Stock Analysis on Net

Elevance Health Inc. (NYSE:ELV)

$24.99

Analysis of Profitability Ratios

Microsoft Excel

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Profitability Ratios (Summary)

Elevance Health Inc., profitability ratios

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Return on Sales
Gross profit margin
Operating profit margin
Net profit margin
Return on Investment
Return on equity (ROE)
Return on assets (ROA)

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


The financial performance metrics over the five-year period exhibit notable trends and shifts. There is a consistent downward trajectory in the gross profit margin, declining from 19.71% in 2020 to 15.92% in 2024, indicating a reduction in the efficiency or pricing power in generating profit from revenue.

Operating profit margin follows a similar pattern with slight fluctuations; after a marginal increase from 4.97% in 2020 to 5.15% in 2021, it decreases steadily to 4.16% by 2024. This suggests that operating expenses have grown relative to gross profits or revenue, putting pressure on operating profitability.

Net profit margin reflects a comparable trend with a rise from 3.78% in 2020 to 4.46% in 2021, followed by a decline to 3.41% in 2024. The reduction in net margin after 2021 may be attributed to factors such as increased costs, taxation, or other non-operating expenses impacting the bottom line.

Return on equity (ROE) showcases improvement early on, increasing from 13.77% in 2020 to a peak of 16.93% in 2021, before trending downwards to 14.47% in 2024. This decline suggests a decrease in the company’s efficiency in generating profits from shareholders’ equity over the latter years.

Return on assets (ROA) indicates a similar pattern: growth from 5.28% in 2020 to 6.26% in 2021, then a steady reduction to 5.12% in 2024. This may imply a gradual decline in asset utilization efficiency or an increase in asset base not matched by proportional net income growth.

Summary of Trends
Across the analyzed periods, the company demonstrates initial improvements in profitability and efficiency metrics from 2020 to 2021, followed by a consistent decline through to 2024. Profit margins, both gross and net, diminish, whereas returns on equity and assets peak early and then decrease. These patterns suggest emerging challenges in cost control, operational efficiency, or market conditions influencing profitability and returns.

Return on Sales


Return on Investment


Gross Profit Margin

Elevance Health Inc., gross profit margin calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Selected Financial Data (US$ in millions)
Gross profit
Operating revenue
Profitability Ratio
Gross profit margin1
Benchmarks
Gross Profit Margin, Competitors2
Abbott Laboratories
CVS Health Corp.
Intuitive Surgical Inc.
Medtronic PLC
UnitedHealth Group Inc.

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

1 2024 Calculation
Gross profit margin = 100 × Gross profit ÷ Operating revenue
= 100 × ÷ =

2 Click competitor name to see calculations.


The financial data reveals several key trends over the observed five-year period.

Operating Revenue
Operating revenue showed a consistent upward trajectory, increasing each year from US$120,808 million in 2020 to US$175,204 million in 2024. This reflects a steady growth pattern over the period.
Gross Profit
Gross profit also generally increased, rising from US$23,810 million in 2020 to peak at US$28,586 million in 2023, before declining slightly to US$27,887 million in 2024. Despite the slight decrease in the final year, the overall trend demonstrates growth in gross profit.
Gross Profit Margin
The gross profit margin exhibited a declining trend throughout the period. Starting at 19.71% in 2020, the margin fell steadily to 15.92% by 2024. Notably, the margin dropped sharply from 19.71% in 2020 to 17.09% in 2021 and maintained a similar level around 16.79% in 2022 and 2023 before decreasing further in 2024.

In summary, while operating revenue and gross profit have increased over the years, the gross profit margin has consistently decreased. This indicates that although the company is generating higher revenue and gross profit in absolute terms, the efficiency in converting revenue into gross profit has diminished. The declining gross margin could suggest increased cost pressures or changes in the pricing structure over the period examined.


