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Elevance Health, Inc.

ELVActive

CIK 1156039 · Healthcare Compounders

Elevance Health, Inc. is a public company in Medical - Healthcare Plans, tracked in the healthcare compounders sub-sector, with $200B TTM revenue and $8.9B TTM EBITDA.

Market data as of May 10, 2026

Financials: LTM / latest available company filings

Sources: FMP, ELV filings, SEC EDGAR

$82,103

Market cap ($MM)

$104,288

Enterprise value ($MM)

$200,415

Revenue · LTM ($MM)

$8,917

EBITDA · LTM ($MM)

4%

EBITDA margin

0.5x

EV / revenue

11.7x

EV / EBITDA

2.5x

Net debt / EBITDA

Coverage

Coverage view

The analytical read on the name and the balance-sheet capacity behind the program.

Key points

  1. 01ELV is a scaled public consolidator in Healthcare, a benchmark for how the sub-sector buys, pays, and trades.
  2. 02The relevant peer set is UNH, MCK, CVS, HCA, HUM.

Balance sheet & capacity

Indicative capacity read: 2.5x net debt / EBITDA with EBITDA of $8.9B.

$9,657

Cash & equiv. ($MM)

$31,842

Total debt ($MM)

$22,185

Net debt ($MM)

2.5x

Net debt / EBITDA

Valuation

Where it trades against its peer set

ELV versus the scaled public Healthcare Compounders comparables.

EV / EBITDA distribution · peer set

ELV 11.7x

14.2xHCA: 9.3x EV/EBITDAHCAELV: 11.7x EV/EBITDAELVMCK: 13.7x EV/EBITDAMCKHUM: 14.8x EV/EBITDAHUMCVS: 16.6x EV/EBITDACVSUNH: 17.2x EV/EBITDAUNH8.0x18.4x

Indexed share-price performance

ELV versus available Healthcare Compounders peers and SPY.

-2.6%

ELV

+5.0%

Peer med.

+79%

SPY

19212558May 21Nov 23May 26ELVpeer medianSPY

Indexed to 100 from May 28, 2021 through May 26, 2026. Source: FMP month-end close history.

CompanyTickerRevenue ($MM)EBITDA ($MM)MarginMarket cap ($MM)EV ($MM)EV / revEV / EBITDANet debt / EBITDA
Elevance Health, Inc.ELV$200,415$8,9174%$82,103$104,2880.5x11.7x2.5x
UnitedHealth Group IncorporatedUNH$449,713$22,9865%$345,077$394,9930.9x17.2x1.9x
McKESSON CORPORATIONMCK$403,430$6,9072%$90,161$94,8000.2x13.7x0.4x
CVS Health CorporationCVS$407,905$11,1323%$115,535$184,3380.5x16.6x4.6x
HCA Healthcare, Inc.HCA$76,388$15,66221%$96,543$145,4481.9x9.3x2.8x
Humana Inc.HUM$137,200$2,8512%$33,012$42,0540.3x14.8x2.6x
Healthcare Compounders median$301,923$10,0254%$93,352$124,8680.5x14.2x2.5x

Financials via Financial Modeling Prep (SEC-derived TTM). EV/EBITDA distribution: each dot a live peer, band = interquartile range, line = median. Impossible values (EBITDA > revenue, negative-EBITDA multiples) shown NM.

M&A program

A sustained, programmatic tuck-in cadence

ELV's disclosed acquisition footprint and the deals behind it.

Disclosed acquisitions

64

Active years

16

Named deals

10

Avg / active year

4.0

Acq. cash outflow ($MM)

N/A

Banker read

  • 01ELV reads as a programmatic acquirer: 64 disclosed acquisitions across 16 active years, or 4.0 per active year. The chart shows activity in 11 of the last 12 visible years.
  • 02In the last three years, the file shows 6 acquisitions versus 4 in the prior three; recent activity is running above the prior three-year period.
  • 03Spend changes the read: $23B of disclosed spend is concentrated in lumpy years, with FY24 the largest year at $4.8B. Recent spend is broadly steady.

Annual acquisitions + disclosed spend

count spend named deal
3 deals$4.8B101112151718202122232425

ELV count bars show acquisition cadence; the spend line shows when the program required larger capital deployment.

Program diagnostics

Recent / prior

6 / 4

Last three years is up 50% vs prior three.

Peak count year

FY24

3 disclosed acquisitions in the peak visible year.

Recent spend

$6.4B

is broadly steady vs prior three; peak FY24 at $4.8B.

Named evidence

10 rows

16% selected source-cited transaction coverage.

