Elevance Health Inc. (ELV) Key Metrics

NYSE: ELVValuation, returns, debt and efficiency ratios over 10 years.

ELV valuation today

Trailing 12 months · as of October 18, 2026
Market cap
$92.88B
Enterprise value
$107.25B
P/E (TTM)
19.0
10-yr median 17.1
Forward P/E
13.7
PEG ratio
1.30
Price / sales
0.5
10-yr median 0.7
Price / book
1.9
10-yr median 2.4
EV / EBITDA
—
10-yr median 12.0
Dividend yield
1.61%
$6.88 a year
Beta
0.71

ELV key metrics, 2016–2025

Fiscal year ended December 31, 2025 · U.S. dollars

ELV valuation Price multiples at each fiscal year-end price.

P/E ratio−4.4%
13.7
2025 · hover or tap a bar for each year
2016: 15.6 (+5.0%)2017: 15.7 (+0.5%)2018: 17.8 (+13.6%)2019: 16.4 (−8.2%)2020: 17.9 (+9.2%)2021: 18.7 (+4.9%)2022: 21.1 (+12.7%)2023: 18.7 (−11.5%)2024: 14.4 (−23.2%)2025: 13.7 (−4.4%)
20162025
Price / sales−19.6%
0.4
2025 · hover or tap a bar for each year
2016: 0.5 (−5.5%)2017: 0.7 (+47.5%)2018: 0.7 (+8.3%)2019: 0.8 (+4.0%)2020: 0.7 (−11.2%)2021: 0.8 (+23.2%)2022: 0.8 (−3.6%)2023: 0.7 (−17.9%)2024: 0.5 (−25.6%)2025: 0.4 (−19.6%)
20162025
Price / book−14.8%
1.8
2025 · hover or tap a bar for each year
2016: 1.5 (−7.0%)2017: 2.3 (+48.1%)2018: 2.3 (+2.9%)2019: 2.5 (+5.9%)2020: 2.5 (−0.7%)2021: 3.2 (+29.0%)2022: 3.4 (+8.3%)2023: 2.8 (−17.1%)2024: 2.1 (−27.0%)2025: 1.8 (−14.8%)
20162025
EV / EBITDA−0.2%
10.5
2025 · hover or tap a bar for each year
2016: 8.1 (−3.1%)2017: 13.7 (+68.8%)2018: 11.8 (−13.8%)2019: 12.1 (+2.2%)2020: 12.0 (−0.9%)2021: 13.4 (+12.1%)2022: 14.1 (+5.3%)2023: 12.6 (−10.8%)2024: 10.5 (−16.4%)2025: 10.5 (−0.2%)
20162025
Price / free cash flow+29.8%
24.5
2025 · hover or tap a bar for each year
2016: 14.7 (+35.8%)2017: 17.8 (+20.7%)2018: 25.5 (+43.7%)2019: 15.8 (−38.1%)2020: 8.4 (−46.5%)2021: 15.7 (+86.1%)2022: 17.2 (+9.3%)2023: 16.5 (−3.7%)2024: 18.9 (+14.1%)2025: 24.5 (+29.8%)
20162025
Free cash flow yield−1.2 pts
4.1%
2025 · hover or tap a bar for each year
2016: 6.8% (−2.4 pts)2017: 5.6% (−1.2 pts)2018: 3.9% (−1.7 pts)2019: 6.3% (+2.4 pts)2020: 11.8% (+5.5 pts)2021: 6.4% (−5.5 pts)2022: 5.8% (−0.5 pts)2023: 6.0% (+0.2 pts)2024: 5.3% (−0.7 pts)2025: 4.1% (−1.2 pts)
20162025

ELV valuation history

Fiscal year-endToday10-year median

ELV returns on capital

ROEROICROA

Net income (ROE, ROA) or after-tax operating income (ROIC) divided by the average of the opening and closing balance.

ELV debt vs cash

Total debtCash & short-term investments

Debt includes short- and long-term borrowings and, where reported, lease liabilities.

ELV cash returned to shareholders

DividendsBuybacksFree cash flow

ELV price vs earnings per share

Share price at year-endEPS (right axis)

