, and costs associated with the pending acquisition of Cigna. The company's medical membership grew by 2.8%, reaching 39.6 million, with notable increases in National Accounts and Medicaid segments. Despite the revenue growth and membership expansion, investors should note the impact of increased benefit expenses and the ongoing integration costs and financial implications of the proposed Cigna acquisition, which is expected to close in the second half of 2016. The company also highlighted ongoing litigation and the lingering effects of a significant cyber attack in February 2015, though contingency plans and insurance are in place.

Financial Statements
Beta
Revenue$20.29B
SG&A Expenses$3.20B
Operating Income$1.57B
Interest Expense$187.10M
Net Income$703.00M
EPS (Basic)$2.69
EPS (Diluted)$2.63
Shares Outstanding (Basic)261.80M
Shares Outstanding (Diluted)267.50M

Key Highlights

  • 1Total operating revenue increased by 7.7% year-over-year to $20.3 billion.
  • 2Medical membership grew by 2.8% to 39.6 million, driven by National Accounts and Medicaid segments.
  • 3Net income decreased by 18.7% to $703 million, and diluted EPS fell by 14.9% to $2.63.
  • 4Investment activities resulted in a net realized loss of $125.1 million, a significant shift from a net gain in the prior year.
  • 5The company incurred costs related to the pending acquisition of Cigna Corporation, expected to close in the second half of 2016.
  • 6Benefit expenses increased by 10.0% due to cost trends, membership growth in Government Business, and the Simply Healthcare acquisition.
  • 7Cash flow from operations decreased by $346.2 million to $1.3 billion, primarily due to timing of claims payments and receipts.

Frequently Asked Questions

The primary driver of the revenue increase was higher premium revenues in the Government Business segment, along with increased administrative fees and higher premium revenues in the Commercial and Specialty Business segment.

The decrease in net income and EPS was mainly due to increased losses from investment activities (specifically derivative financial instruments and sales of fixed maturity securities), higher interest expense, and costs incurred related to the pending acquisition of Cigna.

The acquisition of Cigna was announced in July 2015 and is expected to close in the second half of 2016. It is subject to regulatory approvals and other closing conditions. The company is incurring costs related to this pending transaction.

Total medical membership increased by 2.8% to 39.6 million members. Key growth areas included National Accounts (6.6% increase) and Medicaid (7.6% increase), while Local Group membership saw a slight decrease.