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Segment Information (Tables)
12 Months Ended
Dec. 31, 2025
Segment Reporting [Abstract]  
Financial Data by Reportable Segment
Financial data by reportable segment for the years ended December 31, 2025, 2024 and 2023 is as follows:
Carelon
Health
Benefits
CarelonRxCarelon
Services
TotalCorporate
& Other
EliminationsTotal
Year Ended December 31, 2025
Premiums$159,458 $— $6,315 $6,315 $— $(1,134)$164,639 
Product revenue— 24,470 — 24,470 — — 24,470 
Service fees7,636 13 826 839 — — 8,475 
Operating revenue - unaffiliated167,094 24,483 7,141 31,624 — (1,134)197,584 
Operating revenue - affiliated— 18,917 21,175 40,092 463 (40,555)— 
Operating revenue - total$167,094 $43,400 $28,316 $71,716 $463 $(41,689)$197,584 
Benefit expense
$143,889 $— $24,283 $24,283 $25 $(19,974)$148,223 
Cost of products sold
— 40,077 — 40,077 — (18,899)21,178 
Operating expense
19,047 905 3,073 3,978 775 (2,816)20,984 
Operating gain (loss)$4,158 $2,418 $960 $3,378 $(337)$— $7,199 
Year Ended December 31, 2024
Premiums$142,668 $— $2,630 $2,630 $— $(1,132)$144,166 
Product revenue— 22,630 — 22,630 — — 22,630 
Service fees7,607 790 795 — 8,408 
Operating revenue - unaffiliated150,275 22,635 3,420 26,055 (1,132)175,204 
Operating revenue - affiliated— 13,326 14,541 27,867 303 (28,170)— 
Operating revenue - total$150,275 $35,961 $17,961 $53,922 $309 $(29,302)$175,204 
Benefit expense
$126,703 $— $14,388 $14,388 $19 $(13,543)$127,567 
Cost of products sold
— 32,978 — 32,978 — (13,228)19,750 
Operating expense
17,329 811 2,856 3,667 1,560 (2,531)20,025 
Operating gain (loss)$6,243 $2,172 $717 $2,889 $(1,270)$— $7,862 
Year Ended December 31, 2023
Premiums$141,515 $— $1,679 $1,679 $— $(340)$142,854 
Product revenue— 19,452 — 19,452 — — 19,452 
Service fees7,056 813 819 28 — 7,903 
Operating revenue - unaffiliated148,571 19,458 2,492 21,950 28 (340)170,209 
Operating revenue - affiliated— 14,377 11,655 26,032 451 (26,483)— 
Operating revenue - total$148,571 $33,835 $14,147 $47,982 $479 $(26,823)$170,209 
Benefit expense
$123,705 $— $10,610 $10,610 $35 $(10,020)$124,330 
Cost of products sold
— 31,588 — 31,588 — (14,295)17,293 
Operating expense
17,9782722,8573,1291,488(2,508)20,087
Operating gain (loss)$6,888 $1,975 $680 $2,655 $(1,044)$— $8,499 
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 years ended December 31, 2025, 2024 and 2023 is as follows:
202520242023
Reportable segments’ operating revenues$197,584 $175,204 $170,209 
Net investment income2,194 2,051 1,825 
Net losses on financial instruments
(653)(445)(694)
Gain on sale of business
— 201 — 
Total revenues$199,125 $177,011 $171,340 
Reconciliation of Income Before Income Tax Expense to Reportable Segments Operating Gain Included in the Consolidated Statements of Income
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, 2025, 2024 and 2023 is as follows:
202520242023
Income before income tax expense$6,710 $7,904 $7,715 
Net investment income(2,194)(2,051)(1,825)
Net losses on financial instruments
653 445 694 
Gain on sale of business
— (201)— 
Interest expense1,402 1,185 1,030 
Amortization of other intangible assets628 580 885 
Reportable segments’ operating gain$7,199 $7,862 $8,499