FN2 Earnings Intelligence

Elevance Health Inc. earnings overview

Latest Elevance Health Inc. (ELV) earnings intelligence, including the newest scorecard, market reaction, and transcript analysis.

Next reportElevance Health Inc. reports Wednesday, Jan 27, 2027 · Before market openConsensus EPS $2.10 · consensus revenue $49.32B
ELV FY2026 Q3 · Calendar Q4 2026

Elevance Health Inc.

The quarter supports a constructive operating thesis: stronger health-benefit margins, Carelon expansion, and operational savings provide a basis for earnings growth. The evidence is balanced by unresolved Medicaid, ACA, commercial-cost, and regulatory risks.

EPS surprise+48.4%
Market move-1.4%
ELV FY2026 Q2 · Calendar Q3 2026

Elevance Health Inc.

Elevance Health delivered a strong Q2 2026 beat — adjusted EPS of $7.45 versus $6.21 expected (+20%) on revenue of $49.8B (+1.9%) — and raised full-year adjusted EPS guidance from at least $26.75 to at least $27. Despite the beat-and-raise, the stock fell 8.5% on 2.4x normal volume. The modest $0.25 guidance increase, against a $0.80 per-share one-time benefit redirected to accelerated investments, suggests most of the upside was reinvested rather than flowing to shareholders. Persistent Medicaid margin pressure (-1.75% guided), planned market exits, and uncertainty around second-half utilization trends may have weighed on sentiment.

EPS surprise+20.0%
Market move-8.5%
ELV FY2026 Q1 · Calendar Q2 2026

Elevance Health Inc.

Elevance reported a strong Q1 2026 beat and raised FY2026 adjusted EPS guidance to at least $26.75, citing AI deployment, Carelon risk-based offerings, and a shift toward ACA bronze plans. Management characterizes Medicaid margin pressure as a trough year and reaffirms a target of at least 12% adjusted EPS growth in 2027, with capital deployment weighted toward the $2.3B share repurchase program. The stated trajectory leans constructive for earnings growth over the next year, though visibility is tempered by the CMS risk-adjustment settlement and Medicaid rate negotiations.

EPS surprise+16.3%
Market move+0.0%
ELV FY2025 Q4 · Calendar Q1 2026

Elevance Health Inc.

The supplied analysis supports a mixed outlook: Elevance has identifiable growth avenues in Carelon, specialty pharmacy, behavioral health, analytics, and HealthOS, but near-term earnings durability depends on Medicaid margin recovery, cost trends, membership changes, and policy outcomes.

EPS surprise+7.4%
Market move+5.9%
ELV FY2025 Q3 · Calendar Q4 2025

Elevance Health Inc.

The supplied analysis supports a mixed outlook: Carelon pharmacy and services growth, AI-enabled efficiency efforts, and integrated medical-pharmacy capabilities provide operating support, while Medicaid margin pressure and ACA policy uncertainty constrain visibility. The evidence is constructive on growth initiatives but does not remove execution and policy risks.

EPS surprise+22.3%
Market move-1.2%
ELV FY2025 Q2 · Calendar Q3 2025

Elevance Health Inc.

The call weakens the near-term earnings-growth case: Carelon expansion and technology investments provide offsets, but elevated ACA and Medicaid costs have led to lower guidance and leave the recovery dependent on pricing, utilization, and policy outcomes.

EPS surprise-0.8%
Market move-12.2%
ELV FY2025 Q1 · Calendar Q2 2025

Elevance Health Inc.

The supplied analysis supports a cautiously constructive view of Elevance's operating trajectory: Carelon expansion, membership growth, and value-based care initiatives support earnings durability, while utilization, Medicaid rate alignment, and Medicare policy changes could limit that support.

EPS surprise—
Market move+2.3%
ELV FY2024 Q4 · Calendar Q1 2025

Elevance Health Inc.

The supplied analysis supports a constructive but conditional view: Carelon expansion, Medicare Advantage retention and primary-care initiatives provide growth support, while Medicaid cost trends and execution risks remain material constraints.

EPS surprise—
Market move+2.7%
ELV FY2024 Q3 · Calendar Q4 2024

Elevance Health Inc.

The quarter weakens the near-term earnings-growth case: strong ACA and Carelon expansion did not offset elevated Medicaid costs, prompting a lower full-year EPS outlook. The longer-term case depends on rate and acuity alignment, disciplined Medicare Advantage bidding and successful execution of growth initiatives.

EPS surprise—
Market move-10.6%

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