How does Elevance Health (ELV) make money?

Elevance Health (ELV) generates revenue primarily from Health Benefits Segment, which accounted for 73% of total revenue in TTM through Q1 2026. The company reported $200.41B in revenue and converted 2.6% of it into net profit, equivalent to roughly $5.24B in net income — what's left after the cost of revenue, operating expenses, interest, and income taxes.

What is the gross profit margin of Elevance Health (ELV)?

Elevance Health (ELV) reported a gross profit margin of 23.2% in TTM through Q1 2026, equivalent to $46.43B in gross profit on $200.41B in revenue. Gross margin measures how much of each dollar of revenue remains after the direct cost of producing or delivering the product — a higher figure typically signals pricing power, scale, or a less capital-intensive business model.

What is the operating profit margin of Elevance Health (ELV)?

Elevance Health (ELV) reported an operating profit margin of 3.8% in TTM through Q1 2026, equivalent to $7.63B in operating income. Operating margin captures profitability after research & development, sales & marketing, and general & administrative expenses — but before interest, taxes, and one-off items — and is the cleanest single read on the underlying business's efficiency.

What is the net profit margin of Elevance Health (ELV)?

Elevance Health (ELV) reported a net profit margin of 2.6% in TTM through Q1 2026, equivalent to $5.24B in net income. Net margin is the bottom-line share of revenue that survives every expense — operating costs, interest, and income taxes — and is the figure that flows directly into earnings per share.

Is Elevance Health (ELV) profitable?

Yes. Elevance Health (ELV) reported $5.24B in net income for TTM through Q1 2026, with a net profit margin of 2.6%. The company earned more from its operations than it paid out in costs, interest, and income taxes, leaving positive earnings on the bottom line.

How much does Elevance Health (ELV) spend on capital expenditures?

Elevance Health (ELV) spent $1.16B on capital expenditures (CapEx) during TTM through Q1 2026, roughly 0.6% of total revenue. CapEx represents long-lived investment in property, equipment, data centres, and other physical infrastructure, and is subtracted from operating cash flow to arrive at free cash flow.

How much free cash flow does Elevance Health (ELV) generate?

Elevance Health (ELV) generated $6.45B in free cash flow during TTM through Q1 2026, a free-cash-flow margin of 3.2%. Free cash flow is the cash left after capital expenditures and represents the discretionary pool the company can use to pay dividends, repurchase shares, repay debt, or fund acquisitions without raising external capital.

What is the effective tax rate of Elevance Health (ELV)?

Elevance Health (ELV) had an effective tax rate of 15.8% in TTM through Q1 2026. The effective rate is the actual share of pre-tax income paid as income taxes and can differ materially from the statutory rate due to foreign earnings mix, tax credits (such as R&D), share-based compensation deductions, and one-off discrete items.

What are the main business segments of Elevance Health (ELV)?

Elevance Health (ELV) reports revenue across 2 reportable product segments, led by Health Benefits Segment at 69.7% of total revenue in TTM through Q1 2026. See the revenue-by-segment table on this page for the full breakdown and how each segment feeds into the income-statement waterfall above.

How Elevance Health Makes Money: 2026 Visual Revenue Map

Elevance Health (ELV) Income Statement Flow — TTM through Q1 2026

Calculated from the four most recent reported quarters, ending March 31, 2026 (reported April 22, 2026).

Elevance Health discloses geographic revenue only in annual filings. to view the full breakdown.

Elevance Health (ELV) Revenue by Product Segment — TTM through Q1 2026

Aggregated from the four quarterly disclosures behind this TTM. Minor differences vs the company's annual filing can occur if reported segments changed mid-year.

Revenue contribution by product segment for Elevance Health (ELV) in TTM through Q1 2026.
Segment	Revenue (USD)	% of total
Health Benefits Segment	$139.73B	69.7%
Carelon Services Segment	$60.68B	30.3%
Total	$200.41B	100%

Health Benefits Segment$139.73B
Carelon Services Segment$60.68B
Total$200.41B

Revenue Breakdown — TTM through Q1 2026

In TTM through Q1 2026, Elevance Health (ELV) reports revenue across 2 operating segments; the largest segment was Health Benefits Segment at 69.7%, followed by Carelon Services Segment (30.3%).

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