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Elevance Health (ELV)
NYSE:ELV
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Elevance Health (ELV) AI Stock Analysis

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ELV

Elevance Health

(NYSE:ELV)

Rating:71Outperform
Price Target:
$315.00
▲(6.99% Upside)
Elevance Health's overall stock score is primarily supported by strong financial performance and favorable valuation metrics. However, bearish technical analysis and challenges highlighted in the earnings call, such as cost pressures and membership declines, moderate the score. The company's ability to navigate these challenges will be crucial for its future performance.
Positive Factors
Earnings Performance
Adjusted EPS of $8.84 was above estimates, indicating better-than-expected earnings performance.
Revenue Growth
Operational revenue of $49.4 billion grew by 14.3% year-over-year and exceeded estimates.
Service Revenue Performance
Carelon Services revenue increased by 63.7% year-over-year, showcasing strong performance.
Negative Factors
Earnings Guidance
The company revised full year 2025 guidance based on elevated cost trend in HIX and a slower-than-expected recovery in MDCD.
Medicaid Challenges
The Medicaid & Exchange books will see continued elevated utilization, particularly in ER visits, behavioral health, and some specialty Rx.
Stock Sell-off
The stock sold off as the magnitude of the cut was bigger than expected.

Elevance Health (ELV) vs. SPDR S&P 500 ETF (SPY)

Elevance Health Business Overview & Revenue Model

Company DescriptionElevance Health Inc. operates as a health benefits company. It supports consumers, families, and communities across the entire care journey connecting to the care, support, and resources to lead healthier lives. It serves approximately 118 million people through a portfolio of medical, digital, pharmacy, behavioral, clinical, and care solutions. The company was formerly known as Anthem, Inc. and changed its name to Elevance Health Inc. in June 2022. Elevance Health Inc. was founded in 1944 and is headquartered in Indianapolis, Indiana.
How the Company Makes MoneyElevance Health generates revenue primarily through premiums received from its members for health insurance coverage. The company's revenue model is built on various key streams, including individual and group health plans, Medicaid and Medicare programs, and specialty services such as pharmacy benefit management. Additionally, Elevance Health earns income from government contracts and partnerships, especially in the Medicare Advantage and Medicaid markets. The company's strategic collaborations with healthcare providers and technology firms also enhance its service offerings and operational efficiencies, contributing to its overall earnings. Furthermore, Elevance Health invests in data analytics and innovative healthcare solutions, which help reduce costs and improve care quality, ultimately driving profitability.

Elevance Health Key Performance Indicators (KPIs)

Any
Any
Medical Memberships
Medical Memberships
Tracks the number of individuals enrolled in the company's health plans, indicating market reach, customer base size, and potential revenue from premiums.
Chart InsightsElevance Health's medical memberships have declined since 2023, with a notable drop in 2024, primarily due to reduced Medicaid memberships and lower ACA effectuation rates. The recent earnings call highlighted challenges in the ACA and Medicaid markets, including elevated medical costs and slower Medicaid rate alignment, prompting a downward revision in EPS guidance. Despite strong revenue growth in other areas like Carelon, these membership declines and cost pressures underscore significant headwinds in stabilizing core health insurance operations.
Data provided by:Main Street Data

