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: 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 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 6,460 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 2,161 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 49,311 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 (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 (5,522) (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 (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 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 (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 (164) (162) (147) (155) (180) (122) (162) (116) (217) (212) (221) (235) (247) (225) (166) (129) (135) (136) (90) (80)
Operating income 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 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 (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 (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 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 331 (219) (548) (613) (193) (365) (685) (690) (170) (354) (585) (615) (193) (533) (493) (531) (275) (494) (552) (509)
Net income 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 (income) loss attributable to noncontrolling interests 1 2 (1) (1) 5 8 (1) (3) 25 (11) (3) (15) (12) 5 3 10 12 7 (8) (2)
Shareholders’ net income 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-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).


Overall, the financial performance exhibits a pattern of growth followed by stabilization and then renewed expansion, with some fluctuations throughout the observed period. Operating revenue demonstrates a generally increasing trend, though growth rates vary. Net income mirrors this pattern, experiencing periods of strong growth, followed by declines, and then a resurgence.

Revenue Trends
Operating revenue increased from US$32.098 billion in March 2021 to US$49.311 billion in December 2025. The most significant growth occurred between December 2021 and March 2025. Premiums, the largest component of revenue, also show a consistent upward trend, increasing from US$27.676 billion to US$40.690 billion over the same period. Product revenue and service fees also contribute to overall revenue growth, with product revenue experiencing particularly strong growth in the latter half of the period.
Profitability Analysis
Gross profit generally follows the trend of operating revenue, increasing from US$6.086 billion to US$5.724 billion, with fluctuations in between. Operating income experienced a significant dip in December 2021, recovering and then showing strong growth through March 2025 before stabilizing. Net income demonstrates a similar pattern, with a peak in March 2025. The period between September 2023 and December 2025 shows a decline in both gross profit and net income.
Expense Management
Cost of operating revenue consistently represents a substantial portion of operating revenue, increasing from US$26.012 billion to US$43.587 billion. Operating expenses also increased over the period, though at a slower rate than revenue. Interest expense shows a steady increase, reaching US$366 million in December 2025. Benefit expense consistently represents the largest expense item, increasing from US$23.699 billion to US$38.065 billion.
Net Investment Income & Other Factors
Net investment income remains relatively stable, fluctuating between approximately US$335 million and US$590 million. Net gains (losses) on financial instruments are volatile, with significant losses in some quarters. The impact of gain (loss) on sale of business is notable in June 2024, contributing US$240 million to income, but is offset by a loss of US$39 million in the same period. Income tax expense generally tracks net income, with fluctuations reflecting changes in profitability.

In conclusion, the financial performance demonstrates a generally positive trajectory, with revenue and net income increasing over the period. However, there are periods of volatility and expense management remains a key factor in maintaining profitability. The recent decline in gross profit and net income between September 2023 and December 2025 warrants further investigation.

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