Strativest CapitalSTRATIVEST RESEARCH
Independent research · Est. October 2026
← All X-Rays
Stock X-Ray · Health Care · S&P 500 Full Coverage — Phase 1

Elevance Health (ELV)

X-Ray dated Oct 28, 2026 · Share price as of Oct 28, 2026 intraday, when the valuation snapshot was captured · Financials from SEC filings (EDGAR) · Valuation multiples from a labelled secondary source
The verdict — valuation label: OVERVALUED

Forward P/E is 14.65x against a peer median of 14.94x, a ratio of 0.98x — inside the fair range on price alone — with trailing P/E 18.07x and PEG 3.78. Latest-quarter revenue grew only 1.4% year over year (PRIMARY, EDGAR), far below the group pace, so with a PEG above 2 the label moves to OVERVALUED despite the near-median multiple. Delivered demand check: the health care payers, services & facilities group's median growth was 6.2% — demand steady, and Elevance is growing well below that pace.

14.7×
Forward P/E — price vs next year’s expected earnings (secondary source)
14.9×
Peer median forward P/E — closest comparable companies
18.1×
Trailing P/E — price vs the last twelve months of earnings
0.5×
Price / sales

What would change this label: Move to FAIRLY PRICED if revenue growth rises to about 6% year over year or above for two quarters at an unchanged forward P/E, or if the forward P/E compresses to about 13.4x or below (0.90x the peer median) at unchanged estimates. Move to UNDERVALUED if the forward P/E falls below 13.4x while growth recovers above 6%.

In simple words

Elevance Health sells health insurance and care services. Its shares trade at roughly the same earnings multiple as similar companies, but its sales grew only 1.4% in the latest quarter, much slower than its peers. You pay a peer-level price without peer-level growth, so the shares look overvalued.

Words we use, in plain English: P/E ratio — the share price divided by earnings per share; how many dollars you pay for one dollar of yearly profit. Forward P/E — the same, using next year’s expected earnings. Free cash flow — cash a company has left after running the business and buying equipment. TTM — the last twelve months. Drawdown — the worst fall from a peak to the low after it.
The share price vs the market — six years
Elevance Health (ELV)S&P 500 (SPY)
801181551932312021202220232024202520262020-09-012026-10-27

Both lines start at 100 on 2020-09-01. Over the full window Elevance Health returned +54.35% and the S&P 500 +118.28% (price returns; dividends not reinvested). Worst peak-to-trough fall for Elevance Health: -51.1% (2024-09-03 to 2025-08-01). Source: Nasdaq official daily history.

What the label rests on

Forward P/E is 14.65x against a peer median of 14.94x, a ratio of 0.98x — inside the fair range on price alone — with trailing P/E 18.07x and PEG 3.78. Latest-quarter revenue grew only 1.4% year over year (PRIMARY, EDGAR), far below the group pace, so with a PEG above 2 the label moves to OVERVALUED despite the near-median multiple. Delivered demand check: the health care payers, services & facilities group's median growth was 6.2% — demand steady, and Elevance is growing well below that pace. The company’s forward P/E is 14.7× against a peer median of 14.9×. Its own history: UNVERIFIED — no sourced range available. Sector demand read: Delivered demand check: the health care payers, services & facilities group's median latest-quarter revenue growth was 6.2% year over year (SEC filings) — demand steady. Elevance, at 1.4% growth, is growing well below that pace. Latest-quarter sales growth was +1.4% versus a year earlier (SEC filings).

CompanyPrice (Oct 28, 2026)Forward P/ETrailing P/E
Elevance Health (ELV)$423.5514.7×18.1×
HCA$462.4514.9×15.3×
CI$299.159.4×12.4×
CVS$91.1011.2×23.9×
VEEV$317.9632.9×52.1×
HUM$420.0033.9×39.7×
Peer median14.9×

Multiples: stockanalysis.com (SECONDARY, S&P Global data), fetched Oct 28, 2026. Peer set chosen by sector; the median is the middle value of the set. The label and its numbers were recorded in the programme’s label registry on Oct 28, 2026 and will be scored at 6 and 12 months.

Sales, profit and cash

Sales and profit each quarter
SalesNet income (profit)
$0B$19B$38B$58BSep 2020Sep 2021Sep 2022Sep 2023Sep 2024Sep 2025Sep 2026

This company does not report a gross-profit line in its SEC facts (normal for banks, payment networks and some health insurers), so profit is shown as net income instead — gross margin is marked UNVERIFIED-absent rather than estimated.

Cash left over each quarter (free cash flow)
PositiveNegative
$-6B$0B$6BSep 2020Sep 2021Sep 2022Sep 2023Sep 2024Sep 2025Sep 2026

Free cash flow = cash from operations minus spending on plant and equipment, both from the company’s SEC cash-flow statement. Gaps are quarters where that spending line is not separately tagged in the filings — shown as gaps, never estimated.

