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Elevance Health

ELV NYSE Managed Health Care Financials FY2016–FY2025

Elevance Health had $199.1B of revenue in fiscal 2025, up 12.5% on the year before. Over five years, revenue changed +10.3% a year on average.

Download report 3-page PDF: the company, its results and charts with peers.

Last close Β· Oct 23, 2026

$439.95

1.2%

What Elevance Health does

ELV Β· Managed Health Care

No business description yet.

Legal name
ELEVANCE HEALTH, INC.
Fiscal year ends
December 31, 2025
Latest annual report
β€”
Accession Β· CIK
0001156039-26-000013
0001156039

KIRA’s summary AI analyst

Hi! I read Elevance Health’s latest annual report (fiscal 2025). Here is what stands out:

5 strengths 1 to watch

1.Sales and profit

See section β†’
  • Elevance Health had $199.1B of revenue in fiscal 2025, up 12.5% on the year before. Over five years, revenue changed +10.3% a year on average.
  • Its operating margin was 3.6%, down 0.8Β pts: of every 100 in sales, about 4 is left after running the business.
  • Elevance Health made $5.7B of net profit in fiscal 2025. From fiscal 2016 to 2025, diluted EPS grew 11.8% a year.

2.Cash and shareholders

See section β†’
  • Free cash flow was $3.2B in fiscal 2025, 1.6% of revenue.
  • Elevance Health returned $4.1B to shareholders in fiscal 2025, 130% of free cash flow. The diluted share count fell 3.6%.
  • In the last 12 months, insiders bought $2.2M and sold $1.7M of shares on the open market.

3.Financial health

See section β†’
  • Elevance Health has $3.3B more cash than debt.
  • Its return on capital was 15.2%: every 100 invested in the business earned about 15 in a year.
  • Elevance Health passes 6 of 8 financial health tests (Piotroski F-score).

4.Price and value

See section β†’
  • At $439.95 a share, the company is worth $95.7B: 18.7 times its earnings of the last four quarters.
  • Elevance Health grew sales faster than 3 of its 4 similar companies. Its P/E is higher than 0 of 2.

Elevance Health in 30 seconds

Good So-so Weak

Good

Are sales growing?

+12.5%

Yes. Sales grew 12.5% last year.

So-so

Does it make a profit?

2.8%

A little. It keeps 2.8% of every sale as profit.

So-so

Does profit turn into cash?

1.6%

Partly. 1.6% of sales ends up as free cash.

Good

Is debt under control?

Net cash

Yes. It has more cash than debt.

So-so

How healthy are the accounts?

6 / 8

Mixed. It passes 6 of 8 health tests.

For information

How is the share priced?

18.7x

One share costs 18.7 times its yearly profit per share. Typical for its sector: 28.4x.

Rules of thumb on reported numbers. A starting point, not a recommendation.

Key numbers, fiscal 2025

Market cap Last close times the latest diluted share count, so it is approximate.
$95.7B
Oct 23 close
P/E Last close divided by diluted earnings per share over the last four quarters.
18.7x
On $23.52 EPS (TTM)

Revenue

Total sales reported in the income statement.

KIRA Β· Elevance Health had $199.1B of revenue in fiscal 2025, up 12.5% on the year before. Over five years, revenue changed +10.3% a year on average.

See the full section β†’

Operating margin

Operating income as a share of revenue.

KIRA Β· Its operating margin was 3.6%, down 0.8Β pts: of every 100 in sales, about 4 is left after running the business.

See the full section β†’

Net income

Profit after all expenses, interest and tax.

KIRA Β· Elevance Health made $5.7B of net profit in fiscal 2025. From fiscal 2016 to 2025, diluted EPS grew 11.8% a year.

See the full section β†’

Free cash flow

Cash from operations minus capital spending.

KIRA Β· Free cash flow was $3.2B in fiscal 2025, 1.6% of revenue.

See the full section β†’

Return on capital

After-tax operating income as a share of the money invested in the business: debt plus equity, minus cash.

KIRA Β· Its return on capital was 15.2%: every 100 invested in the business earned about 15 in a year.

See the full section β†’

About these figures. Health insurers don't report a gross profit: their main cost is medical claims, which the SEC's structured data doesn't count as cost of revenue, so gross profit and gross margin are left blank.

Sales and profit

Is it selling more, and how much does it keep?

