ELEVANCE HEALTH, INC. Cash Flow Breakdown
Cash flow breakdown shows where ELEVANCE HEALTH, INC.'s cash came from and where it went: from running the business, from investing (buying or selling equipment, companies and investments) and from financing (borrowing, paying back loans, buying back shares, paying dividends). One row per year or quarter. A minus sign means cash went out. Financing is shown line by line: buybacks, dividends, debt paid back, new debt and the rest. All amounts are the filed figures for that period.
- Fiscal year ended 2025-12-31: from running the business, $4.29B came in.
- Fiscal year ended 2025-12-31: from investing, $1.34B went out.
- Fiscal year ended 2025-12-31: from financing, $1.74B went out.
- Fiscal year ended 2025-12-31: change in cash, $1.20B came in.
A minus sign means cash went out. * = worked out from the filed year-to-date figures (hover to see how); greyed = already counted inside another line.
Each year (12 month)
| Fiscal year end | Running the business | From investing | Buybacks | Dividends | Debt paid back | New debt | Commercial paper | Staff share tax | New shares sold | Other | Not split out | Change in cash |
|---|
| 2025-12-31 | $4.29B | -$1.34B | -$2.60B | -$1.53B | -$2.15B | $2.99B | | -$32.00M | $51.00M | $22.00M | $1.51B* | $1.20B |
|---|
| 2024-12-31 | $5.81B | -$5.17B | -$2.90B | -$1.51B | -$1.65B | $7.71B | | -$109.00M | $154.00M | $2.00M | -$506.00M* | $1.83B |
|---|
| 2023-12-31 | $8.06B | -$5.57B | -$2.68B | -$1.40B | -$1.91B | $2.57B | | -$99.00M | $87.00M | $7.00M | $62.00M* | -$861.00M |
|---|
| 2022-12-31 | $8.40B | -$4.56B | -$2.32B | -$1.23B | -$1.90B | $3.07B | | -$93.00M | $120.00M | $41.00M | $987.00M* | $2.51B |
|---|
| 2021-12-31 | $8.36B | -$9.64B | -$1.90B | -$1.10B | -$1.07B | $3.46B | $50.00M | -$102.00M | $203.00M | $27.00M | $855.00M* | -$861.00M |
|---|
| 2020-12-31 | $10.69B | -$7.32B | -$2.70B | -$954.00M | -$1.93B | $2.48B | -$150.00M | -$128.00M | $176.00M | $2.00M | $635.00M* | $804.00M |
|---|
| 2019-12-31 | $6.06B | -$2.79B | -$1.70B | -$818.00M | -$1.12B | $2.47B | -$297.00M | -$84.00M | $0.00 | -$204.00M | -$512.00M* | $1.00B |
|---|
| 2018-12-31 | $3.83B | -$1.26B | -$1.69B | -$776.00M | -$1.68B | $835.00M | -$107.00M | -$81.00M | $1.25B | -$186.00M* | $193.00M* | $325.00M |
|---|
| 2017-12-31 | $4.18B | -$5.08B | -$2.00B | -$705.00M | -$2.81B | $5.46B | $175.00M | -$46.00M | $0.00 | $0.00 | $358.00M* | -$466.00M |
|---|
| 2016-12-31 | $3.27B | -$514.00M | $0.00 | -$684.00M | $0.00 | $0.00 | -$53.00M | -$67.00M | $0.00 | $54.00M | -$49.00M* | $1.96B |
|---|
| 2015-12-31 | $4.21B | -$1.15B | -$1.52B | -$656.60M | -$2.70B | $1.23B | $682.20M | -$95.90M | $186.00M | $95.80M | -$318.30M* | -$38.20M |
|---|
| 2014-12-31 | $3.37B | -$974.90M | -$3.00B | -$480.70M | -$1.73B | $2.70B | -$379.20M | | $301.30M | $46.40M | $718.60M* | $564.80M |
|---|
| 2013-12-31 | $3.05B | -$2.23B | -$1.62B | -$448.00M | -$1.80B | $1.25B | -$191.70M | | $524.70M | $30.10M | $539.10M* | -$897.70M |
|---|
| 2012-12-31 | $2.74B | -$4.55B | -$2.50B | -$367.10M | -$1.25B | $6.47B | -$229.00M | | $110.80M | $28.80M | -$175.40M* | $283.00M |
|---|
| 2011-12-31 | $3.37B | -$942.00M | -$3.04B | -$357.80M | -$705.10M | $1.10B | $463.60M | | $245.00M | $42.20M | $235.30M* | $412.80M |
|---|
