Elevance Health Inc. · ELV · FY2026 Q2 · Calendar Q3 2026

Elevance Health Beats Q2 EPS by 20%, Raises Guidance to $27 — Stock Falls 8.5%

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.

Reported Before market openNYSEHealthcare $83.65B market cap
100quality score

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.

Earnings scorecard

Reported versus consensus
Reported EPS $7.45 Consensus $6
EPS surprise +20.0% Reported versus consensus
Reported revenue $49.83B Consensus $48.88B
Revenue surprise +1.9% Reported versus consensus

Earnings History

Estimate Beat Miss Match
ELV REVENUE earnings history estimate and actual scatter chart 8 reported fiscal quarters and 4 future estimate-only quarters. Q4 '23 estimate $42B Q4 '23 actual $43B, beat Q1 '24 estimate $42B Q1 '24 actual $43B, beat Q2 '24 estimate $43B Q2 '24 actual $44B, beat Q2 '25 estimate $48B Q2 '25 actual $49B, beat Q3 '25 estimate $49B Q3 '25 actual $50B, beat Q4 '25 estimate $50B Q4 '25 actual $49B, miss Q1 '26 estimate $48B Q1 '26 actual $49B, beat Q2 '26 estimate $49B Q2 '26 actual $50B, beat Q3 '26 estimate $49B Q4 '26 estimate $48B Q1 '27 estimate $50B Q2 '27 estimate $51B

Analyst Consensus ?

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

Analyst 52W Price Targets

$385.73Previous close
$320Low
$468.44Average
$625High

Latest persisted target per named analyst; persisted previous close from FN2's market snapshot as of Jul 29, 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
Wells Fargo Overweight OverweightMaintainJul 16, 2026
RBC Capital Sector Perform Sector PerformMaintainJul 16, 2026
Guggenheim Buy BuyMaintainJul 16, 2026
Barclays Overweight OverweightMaintainJul 16, 2026
Baird Neutral NeutralMaintainJul 16, 2026
Truist Securities Buy BuyMaintainJul 14, 2026
TD Cowen Buy BuyMaintainJul 14, 2026
Show 30 more rating actions

Named analyst price targets

Upside is calculated against the persisted previous close $385.73. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Leerink PartnersAnalyst unavailable$395$369.28 +2.4%Jul 17, 2026
BernsteinAnalyst unavailable$488$372.85 +26.5%Jul 16, 2026
New StreetAnalyst unavailable$482$377.63 +25.0%Jul 16, 2026
RBC CapitalAnalyst unavailable$424$390.33 +9.9%Jul 16, 2026
Goldman SachsAnalyst unavailable$395$390.33 +2.4%Jul 16, 2026
Robert W. BairdAnalyst unavailable$393$390.33 +1.9%Jul 16, 2026
GuggenheimAnalyst unavailable$455$390.33 +18.0%Jul 16, 2026
Wells FargoStephen Baxter$473$390.33 +22.6%Jul 16, 2026
BarclaysAnalyst unavailable$457$390.33 +18.5%Jul 16, 2026
Truist FinancialAnalyst unavailable$475$425.17 +23.1%Jul 14, 2026
See 89 more

Track every rating change on ELV the moment it posts. Free to start.

Start free

Market reaction

prior-close to event-session close
Stock move -8.5% Event window
SPY move +0.4% Same window
Abnormal move -8.9% Stock minus SPY
Volume 2.4× Versus trailing sessions
Subsequent drift -1.2% Up to 20 sessions
ELVSPY benchmark

Follow ELV with an agent that reads every filing, transcript, and price print. Free to start.

Try FN2 free

Transcript intelligence

What changed

Full-year adjusted EPS guidance raised from at least $26.75 to at least $27 (+$0.25). A one-time non-recurring $0.80 per-share benefit was redirected to accelerated investments in analytics, AI, and member engagement. Medicaid margin guidance now explicit at -1.75% with modest H2 improvement expected. Medicare Advantage on track for at least 2% operating margin; ACA risk adjustment favorability partially re-established. Health OS platform introduced for provider connectivity and real-time claim processing. Carelon's CareBridge delivering mid-teens medical savings and scaling to new markets.

Guidance delta

Prior: FY2026 adjusted EPS guidance of at least $26.75. Current: FY2026 adjusted EPS guidance of at least $27. Change: +$0.25. Note: A $0.80 per-share one-time benefit was redirected to accelerated investments, meaning the net guidance raise was modest relative to the upside. 2027 target of at least 12% adjusted EPS growth reaffirmed.

Key takeaways

  • Q2 adjusted EPS of $7.45 beat the $6.21 consensus by 20%; revenue of $49.8B beat by 1.9%.
  • Full-year EPS guidance raised to at least $27, but the $0.80 one-time benefit was reinvested rather than fully flowing through.
  • Medicaid margin guided at -1.75% with H2 improvement expected from rate updates and market exits.
  • Medicare Advantage margin on track for at least 2%; ACA risk adjustment favorability partially re-established.
  • Carelon's value-based solutions (CareBridge) delivering mid-teens medical savings and expanding.
  • 2027 target of at least 12% adjusted EPS growth reaffirmed.

Management priorities

  • Scale Carelon's CareBridge and value-based programs to new markets.
  • Deploy Health OS for provider connectivity and claim efficiency.
  • Continue disciplined pricing and cost management in commercial and ACA lines.
  • Maintain focused Medicare Advantage bid strategy for 2027.
  • Execute targeted non-recurring investments in analytics, AI, and member engagement tools.

Related earnings events

Healthcare

Sources

  1. Earnings call transcript and parsed analysis · 2026-07-15T20:02:55.617681+00:00
  2. FN2 earnings calendar · 2026-07-29T01:23:15.868211+00:00
  3. Polygon adjusted daily market bars · 2026-07-29T08:22:45.644318+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-07-29T08:22:45.641648+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 . For educational purposes only; not investment advice.