Results dates

In plain words: Every quarter, companies publish how much they sold and earned. These are the days Elevance Health did it, and the next one. Share prices often move a lot on those days.

Next results

January 27, 2027

Wednesday Β· in 94 days

Time
Before the market opens
Covers
Period ended Dec 31, 2026
Source
Stoqly estimate

Estimated from the same quarter last year. It will be replaced by the announced date once there is one.

Date Results for Time Source
Oct 21, 2026 Q3 '26 Before the market opens 8-K β†—
Jul 15, 2026 Q2 '26 Before the market opens 8-K β†—
Apr 22, 2026 Q1 '26 Before the market opens 8-K β†—
Jan 28, 2026 Q4 '25 Before the market opens 8-K β†—
Oct 21, 2025 Q3 '25 Before the market opens 8-K β†—
Jul 17, 2025 Q2 '25 Before the market opens 8-K β†—
Apr 17, 2025 Q1 '25 During market hours 8-K β†—
Jan 23, 2025 Q4 '24 Before the market opens 8-K β†—

From SEC filings: the results press release (8-K) or, without one, the quarterly or annual report.

Revenue and margins

KIRA Β· Elevance Health had $199.1B of revenue in fiscal 2025, up 12.5% on the year before. Over five years, revenue changed +10.3% a year on average. Its operating margin was 3.6%, down 0.8Β pts: of every 100 in sales, about 4 is left after running the business.

In plain words: Revenue is all the money customers paid. The margins show how many cents of each dollar of sales are left over at each step: after making the product (gross), after running the business (operating) and after everything, tax included (net).

Revenue
Revenue
Margins, % of revenue
Gross Operating Net FCF
Margins, % of revenue
Gross Operating Net FCF

Net income and earnings per share

KIRA Β· Elevance Health made $5.7B of net profit in fiscal 2025. From fiscal 2016 to 2025, diluted EPS grew 11.8% a year.

Loss periods are shown in red.

In plain words: Net income is the profit left after every cost and tax. Earnings per share (EPS) splits that profit across every share, so it shows what one share earned.

Net income
Net income
Diluted EPS
Diluted EPS

Cash and shareholders

How much cash comes in, and where does it go?

Cash flow

KIRA Β· Free cash flow was $3.2B in fiscal 2025, 1.6% of revenue.

Cash from operations minus capital spending.

In plain words: Profit on paper is not the same as cash in the bank. Free cash flow is the cash left after paying to run and maintain the business: the money it can hand back to shareholders, save or invest.

Free cash flow
Free cash flow
Cash from operations vs capital spending
Cash from operations Capital spending
Cash from operations vs capital spending
Cash from operations Capital spending

Dividends, buybacks and share count

KIRA Β· Elevance Health returned $4.1B to shareholders in fiscal 2025, 130% of free cash flow. The diluted share count fell 3.6%.

In plain words: Companies hand cash back in two ways: dividends (cash paid to shareholders) and buybacks (buying back their own shares, so each remaining share owns a bigger slice).

Dividends and buybacks
Dividends Buybacks
Dividends and buybacks
Dividends Buybacks
Diluted shares outstanding (annual)

Insider trades

KIRA Β· In the last 12 months, insiders bought $2.2M and sold $1.7M of shares on the open market.

Open-market purchases and sales by officers, directors and 10% owners, from Form 4 filings. β€œPlan” marks trades under a pre-arranged Rule 10b5-1 plan.

In plain words: Insiders are the people who run or own a big part of the company. Buying with their own money can signal confidence; selling often has personal reasons, like taxes or diversifying.

Bought, 12 months

$2.2M

3 insiders

Sold, 12 months

$1.7M

4 insiders

Of sales under plans

0%

$0.0M

DateInsiderTradeSharesPriceValueFiling
Jul 17, 2026 Gail BoudreauxPresident and CEO, Director Bought 2,725 $367.79 $1.0M Form 4
Jul 17, 2026 Ramiro G PeruDirector Bought 1,000 $366.05 $0.4M Form 4
Jun 12, 2026 Ronald W PenczekCAO & Controller Sold 369 $403.16 $0.1M Form 4
Jun 11, 2026 Robert L Dixon JRDirector Sold 151 $401.77 $0.1M Form 4
May 19, 2026 Ronald W PenczekCAO & Controller Sold 1,531 $403.13 $0.6M Form 4
Mar 12, 2026 Amy W SchulmanDirector Sold 26 $287.50 $0.0M Form 4
Mar 6, 2026 Charles Morgan Kendrick JREVP & President, Commercial Sold 3,196 $284.92 $0.9M Form 4
Mar 5, 2026 Steven H CollisDirector Bought 3,000 $289.84 $0.9M Form 4

Financial health

Can it carry its debts, and how well does it use its money?

