10-K Segment Information (Tables)

9 Months Ended

12 Months Ended

Sep. 30, 2023

Dec. 31, 2022

Financial data by reportable segment for the three months ended September 30, 2023 and 2022 is as follows:


			Carelon
	Health Benefits		CarelonRx		Carelon Services		Total		Corporate & Other		Eliminations		Total
Three Months Ended September 30, 2023
Premiums	$	34,934	$	—	$	422	$	422	$	—	$	(97)	$	35,259
Product revenue	—		5,177		—		5,177		—		—		5,177
Service fees	1,810		4		196		200		34		—		2,044
Operating revenue - unaffiliated	36,744		5,181		618		5,799		34		(97)		42,480
Operating revenue - affiliated	—		3,337		2,756		6,093		208		(6,301)		—
Operating revenue - total	$	36,744	$	8,518	$	3,374	$	11,892	$	242	$	(6,398)	$	42,480

Operating gain (loss)	$	1,847	$	477	$	173	$	650	$	(741)	$	—	$	1,756


Three Months Ended September 30, 2022
Premiums	$	33,376	$	—	$	412	$	412	$	—	$	(66)	$	33,722
Product revenue	—		3,972		—		3,972		—		—		3,972
Service fees	1,689		—		224		224		18		—		1,931
Operating revenue - unaffiliated	35,065		3,972		636		4,608		18		(66)		39,625
Operating revenue - affiliated	—		3,277		2,518		5,795		193		(5,988)		—
Operating revenue - total	$	35,065	$	7,249	$	3,154	$	10,403	$	211	$	(6,054)	$	39,625

Operating gain (loss) (restated)	$	1,634	$	516	$	125	$	641	$	(24)	$	—	$	2,251

Financial data by reportable segment for the years ended December 31, 2022, 2021 and 2020 is as follows:


			Carelon
	Health Benefits		CarelonRx		Carelon Services		Total		Corporate & Other		Eliminations		Total
Year Ended December 31, 2022
Premiums	$	131,964	$	—	$	1,499	$	1,499	$	—	$	(234)	$	133,229
Product revenue	—		14,978		—		14,978		—		—		14,978
Service fees	6,520		—		882		882		51		—		7,453
Operating revenue - unaffiliated	138,484		14,978		2,381		17,359		51		(234)		155,660
Operating revenue - affiliated	—		13,548		9,896		23,444		966		(24,410)		—
Operating revenue - total	$	138,484	$	28,526	$	12,277	$	40,803	$	1,017	$	(24,644)	$	155,660

Operating gain (loss)	$	6,061	$	1,868	$	455	$	2,323	$	(101)	$	—	$	8,283


Year Ended December 31, 2021
Premiums	$	115,725	$	—	$	1,786	$	1,786	$	—	$	(138)	$	117,373
Product revenue	—		12,657		—		12,657		—		—		12,657
Service fees	6,003		—		842		842		68		—		6,913
Operating revenue - unaffiliated	121,728		12,657		2,628		15,285		68		(138)		136,943
Operating revenue - affiliated	—		12,774		7,020		19,794		534		(20,328)		—
Operating revenue - total	$	121,728	$	25,431	$	9,648	$	35,079	$	602	$	(20,466)	$	136,943

Operating gain (loss)	$	5,884	$	1,684	$	118	$	1,802	$	(127)	$	—	$	7,559

Year Ended December 31, 2020
Premiums	$	102,643	$	—	$	1,466	$	1,466	$	—	$	—	$	104,109
Product revenue	—		10,384		—		10,384		—		—		10,384
Service fees	5,628		—		643		643		44		—		6,315
Operating revenue - unaffiliated	108,271		10,384		2,109		12,493		44		—		120,808
Operating revenue - affiliated	—		11,527		3,611		15,138		293		(15,431)		—
Operating revenue - total	$	108,271	$	21,911	$	5,720	$	27,631	$	337	$	(15,431)	$	120,808

Operating gain (loss)	$	5,125	$	1,361	$	28	$	1,389	$	(154)	$	—	$	6,360

Reconciliation Of Reportable Segments Operating Revenues To Total Revenues Reported In The Consolidated Statements Of Income

A reconciliation of reportable segments’ operating revenue to the amounts of total revenues included in our consolidated statements of income for the three and nine months ended September 30, 2023 and 2022 is as follows:


	Three Months Ended September 30				Nine Months Ended September 30
	2023		2022		2023		2022
Reportable segments’ operating revenue	$	42,480	$	39,625	$	127,755	$	115,993
Net investment income	493		371		1,296		1,112
Net losses on financial instruments	(124)		(57)		(358)		(439)
Total revenues	$	42,849	$	39,939	$	128,693	$	116,666

A reconciliation of reportable segments’ operating revenue to the amounts of total revenues included in our consolidated statements of income for the years ended December 31, 2022, 2021 and 2020 is as follows:


	2022		2021		2020
Reportable segments’ operating revenues	$	155,660	$	136,943	$	120,808
Net investment income	1,485		1,378		877
Net (losses) gains on financial instruments	(550)		318		182
Total revenues	$	156,595	$	138,639	$	121,867

Reconciliation Of Income Before Income Tax Expense To Reportable Segments Operating Gain Included In The Consolidated Statements Of Income

A reconciliation of income before income tax expense to reportable segments’ operating gain included in our consolidated statements of income for the three and nine months ended September 30, 2023 and 2022 is as follows:


	Three Months Ended September 30				Nine Months Ended September 30
	2023		2022			2023		2022
			(Restated)					(Restated)
Income before income tax expense	$	1,654	$	2,127		$	6,714	$	6,555
Net investment income	(493)		(371)			(1,296)		(1,112)
Net losses on financial instruments	124		57			358		439
Interest expense	259		213			771		622
Amortization of other intangible assets	212		225			668		520

Reportable segments’ operating gain	$	1,756	$	2,251		$	7,215	$	7,024

A reconciliation of reportable segments’ operating gain to income before income tax expense included in our consolidated statements of income for the years ended December 31, 2022, 2021 and 2020 is as follows:


	2022		2021		2020
Income before income tax expense	$	7,600	$	7,995	$	6,238
Net investment income	(1,485)		(1,378)		(877)
Net losses (gains) on financial instruments	550		(318)		(182)
Interest expense	851		798		784
Amortization of other intangible assets	767		441		361
Loss on extinguishment of debt	—		21		36
Reportable segments’ operating gain	$	8,283	$	7,559	$	6,360