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Elevance Health (ELV) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NYSE•Healthcare•Healthcare Plans
C
AverageMetricSide Score: 50/100
ProfitabilityProfit13/30
GrowthGrowth9/25
Balance SheetBalance15/25
Cash QualityCash13/20
Price & Volume
Market Cap $91.85B

Elevance Health, Inc., together with its subsidiaries, operates as a health benefits company in the United States. The company operates in four segments: Health Benefits, CarelonRx, Carelon Services, and Corporate & Other. It offers a variety of health plans and services to individual, employer group risk-based and fee-based, BlueCard, Medicare, Medicaid, and FEP members; health products; a broad array of fee-based administrative managed care services; and specialty and other insurance products and services, such as stop loss, dental, vision, and supplemental health insurance benefits. The company also operates in the pharmacy services business; and markets and offers pharmacy services, including home delivery and specialty pharmacies, claims adjudication, formulary management, pharmacy networks, rebate administration, a prescription drug database, and member services, as well as infusion services and injectable therapies through ambulatory infusion centers. In addition, it provides healthcare related services and capabilities, including specialty care enablement and utilization management support for specialized clinical domains; behavioral health and comprehensive care management services; palliative care services and management; virtual care; and payment integrity, subrogation, clinical data exchange through its HealthOS platform, research and data, reporting and clinical analytics, information technology, and business process support services, as well as manages home health, post-acute institutional management, and durable medical equipment costs; and supports plans in managing home and community-based services. The company provides its services under the Anthem Blue Cross and Blue Shield, Wellpoint, and Carelon brands. The company was formerly known as Anthem, Inc. and changed its name to Elevance Health, Inc. in June 2022. Elevance Health, Inc. was incorporated in 2001 and is based in Indianapolis, Indiana.

Moat Signals

Competitive analysis based on 64 quarters of fundamental data

Pricing Power

Moderate Moat

Operating margins are positive at ~3.7% on average, but show some variability — pricing power may be sensitive to market conditions.

Competitive Advantage

Moderate Moat

ROE is positive at ~14.5% on average, adequate but below the threshold typically associated with wide moats.

Cash Generation

Strong Moat

Free cash flow is consistently positive and growing — a hallmark of a capital-light business that can self-fund growth.

Demand Durability

Weak Moat

Revenue has been flat or declining over recent quarters, which may indicate eroding demand or competitive pressure.

Risk Signals

Data-driven red flags and warnings across 64 quarters

Some Concerns

Margin Pressure

Red Flag

Operating margins dropped 29.8% over recent quarters — a sharp decline suggesting serious cost or pricing challenges.

Earnings Quality

Watch

FCF/Net Income has dropped below 0.7x in 4 quarters — monitor for earnings quality deterioration.

Leverage Risk

Healthy

D/E ratio is 0.7 — conservative capital structure with low financial risk.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Healthy

Shares decreased 5.3% — net buybacks are reducing shares outstanding and boosting per-share value.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$200.41B
9.3%
Q. Revenue
$50.18B
TTM EBITDA
$6.12B
23.7%
TTM Op. Income
$6.12B
23.7%
Q. Op. Income
$2.09B
TTM Net Income
$5.24B
11.4%
Q. Net Income
$1.76B
EPS
$8.03
Shares Out.
$219.80M
2.9%
$200.41B in TTM revenue grew 9.3% YoY, reaching $50.18B last quarter. TTM EBITDA of $6.12B and TTM operating income of $6.12B shows growth is flowing through. Net income of $5.24B TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
29.0%
4.5%
EBITDA Margin
4.2%
Op. Margin
4.2%
35.9%
Net Margin
3.5%
21.3%
Op. margin of 4.2% is down 2.3% YoY — costs are rising relative to revenue. Net margin at 3.5% and gross margin of 29.0% — earnings take a bigger bite when COGS stays lean..

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
17.5x
P/S Ratio
0.5x
P/B Ratio
2.1x
At 17.5x P/E, the stock trades in line with market averages — fairly valued. P/S of 0.5x and P/B of 2.1x provide additional context. Assess whether the current multiple is justified by the company's growth and profitability trajectory.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$125.83B
Cash
$9.66B
Long-Term Debt
$30.77B
Book Value
$43.90B
D/E Ratio
0.7
Debt/EBITDA
14.7
With $125.83B in assets and $30.77B in long-term debt, the D/E of 0.7and book value of $43.90B — shows a conservative capital structure — the company has a strong financial cushion to weather downturns.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$4.33B
Free Cash Flow
$4.10B
399.0%
FCF Margin
2.0%
FCF / Net Income
2.3
FCF of $4.10B on $4.33B in operating cash flow. The FCF / Net Income ratio of 0.8x means earnings are well backed by actual cash — high-quality earnings.

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