Balance sheet

KIRA Β· Elevance Health has $3.3B more cash than debt.

Cash, debt and the ratios that show how comfortably Elevance Health can carry it.

In plain words: What the company owns and what it owes. More cash than debt is a cushion for bad times; a lot of debt leaves less room when business slows down.

Cash vs debt (incl. leases)
Cash Debt
Fiscal year endFY21FY22FY23FY24FY25
Cash and short-term investments $31.1B$33.3B$36.1B$33.5B$35.4B
Debt incl. finance leases $23.0B$24.1B$25.1B$31.2B$32.0B
Net debt / EBITDA βˆ’0.9xβˆ’0.9xβˆ’1.1xβˆ’0.2xβˆ’0.4x
Debt / equity 0.6x0.7x0.6x0.8x0.7x
Interest coverage 9.5x9.7x8.3x6.6x5.1x
Current ratio 1.5x1.4x1.4x1.5x1.5x
Quick ratio 1.5x1.4x1.4x1.5x1.5x
Total assets $97.5B$102.8B$108.9B$116.9B$121.5B
Total liabilities $61.3B$66.4B$69.5B$75.5B$77.5B
Shareholders' equity $36.1B$36.2B$39.3B$41.3B$43.9B
Net debt (βˆ’ = net cash) βˆ’$8.1Bβˆ’$9.2Bβˆ’$11.0Bβˆ’$2.3Bβˆ’$3.3B

Returns on capital

KIRA Β· Its return on capital was 15.2%: every 100 invested in the business earned about 15 in a year.

After-tax operating income as a share of the money invested in the business: debt plus equity, minus cash.

In plain words: How much profit the business makes on the money put into it. A higher percentage means each dollar invested works harder.

Return on capital, equity and assets (annual)
Return on capital Return on equity Return on assets

Piotroski F-score

KIRA Β· Elevance Health passes 6 of 8 financial health tests (Piotroski F-score).

Nine pass/fail tests of profitability, funding and efficiency. 8–9 is strong, 0–2 weak.

In plain words: Nine yes/no tests of financial health, one point each. A green tick is a pass: 7 to 9 points is solid, 0 to 3 is weak.

TestFY23FY24FY25
Net income is positive βœ“ βœ“ βœ“
Cash from operations is positive βœ“ βœ“ βœ“
Return on assets rose βœ• βœ• βœ•
Cash from operations exceeds net income βœ“ βœ• βœ•
Debt fell relative to assets βœ“ βœ• βœ“
Current ratio rose βœ“ βœ“ βœ“
Share count didn't rise βœ“ βœ“ βœ“
Gross margin rose β€” β€” β€”
Revenue rose relative to assets βœ“ βœ• βœ“
F-score 7 / 84 / 86 / 8
Accruals ratio βˆ’2.0%0.2%1.2%
Altman Z'' 3.172.993.13

Price and value

What does the share cost, and how does it compare?

Value Elevance Health yourself

KIRA Β· At $439.95 a share, the company is worth $95.7B: 18.7 times its earnings of the last four quarters.

Change the assumptions and see what they imply per share. These are models, not forecasts or price targets β€” the answer depends entirely on what you put in.

In plain words: Move the sliders to try your own guesses about growth. The result is what one share would be worth if those guesses came true. Different guesses give very different answers.

Discounted cash flow

Value per share

β€”

Adds net cash of $3.3B and divides by 224.6M diluted shares. Ten years of cash flows plus a terminal value, discounted to today.

Earnings multiple

Value per share

β€”

Reference multiples: today 18.7x Β· peers 36.0x Β· sector 28.4x.

Similar companies

KIRA Β· Elevance Health grew sales faster than 3 of its 4 similar companies. Its P/E is higher than 0 of 2.

Each company’s latest fiscal year. Fiscal years end in different months, so periods don’t line up exactly.

In plain words: The same numbers for similar companies, so you can tell whether a figure is high or low for this kind of business.

