Revised Full-Year Guidance and Strategic Response to Cost Trends
Elevance Health revised its 2025 adjusted EPS guidance to approximately $30, citing industry-wide increased morbidity and slower Medicaid rate adjustments.
Management emphasized actions to stabilize trends, improve pricing, and reinforce operational foundations, including cost management and targeted investments.
The company is focusing on long-term margin stability through initiatives in specialty services, post-acute care, and outpatient settings, with a strategic emphasis on Carelon platform expansion.
Adjusted EBITDA grew 8.4% over prior year quarter, with a substantial portion from core operations.
Adjusted EBITDA margin improved by 30 basis points compared to prior year quarter.
Cash flow from operations was $4.2 billion; capital expenditures were $1.2 billion; share repurchases were $2.5 billion; dividends were $171 million.
Contract labor improved to 4.3% of total labor costs from 4.6% in prior year quarter.
Equivalent admissions increased 1.7% for the quarter and 2.3% year-to-date.
Managed care equivalent admissions grew 4% year-to-date, Medicare grew 3%, Medicaid was slightly down, and self-pay was slightly up but below expectations.
Revenue grew 6.4%, driven by greater demand, improved payer mix, and consistent patient acuity.
Supply expense increased slightly due to cardiac-related device spending.
The company reported a 24% increase in diluted earnings per share as adjusted to $6.84 for Q2 2025.
Adjusted G&A ratio was 6.1%, reflecting lower incentive compensation and productivity enhancements.
Balance sheet remains strong with $100 million parent company cash, $260 million subsidiary dividends harvested, and debt reduced by $200 million to 1.9x trailing EBITDA.
Marketplace segment MCR was 85.4%, higher than expected, including impacts from ConnectiCare acquisition and member reconciliations.
Medicaid segment MCR was 91.3%, above the long-term target range, with pressures from behavioral health, pharmacy, inpatient and outpatient care.
Medicare segment MCR was 90%, above target, driven by higher utilization in acute populations, especially long-term services and supports and high-cost drugs.
Molina Healthcare reported adjusted earnings per share of $5.48 on $10.9 billion of premium revenue for Q2 2025.
The consolidated Medical Cost Ratio (MCR) was 90.4%, reflecting a challenging medical cost trend environment.
Year-to-date consolidated MCR is 89.8% with an adjusted pretax margin of 3.6%.
Capital position remains strong with $5.4 billion in cash and investments and $579 million in excess capital at insurance subsidiaries.
Loss from operations was $230 million in Q2, a $298 million decrease year-over-year; adjusted EBITDA loss was $199 million, a $304 million decrease year-over-year.
Membership grew 28% year-over-year to over 2 million members, supported by strong retention and SEP additions.
Oscar Health reported Q2 2025 total revenue of $2.9 billion, a 29% year-over-year increase driven by higher membership.
SG&A expense ratio improved by 90 basis points year-over-year to 18.7%, driven by lower exchange fee rates and fixed cost leverage.
The medical loss ratio (MLR) increased 12 points year-over-year to 91.1%, impacted by a $316 million increase in risk adjustment payable due to higher market morbidity.
Impact of IV Solutions Joint Venture on Gross Margins and Business Strategy
The IV Solutions joint venture (JV) became operational, contributing to a 3 percentage point expansion in gross margins, which exceeded expectations.
Management highlighted that the JV's contribution improves gross margin visibility and underscores the strategic importance of this platform for future growth.
The JV's impact on gross margins is primarily due to deconsolidation effects, which make the company's underlying gross margin more transparent and highlight the core portfolio's profitability.
The company expects the JV to help offset tariff impacts and support long-term margin expansion despite current headwinds.
Management emphasized that the JV's contribution to EBITDA is not expected to continue at the same level, but it remains a key part of their strategic growth plan.
Cash and securities ended at $319.5 million, up $17 million for the quarter, with record cash from operations of $20.3 million.
Gross margin improved to 70%, up 110 basis points from the prior year, supported by higher average selling prices, manufacturing efficiencies, and favorable product mix.
Net income increased 17% to $13.8 million, and fully diluted EPS grew 16% to $0.60.
Operating income rose 12% to $16.1 million, with an operating margin of 25%.
Q2 2025 sales increased 15% year-over-year, driven by strong growth in catheters (27%), grafts (19%), Valvulotomes and Chunnt (both 13%).
Cash and cash equivalents ended at $86.1 million, supporting the company’s path to sustainable profitability.
Collaboration revenue decreased 7% year-over-year to $42.1 million, impacted by a prior settlement milestone but grew 105% excluding that milestone.
Esperion achieved its first quarter of operating income from ongoing business of approximately $15 million.
Esperion reported total revenue of $82.4 million for Q2 2025, a 12% increase year-over-year despite a $25 million milestone payment in the prior year quarter.
Research and development expenses decreased 37% year-over-year to $7.2 million, and selling, general and administrative expenses decreased 11% to $39.5 million.
U.S. net product revenue grew 42% year-over-year to $40.3 million and increased 15% sequentially from Q1 2025.