Elevance Health Earnings Call Summary

Earnings Call Date:Jul 17, 2025
(Q2-2025)
|
% Change Since: -14.55%|
Next Earnings Date:Oct 15, 2025
Earnings Call Sentiment Negative
The earnings call highlighted strong growth in Carelon and disciplined cost management but was overshadowed by significant challenges in the Medicaid and ACA markets, leading to a revision in EPS guidance. The combination of increased operating revenue and improvements in operating expense ratio was not enough to offset the concerns over elevated cost trends and risk pool issues.
Q2-2025 Updates
Positive Updates
Strong Performance in Carelon
Carelon Rx grew operating revenue by over 20% with traction in larger clients and scaling specialty pharmacy assets. Carelon Services delivered greater than 50% growth in revenue and operating gain through expansion of risk-based relationships and integration of CareBridge.
Disciplined Cost Management
Elevation Health delivered adjusted EPS consistent with expectations, reflecting disciplined cost management across key parts of the business.
Increased Operating Revenue
Operating revenue increased by 14% year-over-year to $49.4 billion, driven by higher premium yields and recent acquisitions in home health and specialty pharmacy.
Improvements in Operating Expense Ratio
Adjusted operating expense ratio improved by 140 basis points year-over-year, reflecting ongoing strategic investments.
Negative Updates
Revised Full-Year EPS Guidance
The full-year 2025 adjusted EPS guidance was revised to approximately $30, reflecting elevated medical cost trends across ACA and slower Medicaid rate alignment.
Decreased Medical Membership
Medical membership decreased by approximately 200,000 sequentially, driven by a reduction in Medicaid membership and lower effectuation rates in the ACA business.
Increased Benefit Expense Ratio
The consolidated benefit expense ratio increased by 260 basis points year-over-year to 88.9%, driven by ACA and Medicaid businesses.
Challenges in Medicaid and ACA Markets
Elevated medical cost trends and slower-than-expected Medicaid rate alignment pose significant challenges, with expectations that elevated trends will persist.
Risk Pool Acuity Issues
Increased morbidity in the ACA market due to shifts in the risk pool, particularly from Medicaid to ACA, impacting medical costs negatively.
Company Guidance
During the Elevance Health Second Quarter 2025 Earnings Conference Call, CEO Gail Boudreaux announced a revised full-year 2025 adjusted EPS guidance of approximately $30, down from previous expectations. This adjustment reflects pressures such as elevated medical cost trends in the ACA market and slower-than-expected Medicaid rate alignment. The call highlighted a strategic focus on managing costs and reinforcing operational foundations to support long-term value creation. In the second quarter, Elevance Health reported a GAAP diluted EPS of $7.72 and an adjusted EPS of $8.84, with operating revenue reaching $49.4 billion, a 14% increase year-over-year. The consolidated benefit expense ratio rose to 88.9%, up 260 basis points from the previous year, while the adjusted operating expense ratio improved by 140 basis points to 10.0%. The company ended the quarter with 45.6 million medical members, a sequential decrease of approximately 200,000. Looking forward, Elevance Health is focusing on stabilizing trends, particularly in high-cost areas, and leveraging technology to enhance care delivery and payment integrity.

Elevance Health Financial Statement Overview

Summary
Elevance Health demonstrates strong revenue growth and operational efficiency, supported by a robust balance sheet with low leverage. However, profitability and cash flow conversion present areas for improvement, particularly with a net profit margin of 2.96% and a decline in operating cash flow.
Income Statement
85
Very Positive
Elevance Health demonstrates strong financial performance with a substantial revenue growth rate of 12.85% from the previous year to TTM (Trailing-Twelve-Months). The company maintains a robust gross profit margin of 75.86% and an EBIT margin of 40.41%, indicating efficient cost management and operational effectiveness. However, the net profit margin of 2.96% suggests that profitability could be further optimized.
Balance Sheet
78
Positive
The balance sheet reflects a solid equity position with an equity ratio of 35.85%, highlighting strong financial stability. The debt-to-equity ratio of 0.05 indicates low financial leverage, reducing risk in volatile market conditions. Return on equity stands at 13.48%, showcasing a decent return for shareholders but with room for improvement.
Cash Flow
70
Positive
Elevance Health's cash flow analysis shows a decline in operating cash flow by 13.58% in TTM compared to the previous year. The free cash flow to net income ratio of 0.68 indicates moderate conversion of earnings into cash flow. The operating cash flow to net income ratio of 0.85 suggests effective cash management, though there is potential for enhancement.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue189.25B176.81B171.34B156.59B138.64B121.87B
Gross Profit189.25B176.81B171.34B156.59B138.64B121.87B
EBITDA9.87B10.48B10.49B10.13B10.10B8.18B
Net Income5.36B5.98B5.99B5.89B6.16B4.57B
Balance Sheet
Total Assets121.94B116.89B108.93B102.75B97.46B86.61B
Cash, Cash Equivalents and Short-Term Investments33.86B33.49B36.14B33.34B31.15B29.17B
Total Debt30.19B31.23B25.12B24.11B23.03B20.04B
Total Liabilities78.09B75.46B69.52B66.42B61.33B53.42B
Stockholders Equity43.72B41.31B39.31B36.24B36.06B33.20B
Cash Flow
Free Cash Flow5.34B4.55B6.76B7.25B7.28B9.67B
Operating Cash Flow6.45B5.81B8.06B8.40B8.36B10.69B
Investing Cash Flow-2.62B-5.17B-5.57B-4.56B-9.64B-7.32B
Financing Cash Flow-1.72B1.19B-3.35B-1.32B423.00M-2.57B

