Elevance Health
ELV on NYSE. Elevance Health sells health insurance and related services to individuals, employers, and government programs. Market value $85.6bn.
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
Why it could be worth it
What to watch out for
Nothing stood out in the numbers we check.
This is not advice. Check the numbers below.
Yearly profit per dollar of owners' money: 16 cents. Above 10 is good.
What you pay for each dollar of net assets: $1.93.
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
| Revenue | |||||
| Revenue | $138.6bn | $156.6bn | $171.3bn | $177.0bn | $199.1bn |
| Operating margin | |||||
| Operating margin | n/a | n/a | n/a | n/a | n/a |
| Debt to equity | |||||
| Debt to equity | n/a | n/a | n/a | n/a | n/a |
| Shares outstanding | |||||
| Shares outstanding | 0.24bn | 0.23bn | 0.23bn | 0.22bn | 0.22bn |
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.
| Quarter to | Amount |
|---|---|
| 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 |
| Quarter to | Amount |
|---|---|
| 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.
- Sanders CapitalLew Sanders
- Value
- $2.3bn
- Share of fund
- 2.3%
- Baupost GroupSeth Klarman
- Value
- $493m
- Share of fund
- 9.1%
- Yacktman Asset ManagementStephen Yacktman
- Value
- $131m
- Share of fund
- 1.6%
- Pzena Investment ManagementRichard Pzena
- Value
- $87m
- Share of fund
- 0.3%
- Mawer Investment ManagementMawer team
- Value
- $72m
- Share of fund
- 0.5%
- Orbis Investment ManagementOrbis team (Allan Gray lineage)
- Value
- $71m
- Share of fund
- 0.2%
- Hosking PartnersJeremy Hosking
- Value
- $58m
- Share of fund
- 1.9%
- Auxier Asset ManagementJeff Auxier
- Value
- $14m
- Share of fund
- 1.9%
- First Manhattan Co.First Manhattan partners
- Value
- $6m
- Share of fund
- <0.1%
- Dodge & CoxDodge & Cox investment committee
- Value
- $502,749
- Share of fund
- <0.1%
Sold out this quarter
Largest holders overall
- BlackRock$7.3bnCut
- Vanguard Capital Management$5.4bnCut
- State Street$4.0bn
- Wellington Management Group LLP$3.6bnAdded
- First Eagle Investment Management$3.2bnAdded
- Vanguard Portfolio Management$2.4bnCut
- Sanders Capital$2.3bn
- Geode Capital Management$2.0bn
- Harris Associates (Oakmark)$1.9bnAdded
- Artisan Partners Limited Partnership$1.8bnCut
From 13F filings for the quarter ended 30 June 2026.
Big holders and activists
2 investors own more than 5%.
- BlackRock, Inc.Passive investor7.8%Since 31 March 2025
- Vanguard Capital ManagementPassive investor7.1%Since 31 March 2026
- The Vanguard GroupPassive investorSold down below 5%Since 13 March 2026
| Holder | Stake | Since | |
|---|---|---|---|
BlackRock, Inc. Passive investor | 7.8% | 31 March 2025 | |
Vanguard Capital Management Passive investor | 7.1% | 31 March 2026 | |
The Vanguard Group Passive investor | Sold down below 5% | 13 March 2026 |
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 GAILPresident and CEO, DirectorBought
- Date
- 17 July 2026
- Shares
- 2,725
- Price
- $367.79
- Value
- $1m
- PERU RAMIRO GDirectorBought
- Date
- 17 July 2026
- Shares
- 1,000
- Price
- $366.05
- Value
- $366,050
- Penczek Ronald WCAO & ControllerSold
- Date
- 12 June 2026
- Shares
- 369
- Price
- $403.16
- Value
- $148,766
- Dixon Robert L JRDirectorSold
- Date
- 11 June 2026
- Shares
- 151
- Price
- $401.77
- Value
- $60,667
- Penczek Ronald WCAO & ControllerSold
- Date
- 19 May 2026
- Shares
- 1,531
- Price
- $403.13
- Value
- $617,192
- SCHULMAN AMY WDirectorSold
- Date
- 12 March 2026
- Shares
- 26
- Price
- $287.50
- Value
- $7,475
- Kendrick Charles Morgan JREVP & President, CommercialSold
- Date
- 6 March 2026
- Shares
- 3,196
- Price
- $284.92
- Value
- $910,604
- COLLIS STEVEN HDirectorBought
- Date
- 5 March 2026
- Shares
- 3,000
- Price
- $289.84
- Value
- $869,520
| Date | Who | Did | Shares | Price | Value |
|---|---|---|---|---|---|
| 17 July 2026 | BOUDREAUX GAIL President and CEO, Director | Bought | 2,725 | $367.79 | $1m |
| 17 July 2026 | PERU RAMIRO G Director | Bought | 1,000 | $366.05 | $366,050 |
| 12 June 2026 | Penczek Ronald W CAO & Controller | Sold | 369 | $403.16 | $148,766 |
| 11 June 2026 | Dixon Robert L JR Director | Sold | 151 | $401.77 | $60,667 |
| 19 May 2026 | Penczek Ronald W CAO & Controller | Sold | 1,531 | $403.13 | $617,192 |
| 12 March 2026 | SCHULMAN AMY W Director | Sold | 26 | $287.50 | $7,475 |
| 6 March 2026 | Kendrick Charles Morgan JR EVP & President, Commercial | Sold | 3,196 | $284.92 | $910,604 |
| 5 March 2026 | COLLIS STEVEN H Director | Bought | 3,000 | $289.84 | $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 happenThe 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 moreOur pharmacy services business and pharmacy related operations are subject to various risks and uncertainties.
Could happenRecently, 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
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
Your first deep dive is free.
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.