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OverviewPriceRevenueEarningsP/ERatiosDividendTargets

Elevance Health Inc. (ELV) Quarterly Financial Ratios

Last 48 quarters of trend data · Healthcare · Medical - Healthcare Plans

← View 30-Year Annual Ratios

Valuation Multiples

Quarterly valuation ratios — annualised for comparability. YoY Δ shows same-quarter-prior-year change.

Elevance Health Inc.'s quarterly P/E stands at 35.5x, down 30.4% year-over-year — suggesting improving earnings relative to price. EV/EBITDA has expanded 68.9% YoY to 45.5x, reflecting rising market expectations or slowing EBITDA growth.

MetricTTMQ4 '25Q3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23Q1 '23
P/E Ratio →12.7435.4815.1812.6011.3250.9529.8213.7513.5232.4819.9714.2613.85
—-30.4%-49.1%-8.4%-16.3%+56.9%+49.3%-3.5%-2.4%-0.5%+16.4%-20.5%-17.4%
P/S Ratio0.360.390.360.440.510.470.670.720.710.650.600.600.65
—-16.0%-46.4%-39.1%-29.1%-28.0%+11.7%+19.8%+9.1%-15.9%-12.8%-20.4%-17.1%
P/B Ratio1.611.771.662.002.322.062.762.992.982.822.672.762.94
—-14.2%-40.1%-33.0%-22.3%-27.1%+3.4%+8.4%+1.4%-17.1%-12.5%-15.8%-11.7%
P/FCF22.25—23.5412.2930.0955.5012.92254.9817.87—11.2216.514.47
——+82.1%-95.2%+68.4%—+15.1%+1444.6%+300.0%—+88.5%+21.3%-66.0%
EV / EBITDA10.9145.5111.2310.249.5726.9420.6411.1210.8322.7714.0510.5110.19
—+68.9%-45.6%-7.9%-11.7%+18.3%+46.9%+5.8%+6.3%+5.5%+16.0%-21.5%-20.9%
EV / EBIT13.3343.1611.4310.399.6628.5920.9911.3011.0525.7515.2811.1810.94
—+50.9%-45.6%-8.1%-12.6%+11.0%+37.4%+1.1%+1.1%+1.4%+14.5%-22.6%-20.0%

Profitability

Quarterly margins and returns. Watch for margin compression across consecutive quarters.

Elevance Health Inc.'s operating margin was 0.3% in Q4 2025, down 3.2 pp QoQ and down 1.0 pp YoY. This marks the 4th consecutive quarter of margin compression, signaling a persistent pressure on profitability that investors should monitor. The trailing four-quarter average of 3.5% exceeds the current quarter, suggesting the latest result may reflect seasonal weakness or a one-off headwind. Gross margin contracted 88.4% YoY, suggesting cost inflation or competitive pricing pressure.

Margins

MetricTTMQ4 '25Q3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23Q1 '23
Gross Margin56.2%11.6%14.2%100.0%100.0%100.0%100.0%100.0%100.0%100.0%100.0%100.0%100.0%
—-88.4%-85.8%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%
Operating Margin3.5%0.3%3.5%4.6%5.7%1.3%3.0%6.8%6.9%2.3%3.9%5.6%6.2%
—-77.9%+13.9%-32.7%-17.1%-43.2%-21.2%+22.4%+11.2%-18.8%-27.5%+1.8%+2.6%
Net Margin2.8%1.1%2.3%3.5%4.5%0.9%2.3%5.3%5.3%2.0%3.0%4.2%4.7%
—+20.6%+4.2%-33.6%-15.4%-54.2%-25.2%+24.2%+11.8%-15.5%-25.0%+0.1%+0.4%

Return on Capital

MetricTTMQ4 '25Q3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23Q1 '23
ROE13.3%1.2%2.7%4.0%5.2%1.0%2.4%5.5%5.6%2.2%3.4%4.9%5.4%
—+26.7%+14.7%-27.3%-7.3%-55.4%-29.7%+13.3%+4.0%-16.2%-24.8%+7.4%+8.7%
ROA4.8%0.4%1.0%1.4%1.8%0.4%0.9%2.0%2.0%0.8%1.2%1.7%1.9%
—+25.1%+9.8%-29.5%-9.3%-54.1%-24.6%+20.4%+8.3%-15.4%-25.4%+4.5%+3.9%
ROIC8.0%0.2%2.0%2.6%3.2%0.7%1.6%3.6%3.7%1.4%2.3%3.4%3.7%
—-77.2%+21.9%-26.9%-12.6%-47.6%-30.6%+4.4%-0.1%-18.3%-23.7%+14.9%+15.2%

Leverage & Debt

Quarterly solvency trend — watch for debt spikes or covenant pressure.

Elevance Health Inc.'s Debt/EBITDA ratio is 58.2x, up from 15.0x last quarter — elevated, raising questions about debt serviceability.

MetricTTMQ4 '25Q3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23Q1 '23
Debt / Equity0.730.730.730.690.700.750.620.650.650.640.640.660.68
—-3.5%+17.7%+5.2%+8.3%+18.3%-4.0%-0.2%-4.4%-4.0%-2.3%-0.3%+5.3%
Debt / EBITDA3.7558.1614.9711.309.4631.1115.958.348.0917.6311.948.748.27
—+87.0%-6.1%+35.5%+17.0%+76.5%+33.5%-4.6%-2.1%+18.9%+29.5%-6.8%-5.3%
Current Ratio1.54————————————
—————————————
Quick Ratio1.54————————————
—————————————
Interest Coverage4.990.405.016.728.131.784.5810.6611.093.866.399.3510.43
—————————————

Download Financial Ratios Data

Includes 30+ ratios · 48 years · Updated daily

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Frequently Asked Questions

What is Elevance Health Inc.'s quarterly P/E ratio trend?

Elevance Health Inc.'s current P/E is 12.7x. The average P/E over the last 4 quarters is 18.6x. Quarterly P/E ratios can vary due to seasonal revenue patterns and one-time charges.

How do Elevance Health Inc.'s margins change by quarter?

Elevance Health Inc.'s current operating margin is 3.5%. Margins have been compressing over recent quarters. Quarterly margins are particularly useful for identifying trend inflections that annual data smooths over.

Why look at ELV quarterly ratios instead of annual?

Quarterly financial ratios reveal short-term trend shifts — margin compression, debt spikes, or valuation re-ratings — that annual figures smooth over. They're essential for active investors tracking Elevance Health Inc.'s business trajectory between earnings reports.

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