Elevance Health Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price294.43
Price Trends
50DMA
335.58
Negative
100DMA
374.02
Negative
200DMA
383.96
Negative
Market Momentum
MACD
-13.00
Negative
RSI
44.29
Neutral
STOCH
73.27
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ELV, the sentiment is Neutral. The current price of 294.43 is above the 20-day moving average (MA) of 285.63, below the 50-day MA of 335.58, and below the 200-day MA of 383.96, indicating a neutral trend. The MACD of -13.00 indicates Negative momentum. The RSI at 44.29 is Neutral, neither overbought nor oversold. The STOCH value of 73.27 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for ELV.

Elevance Health Risk Analysis

Elevance Health disclosed 28 risk factors in its most recent earnings report. Elevance Health reported the most risks in the "Ability to Sell" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Elevance Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
75
Outperform
$33.07B21.109.03%1.26%9.88%-7.25%
73
Outperform
$83.09B18.285.95%4.04%6.27%-36.28%
73
Outperform
$74.87B15.3212.31%2.03%20.93%43.98%
71
Outperform
$65.86B12.4512.48%2.27%10.21%-17.79%
68
Neutral
$236.90B11.3323.14%3.13%9.98%52.31%
58
Neutral
$12.85B6.477.50%12.96%-23.25%
51
Neutral
$7.43B-0.36-45.45%2.27%22.98%-2.34%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ELV
Elevance Health
294.43
-238.87
-44.79%
CNC
Centene
27.07
-51.44
-65.52%
CI
Cigna
287.10
-43.68
-13.21%
CVS
CVS Health
65.90
10.86
19.73%
HUM
Humana
281.99
-70.54
-20.01%
UNH
UnitedHealth
271.81
-297.06
-52.22%

Elevance Health Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
Elevance Health Elects Steven H. Collis as Director
Positive
Jul 28, 2025

On July 28, 2025, Elevance Health announced the election of Steven H. Collis as an independent director, effective August 1, 2025. Collis, a seasoned healthcare executive, will join the Audit and Finance Committees, enhancing the board’s expertise and governance. His appointment aligns with Elevance Health’s strategy to refresh its board to support growth and stakeholder needs in the evolving healthcare market.

The most recent analyst rating on (ELV) stock is a Buy with a $600.00 price target. To see the full list of analyst forecasts on Elevance Health stock, see the ELV Stock Forecast page.

Financial Disclosures
Elevance Health Reaffirms 2025 Earnings Guidance
Neutral
May 28, 2025

Elevance Health, Inc. announced that its officers will meet with investors to reaffirm the company’s earnings guidance for the full year 2025. The company expects adjusted shareholders’ earnings to range from $34.15 to $34.85 per diluted share, excluding net unfavorable items, and anticipates that 60% of these earnings will be realized in the first half of 2025. This guidance reflects the company’s current assessment of market conditions, regulatory landscape, and operational performance, though actual results may vary based on changes in business factors or assumptions.

The most recent analyst rating on (ELV) stock is a Buy with a $600.00 price target. To see the full list of analyst forecasts on Elevance Health stock, see the ELV Stock Forecast page.

Executive/Board ChangesShareholder Meetings
Elevance Health Holds Annual Shareholders Meeting
Neutral
May 14, 2025

On May 14, 2025, Elevance Health, Inc. held its Annual Meeting of Shareholders where several key decisions were made. The election of directors saw Susan D. DeVore, Bahija Jallal, and Ryan M. Schneider elected for three-year terms. The advisory vote on executive compensation was approved, and the appointment of Ernst & Young LLP as the independent registered public accounting firm for 2025 was ratified. However, a shareholder proposal requesting a report on Diversity, Equity, and Inclusion efforts was not approved.

The most recent analyst rating on (ELV) stock is a Buy with a $600.00 price target. To see the full list of analyst forecasts on Elevance Health stock, see the ELV Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jul 29, 2025