Elevance Health

ELV on NYSE. Elevance Health sells health insurance and related services to individuals, employers, and government programs. Market value $85.6bn.

Watch this stockFree. We tell you when something changes.

Price checks use the past 12 months to June 2026. Some use the latest annual report instead, as marked. Quality checks use five annual reports, the latest for the year to December 2025.

Should I look at this?

Worth a closer look

Read what could go wrong

This is not advice. Check the numbers below.

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Return on equity
five annual reports to December 2025
15.8%five-year median

Yearly profit per dollar of owners' money: 16 cents. Above 10 is good.

Price to book
quarterly report to June 2026
1.9×

What you pay for each dollar of net assets: $1.93.

Earnings yield
past 12 months to June 2026
5.7%

Profit per $100 you pay: $5.72.

Quality score: 93 of 100. Price score: 62 of 100. Our list needs 70 on quality and 60 on price.

$400.09 a share, 46% above its 1-year low

Over the past year the price has ranged from $274.84 to $436.24.

Dividend: 1.7% a year

Paid every year for at least 5 years

Prices from Tuesday’s close (6 October).

Five years of cash, in billions

n/a
n/a
n/a
n/a
n/a
20212022202320242025
Revenue
$138.6bn$156.6bn$171.3bn$177.0bn$199.1bn
Operating margin
n/an/an/an/an/a
Debt to equity
n/an/an/an/an/a
Shares outstanding
0.24bn0.23bn0.23bn0.22bn0.22bn

Health checks

  • Free cash flow positiveDoesn't apply to banks and insurers
  • Accounting checksDoesn't apply to banks and insurers
  • DebtDoesn't apply to banks and insurers
  • Revenue growth, five yearsStrong, 10.3% a year
  • Buying back its own sharesYes, 9% fewer since 2021

The quarter to June 2026

How the business did, compared with the same quarter a year earlier.

  • Sales: $50.5 billion last quarter, up 1% on a year ago.
  • Profit: $1.5 billion, down 16% on a year ago.
  • Spare cash over the past 12 months: $6.3 billion, up from $5.3 billion.
  • 4% fewer shares than a year ago. Each share owns a bit more of the company.
  • Sales grew on a year ago in each of the last 4 quarters.
Sales by quarter
Sales by quarter
Quarter toAmount
September 2024$45.1bn
December 2024$45.4bn
March 2025$48.9bn
June 2025$49.8bn
September 2025$50.7bn
December 2025$49.7bn
March 2026$50.2bn
June 2026$50.5bn
Profit by quarter
Profit by quarter
Quarter toAmount
September 2024$1.0bn
December 2024$418m
March 2025$2.2bn
June 2025$1.7bn
September 2025$1.2bn
December 2025$547m
March 2026$1.8bn
June 2026$1.5bn

From the company's quarterly reports to the SEC.

Dates

Next results (estimated)
21 October 2026
Last annual report (10-K)
6 February 2026
Next quarterly (estimated, 10-Q)
14 October 2026

Who owns it

33 long-term investors we follow own it, up from 31 last quarter. 1,604 funds in all.

Jun '25
Dec '25
Jun '26
Largest holders overall

From 13F filings for the quarter ended 30 June 2026.

Big holders and activists

2 investors own more than 5%.

From Schedule 13D and 13G filings: anyone owning more than 5% must file one.

What insiders did

In the last 12 months, 3 insiders bought $2m of shares on the open market. 4 sold $2m.

  • BOUDREAUX GAIL
    President and CEO, Director
    Bought
    Date
    17 July 2026
    Shares
    2,725
    Price
    $367.79
    Value
    $1m
  • PERU RAMIRO G
    Director
    Bought
    Date
    17 July 2026
    Shares
    1,000
    Price
    $366.05
    Value
    $366,050
  • Penczek Ronald W
    CAO & Controller
    Sold
    Date
    12 June 2026
    Shares
    369
    Price
    $403.16
    Value
    $148,766
  • Dixon Robert L JR
    Director
    Sold
    Date
    11 June 2026
    Shares
    151
    Price
    $401.77
    Value
    $60,667
  • Penczek Ronald W
    CAO & Controller
    Sold
    Date
    19 May 2026
    Shares
    1,531
    Price
    $403.13
    Value
    $617,192
  • SCHULMAN AMY W
    Director
    Sold
    Date
    12 March 2026
    Shares
    26
    Price
    $287.50
    Value
    $7,475
  • Kendrick Charles Morgan JR
    EVP & President, Commercial
    Sold
    Date
    6 March 2026
    Shares
    3,196
    Price
    $284.92
    Value
    $910,604
  • COLLIS STEVEN H
    Director
    Bought
    Date
    5 March 2026
    Shares
    3,000
    Price
    $289.84
    Value
    $869,520

From Form 4 filings: insiders must report trades in their own company's shares within two days.