Selected transactions

DateTargetSegmentConsideration ($MM)Strategic rationaleSource
Jul 24, 2015Cigna CorporationHealthcare compounders$53,000On July 24, 2015, we and Cigna Corporation, or Cigna, announced that we entered into an Agreement and Plan of Merger, or Merger Agreement, dated as of July 23, 2015, by and amon...10-K
Oct 27, 2003WellPoint Health Networks Inc.Healthcare compounders$16,400On October 27, 2003, Anthem and WellPoint Health Networks Inc. (“WellPoint”) announced that they entered into a definitive agreement and plan of merger (“Merger Agreement”) purs...10-K
Dec 28, 2005WellChoice, Inc.Healthcare compounders$6,500On December 28, 2005 (December 31, 2005 for accounting purposes) we completed our acquisition of WellChoice, Inc., or WellChoice. Under the terms of the merger agreement, the st...10-K
Dec 28, 2005WellChoice, Inc.Healthcare compounders$6,500On December 28, 2005 (December 31, 2005 for accounting purposes) we completed our acquisition of WellChoice, Inc., or WellChoice. Under the terms of the merger agreement, the st...10-K
Dec 28, 2005WellChoice, Inc.Healthcare compounders$6,464On December 28, 2005, the Company completed its acquisition of WellChoice, Inc. (“WellChoice”). The acquisition was accounted for using the purchase method of accounting, and wa...10-K
Dec 24, 2012AmerigroupHealthcare compounders$4,776On December 24, 2012, we completed our acquisition of Amerigroup, one of the nation’s leading managed care companies focused on meeting the health care needs of financially vuln...10-K
Dec 1, 2009Sale of PBM BusinessHealthcare compounders$4,675On December 1, 2009, we sold our pharmacy benefits management, or PBM, business to Express Scripts, Inc., or Express Scripts, and received $4,675.0 in cash. The pre-tax gain on...10-K
Jul 31, 2002Trigon Healthcare, Inc.Healthcare compounders$4,038On July 31, 2002, Anthem completed its purchase of 100% of the outstanding stock of Trigon Healthcare, Inc. (“Trigon”), in accordance with an agreement and plan of merger announ...10-K

Acquisitions disclosed/extracted from SEC filings; not necessarily full M&A history. Disclosed acquisition cash outflow is cumulative "payments for acquisitions, net of cash acquired" from the 10-K cash-flow statements (a cash outflow, not deal value). Built on 16 SEC-backed facts across 8 cited filings.

Evidence

Source archive

A collapsed investigation trail for the SEC filings behind the financials, annual M&A cadence, named transactions, and management language.

