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ELVElevance Health Inc.
$408.17$88.6B
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  3. ELV
  4. Financial Ratios

Elevance Health Inc. (ELV) Financial Ratios

Latest Ratios: P/E Ratio 16.2x · EV/EBITDA 11.6x · ROE 13.3%. (2001–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

ELV Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Market Cap$88.6B$77.8B$85.9B$111.9B$124.5B$114.4B$81.7B$78.6B$66.8B$60.3B$38.5B
Enterprise Value$112.4B$101.5B$110.3B$132.1B$143.0B$134.4B$97.8B$94.9B$82.1B$76.6B$50.2B
P/E Ratio →16.2513.9614.3718.7021.1318.7417.8616.3518.5115.6815.61
P/S Ratio0.450.390.490.650.800.830.670.750.730.670.45
P/B Ratio2.061.772.072.843.433.172.462.482.342.271.54
P/FCF27.9324.5018.8716.5517.1915.728.4515.7725.5017.7514.71
P/OCF20.6618.1214.7913.8914.8313.687.6412.9717.4514.4012.03

P/E links to full P/E history page with 30-year chart

ELV EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue—0.510.620.770.910.970.800.910.890.850.59
EV / EBITDA11.6410.5110.7312.5914.1213.1211.0312.0611.7813.037.93
EV / EBIT13.8512.5112.1415.1016.9215.4113.9214.1014.1016.289.51
EV / FCF—31.9824.2419.5219.7318.4710.1119.0431.3322.5619.15

ELV Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Gross Margin25.6%25.6%27.9%27.4%25.5%26.0%27.8%21.5%21.9%19.8%21.4%
Operating Margin4.1%4.1%5.0%5.1%5.4%6.5%6.3%6.5%6.3%5.5%6.4%
Net Profit Margin2.8%2.8%3.4%3.5%3.8%4.4%3.8%4.6%4.1%4.3%2.9%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE13.3%13.3%14.8%15.8%16.3%17.6%14.1%16.0%13.6%14.9%10.3%
ROA4.8%4.8%5.3%5.7%5.9%6.6%5.5%6.4%5.2%5.6%3.8%
ROIC9.1%9.1%10.6%11.5%11.4%12.7%11.9%11.0%10.1%9.4%11.1%
ROCE8.2%8.2%9.5%10.1%10.2%11.3%10.8%10.4%9.4%8.4%9.7%

ELV Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity0.750.750.790.680.710.690.660.670.670.750.63
Debt / EBITDA3.443.443.182.542.552.432.462.702.763.392.48
Net Debt / Equity—0.540.590.510.510.550.480.510.540.620.46
Net Debt / EBITDA2.462.462.371.921.821.951.822.072.192.781.84
Debt / FCF—7.485.362.982.542.751.673.265.834.814.45
Interest Coverage5.795.797.678.499.9310.938.969.027.736.367.30

ELV Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio1.241.241.100.971.030.941.141.111.130.931.07
Quick Ratio1.241.241.100.971.030.941.141.111.130.931.07
Cash Ratio0.480.480.430.330.400.310.470.440.420.340.44
Asset Turnover—1.641.511.571.521.421.381.331.271.261.28
Inventory Turnover———————————
Days Sales Outstanding———————————

ELV Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Dividend Yield1.7%2.0%1.8%1.2%1.0%1.0%1.2%1.0%1.2%1.2%1.8%
Payout Ratio27.0%27.0%25.2%23.3%20.9%18.1%20.9%17.0%20.7%18.3%27.7%

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield6.2%7.2%7.0%5.3%4.7%5.3%5.6%6.1%5.4%6.4%6.4%
FCF Yield3.6%4.1%5.3%6.0%5.8%6.4%11.8%6.3%3.9%5.6%6.8%
Buyback Yield2.9%3.4%3.4%2.4%1.9%1.7%3.3%2.2%2.5%3.3%0.2%
Total Shareholder Yield4.6%5.3%5.1%3.6%2.8%2.6%4.5%3.2%3.7%4.5%1.9%
Shares Outstanding—$222M$233M$237M$243M$247M$254M$260M$254M$268M$268M

Key Metrics

Growth RegimeDecelerating
ProfitabilityStrained
Balance SheetMixed
Cash FlowMixed
Top Statement Risk

Medical loss ratio volatility

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Market Pricing Reflects Growth Uncertainty

According to current market data, ELV trades at a forward P/E of 14.69, which appears to discount the company as a traditional insurer rather than a diversified health services entity, especially when compared to the premium multiples commanded by peers like UnitedHealth Group in the broader healthcare sector.

