Elevance Health

ELV Q1 2025 Earnings

Reported Apr 22, 2025 at 6:05 AM ET · SEC Source

Q1 25 EPS

$11.97

BEAT +4.30%

Est. $11.48

Q1 25 Revenue

$48.89B

BEAT +5.72%

Est. $46.25B

vs S&P Since Q1 25

-43.4%

TRAILING MARKET

ELV -6.7% vs S&P +36.7%

Market Reaction

Did ELV Beat Earnings? Q1 2025 Results

Elevance Health opened 2025 on a firm footing, reporting first-quarter adjusted diluted EPS of $11.97, a 4.30% beat against the $11.48 consensus, while revenue of $48.89 billion exceeded estimates by 5.72% and climbed 14.8% year over year. The stando… Read more Elevance Health opened 2025 on a firm footing, reporting first-quarter adjusted diluted EPS of $11.97, a 4.30% beat against the $11.48 consensus, while revenue of $48.89 billion exceeded estimates by 5.72% and climbed 14.8% year over year. The standout driver was the Carelon segment, where revenue surged 38% to $16.70 billion as recent acquisitions in home health and the continued scaling of CarelonRx propelled the company's services businesses well ahead of expectations. In the Health Benefits segment, higher Medicaid medical cost trends weighed on margins, pushing the benefit expense ratio up 80 basis points to 86.4%, yet Elevance notably avoided the severity of Medicare Advantage cost pressures that rattled a major peer during the same period. The adjusted operating expense ratio improved 60 basis points to 10.7%, underscoring disciplined cost management even as the company absorbed acquisition-related complexity. Management reaffirmed its full-year 2025 adjusted diluted EPS guidance of $34.15 to $34.85, signaling confidence in the trajectory despite ongoing Medicaid headwinds.

Key Takeaways

  • Higher premium yields in Health Benefits segment
  • Growth in Medicare Advantage and Individual ACA membership
  • CarelonRx product revenue growth (29.1% increase in product revenue)
  • Recent acquisitions in home health and pharmacy services
  • Scaling of innovative risk-based capabilities in Carelon Services
  • Operating expense leverage from revenue growth and ongoing cost management
  • Share repurchase activity reducing diluted share count by 3.0%
24/7 Wall St

ELV YoY Financials

Q1 2025 vs Q1 2024, source: SEC Filings

24/7 Wall St

ELV Revenue by Segment

With YoY comparisons, source: SEC Filings

Q1 25 Q1 26

“At Elevance Health, our purpose—to improve the health of humanity—drives everything we do. In the first quarter, we made measurable progress reimagining the healthcare experience with personalized support, real-time digital solutions, and a whole-health model that improves outcomes and reduces cost. Through Carelon and our broader enterprise, we're delivering on our strategy to be a lifetime trusted health partner—and elevating health beyond healthcare.”

— Gail K. Boudreaux, Q1 2025 Earnings Press Release