Elevance Health, Inc. (ELV)
NYSE: ELV · Real-Time Price · USD
425.73
-6.27 (-1.45%)
At close: Nov 6, 2026, 4:00 PM EST
425.86
+0.13 (0.03%)
After-hours: Nov 6, 2026, 4:28 PM EST
Elevance Health Cash Flow Statement
Financials in millions USD. Fiscal year is January - December.
Millions USD. Fiscal year is Jan - Dec.
Operating Activities
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Net Income | 5,139 | 5,662 | 5,980 | 5,987 | 5,894 | 6,158 |
Depreciation & Amortization | 686 | 743 | 659 | 1,060 | 1,076 | 817 |
Other Amortization | 803 | 803 | 734 | 685 | 599 | 485 |
Gain (Loss) on Sale of Assets | - | - | -201 | - | - | - |
Stock-Based Compensation | 240 | 276 | 191 | 289 | 264 | 255 |
Change in Accounts Receivable | -1,971 | -2,526 | -683 | -1,762 | -2,510 | -2,138 |
Change in Accounts Payable | 3,105 | -720 | -272 | 1,640 | 824 | 719 |
Change in Unearned Revenue | -194 | -15 | -113 | 290 | -42 | -113 |
Change in Income Taxes | 631 | -297 | 404 | -103 | -338 | 140 |
Change in Insurance Reserves / Liabilities | 1,459 | 228 | -1,840 | 147 | 2,411 | 2,523 |
Change in Other Net Operating Assets | -770 | 53 | 785 | -747 | 78 | -8 |
Other Operating Activities | -385 | 373 | 62 | 96 | 429 | 15 |
Operating Cash Flow | 7,596 | 4,290 | 5,808 | 8,061 | 8,399 | 8,364 |
Operating Cash Flow Growth | 54.64% | -26.14% | -27.95% | -4.02% | 0.42% | -21.74% |
Investing Activities
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Capital Expenditures | -1,082 | -1,116 | -1,256 | -1,296 | -1,152 | -1,087 |
Cash Acquisitions | 35 | 88 | -4,809 | -1,552 | -649 | -3,476 |
Investment in Securities | -1,822 | 69 | 586 | -2,700 | -2,338 | -4,056 |
Other Investing Activities | -137 | -385 | -51 | -24 | -421 | -1,019 |
Investing Cash Flow | -3,006 | -1,344 | -5,167 | -5,572 | -4,560 | -9,638 |
Financing Activities
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Short-Term Debt Issued | - | 3,203 | 275 | 339 | 2,600 | 2,331 |
Long-Term Debt Issued | - | 2,991 | 7,710 | 2,574 | 3,071 | 3,462 |
Total Debt Issued | 2,855 | 6,194 | 7,985 | 2,913 | 5,671 | 5,793 |
Total Debt Repaid | -2,267 | -3,867 | -2,498 | -2,251 | -3,574 | -2,494 |
Net Debt Issued (Repaid) | 588 | 2,327 | 5,487 | 662 | 2,097 | 3,299 |
Issuance of Common Stock | 146 | 79 | 221 | 152 | 182 | 203 |
Repurchases of Common Stock | -2,196 | -2,637 | -3,009 | -2,775 | -2,409 | -2,002 |
Common Dividends Paid | -1,499 | -1,529 | -1,508 | -1,395 | -1,229 | -1,104 |
Other Financing Activities | 26 | 22 | 2 | 7 | 41 | 27 |
Financing Cash Flow | -2,935 | -1,738 | 1,193 | -3,349 | -1,318 | 423 |
Net Cash Flow
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Foreign Exchange Rate Adjustments | -20 | -5 | -6 | -1 | -14 | -10 |
Miscellaneous Cash Flow Adjustments | - | - | -66 | - | - | - |
Net Cash Flow | 1,635 | 1,203 | 1,762 | -861 | 2,507 | -861 |
Free Cash Flow
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Free Cash Flow | 6,514 | 3,174 | 4,552 | 6,765 | 7,247 | 7,277 |
Free Cash Flow Growth | 72.92% | -30.27% | -32.71% | -6.65% | -0.41% | -24.72% |
Free Cash Flow Margin | 3.23% | 1.59% | 2.57% | 3.95% | 4.63% | 5.25% |
Free Cash Flow Per Share | 29.70 | 14.13 | 19.55 | 28.50 | 29.85 | 29.48 |
Levered Free Cash Flow | 7,987 | 3,400 | 7,262 | 3,005 | 8,425 | 3,614 |
Unlevered Free Cash Flow | 8,891 | 4,277 | 8,002 | 3,649 | 8,960 | 4,115 |
Additional Metrics
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Sep '26 Sep 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Cash Interest Paid | 1,410 | 1,410 | 1,239 | 1,032 | 878 | 822 |
Cash Income Tax Paid | 315 | 315 | - | - | 1,594 | 1,299 |
Change in Working Capital | 2,260 | -3,277 | -1,719 | -535 | 423 | 1,123 |