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Elevance Health

ELV NYSE Managed Health Care Financials FY2016–FY2025

Elevance Health's revenue rose 12.5% to $199.1 billion in fiscal 2025. Its operating margin was 3.6%, down from 4.4% a year earlier. Free cash flow was $3.2 billion, down 30.3%. It paid out $4.1 billion in dividends and buybacks, 130% of free cash flow. The diluted share count fell 3.6%.

Last close Β· Oct 23, 2026

$439.95

1.2%
Revenue Total sales reported in the income statement.
$199.1B
12.5% vs prior year
Operating margin Operating income as a share of revenue.
3.6%
0.8 pts
Net income Profit after all expenses, interest and tax.
$5.7B
5.3%
Free cash flow Cash from operations minus capital spending.
$3.2B
30.3%
Return on capital After-tax operating income as a share of the money invested in the business: debt plus equity, minus cash.
15.2%
2.4 pts
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)

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.

What Elevance Health does

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

Revenue and margins

Elevance Health had $199.1B of revenue in fiscal 2025, up 12.5% on the year before.

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

Net income and earnings per share

From fiscal 2016 to 2025, diluted EPS grew 11.8% a year. Loss periods are shown in red.

Net income
Net income
Diluted EPS
Diluted EPS

Returns on capital

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

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

Cash flow

Free cash flow was $3.2B in fiscal 2025, 1.6% of revenue. Cash from operations minus capital spending.

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

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

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

Value Elevance Health yourself

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.

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.

Balance sheet

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

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

Insider trades

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

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

Piotroski F-score

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

Similar companies

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

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†’

10 years of figures

US$ millions unless stated. Hover a ratio's name for its definition.

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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