Stock Analysis on Net

Elevance Health Inc. (NYSE:ELV)

Income Statement 
Quarterly Data

The income statement presents information on the financial results of a company business activities over a period of time. The income statement communicates how much revenue the company generated during a period and what cost it incurred in connection with generating that revenue.

Elevance Health Inc., consolidated income statement (quarterly data)

US$ in millions

Microsoft Excel
3 months ended: Mar 31, 2026 Dec 31, 2025 Sep 30, 2025 Jun 30, 2025 Mar 31, 2025 Dec 31, 2024 Sep 30, 2024 Jun 30, 2024 Mar 31, 2024 Dec 31, 2023 Sep 30, 2023 Jun 30, 2023 Mar 31, 2023 Dec 31, 2022 Sep 30, 2022 Jun 30, 2022 Mar 31, 2022 Dec 31, 2021 Sep 30, 2021 Jun 30, 2021 Mar 31, 2021
Premiums 41,024 40,690 41,791 41,271 40,887 36,245 36,809 35,416 35,696 35,138 35,259 36,589 35,868 33,646 33,722 33,076 32,785 30,769 30,395 28,533 27,676
Product revenue 6,225 6,460 6,159 6,042 5,809 6,714 5,887 5,530 4,499 5,394 5,177 4,859 4,022 4,137 3,972 3,568 3,301 3,525 3,353 3,042 2,737
Service fees 2,245 2,161 2,137 2,108 2,069 2,030 2,023 2,277 2,078 1,922 2,044 1,929 2,008 1,884 1,931 1,838 1,800 1,724 1,800 1,704 1,685
Operating revenue 49,494 49,311 50,087 49,421 48,765 44,989 44,719 43,223 42,273 42,454 42,480 43,377 41,898 39,667 39,625 38,482 37,886 36,018 35,548 33,279 32,098
Benefit expense (35,615) (38,065) (38,140) (36,706) (35,312) (33,500) (32,949) (30,572) (30,546) (31,334) (30,606) (31,604) (30,786) (30,091) (29,404) (28,777) (28,215) (27,538) (26,645) (24,763) (23,699)
Cost of products sold (5,463) (5,522) (5,380) (5,293) (4,983) (6,012) (5,093) (4,820) (3,825) (4,837) (4,648) (4,327) (3,481) (3,646) (3,437) (3,069) (2,883) (3,070) (2,898) (2,614) (2,313)
Cost of operating revenue (41,078) (43,587) (43,520) (41,999) (40,295) (39,512) (38,042) (35,392) (34,371) (36,171) (35,254) (35,931) (34,267) (33,737) (32,841) (31,846) (31,098) (30,608) (29,543) (27,377) (26,012)
Gross profit 8,416 5,724 6,567 7,422 8,470 5,477 6,677 7,831 7,902 6,283 7,226 7,446 7,631 5,930 6,784 6,636 6,788 5,410 6,005 5,902 6,086
Operating expense (6,330) (5,415) (5,272) (4,997) (5,300) (4,804) (5,269) (5,066) (4,886) (4,999) (5,470) (4,818) (4,800) (4,562) (4,514) (4,269) (4,341) (4,222) (3,946) (3,821) (3,925)
Amortization of other intangible assets (112) (164) (162) (147) (155) (180) (122) (162) (116) (217) (212) (221) (235) (247) (225) (166) (129) (135) (136) (90) (80)
Operating income 1,974 145 1,133 2,278 3,015 493 1,286 2,603 2,900 1,067 1,544 2,407 2,596 1,121 2,045 2,201 2,318 1,053 1,923 1,991 2,081
Net investment income 765 493 625 486 590 527 551 508 465 529 493 416 387 373 371 381 360 352 335 400 291
Net gains (losses) on financial instruments (78) (57) (1) (131) (464) (74) (125) (85) (161) (336) (124) (121) (113) (111) (57) (231) (151) 211 (61) 172 (4)
Gain (loss) on sale of business (39) 240
Interest expense (357) (366) (351) (341) (344) (340) (300) (280) (265) (259) (259) (261) (251) (229) (213) (208) (201) (200) (201) (205) (192)
Loss on extinguishment of debt (16) (5)
Income before income tax expense 2,304 215 1,406 2,292 2,797 606 1,373 2,986 2,939 1,001 1,654 2,441 2,619 1,154 2,146 2,143 2,326 1,400 1,996 2,353 2,176
Income tax expense (544) 331 (219) (548) (613) (193) (365) (685) (690) (170) (354) (585) (615) (193) (533) (493) (531) (275) (494) (552) (509)
Net income 1,760 546 1,187 1,744 2,184 413 1,008 2,301 2,249 831 1,300 1,856 2,004 961 1,613 1,650 1,795 1,125 1,502 1,801 1,667
Net (gain) loss attributable to noncontrolling interests 4 1 2 (1) (1) 5 8 (1) (3) 25 (11) (3) (15) (12) 5 3 10 12 7 (8) (2)
Shareholders’ net income 1,764 547 1,189 1,743 2,183 418 1,016 2,300 2,246 856 1,289 1,853 1,989 949 1,618 1,653 1,805 1,137 1,509 1,793 1,665

