Elevance Health (ELV) Return on Invested Capital [ROIC] (2009 - 2026)
Elevance Health's Return on Invested Capital [ROIC] came in at -153.19% for Q3 2026, down 11.65 percentage points from -141.53% a year earlier but up 5.63 percentage points from the prior quarter.
Elevance Health (ELV) Return on Invested Capital [ROIC] (2009 - 2026) Analysis & Trends
For FY2025, Elevance Health's Return on Invested Capital [ROIC] was -160.55%, down 28.75 percentage points from FY2024.
- Return on Invested Capital [ROIC] carries a five-year change of -46.34 percentage points (FY2020 to FY2025).
- Going back by year, Return on Invested Capital [ROIC] was -131.79% in FY2024 (+13.13 pp), -144.93% in FY2023 (-3.67 pp), -141.25% in FY2022 (-11.81 pp) and -129.44% in FY2021 (-15.23 pp).
- The five-year range for quarterly Return on Invested Capital [ROIC] is -158.82% (Q2 2026) to -123.53% (Q4 2021).
- Year-over-year, Return on Invested Capital [ROIC] has declined for six consecutive quarters, with an average year-over-year change of -11.30 percentage points over the last eight quarters.
- The fastest year-over-year change in Return on Invested Capital [ROIC] over five years came in Q4 2024 (a gain of 15.77 percentage points), and the weakest in Q4 2025 (a drop of 31.00 percentage points).
- Business Quant data shows ELV's Return on Invested Capital [ROIC] at -158.82% (Q2 2026), -157.78% (Q1 2026) and -156.83% (Q4 2025) in the three quarters before Q3 2026.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | ROIC (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 378.31 Bn | 262.94 Bn | 36.67 Bn | 10.31% |
| 2 | Cvs Health | 119.48 Bn | 72.09 Bn | 47.23 Bn | 4.96% |
| 3 | Mckesson | 116.71 Bn | 103.17 Bn | 3.69 Bn | 107.91% |
| 4 | Elevance Health | 95.04 Bn | -47.43 Bn | 13.65 Bn | -153.19% |
| 5 | Cigna | 81.11 Bn | 50.65 Bn | 14.97 Bn | 10.87% |
| 6 | Cencora | 63.15 Bn | 52.23 Bn | 3.61 Bn | 14.39% |
| 7 | Cardinal Health | 58.06 Bn | 42.06 Bn | 2.56 Bn | 33.91% |
| 8 | Humana | 50.72 Bn | -37.07 Bn | 5.50 Bn | 6.65% |
| 9 | Centene | 34.67 Bn | -55.61 Bn | 14.55 Bn | -14.72% |
| 10 | Molina Healthcare | 10.87 Bn | -24.00 Bn | 1.43 Bn | 2.57% |
Historic Data
| Date | Value |
|---|---|
| Sep 30, 2026 | -153.19% |
| Jun 30, 2026 | -158.82% |
| Mar 31, 2026 | -157.78% |
| Dec 31, 2025 | -156.83% |
| Sep 30, 2025 | -141.53% |
| Jun 30, 2025 | -135.61% |
| Mar 31, 2025 | -130.48% |
| Dec 31, 2024 | -125.83% |
| Sep 30, 2024 | -127.86% |
| Jun 30, 2024 | -130.00% |
| Mar 31, 2024 | -136.80% |
| Dec 31, 2023 | -141.60% |
| Sep 30, 2023 | -141.64% |
| Jun 30, 2023 | -138.58% |
| Mar 31, 2023 | -139.37% |
| Dec 31, 2022 | -140.48% |
| Sep 30, 2022 | -136.92% |
| Jun 30, 2022 | -134.19% |
| Mar 31, 2022 | -128.74% |
| Dec 31, 2021 | -123.53% |
Elevance Health Return on Invested Capital [ROIC] API
Pull this series into your own models, spreadsheets and apps with the Business Quant
Historical Metrics API. The request below matches the chart above — change the
frequency, period or values and it follows. Swap YOUR_API_KEY for your own key.
https://data.businessquant.com/historic?slug=return-on-invested-capital-%5Broic%5D&ticker=ELV&period=max&api_key=YOUR_API_KEY
import requests
url = "https://data.businessquant.com/historic"
params = {"slug": "return-on-invested-capital-[roic]", "ticker": "ELV", "period": "max", "api_key": "YOUR_API_KEY"}
data = requests.get(url, params=params).json()
const res = await fetch("https://data.businessquant.com/historic?slug=return-on-invested-capital-%5Broic%5D&ticker=ELV&period=max&api_key=YOUR_API_KEY");
const data = await res.json();