Elevance Health
ELV NYSE Managed Health Care Financials FY2016βFY2025
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%.
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.
Net income and earnings per share
From fiscal 2016 to 2025, diluted EPS grew 11.8% a year. Loss periods are shown in red.
Returns on capital
After-tax operating income as a share of the money invested in the business: debt plus equity, minus cash.
Cash flow
Free cash flow was $3.2B in fiscal 2025, 1.6% of revenue. Cash from operations minus 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%.
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.
| Fiscal year end | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|
| 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 | β0.9x | β0.9x | β1.1x | β0.2x | β0.4x |
| Debt / equity | 0.6x | 0.7x | 0.6x | 0.8x | 0.7x |
| Interest coverage | 9.5x | 9.7x | 8.3x | 6.6x | 5.1x |
| Current ratio | 1.5x | 1.4x | 1.4x | 1.5x | 1.5x |
| Quick ratio | 1.5x | 1.4x | 1.4x | 1.5x | 1.5x |
| 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 (β = net cash) | β$8.1B | β$9.2B | β$11.0B | β$2.3B | β$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
| Date | Insider | Trade | Shares | Price | Value | Filing |
|---|---|---|---|---|---|---|
| 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. 8β9 is strong, 0β2 weak.
| Test | FY23 | FY24 | FY25 |
|---|---|---|---|
| Net income is positive | β | β | β |
| Cash from operations is positive | β | β | β |
| Return on assets rose | β | β | β |
| Cash from operations exceeds net income | β | β | β |
| Debt fell relative to assets | β | β | β |
| Current ratio rose | β | β | β |
| Share count didn't rise | β | β | β |
| Gross margin rose | β | β | β |
| Revenue rose relative to assets | β | β | β |
| F-score | 7 / 8 | 4 / 8 | 6 / 8 |
| Accruals ratio | β2.0% | 0.2% | 1.2% |
| Altman Z'' | 3.17 | 2.99 | 3.13 |
Similar companies
Each company's latest fiscal year. Fiscal years end in different months, so periods don't line up exactly.
| Company | Market cap | Growth | Op. margin | FCF margin | ROIC | P/E | F-score | |
|---|---|---|---|---|---|---|---|---|
| Elevance Health ELV | $95.7B | 12.5% | 3.6% | 1.6% | 15.2% | 18.7x | 6 | |
| Centene CNC | $34.9B | 19.4% | β3.9% | 2.2% | β26.4% | 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 | $10.8B | 11.8% | 1.7% | β1.4% | β | β | 4 | Compare β |
10 years of figures
US$ millions unless stated. Hover a ratio's name for its definition.
| Fiscal year | FY16 | FY17 | FY18 | FY19 | FY20 | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | β3.5% | 55.6% | β2.4% | 28.2% | β4.9% | 34.7% | β4.3% | 1.6% | β0.1% | β5.3% |
| EPS growth | β1.8% | 55.8% | β1.1% | 30.2% | β2.7% | 38.8% | β2.7% | 3.9% | 1.8% | β1.8% |
| FCF growth | β24.8% | 26.4% | β22.8% | 90.3% | 94.0% | β24.7% | β0.4% | β6.7% | β32.7% | β30.3% |
| Share count change | β1.8% | β0.1% | β1.3% | β1.5% | β2.3% | β3.0% | β1.6% | β2.2% | β1.9% | β3.6% |
| Financial health | ||||||||||
| Net debt / EBITDA | β1.1x | β0.2x | β0.2x | β0.6x | β1.2x | β0.9x | β0.9x | β1.1x | β0.2x | β0.4x |
| 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 | β1.3% | β0.5% | β0.1% | β1.7% | β7.5% | β2.4% | β2.5% | β2.0% | 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.