QuarterSalesGross marginNet incomeEPS (GAAP, diluted)Free cash flow
Q/E Sep 2026
2026-09-30
$51.4B—$1.4B6.27$1.0B
Q/E Jun 2026
2026-06-30
$50.5B—$1.5B6.71$1.6B
Q/E Mar 2026
2026-03-31
$50.2B—$1.8B8.00$4.1B
Q/E Dec 2025
2025-12-31
$49.7B—$547M—$-209M
Q/E Sep 2025
2025-09-30
$50.7B—$1.2B5.32$775M
Q/E Jun 2025
2025-06-30
$49.8B—$1.7B7.72$1.8B
Q/E Mar 2025
2025-03-31
$48.9B—$2.2B9.61$821M
Q/E Dec 2024
2024-12-31
$45.4B—$418M—$384M
Q/E Sep 2024
2024-09-30
$45.1B—$1.0B4.36$2.3B
Q/E Jun 2024
2024-06-30
$43.9B—$2.3B9.85$124M
Q/E Mar 2024
2024-03-31
$42.6B—$2.2B9.59$1.7B
Q/E Dec 2023
2023-12-31
$42.6B—$856M—$-3.3B

The last twelve reported quarters. Full 25-quarter history sits in the data pack behind this page. A dash means the figure is not tagged as a standalone quarter in the company’s SEC facts (the usual case is the fourth quarter, which many companies only report inside the full-year filing) — it is missing, not zero.

Earnings: getting better or worse?

Each box is one quarter’s earnings per share (EPS). Green means EPS was higher than the same quarter a year earlier; red means lower; a dash means the figure is not tagged in the filings.

Dec 2022
—
Mar 2023
8.30
Jun 2023
7.79
Sep 2023
5.45
Dec 2023
—
Mar 2024
9.59
Jun 2024
9.85
Sep 2024
4.36
Dec 2024
—
Mar 2025
9.61
Jun 2025
7.72
Sep 2025
5.32
Dec 2025
—
Mar 2026
8.00
Jun 2026
6.71
Sep 2026
6.27

Basis: GAAP diluted EPS from SEC company facts, compared with the same quarter a year earlier.

Key facts

ItemValue
Company (legal name in filings)Elevance Health, Inc.
Chief executiveGail K. Boudreaux (source: https://www.businesswire.com/news/home/20261020437030/en/Elevance-Health-Reports-Third-Quarter-2026-Results-Raises-Full-Year-Guidance)
SectorHealth Care — Managed Health Care — sells health insurance and related care services to individuals, employers and government programmes
Share price (Oct 28, 2026)$423.55
Market value (market cap)$91.1B — share price times shares outstanding of 216,055,891 (SEC filings; SEC EDGAR dei EntityCommonStockSharesOutstanding (latest))
Sales, last twelve months$201.8B
Net income, last twelve months$5.1B
Free cash flow, last twelve months$6.5B
Latest reported quarterQ/E Sep 2026 (of 25 quarters in the data pack)
Six-year price return vs S&P 500+54.35% vs +118.28%
Worst peak-to-trough fall-51.1% (2024-09-03 to 2025-08-01)

What we could not verify

  • Gross profit / gross margin: not tagged as a standalone line in this company's EDGAR company facts (common for banks, payment networks and some healthcare payers) — shown as UNVERIFIED-absent; the page charts revenue and net income instead.
  • TTM GAAP diluted EPS could not be summed from company facts because at least one of the last four quarters (typically Q4) has no standalone tagged EPS; trailing P/E is therefore taken from the labelled secondary source in valuation_label.md.
  • Own-history P/E range not yet compiled for this company in the Phase 1 batch run; the label rests on peer-median, growth and PEG evidence.
  • Guidance record (each quarter scored against the guidance the company gave the quarter before) is not yet compiled for this company — it is a Phase 2 layer. The earnings strip below therefore uses reported EPS versus a year earlier, which is fully sourced from filings.

The IT factor — the most exciting thing the market is overlooking — is not assessed on an X-Ray page. It belongs to the Deep Dive (Phase 2), where it gets the evidence standard it needs. Leadership-era scoring (the six years split by chief executive) is likewise a Phase 2 layer; this page names the current chief executive only, from a sourced profile.

Sources

  • SEC EDGAR submissions — Filing index; company legal name. https://data.sec.gov/submissions/CIK0001156039.json
  • SEC EDGAR company facts — Quarterly financial spine: revenue, gross profit, net income, GAAP diluted EPS, operating cash flow, PP&E capex, buybacks, dividends, diluted shares. https://data.sec.gov/api/xbrl/companyfacts/CIK0001156039.json
  • Nasdaq official daily history — Daily closes for the company; SPY (assetclass=etf) saved as raw/nasdaq_spy_raw.json over identical dates. https://api.nasdaq.com/api/quote/ELV/historical?assetclass=stocks
  • Valuation multiples and peer figures — stockanalysis.com (SECONDARY, S&P Global data), fetched Oct 28, 2026; see valuation_label.md in the data pack.

Conventions: earliest-filed value per period, as first reported; cash-flow years-to-date differenced quarter by quarter; EPS never differenced; free cash flow = operating cash flow minus plant-and-equipment spending. This page is a dated snapshot — updates are new versions, never silent edits.

← All X-RaysS&P 500 Full Coverage — Phase 1 · Oct 28, 2026