CompanyMarket capGrowthOp. marginFCF marginROICP/EF-score
Elevance Health ELV $95.7B 12.5% 3.6% 1.6% 15.2% 18.7x 6
Centene CNC $34.9B 19.4% βˆ’3.9% 2.2% βˆ’26.4% β€” 5 Compare β†’
Humana HUM $50.9B 10.1% 2.1% 0.3% 25.7% 45.0x 5 Compare β†’
UnitedHealth UNH $378.8B 11.8% 4.2% 3.6% 11.2% 26.9x 7 Compare β†’
Molina Healthcare MOH $10.8B 11.8% 1.7% βˆ’1.4% β€” β€” 4 Compare β†’

All figures

Every number, year by year.

10 years of figures

Amounts in USD. Hover a ratio’s name for its definition.

In plain words: Every number we have, year by year. Download it as a spreadsheet if you want to dig deeper.

Download CSV
Fiscal yearFY16FY17FY18FY19FY20FY21FY22FY23FY24FY25
Income statement
Revenue $84.9B $90.0B $92.1B $104.2B $121.9B $138.6B $156.6B $171.3B $177.0B $199.1B
Operating income $4.8B $4.2B $5.4B $6.0B $6.4B $7.6B $8.3B $8.5B $7.9B $7.2B
Interest expense $723M $739M $753M $746M $784M $798M $851M $1.0B $1.2B $1.4B
Pretax income $4.6B $4.0B $5.1B $6.0B $6.2B $8.0B $7.6B $7.7B $7.9B $6.7B
Income tax $2.1B $121M $1.3B $1.2B $1.7B $1.8B $1.7B $1.7B $1.9B $1.0B
Net income $2.5B $3.8B $3.8B $4.8B $4.6B $6.2B $5.9B $6.0B $6.0B $5.7B
Diluted EPS $9.21 $14.35 $14.19 $18.47 $17.98 $24.95 $24.28 $25.22 $25.68 $25.21
Diluted shares 0.27B 0.27B 0.26B 0.26B 0.25B 0.25B 0.24B 0.24B 0.23B 0.22B
Cash flow
Cash from operations $3.3B $4.2B $3.8B $6.1B $10.7B $8.4B $8.4B $8.1B $5.8B $4.3B
Capital expenditure $584M $791M $1.2B $1.1B $1.0B $1.1B $1.2B $1.3B $1.3B $1.1B
Free cash flow $2.7B $3.4B $2.6B $5.0B $9.7B $7.3B $7.2B $6.8B $4.6B $3.2B
Depreciation and amortization $296M $280M $1.1B $1.1B $1.2B $1.3B $1.7B $1.7B $1.4B $1.5B
Stock-based compensation $165M $170M $226M $294M $283M $255M $264M $289M $191M $276M
Acquisitions $0.0M $2.1B $1.8B $0.0M $2.0B $3.5B $649M $1.6B $4.8B $88.0M
Share buybacks $0.0M $2.0B $1.7B $1.7B $2.7B $1.9B $2.3B $2.7B $2.9B $2.6B
Dividends paid $684M $705M $776M $818M $954M $1.1B $1.2B $1.4B $1.5B $1.5B
Dividends and buybacks $684M $2.7B $2.5B $2.5B $3.7B $3.0B $3.5B $4.1B $4.4B $4.1B
Balance sheet
Cash and short-term investments $21.2B $21.0B $20.6B $24.6B $29.2B $31.1B $33.3B $36.1B $33.5B $35.4B
Total debt $15.7B $19.9B $19.2B $20.1B $20.0B $23.0B $24.1B $25.1B $31.2B $32.0B
Finance lease liabilities $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M
Current assets $34.3B $36.3B $34.3B $39.0B $45.8B $51.1B $55.6B $60.0B $58.9B $63.0B
Current liabilities $21.3B $23.4B $22.0B $23.5B $29.5B $34.9B $39.7B $41.8B $40.6B $41.0B
Inventory $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M
