Elevance Health Inc. · ELV · FY2024 Q4 · Calendar Q1 2025

Elevance maintains outlook as Medicaid pressure meets Carelon growth

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.

Reported Before market openNYSEHealthcare $93.30B market cap
80quality score

Earnings scorecard

Reported versus consensus
Reported EPS — Consensus $3.80
EPS surprise — Reported versus consensus
Reported revenue — Consensus $44.54B
Revenue surprise — Reported versus consensus

Market reaction

prior-close to event-session close
Stock move +2.7% Event window
SPY move +0.5% Same window
Abnormal move +2.2% Stock minus SPY
Volume 1.9× Versus trailing sessions
Subsequent drift -4.1% Up to 20 sessions
ELVSPY benchmark

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Transcript intelligence

What changed

The tone improved from the prior quarter's caution to confidence, with the outlook maintained and greater emphasis on Carelon, Mosaic Health and CareBridge as growth platforms.

Guidance delta

Management maintained its outlook, while emphasizing that Medicaid rate adjustments should support margin improvement later in the year.

Key takeaways

  • Management described a confident operating outlook despite elevated Medicaid cost trends.
  • Medicare Advantage retention and group wins support the membership trajectory.
  • Carelon growth, CareBridge integration and Mosaic Health expansion remain central to the strategy.
  • The key near-term test is whether rate adjustments catch up with Medicaid costs.

Management priorities

  • Integrate CareBridge and expand home and community-based services.
  • Scale Mosaic Health and advanced primary-care capabilities.
  • Shift more Carelon contracts toward risk-based models.
  • Execute planned capital returns while managing medical-cost pressure.

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Earnings History

Estimate Beat Miss Match
ELV EPS earnings history estimate and actual scatter chart 8 reported fiscal quarters and 4 future estimate-only quarters. Q4 '23 estimate $5.55 Q4 '23 actual $5.62, beat Q1 '24 estimate $10.53 Q1 '24 actual $10.64, beat Q2 '24 estimate $10.01 Q2 '24 actual $10.12, beat Q2 '25 estimate $8.91 Q2 '25 actual $8.84, miss Q3 '25 estimate $4.93 Q3 '25 actual $6.03, beat Q4 '25 estimate $3.10 Q4 '25 actual $3.33, beat Q1 '26 estimate $10.82 Q1 '26 actual $12.58, beat Q2 '26 estimate $6.21 Q2 '26 actual $7.45, beat Q3 '26 estimate $4.71 Q4 '26 estimate $2.51 Q1 '27 estimate $12.28 Q2 '27 estimate $7.91

Analyst Consensus ?

ConsensusBuy38 ratings
Bullish2771.1%
Neutral1128.9%
Bearish00.0%

Analyst 52W Price Targets

$430.23Previous close
$320Low
$470.13Average
$625High

Latest persisted target per named analyst; persisted previous close from FN2's market snapshot as of Oct 20, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
Guggenheim Buy BuyMaintainOct 12, 2026
Barclays Overweight OverweightMaintainOct 7, 2026
Leerink Partners Market Perform Market PerformMaintainJul 17, 2026
Bernstein Outperform OutperformMaintainJul 17, 2026
Wells Fargo Overweight OverweightMaintainJul 16, 2026
Show 33 more rating actions

Named analyst price targets

Upside is calculated against the persisted previous close $430.23. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
GuggenheimJason Cassorla$460$412.7 +6.9%Oct 12, 2026
BarclaysAnalyst unavailable$469$400.09 +9.0%Oct 7, 2026
Leerink PartnersAnalyst unavailable$395$369.28 -8.2%Jul 17, 2026
BernsteinAnalyst unavailable$488$372.85 +13.4%Jul 16, 2026
New StreetAnalyst unavailable$482$377.63 +12.0%Jul 16, 2026
See 96 more

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Company context

Snapshot as of publication

Operating as a major health benefits organization, Elevance Health Inc. commits to guiding consumers, families, and communities across their entire health and wellness path. It facilitates access to vital care, assistance, and tools designed to enable healthier living for approximately 118 million individuals. The company's comprehensive offerings span medical, digital, pharmaceutical, behavioral health, clinical, and other care solutions. Founded in 1944 and based in Indianapolis, Indiana, this entity adopted its current name, Elevance Health Inc., in June 2022, having previously operated as Anthem, Inc.

Historical context

All ELV earnings

Latest beats and misses

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Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2025-01-10T21:27:40.921574+00:00
  3. Polygon adjusted daily market bars · 2026-10-20T10:20:44.033990+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-10-20T10:20:44.031158+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-10-20. For educational purposes only; not investment advice.