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Dec 31, 2021

Elevance Health Q4 2021 Earnings Report

Anthem reported strong financial performance with double-digit top and bottom line growth.

Key Takeaways

Anthem, Inc. reported fourth quarter and full year 2021 results reflecting strong financial performance, including double-digit top and bottom line growth. Fourth quarter operating revenue grew by 14.2% to $36.0 billion, and medical enrollment increased by 303 thousand members to 45.4 million members.

Fourth quarter GAAP net income was $4.63 per share, including net negative adjustment items of $0.51 per share. Adjusted net income was $5.14 per share.

Full year GAAP net income was $24.73 per share, including net negative adjustment items of $1.25 per share. Adjusted net income was $25.98 per share.

Fourth quarter operating revenue grew by 14.2% over the prior year quarter to $36.0 billion.

Medical enrollment increased by 2.4 million members year-over-year and 303 thousand members in the fourth quarter to 45.4 million members.

Total Revenue
$36B
Previous year: $31.5B
+14.2%
EPS
$5.14
Previous year: $2.54
+102.4%
Total Medical Membership
45.4M
Previous year: 42.93M
+5.8%
Gross Profit
$9.04B
Previous year: $7.74B
+16.9%
Cash and Equivalents
$4.88B
Previous year: $5.74B
-15.0%
Free Cash Flow
$1.33B
Previous year: $3.54B
-62.3%
Total Assets
$97.5B
Previous year: $86.6B
+12.5%

Elevance Health

Elevance Health

Elevance Health Revenue by Segment

Forward Guidance

Full year 2022 GAAP net income is expected to be greater than $26.75 per share. Adjusted net income is expected to be greater than $28.25 per share.

Positive Outlook

  • GAAP net income is expected to be greater than $26.75 per share, including approximately $1.50 per share of net unfavorable items.
  • Adjusted net income is expected to be greater than $28.25 per share.
  • Medical membership is expected to be in the range of 45.6 - 46.2 million.
  • Operating revenue is expected to be approximately $152 billion, including premium revenue of approximately $130 billion.
  • Operating cash flow is expected to be greater than $6.9 billion.

Challenges Ahead

  • Benefit expense ratio is expected to be in the range of 88.0% plus or minus 50 basis points.
  • SG&A ratio is expected to be 10.8% plus or minus 50 basis points.
  • Investment income is expected to be $1.1 billion.
  • Interest expense is expected to be $840 million.
  • Effective tax rate is expected to be between 22.0 - 24.0%.