Elevance Health Inc (ELV) — Cash Flow Quality Index

Latest as of March 2026: 2.46x

Elevance Health Inc (ELV) has a Cash Flow Quality Index of 2.46x as of March 2026. Operating cash flow of $4.33 Billion exceeds net income of $1.76 Billion, indicating high earnings quality where cash backs reported profits. Explore debt repayment capacity of Elevance Health Inc to assess how comfortably operating cash covers total debt obligations.

Cash Flow Quality Index

2.46x
Operating CF / Net Income

Operating Cash Flow

$4.33 Billion
USD

Net Income

$1.76 Billion
USD

Data as of

Mar 2026
Most recent filing

Elevance Health Inc Cash Flow Quality Index (2000–2025)

Historical Cash Flow Quality Index for Elevance Health Inc across 26 annual periods. Values consistently above 1.0x indicate high-quality earnings. For the full cash flow conversion analysis, see ELV cash flow metrics.

Annual Cash Flow Quality Index for Elevance Health Inc (2000–2025)

Year-by-year earnings quality comparison for Elevance Health Inc.

Year Quality Index Operating CF (USD) Net Income YoY Change
2025 0.76x $4.29 Billion $5.66 Billion ▼ -22.1%
2024 0.97x $5.81 Billion $5.97 Billion ▼ -27.8%
2023 1.35x $8.06 Billion $5.99 Billion ▼ -3.5%
2022 1.40x $8.40 Billion $6.02 Billion ▲ +1.7%
2021 1.37x $8.36 Billion $6.09 Billion ▼ -41.3%
2020 2.34x $10.69 Billion $4.57 Billion ▲ +85.4%
2019 1.26x $6.06 Billion $4.81 Billion ▲ +23.6%
2018 1.02x $3.83 Billion $3.75 Billion ▼ -6.3%
2017 1.09x $4.18 Billion $3.84 Billion ▼ -16.1%
2016 1.30x $3.20 Billion $2.47 Billion ▼ -19.3%
2015 1.61x $4.12 Billion $2.56 Billion ▲ +22.5%
2014 1.31x $3.37 Billion $2.57 Billion ▲ +16.6%
2013 1.13x $3.05 Billion $2.71 Billion ▲ +8.9%
2012 1.03x $2.74 Billion $2.66 Billion ▼ -18.9%
2011 1.27x $3.37 Billion $2.65 Billion ▲ +159.8%
2010 0.49x $1.42 Billion $2.89 Billion ▼ -23.4%
2009 0.64x $3.04 Billion $4.75 Billion ▼ -37.1%
2008 1.02x $2.54 Billion $2.49 Billion ▼ -21.6%
2007 1.30x $4.34 Billion $3.35 Billion ▼ -0.6%
2006 1.31x $4.04 Billion $3.09 Billion ▼ -1.1%
2005 1.32x $3.26 Billion $2.46 Billion ▼ -2.5%
2004 1.36x $1.30 Billion $960.90 Million ▼ -8.2%
2003 1.48x $1.14 Billion $774.30 Million ▼ -74.4%
2002 5.77x $991.10 Million $171.90 Million ▲ +201.4%
2001 1.91x $654.60 Million $342.20 Million ▼ -36.8%
2000 3.03x $684.50 Million $226.00 Million
Cash Flow Quality Index = Operating Cash Flow / Net Income. Ratios above 1.0x indicate cash-backed earnings.