ELV key metrics

2016–2025
Elevance Health Inc. key metrics by fiscal year
2025202420232022202120202019201820172016
Valuation
Market capitalization$77.75B$85.92B$111.95B$124.55B$114.40B$81.65B$78.62B$66.79B$60.26B$38.54B
Enterprise value$101.50B$110.33B$132.08B$142.96B$134.41B$97.75B$94.89B$82.06B$76.58B$50.20B
P/E ratio13.714.418.721.118.717.916.417.815.715.6
Price / sales0.40.50.70.80.80.70.80.70.70.5
Price / book1.82.12.83.43.22.52.52.32.31.5
Price / free cash flow24.518.916.517.215.78.415.825.517.814.7
Price / operating cash flow18.114.813.914.813.77.613.017.514.412.0
EV / sales0.50.60.80.91.00.80.90.90.90.6
EV / EBITDA10.510.512.614.113.412.012.111.813.78.1
EV / free cash flow32.024.219.519.718.510.119.031.322.619.2
Earnings yield7.3%7.0%5.3%4.7%5.3%5.6%6.1%5.6%6.4%6.4%
Free cash flow yield4.1%5.3%6.0%5.8%6.4%11.8%6.3%3.9%5.6%6.8%
Dividend yield2.0%1.8%1.2%1.0%1.0%1.2%1.0%1.2%1.2%1.8%
Shareholder yield (dividends + buybacks)5.3%5.1%3.6%2.8%2.6%4.5%3.2%3.7%4.5%1.9%
Share price at fiscal year-end$350.55$368.90$471.56$512.97$463.54$321.09$302.03$262.63$225.01$143.77
Per share
Revenue per share$897.77$759.17$721.74$644.95$561.75$479.23$400.36$362.19$336.22$316.97
Earnings per share$25.53$25.68$25.22$24.28$24.73$17.98$18.47$14.75$14.35$9.21
Operating cash flow per share$19.34$24.94$33.96$34.59$33.89$42.03$23.28$15.05$15.63$11.95
Free cash flow per share$14.31$19.54$28.50$29.85$29.49$38.01$19.15$10.30$12.68$9.78
Cash per share$42.79$35.59$27.49$30.42$19.77$22.58$18.97$15.47$13.48$15.20
Book value per share$197.84$177.39$165.57$149.27$146.11$130.55$121.89$112.23$98.97$93.62
Tangible book value per share$19.56$4.05$15.65$6.36$4.93$8.27$9.81−$3.81−$4.10−$1.59
Dividends per share$6.89$6.47$5.88$5.06$4.47$3.75$3.14$3.05$2.63$2.55
Capex per share$5.03$5.39$5.46$4.74$4.40$4.01$4.14$4.75$2.95$2.18
Debt per share$149.84$140.41$112.27$106.25$100.86$85.88$81.47$75.54$74.43$58.66
Shares outstanding221.8M232.9M237.4M242.8M246.8M254.3M260.3M254.3M267.8M268.1M
Change in shares outstanding−4.8%−1.9%−2.2%−1.6%−2.9%−2.3%+2.4%−5.0%−0.1%−1.8%
Returns & profitability
Return on equity (ROE)13.3%14.8%15.8%16.3%17.6%14.1%16.0%13.6%14.9%10.3%
Return on invested capital (ROIC)10.3%10.7%11.9%11.8%13.1%11.6%11.8%10.0%12.1%8.0%
Return on assets (ROA)4.8%5.3%5.7%5.9%6.6%5.5%6.4%5.2%5.6%3.8%
Return on tangible assets6.9%7.8%8.2%8.7%9.7%8.0%9.8%8.7%8.8%6.0%
Free cash flow margin1.6%2.6%3.9%4.6%5.2%7.9%4.8%2.8%3.8%3.1%
Income quality (OCF / net income)0.760.971.351.431.372.341.261.021.091.30
Financial health
Total debt$33.23B$32.70B$26.65B$25.80B$24.89B$21.84B$21.21B$19.21B$19.93B$15.73B
Cash & short-term investments$9.49B$8.29B$6.53B$7.39B$4.88B$5.74B$4.94B$3.93B$3.61B$4.08B
Net debt$23.74B$24.41B$20.13B$18.41B$20.01B$16.10B$16.27B$15.28B$16.32B$11.65B
Debt / equity0.760.790.680.710.690.660.670.670.750.63
Debt / assets0.270.280.240.250.260.250.270.270.280.24
Net debt / EBITDA2.462.331.921.822.001.972.072.202.921.88
Current ratio1.241.100.971.030.941.141.111.130.931.07
Quick ratio1.241.103.341.643.423.963.683.834.374.78
Interest coverage5.87.58.59.911.29.89.07.86.77.5
Working capital$4.77B$1.92B−$565.0M$479.0M−$954.0M$1.70B$1.22B$1.23B−$747.3M$675.1M
Invested capital$67.63B$65.73B$59.43B$54.65B$56.07B$49.30B$48.00B$43.82B$42.83B$36.75B
Tangible asset value$4.48B$1.05B$3.81B$1.63B$1.28B$2.10B$2.55B−$970.0M−$1.10B−$425.7M
Net current asset value−$52.74B−$54.12B−$50.54B−$47.29B−$46.76B−$41.21B−$34.01B−$33.25B−$35.16B−$31.35B
Graham number$337.10$320.13$306.51$285.54$285.15$229.81$225.05$192.97$178.75$139.30
Graham net-net per share−$254.96−$246.39−$323.58−$230.31−$277.25−$237.54−$193.72−$187.63−$204.78−$186.40
Capital allocation
Dividends paid$1.53B$1.51B$1.40B$1.23B$1.10B$954.0M$818.0M$776.0M$704.9M$684.0M
Share buybacks (net)$2.60B$2.90B$2.68B$2.32B$1.90B$2.70B$1.70B$1.69B$2.00B$67.0M
Dividend payout ratio27.0%25.2%23.3%20.9%18.1%20.9%17.0%20.7%18.3%27.7%
Dividends + buybacks / free cash flow130.2%96.8%60.2%48.9%41.3%37.8%50.5%94.0%79.6%28.7%
Capex / revenue0.6%0.7%0.8%0.7%0.8%0.8%1.0%1.3%0.9%0.7%
Capex / operating cash flow26.0%21.6%16.1%13.7%13.0%9.6%17.8%31.6%18.9%18.2%
Capex / depreciation0.720.900.740.690.830.880.951.070.890.64
Stock-based compensation / revenue0.1%0.1%0.2%0.2%0.2%0.2%0.3%0.2%0.2%0.2%
SG&A / revenue———11.3%0.0%14.3%12.8%15.2%14.0%14.8%
Efficiency
Days sales outstanding25.926.325.825.023.523.525.125.624.422.5
Days of inventory on hand——-84.7-78.0-129.5-131.4-121.8-156.9-178.3-153.0
Days payables outstanding40.445.646.545.644.241.936.439.240.142.2
Cash conversion cycle (days)-14.5-19.2-105.5-98.6-150.2-149.7-133.1-170.5-194.0-172.8
Receivables turnover14.0813.8614.1614.6115.5615.5114.5514.2514.9516.24
Payables turnover9.038.017.848.018.258.7210.049.319.108.64
Asset turnover1.671.571.621.561.491.461.381.281.311.31
Average receivables$14.14B$12.76B$12.10B$10.72B$8.91B$7.86B$7.16B$6.46B$6.02B$5.23B
Average payables$16.41B$15.93B$15.85B$14.56B$12.44B$10.10B$8.15B$7.72B$7.94B$7.73B
Average inventory——−$28.86B−$24.93B−$36.41B−$31.69B−$27.30B−$30.91B−$35.29B−$28.02B
Intangibles / total assets32.5%34.5%32.7%33.8%35.8%35.2%37.3%40.7%38.6%38.5%

