Elevance Health Inc. · ELV · FY2026 Q1 · Calendar Q2 2026

Elevance beats Q1, raises 2026 EPS guidance to $26.75 on AI and Carelon momentum

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.

Reported Before market openNYSEHealthcare $86.37B market cap
100quality score

Earnings scorecard

Reported versus consensus
Reported EPS $12.58 Consensus $10.82
EPS surprise +16.3% Reported versus consensus
Reported revenue $49.49B Consensus $48.20B
Revenue surprise +2.7% Reported versus consensus

Market reaction

prior-close to event-session close
Stock move +0.0% Event window
SPY move +1.0% Same window
Abnormal move -1.0% Stock minus SPY
Volume 1.9× Versus trailing sessions
Subsequent drift +20.7% Up to 20 sessions
ELVSPY benchmark

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What changed

FY2026 adjusted EPS guidance was raised to at least $26.75 from at least $25.50 after the Q1 beat. Management also recorded a $935M accrual for a CMS historical risk-adjustment settlement with resolution discussions ongoing, and noted ACA enrollment shifting toward bronze plans that defer some costs to later in the year.

Guidance delta

Raised: FY2026 adjusted EPS guidance lifted to at least $26.75, up from the at-least-$25.50 set after Q4 2025, following a strong Q1 beat.

Key takeaways

  • Q1 2026 adjusted EPS of $12.58 beat consensus by roughly 16%; revenue of $49.49B beat by about 2.7%
  • Full-year 2026 adjusted EPS guidance raised to at least $26.75
  • Management frames Medicaid margin pressure as a trough year, with targeted rate negotiations ongoing
  • Enrollment mix is shifting toward ACA bronze plans, boosting early premium yield while deferring costs later in the year
  • Elevance repurchased $1.1B of shares in Q1 toward a $2.3B target for 2026

Management priorities

  • Embedding AI across clinical, operational and administrative workflows to reduce cost trend
  • Scaling Carelon risk-based programs, including rolling out risk-based oncology to Medicaid later in 2026
  • Expanding CareBridge home-based care and integrated medical-pharmacy offerings
  • Maintaining disciplined pricing while completing the up-to-$2.3B share repurchase program

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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 $4.66 Q4 '26 estimate $2.49 Q1 '27 estimate $12.23 Q2 '27 estimate $7.83

Analyst Consensus ?

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

Analyst 52W Price Targets

$398.25Previous close
$320Low
$468.44Average
$625High

Latest persisted target per named analyst; persisted previous close from FN2's market snapshot as of Sep 25, 2026. Not an FN2 forecast.

Firm-level rating actions

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

FirmRatingPrior ratingActionDate
Leerink Partners Market Perform Market PerformMaintainJul 17, 2026
Bernstein Outperform OutperformMaintainJul 17, 2026
Wells Fargo Overweight OverweightMaintainJul 16, 2026
RBC Capital Sector Perform Sector PerformMaintainJul 16, 2026
Guggenheim Buy BuyMaintainJul 16, 2026
Show 33 more rating actions

Named analyst price targets

Upside is calculated against the persisted previous close $398.25. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Leerink PartnersAnalyst unavailable$395$369.28 -0.8%Jul 17, 2026
BernsteinAnalyst unavailable$488$372.85 +22.5%Jul 16, 2026
New StreetAnalyst unavailable$482$377.63 +21.0%Jul 16, 2026
RBC CapitalAnalyst unavailable$424$390.33 +6.5%Jul 16, 2026
Goldman SachsAnalyst unavailable$395$390.33 -0.8%Jul 16, 2026
See 94 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

Healthcare peers this season

Latest reports in the same sector
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COO The Cooper Companies, Inc. FY2026 Q3 · Calendar Q3 2026 +2.7% -14.7% CooperCompanies beats expectations as inventory reduction weighs on vision revenue
MDT Medtronic plc FY2027 Q1 · Calendar Q3 2026 +4.3% +1.5% Medtronic raises FY27 outlook as growth broadens across platforms

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 · 2026-07-26T00:37:12.209961+00:00
  3. Polygon adjusted daily market bars · 2026-09-25T12:20:58.865534+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-09-25T12:20:58.862775+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 2026-09-25. For educational purposes only; not investment advice.