Warning signs in its filings

Problems the company itself reported to the SEC, in its own words.

None of the warning signs we check for were found.

We look for five warning signs: doubt it can keep going, weak checks on its own accounts, a notice that its past accounts can't be relied on, a change of auditor, and one customer bringing in a big share of sales. We don't check lawsuits, investigations or debt yet.

We checked the auditor's report, internal controls, restatement notices, auditor changes and big customers in the 10-K filed 6 Feb 2026, plus the 10-Q filed 15 Jul 2026 and 8 later 8-Ks.

A 10-K is the yearly report every US company files with the SEC. An 8-K is a short notice of a big event.

What could go wrong

Cheap for a reason is the question the numbers cannot answer.

Whether the price already reflects the risks is what the deep dive is for.

What changed in the risks this year

Companies must list what could hurt them each year. These are the parts that changed since last year’s report.

  • There are various risks associated with providing health benefits and other healthcare diversified products and services.

    Could happen
    The direct provision of healthcare services by certain of our subsidiaries involves risks of additional litigation brought against us or our associates for alleged malpractice or professional liability claims arising out of the delivery of healthcare and related -32- services. In addition, liability may arise from maintaining healthcare premises that serve the public. Further, payment disputes with third party payers may result in unexpected reduction in payments or significantly delayed payments for health-care services delivered which may adversely affect our business, cash flows, financial condition and results of operations. Behavioral health services may also raise the risk profile of our business given the critical and sensitive nature of the services provided. In addition, we are, to a certain extent, self-insured with regard to litigation risks, including claims of medical malpractice against our affiliated physicians and us, and it is possible that the level of actual losses will significantly exceed the liabilities recorded for our estimates of the probable costs resulting from self-insured matters. The defense of any actions may result in significant expenses, and if we fail to maintain adequate insurance coverage for these liabilities, or if such insurance is not available, the resulting costs could adversely affect our business, cash flows, financial condition and results of operations. As we become more involved in direct care delivery and the provision of other services, such as crisis management services, there will be an increased possibility of litigation.
    Read more
  • Our pharmacy services business and pharmacy related operations are subject to various risks and uncertainties.

    Could happen
    Recently, California enacted legislation that significantly regulates pharmacy benefit managers and pharmacy pricing practices. The law imposes requirements related to price transparency, restrictions on spread pricing, rebate pass-through obligations, licensing, and fiduciary duties. In addition, Congress recently passed the Consolidated Appropriations Act of 2026, which includes pharmacy benefit manager reforms requiring pharmacy benefit managers to remit all rebates, fees (other than bona fide service fees), and other remuneration received from entities such as manufacturers and group purchasing organizations to commercial plan sponsors, and to provide detailed commercial claims reporting, effective thirty months after enactment. The legislation also imposes extensive reporting requirements and delinks pharmacy benefit manager compensation in Medicare Part D by prohibiting pharmacy benefit managers from receiving remuneration related to Part D drugs in any form other than bona fide service fees that cannot be based on a drug’s price, effective in 2028. There continues to be the potential that similar or additional legislation may be adopted at the state or federal level. These changes in legislation within the prescription drug industry and pharmacy benefit management practices have both short-term and long-term impacts that could have an adverse effect on our business and results of operations.
    Read more

Read it in the annual report

The deep dive

Everything above is arithmetic on public filings. The deep dive reads the last ten years of annual reports, the proxy statements, and the earnings calls, then argues the case the way Buffett, Klarman, and Hohn would, and checks every claim against the source.

  • What the business is worth, as a range, and the margin of safety at today’s price
  • Prices to start buying, buy, and buy hard
  • The three things that would make this a mistake
  • Every number footnoted to the filing it came from
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What a finished deep dive looks like

Not advice. Numbers on this page come from SEC filings and are updated each night; prices are updated again after the US market closes. The five-year figures are rounded.