Computed from ELV's annual financial statements (latest annual report filed February 6, 2026) and the closing share price on each fiscal year-end, adjusted for stock splits. Figures in U.S. dollars; data from EODHD. Averages use the opening and closing balance of each year.

ELV valuation and financial ratios

At the end of fiscal 2025 (December 31, 2025), Elevance Health traded at 13.7 times earnings, against a 10-year median of 17.1. Based on the latest twelve months, the trailing P/E is 19.0 and the forward P/E is 13.7. Elevance Health earned a return on equity of 13.3% and a return on invested capital of 10.3% in fiscal 2025. It ended the year with $33.2 billion of debt and $9.5 billion in cash and short-term investments, net debt of $23.7 billion. It returned $4.1 billion to shareholders: $1.5 billion in dividends and $2.6 billion in share buybacks, 130% of free cash flow. The share count fell 17.3% from 268.1M to 221.8M over 9 years.

See the ELV income statement, the ELV chart for price history, or the ELV stock overview for the latest quote and news.

ELV key metrics FAQ

What is Elevance Health's P/E ratio?

Elevance Health's trailing P/E ratio is 19.0 based on the last twelve months of earnings (as of October 18, 2026), and its forward P/E is 13.7. At the end of fiscal 2025 it was 13.7, compared with a 10-year median of 17.1.

What is Elevance Health's EV/EBITDA?

Elevance Health's enterprise value was 10.5 times EBITDA at the end of fiscal 2025 (enterprise value $101.5 billion, EBITDA $9.7 billion).

What is Elevance Health's return on equity?

Elevance Health's return on equity (ROE) was 13.3% in fiscal 2025: net income of $5.7 billion on average shareholders' equity of $42.6 billion.

What is Elevance Health's ROIC?

Elevance Health's return on invested capital was 10.3% in fiscal 2025, using after-tax operating income divided by average debt plus equity minus cash.

How much debt does Elevance Health have?

Elevance Health had total debt of $33.2 billion at the end of fiscal 2025, a debt-to-equity ratio of 0.76 and $23.7 billion of net debt (2.46 times EBITDA).

What is Elevance Health's dividend yield?

Elevance Health's forward dividend yield is 1.61%. Elevance Health paid $1.5 billion in dividends in fiscal 2025 ($6.89 per share), a payout ratio of 27.0%.

Does Elevance Health buy back its shares?

Yes. Elevance Health spent $2.6 billion on net share repurchases in fiscal 2025 Shares outstanding changed −4.8% over the year, to 221.8M..

What is Elevance Health's free cash flow yield?

Elevance Health generated $3.2 billion of free cash flow in fiscal 2025, a free cash flow yield of 4.1% on its market value at year-end ($77.8 billion).

What is Elevance Health's current ratio?

Elevance Health's current ratio was 1.24 at the end of fiscal 2025: current assets were 1.24 times current liabilities.

Healthcare Plans key metrics