Elevance Health key statistics and ratios
In fiscal 2025, Elevance Health had return on equity of 13.3%, an operating margin of 3.6%, debt equal to 73.0% of equity and a current ratio of 1.54. Each ratio below is calculated from the figures on its income statement, balance sheet and cash flow pages.
Financial ratios
| Fiscal year | 2009Dec 2009 | 2010Dec 2010 | 2011Dec 2011 | 2012Dec 2012 | 2013Dec 2013 | 2014Dec 2014 | 2015Dec 2015 | 2016Dec 2016 | 2017Dec 2017 | 2018Dec 2018 | 2019Dec 2019 | 2020Dec 2020 | 2021Dec 2021 | 2022Dec 2022 | 2023Dec 2023 | 2024Dec 2024 | 2025Dec 2025 | LTMSept 2026 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gross margin | — | — | — | — | — | — | — | — | 100.0% | 100.0% | 98.1% | 92.7% | 92.1% | 91.7% | 89.9% | 88.8% | 89.4% | 89.0% |
| Operating margin | 6.4% | 6.9% | 6.2% | 5.9% | 5.6% | 6.0% | 6.0% | 5.7% | 4.6% | 5.9% | 5.8% | 5.2% | 5.5% | 5.3% | 5.0% | 4.4% | 3.6% | 2.7% |
| Net margin | 7.3% | 4.9% | 4.4% | 4.3% | 3.5% | 3.5% | 3.2% | 2.9% | 4.3% | 4.1% | 4.6% | 3.8% | 4.4% | 3.8% | 3.5% | 3.4% | 2.8% | 2.5% |
| Free-cash-flow margin | 4.1% | 1.6% | 4.7% | 3.6% | 3.4% | 3.6% | 4.5% | 3.2% | 3.8% | 2.8% | 4.8% | 7.9% | 5.2% | 4.6% | 3.9% | 2.6% | 1.6% | 3.2% |
| Return on equity | 19.1% | 11.9% | 11.2% | 11.3% | 10.3% | 10.5% | 10.8% | 10.3% | 14.9% | 13.6% | 16.0% | 14.1% | 17.8% | 16.3% | 15.8% | 14.8% | 13.3% | 11.6% |
| Return on assets | 9.1% | 5.6% | 5.2% | 4.8% | 4.2% | 4.2% | 4.1% | 3.9% | 5.7% | 5.3% | 6.5% | 5.6% | 6.7% | 5.9% | 5.7% | 5.3% | 4.8% | 4.1% |
| Asset turnover | 1.25 | 1.15 | 1.19 | 1.11 | 1.20 | 1.22 | 1.28 | 1.34 | 1.33 | 1.30 | 1.40 | 1.49 | 1.51 | 1.56 | 1.62 | 1.57 | 1.67 | 1.62 |
| Current ratio | 1.91 | 1.87 | 1.70 | 1.83 | 1.82 | 1.70 | 1.62 | 1.61 | 1.55 | 1.56 | 1.66 | 1.55 | 1.47 | 1.40 | 1.44 | 1.45 | 1.54 | 1.47 |
| Debt to equity | 33.8% | 37.6% | 42.3% | 65.3% | 58.5% | 62.0% | 68.8% | 62.7% | 75.2% | 67.3% | 63.3% | 61.1% | 63.9% | 66.5% | 63.9% | 75.6% | 73.0% | 68.8% |
| Interest cover (operating income ÷ interest) | 9.3x | 9.7x | 8.8x | 7.1x | 6.6x | 7.4x | 7.3x | 6.6x | 5.6x | 7.2x | 8.0x | 8.1x | 9.5x | 9.7x | 8.3x | 6.6x | 5.1x | 3.8x |
| Effective tax rate | 35.9% | 33.7% | 33.1% | 31.3% | 31.4% | 41.4% | 44.7% | 45.8% | 3.1% | 26.0% | 19.7% | 26.7% | 23.1% | 22.5% | 22.3% | 24.5% | 15.6% | 18.4% |
| SG&A as % of revenue | 13.9% | 14.9% | 13.9% | 14.1% | 14.0% | 15.9% | 15.8% | 14.8% | 14.0% | 15.2% | 12.8% | 14.3% | 11.5% | 11.3% | 11.7% | 11.3% | 10.5% | 11.4% |
| Capital spending as % of revenue | 0.6% | 0.8% | 0.9% | 0.9% | 0.9% | 1.0% | 0.8% | 0.7% | 0.9% | 1.3% | 1.0% | 0.8% | 0.8% | 0.7% | 0.8% | 0.7% | 0.6% | 0.5% |
| Free cash flow ÷ net income | 56.1% | 33.4% | 107.9% | 82.8% | 96.6% | 103.3% | 139.6% | 108.7% | 88.3% | 69.8% | 103.7% | 211.4% | 118.2% | 123.0% | 113.0% | 76.1% | 56.1% | 126.8% |
