Elevance Health 8-K

PositiveEarningsGuidance raised

Carelon growth contrasts with Health Benefits weakness; FY2026 adjusted EPS outlook raised to ≥$29

Filed 2026-10-21 06:01 ET

Summary

Q3 2026 results with raised FY2026 guidance. Revenue rose 0.7% Y/Y, driven by higher premium yields, CarelonRx product revenue and service fees, partly offset by lower membership in Medicare Advantage, Medicaid and employer risk-based plans. Elevance raised its FY2026 EPS and operating cash flow outlook and said it expects at least 12% adjusted diluted EPS growth in FY2027 from a FY2026 baseline of at least $26.753, excluding specified nonrecurring and targeted one-time items.

Key Figures

Metric Q3 2026 9M 2026
Operating revenue $50.4B, +0.7% Y/Y $150B, +1.0% Y/Y
Reportable segments operating gain $1.27B, -2.0% Y/Y $5.12B, -25.7% Y/Y
Adjusted reportable segments operating gain $1.34B, -0.5% Y/Y $6.36B, -10.3% Y/Y
Shareholders’ net income $1.37B, +14.8% Y/Y $4.59B, -10.2% Y/Y
Adjusted shareholders’ net income $1.52B, +12.7% Y/Y $5.92B, -2.5% Y/Y
Diluted EPS $6.27, +17.9% Y/Y $21.01, -7.3% Y/Y
Adjusted diluted EPS $6.99, +15.9% Y/Y $27.06, +0.7% Y/Y
Operating cash flow $1.3B, +$0.1B Y/Y $7.51B, +78.6% Y/Y
  • The benefit expense ratio improved 70 bp to 90.6%; the operating expense ratio increased 90 bp to 11.4%, principally reflecting targeted investments and growth and quality initiatives. Health Benefits operating gain fell 27.5% to $436M, while Carelon operating gain rose 17% to $908M.
  • Q3 EPS included a $1.85/share net non-operating benefit. 9M results included a $935M current best estimate of potential exposure related to historical Medicare Advantage risk adjustment data.
  • Repurchased 0.8M shares for $330M at a weighted-average $398.75/share; diluted shares fell 2.7% Y/Y. Paid a $1.72/share quarterly dividend ($373M total); $5.0B of repurchase authorization remained. The Q4 dividend is $1.72/share, payable 12/18/2026 to shareholders of record 12/4/2026.

Guidance

Metric Period Guidance Prior Direction
Diluted EPS, GAAP FY2026 At least $22.00 — Raised
Adjusted diluted EPS, non-GAAP FY2026 At least $29.00 — Raised
Operating cash flow FY2026 At least $6.5B — Raised
Adjusted diluted EPS growth, non-GAAP FY2027 At least 12% Y/Y from a FY2026 baseline of at least $26.753 — —

The FY2027 baseline excludes nonrecurring net investment income and other non-operating items, and targeted one-time investments.

Guidance changes, derived from earlier filings
MetricPeriodEarlier guidanceGuidance nowChange
Diluted EPS, GAAPFY2026At least $20.10At least $22.00raised
Adjusted diluted EPS, non-GAAPFY2026At least $27.00At least $29.00raised
Operating cash flowFY2026At least $6.0BAt least $6.5Braised
Adjusted diluted EPS growth, non-GAAPFY2027At least 12% Y/Y from the 2026 earnings baselineAt least 12% Y/Y from a FY2026 baseline of at least $26.753reaffirmed

Investor Takeaways

  • Watch whether the benefit expense ratio and medical membership trends sustain the improved operating performance, particularly as membership declines in Medicare Advantage, Medicaid and employer risk-based plans.

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Model 005 · prompt v95 · 2026-10-21 14:34:06Z

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