Stock Analysis on Net

Elevance Health Inc. (NYSE:ELV)

$24.99

Common-Size Income Statement

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Elevance Health Inc., common-size consolidated income statement

Microsoft Excel
12 months ended: Dec 31, 2025 Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021
Premiums
Product revenue
Service fees
Operating revenue
Benefit expense
Cost of products sold
Cost of operating revenue
Gross profit
Operating expense
Amortization of other intangible assets
Operating income
Fixed maturity securities
Equity securities
Cash equivalents
Other invested assets
Investment income
Investment expense
Net investment income
Net gains (losses) on financial instruments
Gain on sale of business
Interest expenses
Loss on extinguishment of debt
Income before income tax expense
Income tax expense
Net income
Net (gain) loss attributable to noncontrolling interests
Shareholders’ net income

Based on: 10-K (reporting date: 2025-12-31), 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).


The common-size income statement reveals several noteworthy trends over the five-year period. Operating revenue remained consistently at 100%, as expected, allowing for a clear view of proportional changes in other income statement items. A gradual shift in revenue composition is apparent, with premiums decreasing as a percentage of operating revenue while product revenue increases.

Revenue Composition
Premiums, the largest component of operating revenue, decreased from 85.71% in 2021 to 82.28% in 2024 before a slight increase to 83.33% in 2025. Simultaneously, product revenue increased from 9.24% to 12.92% in 2024, then decreased slightly to 12.38% in 2025. Service fees remained relatively stable, fluctuating between 4.79% and 5.05% before decreasing to 4.29% in 2025.
Profitability
Gross profit as a percentage of operating revenue experienced a consistent decline, moving from 17.09% in 2021 to 14.26% in 2025. This decrease is mirrored in operating income, which fell from 5.15% to 3.33% over the same period. Net income followed a similar trajectory, decreasing from 4.45% to 2.87%. This suggests increasing pressure on profitability despite revenue growth.
Expense Management
Cost of operating revenue consistently increased as a percentage of operating revenue, rising from 82.91% in 2021 to 85.74% in 2025. Benefit expense remained relatively stable, fluctuating around 74-75%, with a notable increase to 75.02% in 2025. Operating expenses also decreased slightly, from 11.62% to 10.62%.
Investment Activity
Investment income as a percentage of operating revenue remained relatively stable, fluctuating between 0.95% and 1.19%. However, net gains (losses) on financial instruments were volatile, moving from 0.23% to -0.41% before recovering to -0.33% in 2025. Cash equivalents increased significantly from 0.00% in 2021 to 0.18% in 2023, then decreased to 0.14% in 2025.
Other Items
Interest expenses increased steadily from 0.58% to 0.71% of operating revenue. A gain on the sale of business was recorded in 2024, representing 0.11% of operating revenue. Income tax expense as a percentage of operating revenue decreased from 1.34% in 2021 to 0.53% in 2025.

Overall, the analysis indicates a trend of increasing expenses and decreasing profitability, despite growth in product revenue. The company appears to be managing interest expenses effectively, and the decrease in income tax expense partially offsets the decline in operating income. The volatility in net gains (losses) on financial instruments warrants further investigation.