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Elevance Health (ELV)

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Earnings summaries and quarterly performance for Elevance Health.

Research analysts who have asked questions during Elevance Health earnings calls.

Andrew Mok

Andrew Mok

Barclays

8 questions for ELV

Also covers: ACHC, ADUS, AGL +21 more
EW

Erin Wright

Morgan Stanley

8 questions for ELV

Also covers: ALGN, BTSG, CAH +18 more
George Hill

George Hill

Deutsche Bank

8 questions for ELV

Also covers: AGL, CAH, CI +16 more
JL

Justin Lake

Wolfe Research, LLC

8 questions for ELV

Also covers: AGL, CI, CNC +8 more
LW

Lance Wilkes

Sanford C. Bernstein & Co., LLC

8 questions for ELV

Also covers: AGL, CI, CNC +4 more
LG

Lisa Gill

JPMorgan Chase & Co.

8 questions for ELV

Also covers: AGL, CAH, CI +13 more
AH

Ann Hynes

Mizuho Financial Group

7 questions for ELV

Also covers: ARDT, BTSG, CI +17 more
RL

Ryan Langston

TD Cowen

7 questions for ELV

Also covers: ACHC, ADUS, AGL +15 more
Joshua Raskin

Joshua Raskin

Nephron Research

6 questions for ELV

Also covers: AIRS, BKD, CI +13 more
Sarah James

Sarah James

Cantor Fitzgerald

6 questions for ELV

Also covers: ACHC, AMED, CI +15 more
SF

Scott Fidel

Stephens Inc.

6 questions for ELV

Also covers: ACHC, ADUS, ALHC +17 more
Benjamin Hendrix

Benjamin Hendrix

RBC Capital Markets

5 questions for ELV

Also covers: ACHC, ADUS, AHCO +25 more
Dave Windley

Dave Windley

Jefferies LLC

5 questions for ELV

Also covers: CERT, CNC, HUM +7 more
KF

Kevin Fischbeck

Bank of America

5 questions for ELV

Also covers: AMN, ARDT, CCRN +9 more
AR

A.J. Rice

UBS

4 questions for ELV

Also covers: BTSG, CYH, EHC +4 more
AR

Albert Rice

UBS

3 questions for ELV

Also covers: ACHC, AMED, AMN +20 more
BM

Benjamin Mayo

Leerink Partners

3 questions for ELV

Also covers: ACHC, AGL, AMED +10 more
HH

Hua Ha

Robert W. Baird & Co. Incorporated

3 questions for ELV

Also covers: AGL, CNC, HUM +4 more
Jason Cassorla

Jason Cassorla

Guggenheim Partners

3 questions for ELV

Also covers: ACHC, ARDT, CI +8 more
JG

Joanna Gajuk

Bank of America

3 questions for ELV

Also covers: ACHC, ADUS, AGL +21 more
Stephen Baxter

Stephen Baxter

Wells Fargo

3 questions for ELV

Also covers: BTSG, CNC, CVS +6 more
Stephen Baxter

Stephen Baxter

Wells Fargo & Company

3 questions for ELV

Also covers: AGL, BTSG, CAH +15 more
BH

Ben Hendricks

RBC Capital Markets

2 questions for ELV

Also covers: HCA, PACS
DW

David Windley

Jefferies Financial Group Inc.

2 questions for ELV

Also covers: CERT, CNC, CRL +14 more
Josh Raskin

Josh Raskin

Nathron Research

2 questions for ELV

Also covers: CNC, HCA, MOH +3 more
AR

A.J. Rice

UBS Group AG

1 question for ELV

Also covers: ACHC, AMED, AMN +21 more
CB

Christian Borgmeyer

TD Cowen

1 question for ELV

Michael Ha

Michael Ha

Robert W. Baird & Co.

1 question for ELV

Also covers: AGL, ALHC, ASTH +7 more
Whit Mayo

Whit Mayo

Leerink Partners

1 question for ELV

Also covers: ACHC, AHCO, ALHC +11 more

Recent press releases and 8-K filings for ELV.

