Elevance Health (ELV) Return on Sales [ROS] (2009 - 2026)
Elevance Health (ELV) recorded Return on Sales [ROS] of -69.97% in Q3 2026, up 2.47 percentage points from -72.44% a year earlier but down 0.46 percentage points from the prior quarter.
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Analysis
Elevance Health (ELV) Return on Sales [ROS] (2009 - 2026) Analysis & Trends
On a TTM basis, Elevance Health's Return on Sales [ROS] came in at -70.47% as of Sep 30, 2026, down 0.38 percentage points year-over-year; for FY2025, it was -71.07%, down 3.47 percentage points from FY2024.
- Annual Return on Sales [ROS] has a five-year change of -3.94 percentage points (FY2020 to FY2025).
- Across earlier years, Return on Sales [ROS] came in at -67.60% in FY2024 (+0.46 pp), -68.06% in FY2023 (+1.57 pp), -69.63% in FY2022 (-1.42 pp) and -68.22% in FY2021 (-1.09 pp).
- Quarterly Return on Sales [ROS] has ranged from -76.08% in Q4 2025 to -62.86% in Q2 2024 over the past five years.
- On a year-over-year basis, Return on Sales [ROS] rose in two of the last eight quarters, with an average year-over-year change of -1.64 percentage points.
- Peak year-over-year performance for Return on Sales [ROS] in the last five years was a gain of 3.92 percentage points in Q2 2024, against a drop of 6.28 percentage points in Q2 2025 at the low end.
- Per Business Quant, the preceding three quarters came in at -69.51% (Q2 2026), -66.38% (Q1 2026) and -76.08% (Q4 2025).
Peer Set
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | ROS (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 360.06 Bn | 240.69 Bn | 35.71 Bn | 5.82% |
| 2 | Mckesson | 127.13 Bn | 108.51 Bn | 3.96 Bn | 1.45% |
| 3 | Cvs Health | 112.93 Bn | 61.69 Bn | 47.21 Bn | 3.29% |
| 4 | Elevance Health | 92.11 Bn | -50.47 Bn | 13.65 Bn | 4.18% |
| 5 | Cigna | 76.91 Bn | 45.77 Bn | 15.09 Bn | 3.25% |
| 6 | Cencora | 68.64 Bn | 68.64 Bn | 3.60 Bn | - |
| 7 | Cardinal Health | 65.08 Bn | 48.24 Bn | 2.60 Bn | 1.12% |
| 8 | Humana | 53.29 Bn | -37.50 Bn | 4.83 Bn | 0.18% |
| 9 | Centene | 33.98 Bn | -40.15 Bn | 8.24 Bn | -3.51% |
| 10 | Molina Healthcare | 10.56 Bn | -24.45 Bn | 1.36 Bn | 0.96% |
Historic Data
Download Data
Historic Data
| Date | Value |
|---|---|
| Sep 30, 2026 | 4.18% |
| Jun 30, 2026 | 4.56% |
| Mar 31, 2026 | 5.30% |
| Dec 31, 2025 | 1.17% |
| Sep 30, 2025 | 3.46% |
| Jun 30, 2025 | 5.29% |
| Mar 31, 2025 | 6.42% |
| Dec 31, 2024 | 2.08% |
| Sep 30, 2024 | 3.71% |
| Jun 30, 2024 | 7.44% |
| Mar 31, 2024 | 7.53% |
| Dec 31, 2023 | 2.95% |
| Sep 30, 2023 | 4.46% |
| Jun 30, 2023 | 6.19% |
| Mar 31, 2023 | 6.81% |
| Dec 31, 2022 | 3.19% |
| Sep 30, 2022 | 5.86% |
| Jun 30, 2022 | 6.03% |
| Mar 31, 2022 | 6.58% |
| Dec 31, 2021 | 4.57% |
API Access
Elevance Health Return on Sales [ROS] 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-sales-%5Bros%5D&ticker=ELV&period=max&api_key=YOUR_API_KEYimport requests
url = "https://data.businessquant.com/historic"
params = {"slug": "return-on-sales-[ros]", "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-sales-%5Bros%5D&ticker=ELV&period=max&api_key=YOUR_API_KEY");
const data = await res.json();