NYSE$ELV

Elevance Health Inc · Q4 2023 earnings

Q4 2023 earnings · · Investor relations

Briefing

Elevance Health reported strong Q4 2023 results, driven by customer experience, affordability, and strategic investments.

Elevance Health reported Q4 2023 operating revenue of $42.5 billion, a 7.0% increase year-over-year. GAAP diluted EPS was $3.63, up 1.1%, and adjusted diluted EPS was $5.62, up 15.2%. The company projects FY 2024 GAAP diluted EPS and adjusted diluted EPS of greater than $34.29 and $37.10 per share, respectively.

  • Q4 2023 operating revenue reached $42.5 billion, up 7.0% from Q4 2022.
  • GAAP diluted EPS for Q4 2023 was $3.63, a 1.1% increase from Q4 2022.
  • Adjusted diluted EPS for Q4 2023 was $5.62, a 15.2% increase.
  • The company increased its quarterly dividend by 10.1% to $1.63 per share.

Headline financials

Total Revenue

$42.5B

Previous: $39.7B+7.0%
EPS (adj)

$5.62

Previous: $5.23+7.5%
Capital Expenditures

-$326M

Previous: $298M-209.4%
Free Cash Flow

-$3.3B

Previous: -$1.82B-81.6%
Net Income

$831M

Previous: $961M-13.5%
Operating Income

$1.3B

Previous: $1.37B-5.0%
Gross Profit

$37.8B

Previous: $36.3B+4.2%
Stock-Based Comp

$72M

Previous: $73M-1.4%

Revenue & EPS history

Elevance Health · Revenue · Quarterly

$42.5B

Q4 2023+7%vs Q4 2022
Beat estimate in 13 of 16 quarters(81%)
ActualEstimate

Revenue by segment

Elevance Health · $62B total across 4 segments · Q2 2026

  • Health Benefits
    $42.7B—
  • CarelonRx
    $11.3B—
  • Carelon Services
    $7.98B—
  • Corporate & Other
    $6M—

Forward guidance

Elevance Health projects FY 2024 GAAP diluted EPS and adjusted diluted EPS of greater than $34.29 and $37.10 per share, respectively.

Tailwinds

  • Fee-Based Medical Enrollment between 27.4 and 27.6 million
  • Risk-Based Medical Enrollment between 18.4 and 19.0 million
  • Total Operating Revenue growth flat to low-single digit
  • Adjusted Operating Gain greater than $10.3 billion
  • Operating Cash Flow greater than $8.1 billion

Headwinds

  • Premium Revenue approximately flat
  • Health Benefits revenue approximately flat
  • CarelonRx revenue low-single digit
  • Carelon Services operating margin down (30) - 0 bps
  • Amortization of Intangible Assets ($450) million

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 19 quarterly earnings reports · overlaid with Q4 2023

Historical avgQ4 2023

-0.1%

Avg return

Earnings day

+0.8%

Avg return

5 days after

+2.4%

Avg return

30 days after

54%

25 / 46 earnings

Positive

+11.1%

Q4 2018

Best reaction

-15.0%

Q3 2024

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q2 2026———
Q1 2026+2.3%+8.5%+20.3%
Q4 2025+5.1%+5.9%-0.9%
Q3 2025-1.1%-3.3%-11.3%
Q2 2025+0.3%+6.0%+5.9%
Q1 2025+2.1%+3.7%-5.5%
Q4 2024+2.9%+3.8%-1.4%
Q3 2024-15.0%-15.5%-19.4%
Q2 2024-8.7%-8.9%-1.7%
Q1 2024+4.1%+4.7%+7.6%
Q4 2023+1.8%+3.0%+8.9%
Q3 2023-0.6%-3.0%-0.6%
Q2 2023+7.2%+6.2%+4.3%
Q1 2023-5.8%-4.2%-5.2%
Q4 2022+3.6%+2.2%-0.1%
Q3 2022+2.0%+10.1%+3.6%
Q2 2022-7.6%-5.3%+1.2%
Q1 2022+1.1%-2.0%-4.7%
Q4 2021-0.8%+0.4%+3.3%
Q3 2021+9.3%+10.4%+5.5%
Q2 2021-1.4%-2.9%-3.1%
Q1 2021-0.5%-1.1%+3.7%
Q4 2020-3.8%-6.4%-3.0%
Q3 2020-8.6%-6.9%+4.7%
Q2 2020+4.5%+2.1%+4.5%
Q1 2020+4.7%+1.0%+9.7%
Q4 2019-8.4%-8.2%-11.4%
Q3 2019-0.3%+2.9%+12.1%
Q2 2019-2.9%-1.4%-13.9%
Q1 2019+2.1%+6.2%+10.6%
Q4 2018+11.1%+11.6%+12.8%
Q3 2018+0.2%+1.4%+9.3%
Q2 2018+0.4%+2.5%+7.8%
Q1 2018+5.3%+4.9%+3.3%
Q4 2017+0.2%-5.3%-4.3%
Q3 2017+6.0%+7.3%+12.9%
Q2 2017-3.7%-2.3%+1.1%
Q1 2017+3.4%+3.9%+6.2%
Q4 2016+2.3%+1.7%+7.7%
Q3 2016+2.2%+5.2%+23.6%
Q2 2016-3.4%-7.3%-9.2%
Q1 2016-2.1%——
Q4 2015-8.2%——
Q3 2015-2.3%——
Q2 2015+0.4%——
Q1 2015-2.1%——
Q4 2014-0.5%——
Q3 2014———
Q2 2014———
Q1 2014———
Q4 2013———
Q3 2013———
Q2 2013———
Q1 2013———
Q4 2011———
Q4 2012———
Q3 2012———
Q2 2012———
Q1 2012———
Q3 2011———
Q2 2011———
Q1 2011———
Q4 2010———
Q3 2010———
Q2 2010———
Q1 2009———
Q1 2010———
Q4 2007———
Q4 2009———
Q3 2009———
Q3 2008———
Q2 2009———
Q4 2008———
Q2 2008———

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