Elevance Health reports Q4 2025 results and issues 2026 guidance
ELV
Earnings
Guidance Update
Share Buyback
  • Management set 2026 adjusted EPS guidance of at least $25.50, with operating revenue expected to decline low-single-digit % driven by membership declines, a consolidated medical loss ratio of 90.2% ±150 bps, and an adjusted operating expense ratio of 10.6% ±150 bps.
  • 2026 is viewed as a trough year: Medicaid operating margin projected at approximately –1.75% amid membership declines and rate lag; Medicare Advantage membership is expected to drop in the high-teens % range; ACA plans are being repriced for elevated costs and subsidy expirations.
  • Long-term targets were recalibrated to reflect current business mix: enterprise margin of 5–6%, health benefits mid-single-digit margins, and a return to at least 12% adjusted EPS growth in 2027 off the 2026 baseline.
  • Capital deployment includes approximately $2.3 billion in share repurchases in 2026, with a reduced M&A focus and opportunistic buybacks prioritized.
7 days ago
Elevance Health reports Q4 2025 results
ELV
Earnings
Guidance Update
  • Q4 2025 adjusted diluted EPS of $3.33 (up 3.1% year-over-year) and full-year EPS of $30.29 (down 8.3%) driven by non-recurring 2024 tax benefits.
  • Operating revenue of $49.3 billion in Q4 2025 (+9.6% YoY) and $197.6 billion for the full year (+12.8%) on higher premium yields, acquisitions, and Medicare Advantage membership growth.
  • Benefit expense ratio of 93.5% in Q4 2025 and 90.0% for 2025; 2026 guidance targets a ratio of 90.2% ± 50 bps alongside a low-single-digit decline in operating revenue.
  • 2026 adjusted diluted EPS guidance of at least $25.50, with an adjusted operating gain projected at a minimum of $6.8 billion.
7 days ago
ELV
Earnings
Guidance Update
Share Buyback
  • Ended Q4 with 45.2 million members, down ~500,000 YoY driven by Medicaid eligibility reverifications.
  • Q4 operating revenue of $49.3 billion (+10% YoY), full-year benefit expense ratio of 90% and adjusted operating expense ratio of 10.5%.
  • 2026 guidance: ≥ $25.50 adjusted diluted EPS; low-single-digit % revenue decline; medical loss ratio 90.2% (±50 bps); operating expense ratio 10.6% (±50 bps); ~65% of EPS in Q1.
  • Segment outlook: Medicaid operating margin ~ -1.75%; Medicare Advantage membership down high-teens % with margin improvement; continued commercial momentum in ASO national accounts.
  • Returned $4.1 billion of capital in 2025 including $2.6 billion of share repurchases; plans $2.3 billion of buybacks in 2026.
7 days ago
Elevance Health reports Q4 2025 results
ELV
Earnings
Guidance Update
  • Elevance reported adjusted diluted EPS of $3.33 in Q4 2025 and $30.29 for the full year.
  • Operating revenue rose 10% year-over-year to $49.3 billion in Q4, while membership decreased by about 500,000 to 45.2 million.
  • 2026 guidance assumes mid-single-digit cost trend, Medicaid operating margin of approximately –1.75%, and expects Medicare Advantage membership to decline in the high-teens % with meaningful margin improvement.
  • Long-term margin targets refined to 5–6% enterprise margin, mid-single-digit health benefits margins, and unchanged targets for Carelon Services.
7 days ago
Elevance Health reports Q4 2025 results and 2026 outlook
ELV
Earnings
Guidance Update
Dividends
  • Elevance Health posted 4Q 2025 operating revenue of $49.3 billion (+9.6% y/y) and full-year 2025 revenue of $197.6 billion (+12.8% y/y); 4Q GAAP diluted EPS was $2.47 (adjusted $3.33), and FY GAAP EPS was $25.21 (adjusted $30.29).
  • The company projects FY 2026 GAAP diluted EPS of at least $22.30 and adjusted diluted EPS of at least $25.50.
  • Returned $4.1 billion of capital to shareholders in 2025 and declared a Q1 2026 dividend of $1.72 per share, payable March 25, 2026.
  • Total medical membership stood at 45.2 million as of December 31, 2025, down 1% year over year, driven by Medicaid attrition.
7 days ago
Elevance Health announces Q4 and FY 2025 results and 2026 outlook
ELV
Earnings
Guidance Update
Share Buyback
  • Operating revenue of $49.3 billion in Q4 2025 and $197.6 billion for FY 2025, up 10% and 13% respectively
  • Q4 2025 GAAP EPS $2.47 and adjusted EPS $3.33; FY 2025 GAAP EPS $25.21 and adjusted EPS $30.29
  • Projects FY 2026 GAAP EPS of at least $22.30 and adjusted EPS of at least $25.50
  • Returned $4.1 billion of capital to shareholders in 2025, including $471 million in Q4 share repurchases and a $1.71 Q4 dividend; declared Q1 2026 dividend of $1.72
7 days ago
Elevance Health expands coverage for non-invasive liver tumor treatment
ELV
  • Elevance Health has issued a policy effective October 21, 2025 covering HistoSonics’ non-invasive histotripsy system for liver tumors
  • Coverage applies to commercial, Medicare, and Medicaid plans in 14 states, including California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin
  • The expansion increases access to approximately 45.4 million members
  • Decision is based on growing clinical evidence of long-term safety and efficacy of HistoSonics’ histotripsy therapy
Oct 22, 2025, 12:00 PM
Elevance Health expands coverage for non-invasive liver tumor therapy
ELV
  • Elevance Health will extend insurance coverage for HistoSonics’ non-invasive histotripsy treatment of hepatic tumors to about 45.4 million members across its commercial, Medicare and Medicaid plans, effective October 21, 2025.
  • Coverage will include plans in 14 states—California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin—broadening patient access to the therapy.
  • The decision is driven by growing clinical evidence of the long-term safety and efficacy of the Edison® Histotripsy System, with additional real-world data currently being collected worldwide.
Oct 22, 2025, 12:00 PM
Elevance Health expands coverage for HistoSonics’ non-invasive liver tumor therapy
ELV
Product Launch
  • Elevance Health will extend insurance coverage for HistoSonics’ Edison® histotripsy system to 45.4 million plan members across 14 states, broadening access to non-invasive liver tumor treatment.
  • The Edison® system, FDA-cleared via De Novo in October 2023, uses focused ultrasound to mechanically ablate tumors without incision, radiation, or heat.
  • In the HOPE4LIVER pivotal trial, the system achieved 90 % tumor control at 12 months with comparable outcomes and shorter recovery versus existing ablation therapies.
  • Coverage decisions build on multiple Blue Cross Blue Shield plan approvals, and HistoSonics is pursuing UNOS recognition to include histotripsy in liver transplant candidate selection.
Oct 22, 2025, 12:00 PM
Elevance Health expands insurance coverage for HistoSonics histotripsy
ELV
  • Effective October 21, 2025, Elevance Health will cover HistoSonics’ non-invasive histotripsy for liver tumors, extending access to 45.4 million members across 14 states.
  • Coverage spans commercial, Medicare and Medicaid plans in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin.
  • The decision is driven by growing clinical and real-world data demonstrating the safety and efficacy of histotripsy in treating liver tumors, enhancing non-invasive treatment options.
Oct 22, 2025, 12:00 PM

Quarterly earnings call transcripts for Elevance Health.