Annual 10-Ks

23

Named deal filings

7

Recent SEC filings

10

Evidence clips

6

Annual 10-K M&A evidenceAccepted annual filings used for disclosed acquisition count and spend.23 rows+
Fiscal yearFiling dateFormStatusCountCash spendPurchase considerationSource
FY2025Feb 6, 2026Annual M&A 10-Kwarning (1 warn)2$0.1MMN/ASEC filing
FY2024Feb 20, 2025Annual M&A 10-Kwarning (1 warn)3$4.8BN/ASEC filing
FY2023Feb 21, 2024Annual M&A 10-Kwarning (1 warn)1$1.6BN/ASEC filing
FY2022Feb 15, 2023Annual M&A 10-Kaccepted1$649MM$752MMSEC filing
FY2021Feb 16, 2022Annual M&A 10-Kaccepted2$3.5B$4.0BSEC filing
FY2020Feb 18, 2021Annual M&A 10-Kwarning (1 warn)1$2.0BN/ASEC filing
FY2019Feb 19, 2020Annual M&A 10-KacceptedN/AN/AN/ASEC filing
FY2018Feb 20, 2019Annual M&A 10-Kwarning (1 warn)2$1.8BN/ASEC filing
FY2017Feb 21, 2018Annual M&A 10-Kwarning (1 warn)2$2.1BN/ASEC filing
FY2016Feb 22, 2017Annual M&A 10-KacceptedN/AN/AN/ASEC filing
FY2015Feb 19, 2016Annual M&A 10-Kwarning (1 warn)1$639MMN/ASEC filing
FY2014Feb 24, 2015Annual M&A 10-Kaccepted1N/AN/ASEC filing
FY2013Feb 20, 2014Annual M&A 10-Kaccepted1N/A$4.8BSEC filing
FY2012Feb 22, 2013Annual M&A 10-Kaccepted2$4.6B$4.8BSEC filing
FY2011Feb 22, 2012Annual M&A 10-Kwarning (1 warn)1$600MMN/ASEC filing
FY2010Feb 17, 2011Annual M&A 10-Kwarning (1 warn)N/A$0.3MMN/ASEC filing
FY2009Feb 18, 2010Annual M&A 10-Kwarning (1 warn)1$66.3MMN/ASEC filing
FY2008Feb 19, 2009Annual M&A 10-Kaccepted1$198MM$300MMSEC filing
FY2007Feb 21, 2008Annual M&A 10-Kaccepted1$300MM$300MMSEC filing
FY2006Feb 26, 2007Annual M&A 10-Kaccepted1$25.4MM$6.5BSEC filing
FY2005Feb 23, 2006Annual M&A 10-Kaccepted2$2.6B$6.5BSEC filing
FY2004Mar 14, 2005Annual M&A 10-Kwarning (1 warn)1$2.2BN/ASEC filing
FY2003Feb 27, 2004Annual M&A 10-Kwarning (1 warn)N/A$3.5MMN/ASEC filing
Named transaction source filingsFilings behind selected named-deal rows and transaction excerpts.7 rows+
Filing dateFormTargets / topicsSupportSource
Feb 16, 202210-KmyNEXUS, Inc.; MMM Holdings, LLCAnnual M&ANamed dealsSEC filing
Feb 22, 201710-KCigna CorporationAnnual M&ANamed dealsSEC filing
Feb 22, 201310-KAmerigroupAnnual M&ANamed dealsSEC filing
Feb 22, 201210-KSale of PBM BusinessAnnual M&ANamed dealsSEC filing
Feb 18, 201010-KWellChoice, Inc.Annual M&ANamed dealsSEC filing
Feb 26, 200710-KWellChoice, Inc.Annual M&ANamed dealsSEC filing
Feb 27, 200410-KWellPoint Health Networks Inc.; Trigon Healthcare, Inc.Annual M&ANamed dealsSEC filing
Recent SEC filingsThe latest profile filings, kept separate so someone can investigate beyond M&A.10 rows+
Filing dateFormItemsDescriptionSupportSource
Feb 6, 202610-KN/A10-KFinancialsAnnual M&ARecent SECSEC filing
Apr 22, 20268-K2.02,9.018-KRecent SECSEC filing
Apr 22, 202610-QN/A10-QRecent SECSEC filing
Apr 1, 202610-QN/AQuarterly report from SEC company indexRecent SECSEC filing
Mar 27, 2026DEFA14AN/ADEFA14ARecent SECSEC filing
Mar 27, 2026DEF 14AN/ADEF 14ARecent SECSEC filing
Mar 10, 20268-K7.018-KRecent SECSEC filing
Mar 2, 20268-K8.018-KRecent SECSEC filing
Feb 26, 20268-K5.02,7.018-KRecent SECSEC filing
Feb 1, 202610-KN/AAnnual report from SEC company indexRecent SECSEC filing
Evidence clipsShort excerpts used on the page; expand only when you want the language.6 rows+

Acquisition of Cigna Corporation

10-K - Feb 22, 2017

Medium

On July 24, 2015, we and Cigna Corporation, or Cigna, announced that we entered into an Agreement and Plan of Merger, or Merger Agreement, dated as of July 23, 2015, by and among Anthem, Cigna and Anthem Merger Sub Corp…

Merger with WellPoint Health Networks Inc.

10-K - Feb 27, 2004

Medium

On October 27, 2003, Anthem and WellPoint Health Networks Inc. (“WellPoint”) announced that they entered into a definitive agreement and plan of merger (“Merger Agreement”) pursuant to which WellPoint will merge into a…

WellChoice, Inc.

10-K - Feb 18, 2010

Medium

On December 28, 2005 (December 31, 2005 for accounting purposes) we completed our acquisition of WellChoice, Inc., or WellChoice. Under the terms of the merger agreement, the stockholders of WellChoice received consider…

WellChoice acquisition

10-K - Feb 26, 2007

Medium

On December 28, 2005 (December 31, 2005 for accounting purposes) we completed our acquisition of WellChoice, Inc., or WellChoice. Under the terms of the merger agreement, the stockholders of WellChoice received consider…

WellChoice, Inc. Acquisition

10-K - Feb 26, 2007

Medium

On December 28, 2005, the Company completed its acquisition of WellChoice, Inc. (“WellChoice”). The acquisition was accounted for using the purchase method of accounting, and was deemed effective December 31, 2005 for a…

Acquisition of Amerigroup

10-K - Feb 22, 2013

Medium

On December 24, 2012, we completed our acquisition of Amerigroup, one of the nation’s leading managed care companies focused on meeting the health care needs of financially vulnerable Americans. Th...

Annual M&A counts and disclosed spend are extracted from SEC acquisition disclosures and cash-flow statements; named-deal rows carry direct filing links where the filing identifies the target or consideration.

Prepared from SEC EDGAR public filingsELV · CIK 1156039Source-backed coverage research, not investment advice