| Dividends ÷ net income | — | 0.0% | 13.5% | 13.8% | 18.0% | 18.7% | 25.6% | 27.7% | 18.3% | 20.7% | 17.0% | 20.9% | 17.9% | 20.9% | 23.3% | 25.2% | 27.0% | 29.2% |
| Dividends and buybacks ÷ free cash flow | 99.2% | 451.7% | 119.0% | 130.2% | 86.0% | 131.1% | 60.8% | 25.5% | 79.6% | 94.0% | 50.5% | 37.8% | 41.3% | 48.9% | 60.2% | 96.8% | 130.2% | 56.2% |
| Quarter | 2024 Q4Dec 2024 | 2025 Q1Mar 2025 | 2025 Q2Jun 2025 | 2025 Q3Sept 2025 | 2025 Q4Dec 2025 | 2026 Q1Mar 2026 | 2026 Q2Jun 2026 | 2026 Q3Sept 2026 |
|---|---|---|---|---|---|---|---|---|
| Gross margin | 86.8% | 89.8% | 89.4% | 89.4% | 88.9% | 89.1% | 89.1% | 89.0% |
| Operating margin | 1.5% | 6.5% | 4.9% | 2.6% | 0.6% | 4.2% | 3.5% | 2.5% |
| Net margin | 0.9% | 4.5% | 3.5% | 2.3% | 1.1% | 3.5% | 2.9% | 2.7% |
| Free-cash-flow margin | 0.8% | 1.7% | 3.6% | 1.5% | −0.4% | 8.2% | 3.2% | 1.9% |
| Current ratio | 1.45 | 1.43 | 1.44 | 1.56 | 1.54 | 1.48 | 1.52 | 1.47 |
| Debt to equity | 74.7% | 70.0% | 68.2% | 72.6% | 72.7% | 70.9% | 69.2% | 68.8% |
| SG&A as % of revenue | 10.6% | 10.8% | 10.0% | 10.4% | 10.9% | 12.6% | 11.0% | 11.2% |
Financial health
- Short-term assets cover short-term liabilities $68.5bn of assets due within a year against $46.7bn of liabilities due within a year.
- Short-term assets cover long-term liabilities $68.5bn short-term assets against $36.3bn of longer-dated liabilities.
- More cash than debt $10.3bn of cash against $30.8bn of debt.
- Debt below 40% of shareholders' equity Debt is 69% of equity.
- Debt burden no higher than five years ago Debt to equity moved from 55% to 69% over five years.
- A year's operating cash flow covers at least 20% of debt $7.6bn of operating cash flow against $30.8bn of debt.
- Operating profit covers interest at least five times over Operating income of $5.4bn against $1.4bn of interest.
Moat
Moderate moat
How hard Elevance Health's competitive advantage looks for rivals to wear away, judged from 10 years of its own filings: returns on capital, pricing power, profit durability, cash conversion and discipline.
- Returns on capital 7 / 20
Net income has been a median 5.5% of total assets over 10 years.
- Pricing power 19 / 20
Gross margin has been a median 91.2%, moving by 3.2 percentage points (standard deviation) across 8 years.
- Durability 8 / 20
Operating margin has been a median 5.1%; its worst year was 2.7%.
- Cash conversion 12 / 20
Free cash flow was positive in 10 of 10 years, at a median 4.5% of revenue.
- Discipline 20 / 20
The diluted share count fell 11.6% over five years; stock-based pay has been a median 0.2% of revenue.
AI disruption exposure: Medium. In this industry, AI could change how the product is made or sold, without replacing the core asset. The score above includes a 5-point deduction for that exposure (66 before it).
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