Operating Profit Margin

Elevance Health Inc., operating profit margin calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Selected Financial Data (US$ in millions)
Operating income
Operating revenue
Profitability Ratio
Operating profit margin1
Benchmarks
Operating Profit Margin, Competitors2
Abbott Laboratories
CVS Health Corp.
Intuitive Surgical Inc.
Medtronic PLC
UnitedHealth Group Inc.
Operating Profit Margin, Sector
Health Care Equipment & Services
Operating Profit Margin, Industry
Health Care

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

1 2024 Calculation
Operating profit margin = 100 × Operating income ÷ Operating revenue
= 100 × ÷ =

2 Click competitor name to see calculations.


The financial data reveals several noteworthy trends over the five-year period ending in 2024. Operating revenue has shown consistent growth year over year, increasing from approximately $120.8 billion in 2020 to about $175.2 billion in 2024. This upward trajectory indicates expanding business operations or increased sales volumes.

In contrast, operating income, while generally increasing from $6.0 billion in 2020 to a peak of around $7.7 billion in 2022, shows a slight decline in the subsequent years, reaching approximately $7.3 billion in 2024. This suggests that although the company generated more revenue, the absolute profits from operations did not keep pace proportionally after 2022.

Correspondingly, the operating profit margin declined steadily over the period. Starting at just under 5% in 2020, it peaked marginally above 5% in 2021, then gradually decreased to just above 4% by 2024. This trend indicates a compression in profitability relative to revenue, likely reflecting higher costs, pricing pressures, or increased expenses that offset revenue growth.

Operating Revenue
Consistent and significant growth across the five years, indicating expansion in core business activities.
Operating Income
Growth up to 2022 followed by a modest decline, suggesting constraints in translating revenue increases into higher operating profits.
Operating Profit Margin
Gradual reduction after 2021, pointing to shrinking operational efficiency or increased cost pressures.

Net Profit Margin

Elevance Health Inc., net profit margin calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Selected Financial Data (US$ in millions)
Shareholders’ net income
Operating revenue
Profitability Ratio
Net profit margin1
Benchmarks
Net Profit Margin, Competitors2
Abbott Laboratories
CVS Health Corp.
Intuitive Surgical Inc.
Medtronic PLC
UnitedHealth Group Inc.
Net Profit Margin, Sector
Health Care Equipment & Services
Net Profit Margin, Industry
Health Care

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

1 2024 Calculation
Net profit margin = 100 × Shareholders’ net income ÷ Operating revenue
= 100 × ÷ =

2 Click competitor name to see calculations.


Operating Revenue
Operating revenue showed a consistent upward trend over the five-year period. Starting from US$120,808 million in 2020, revenue increased steadily each year, reaching US$175,204 million in 2024. This indicates sustained growth in the company's top-line performance.
Shareholders’ Net Income
Shareholders' net income rose significantly from 2020 to 2021, increasing from US$4,572 million to US$6,104 million. However, after 2021, net income experienced a slight decline, moving to US$6,025 million in 2022, and then stabilizing around US$5,980 million by 2024. Despite the fluctuations, overall net income remained within a relatively narrow range after the initial growth.
Net Profit Margin
The net profit margin exhibited a downward trend after peaking in 2021. It increased from 3.78% in 2020 to 4.46% in 2021, but then progressively declined over subsequent years to 3.41% in 2024. This pattern suggests that despite growing revenues, the company faced increasing costs or pressures on profitability, resulting in a reduced margin.
Summary of Trends
The data highlights that while operating revenue consistently expanded, profitability in terms of net income and profit margin showed signs of strain after 2021. The initial increase in net income and margin was not sustained, with both metrics trending downward or stabilizing at lower levels. This implies that operational efficiency or cost control may have become more challenging as the company expanded, impacting overall profitability despite revenue growth.