Property and equipment, net $2.0B $2.2B $2.7B $3.1B $3.5B $3.9B $4.3B $4.4B $4.7B $4.7B
Total assets $65.1B $70.5B $71.6B $77.5B $86.6B $97.5B $102.8B $108.9B $116.9B $121.5B
Total liabilities $40.0B $44.0B $43.0B $45.7B $53.4B $61.3B $66.4B $69.5B $75.5B $77.5B
Shareholders' equity $25.1B $26.5B $28.5B $31.7B $33.2B $36.1B $36.2B $39.3B $41.3B $43.9B
Margins
Operating margin 5.7% 4.6% 5.9% 5.8% 5.2% 5.5% 5.3% 5.0% 4.4% 3.6%
EBITDA margin 6.0% 5.0% 7.1% 6.8% 6.2% 6.4% 6.4% 6.0% 5.2% 4.4%
Net margin 2.9% 4.3% 4.1% 4.6% 3.8% 4.4% 3.8% 3.5% 3.4% 2.8%
FCF margin 3.2% 3.8% 2.8% 4.8% 7.9% 5.3% 4.6% 4.0% 2.6% 1.6%
Returns
Return on capital 13.2% 18.0% 15.3% 17.7% 18.2% 22.3% 23.3% 23.8% 17.6% 15.2%
Return on capital employed 11.1% 9.2% 11.2% 11.6% 11.5% 12.6% 13.2% 13.1% 11.0% 9.2%
Return on equity 10.3% 14.9% 13.6% 16.0% 14.1% 17.8% 16.3% 15.9% 14.8% 13.3%
Return on assets 3.9% 5.7% 5.3% 6.5% 5.6% 6.7% 5.9% 5.7% 5.3% 4.8%
Growth
Revenue growth 7.2% 6.1% 2.3% 13.2% 16.9% 13.8% 13.0% 9.4% 3.3% 12.5%
Net income growth βˆ’3.5% 55.6% βˆ’2.4% 28.2% βˆ’4.9% 34.7% βˆ’4.3% 1.6% βˆ’0.1% βˆ’5.3%
EPS growth βˆ’1.8% 55.8% βˆ’1.1% 30.2% βˆ’2.7% 38.8% βˆ’2.7% 3.9% 1.8% βˆ’1.8%
FCF growth βˆ’24.8% 26.4% βˆ’22.8% 90.3% 94.0% βˆ’24.7% βˆ’0.4% βˆ’6.7% βˆ’32.7% βˆ’30.3%
Share count change βˆ’1.8% βˆ’0.1% βˆ’1.3% βˆ’1.5% βˆ’2.3% βˆ’3.0% βˆ’1.6% βˆ’2.2% βˆ’1.9% βˆ’3.6%
Financial health
Net debt / EBITDA βˆ’1.1x βˆ’0.2x βˆ’0.2x βˆ’0.6x βˆ’1.2x βˆ’0.9x βˆ’0.9x βˆ’1.1x βˆ’0.2x βˆ’0.4x
Debt / equity 0.6x 0.8x 0.7x 0.6x 0.6x 0.6x 0.7x 0.6x 0.8x 0.7x
Interest coverage 6.6x 5.7x 7.2x 8.0x 8.1x 9.5x 9.7x 8.3x 6.6x 5.1x
Current ratio 1.6x 1.6x 1.6x 1.7x 1.6x 1.5x 1.4x 1.4x 1.5x 1.5x
Quick ratio 1.6x 1.6x 1.6x 1.7x 1.6x 1.5x 1.4x 1.4x 1.5x 1.5x
Capital allocation
Capex / revenue 0.7% 0.9% 1.3% 1.0% 0.8% 0.8% 0.7% 0.8% 0.7% 0.6%
Stock comp / revenue 0.2% 0.2% 0.3% 0.3% 0.2% 0.2% 0.2% 0.2% 0.1% 0.1%
Payouts / FCF 25.5% 79.6% 94.0% 50.5% 37.8% 41.3% 48.9% 60.2% 96.8% 130.3%
Quality scores
Piotroski F-score 6.0 6.0 6.0 8.0 6.0 6.0 6.0 7.0 4.0 6.0
Altman Z'' 3.3 3.1 3.3 3.5 3.3 3.1 3.1 3.2 3.0 3.1
Accruals ratio βˆ’1.3% βˆ’0.5% βˆ’0.1% βˆ’1.7% βˆ’7.5% βˆ’2.4% βˆ’2.5% βˆ’2.0% 0.2% 1.2%

Source: SEC EDGAR XBRL filings (CIK 0001156039). Data updated October 21, 2026. Quarterly fourth quarters are the full year minus the first nine months. For information only β€” not investment advice. Check the original filings before relying on any figure.

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