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Elevance Health

ELV
35
Medical - Healthcare Plans · Healthcare
Winston Score
35
Winston is serious
Below-average fundamentals — multiple weak pillars.

Elevance Health is one of the largest health insurance companies in the United States. It sells medical, dental, and vision insurance plans to individuals, families, employers, and government programs like Medicaid and Medicare. The company operates the Blue Cross Blue Shield brand in 14 states, which is one of the most recognized names in American healthcare.

Elevance makes money by collecting monthly premiums from members and then paying out claims when those members use medical services. It serves roughly 45 million members across all 50 states, though its core insurance business is concentrated in states where it holds Blue Cross Blue Shield licenses. The company also runs a growing healthcare services segment called Carelon, which provides pharmacy, behavioral health, and care management services. The main risk Elevance faces is rising medical costs — when members use more healthcare than expected, profit margins shrink quickly, as seen in recent quarters where higher utilization pressured earnings.

Winston Score History

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Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+2.6% YoY

YoY Growth Rate

Slow revenue growth

EPS Growth

-17.0% YoY

YoY Growth Rate

Earnings declining

Insider Activity

0.2%ownership

Relatively low insider ownership

Cash Position

Cash flow positive

$9.7B cash & investments

Quarterly Free Cash Flow

→ Burn rate stable

Company generates more cash than it spends — no dilution risk from fundraising

Growth context

Elevance Health is growing revenue at 3% year-over-year. The Winston Score measures business quality today — these growth metrics show what could matter tomorrow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Gross Margin
18.1%
Thin — 18.1% gross margin
Operating Margin
5.3%
Thin — 5.3% operating margin
ROCE
3.5%
Weak — 3.5% return on capital

ROIC between 0% and 5%. They earn a few cents back per dollar invested in the business.

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Growth

Sales YoY
+9.4%
Steady sales growth (9.4% YoY)
EPS YoY
-8.7%
Earnings shrinking (-8.7% YoY)

Slight earnings drop. Typical near a cyclical low.

EPS Consistency
4/8 quarters
Earnings inconsistent quarter-to-quarter

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Cash Flow

Cash Conversion
145%
Turns 145% of profit into real cash
FCF Margin
3.2%
Thin free cash flow (3.2%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

Debt / Equity
0.73
Moderate — manageable debt (0.73)
Interest Cover
5.39x
Adequate interest coverage (5.4x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

P/E Ratio (TTM)
18.1x
no trend
Fair value — P/E 18.1

P/E in the normal range. Price is roughly $15 for every $1 of yearly profit.

P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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