Return on Equity (ROE)

Elevance Health Inc., ROE calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Selected Financial Data (US$ in millions)
Shareholders’ net income
Shareholders’ equity
Profitability Ratio
ROE1
Benchmarks
ROE, Competitors2
Abbott Laboratories
CVS Health Corp.
Intuitive Surgical Inc.
Medtronic PLC
UnitedHealth Group Inc.
ROE, Sector
Health Care Equipment & Services
ROE, Industry
Health Care

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

1 2024 Calculation
ROE = 100 × Shareholders’ net income ÷ Shareholders’ equity
= 100 × ÷ =

2 Click competitor name to see calculations.


Shareholders’ Net Income
The shareholders’ net income exhibited a general upward trend from 2020 to 2021, increasing significantly from 4,572 million US dollars to 6,104 million US dollars. Following this peak, net income slightly declined to 6,025 million in 2022 and continued to decrease marginally through 2023 and 2024, reaching 5,980 million US dollars. Despite the recent slight decline, the net income levels in 2023 and 2024 remain notably higher than those in 2020.
Shareholders’ Equity
Shareholders’ equity demonstrated a consistent upward trajectory over the five-year period. Starting at 33,199 million US dollars in 2020, equity increased annually without regression, reaching 41,315 million US dollars by 2024. The growth in equity suggests a strengthening financial position and possibly retained earnings or capital injections over time.
Return on Equity (ROE)
Return on equity showed an improvement from 13.77% in 2020 to a peak of 16.93% in 2021. After this peak, ROE experienced a gradual decline each year, decreasing to 14.47% in 2024. Although the decline suggests a reduction in profitability relative to shareholders’ equity, the ROE remains above the initial 2020 level, indicating an overall improved efficiency in generating returns for shareholders compared to the start of the period.
Overall Analysis
The data indicates that while net income peaked early in the period and has slightly decreased since, shareholders’ equity has grown steadily, reflecting an expanding capital base. The initial improvement and subsequent decline in ROE imply that profitability growth has not kept pace with equity growth in recent years. This could suggest increased capital investment or other factors diluting earnings efficiency, warranting further investigation into operational performance and capital utilization strategies.

Return on Assets (ROA)

Elevance Health Inc., ROA calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Selected Financial Data (US$ in millions)
Shareholders’ net income
Total assets
Profitability Ratio
ROA1
Benchmarks
ROA, Competitors2
Abbott Laboratories
CVS Health Corp.
Intuitive Surgical Inc.
Medtronic PLC
UnitedHealth Group Inc.
ROA, Sector
Health Care Equipment & Services
ROA, Industry
Health Care

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

1 2024 Calculation
ROA = 100 × Shareholders’ net income ÷ Total assets
= 100 × ÷ =

2 Click competitor name to see calculations.


Shareholders’ Net Income
The shareholders' net income experienced a notable increase from 2020 to 2021, rising from 4,572 million USD to 6,104 million USD. However, from 2021 onward, the net income stabilized, with slight decreases observed through 2024, ending at 5,980 million USD. This suggests an initial strong growth period followed by relative stability with minimal decline.
Total Assets
Total assets demonstrated a consistent upward trend throughout the entire period, increasing steadily from 86,615 million USD in 2020 to 116,889 million USD in 2024. The growth in assets indicates ongoing expansion or accumulation of resources, reflecting a positive trend in the company’s asset base.
Return on Assets (ROA)
The ROA ratio rose from 5.28% in 2020 to a peak of 6.26% in 2021, indicating improved efficiency in generating net income from its assets. However, after 2021, ROA declined progressively each year, reaching 5.12% by 2024. This downward trend in ROA, despite growing total assets, suggests reduced profitability relative to asset size or potentially increasing asset base that has not proportionally increased net income.
Overall Analysis
The financial data reveal that while the company expanded its asset base consistently over the five-year period, net income peaked early and then stabilized with slight declines. The return on assets followed a similar pattern with initial improvement but subsequent gradual reduction, indicating that the efficiency of utilizing assets to generate profits may be weakening. This combination points toward a need to assess asset utilization strategies or profit generation mechanisms to enhance future profitability.