The current valuation suggests that investors are skeptical of the company's ability to successfully pivot toward the higher-margin Carelon services model. The PEG ratio of 2.27 indicates that the market is pricing in a deceleration in earnings growth, warranting caution regarding the sustainability of current multiple levels.

Capital Efficiency Remains Under Pressure

As reported in recent financial statements, ELV's ROIC has struggled to maintain momentum, fluctuating between 0.6% and 4.0% over the last ten quarters, which suggests that the company is currently failing to generate returns that consistently exceed its cost of capital in a highly competitive environment.

The volatility in ROIC appears to be driven by inconsistent net margins and the integration challenges associated with recent acquisitions. Investors should monitor whether the company can improve its capital allocation efficiency as it attempts to scale its Carelon segment to offset the inherent margin caps of its insurance business.

Working Capital Dynamics Remain Opaque

Based on the provided financial data, ELV's asset turnover has remained stagnant at approximately 0.41, indicating that the company's ability to generate revenue from its expanding asset base is not improving, which may reflect the dilutive impact of goodwill and intangible assets on overall operational efficiency.

The lack of transparency regarding DIO and DPO metrics makes it difficult to fully assess the company's working capital management. However, the consistent DSO levels suggest that the company maintains a stable relationship with its premium-paying members, even as it faces broader operational headwinds.

Debt Service Capacity Shows Instability

According to quarterly filings, ELV's interest coverage ratio has experienced significant swings, dropping to 1.59 in 2025Q4 before recovering to 7.45 in 2026Q1, which highlights the company's sensitivity to earnings volatility and the potential risks associated with its current debt-funded growth strategy in the managed care industry.

While the current ratio has improved to 1.48, the erratic nature of the interest coverage ratio suggests that debt service could become a concern if medical loss ratios continue to spike unexpectedly. The reliance on external financing to support share repurchases appears to be a risky capital allocation choice given the current margin environment.

Misapplication of P/E Multiples

The P/E ratio is frequently misapplied to ELV because it fails to account for the significant non-operating volatility inherent in IBNR reserve adjustments, which can artificially inflate or deflate earnings in any given quarter, thereby obscuring the underlying health of the company's core insurance underwriting operations.

Analysts should instead focus on adjusted operating margins and the growth of the Carelon services arm to better gauge true earning power. Relying solely on P/E multiples risks ignoring the structural shifts in the business model that are intended to move the company away from pure insurance risk.

Download Financial Ratios Data

Includes 30+ ratios · 25 years · Updated daily

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ELV — Frequently Asked Questions

Quick answers to the most common questions about buying ELV stock.

What is Elevance Health Inc.'s P/E ratio?

Elevance Health Inc.'s current P/E ratio is 16.2x. The historical average is 14.6x. This places it at the 64th percentile of its historical range.

What is Elevance Health Inc.'s EV/EBITDA?

Elevance Health Inc.'s current EV/EBITDA is 11.6x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 9.5x.

What is Elevance Health Inc.'s ROE?

Elevance Health Inc.'s return on equity (ROE) is 13.3%. The historical average is 13.4%.

Is ELV stock overvalued?

Based on historical data, Elevance Health Inc. is trading at a P/E of 16.2x. This is at the 64th percentile of its historical P/E range. Compare with industry peers and growth rates for a complete picture.

What is Elevance Health Inc.'s dividend yield?

Elevance Health Inc.'s current dividend yield is 1.69% with a payout ratio of 27.0%.

What are Elevance Health Inc.'s profit margins?

Elevance Health Inc. has 25.6% gross margin and 4.1% operating margin.

How much debt does Elevance Health Inc. have?

Elevance Health Inc.'s Debt/EBITDA ratio is 3.4x, indicating high leverage. A ratio between 2-4x is manageable but warrants monitoring.