Based on: 10-Q (reporting date: 2026-03-31), 10-K (reporting date: 2025-12-31), 10-Q (reporting date: 2025-09-30), 10-Q (reporting date: 2025-06-30), 10-Q (reporting date: 2025-03-31), 10-K (reporting date: 2024-12-31), 10-Q (reporting date: 2024-09-30), 10-Q (reporting date: 2024-06-30), 10-Q (reporting date: 2024-03-31), 10-K (reporting date: 2023-12-31), 10-Q (reporting date: 2023-09-30), 10-Q (reporting date: 2023-06-30), 10-Q (reporting date: 2023-03-31), 10-K (reporting date: 2022-12-31), 10-Q (reporting date: 2022-09-30), 10-Q (reporting date: 2022-06-30), 10-Q (reporting date: 2022-03-31), 10-K (reporting date: 2021-12-31), 10-Q (reporting date: 2021-09-30), 10-Q (reporting date: 2021-06-30), 10-Q (reporting date: 2021-03-31).


Operating revenue exhibits a consistent long-term growth trajectory, increasing from 32,098 million US dollars in March 2021 to 49,494 million US dollars by March 2026. This expansion is primarily driven by a steady rise in premiums and a significant increase in product revenue, which more than doubled over the analyzed period. A notable acceleration in revenue is observed between December 2024 and March 2025, where operating revenue jumped from 44,989 million to 48,765 million US dollars.

Revenue Stream Dynamics
Premiums remain the dominant revenue driver, showing a general upward trend with a substantial step-up in early 2025. Product revenue demonstrated the most aggressive growth, climbing from 2,737 million US dollars in March 2021 to a peak of 6,714 million US dollars in December 2024. Service fees maintained a more stable, incremental growth pattern, moving from 1,685 million to 2,245 million US dollars.
Cost Structure and Margin Pressure
Cost of operating revenue has scaled in tandem with revenue growth. Benefit expenses increased from 23,699 million US dollars in March 2021 to 35,615 million US dollars in March 2026. Similarly, the cost of products sold rose from 2,313 million to 5,463 million US dollars. This parallel increase in costs has led to fluctuations in gross profit, which reached a peak of 8,470 million US dollars in March 2025 before experiencing volatility in the subsequent quarters.
Operating Income Volatility
Operating income is characterized by significant quarterly volatility and a recurring seasonal decline every December. Notable contractions occurred in December 2022 (1,121 million), December 2023 (1,067 million), and most severely in December 2024, where operating income fell to 493 million US dollars. Conversely, strong recoveries are typically seen in the first quarter of each year, as evidenced by the 3,015 million US dollars reported in March 2025.
Net Profitability and Non-Operating Items
Shareholders' net income reflects the instability of operating income, with values ranging from a low of 418 million US dollars in December 2024 to highs exceeding 2,300 million US dollars. Net investment income has generally trended upward, providing a consistent cushion against operating losses, while interest expenses have steadily risen from 192 million to 357 million US dollars over the period.

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