| 2010-12-31 | $1.42B | -$1.27B | -$4.36B | $0.00 | -$481.70M | $1.09B | -$164.40M | | $143.60M | $28.10M | $576.90M* | -$3.03B |
|---|
| 2009-12-31 | $3.04B | $3.00B | -$2.64B | | -$919.30M | $990.30M | -$397.00M | | $126.50M | $9.60M | -$574.50M* | $2.63B |
|---|
| 2008-12-31 | $2.54B | $616.20M | -$3.28B | | -$38.70M | $525.00M | $98.00M | | $121.20M | $16.00M | -$1.18B* | -$584.00M |
|---|
| 2007-12-31 | $4.34B | -$768.90M | -$6.15B | | -$509.70M | $1.98B | $0.00 | | $784.50M | $153.30M | $335.10M* | $165.80M |
|---|
Each quarter (3 month)
| Quarter end | Running the business | From investing | Buybacks | Dividends | Debt paid back | New debt | Commercial paper | Staff share tax | New shares sold | Other | Not split out | Change in cash |
|---|
| 2026-06-30 | $1.91B* | $159.00M* | -$234.00M* | -$373.00M | $0.00* | | | -$1.00M* | $26.00M* | $12.00M* | -$924.00M* | |
|---|
| 2026-03-31 | $4.33B | -$1.64B | -$1.12B | -$376.00M | -$750.00M | | | -$34.00M | $37.00M | -$3.00M | -$265.00M* | $166.00M |
|---|
| 2025-12-31 | $84.00M* | $464.00M* | -$471.00M* | -$377.00M | $3.00M* | -$3.00M* | | -$1.00M* | $30.00M* | $12.00M* | $1.04B* | |
|---|
| 2025-09-30 | $1.14B* | -$1.22B* | -$876.00M* | -$376.00M | -$900.00M* | $2.99B* | | $9.00M* | $0.00* | $21.00M* | -$629.00M* | |
|---|
| 2025-06-30 | $2.05B* | -$687.00M* | -$378.00M* | -$385.00M | $0.00* | | | $83.00M* | -$2.00M* | $3.00M* | $371.00M* | |
|---|
| 2025-03-31 | $1.02B | $103.00M | -$880.00M | -$386.00M | -$1.25B | | | -$123.00M | $23.00M | -$14.00M | $721.00M* | -$788.00M |
|---|
| 2024-12-31 | $706.00M* | -$1.64B* | -$1.81B* | -$373.00M | -$850.00M* | $5.13B* | | -$3.00M* | -$51.00M* | -$7.00M* | -$627.00M* | |
|---|
| 2024-09-30 | $2.68B* | -$401.00M* | -$60.00M* | -$386.00M | -$800.00M* | $0.00* | | -$6.00M* | $48.00M* | $1.00M* | $288.00M* | |
|---|
| 2024-06-30 | $447.00M* | -$818.00M* | -$463.00M* | -$378.00M | $0.00* | $2.58B* | | $0.00* | $60.00M* | $4.00M* | -$1.14B* | |
|---|
| 2024-03-31 | $1.98B | -$2.31B | -$566.00M | -$379.00M | $0.00 | $0.00 | | -$100.00M | $97.00M | $4.00M | $976.00M* | -$300.00M |
|---|
| 2023-12-31 | -$2.97B* | -$1.03B* | -$928.00M* | | -$1.00M* | $0.00* | | $0.00* | -$25.00M* | $2.00M* | $558.00M* | |
|---|
| 2023-09-30 | $2.61B* | -$687.00M* | -$480.00M* | -$348.00M | $0.00* | $0.00* | -$90.00M* | $0.00* | $31.00M* | $0.00* | -$107.00M* | |
|---|
| 2023-06-30 | $1.95B* | -$672.00M* | -$646.00M* | -$350.00M | $0.00* | $0.00* | -$235.00M* | -$1.00M* | $38.00M* | $3.00M* | -$239.00M* | |
|---|
| 2023-03-31 | $6.47B | -$3.18B | -$622.00M | -$351.00M | -$1.91B | $2.57B | | -$98.00M | $43.00M | $2.00M | -$171.00M* | $2.75B |
|---|
| 2022-12-31 | -$1.52B* | $289.00M* | -$568.00M* | | -$917.00M* | $1.78B* | -$675.00M* | -$2.00M* | -$32.00M* | $25.00M* | $126.00M* | |
|---|
| 2022-09-30 | $4.92B* | -$1.25B* | -$579.00M* | -$306.00M | -$39.00M* | -$14.00M* | $125.00M* | -$3.00M* | $36.00M* | $6.00M* | -$481.00M* | |
|---|
| 2022-06-30 | $2.45B* | -$2.02B* | -$624.00M* | -$309.00M | -$929.00M* | $1.30B* | $25.00M* | -$2.00M* | $40.00M* | $5.00M* | $367.00M* | |
|---|
| 2022-03-31 | $2.54B | -$1.58B | -$545.00M | -$309.00M | -$14.00M | $0.00 | $225.00M | -$86.00M | $76.00M | $5.00M | $970.00M* | $1.28B |
|---|
| 2021-12-31 | $1.67B* | -$966.00M* | -$522.00M* | -$273.00M | -$114.00M* | $0.00* | $200.00M* | -$1.00M* | $42.00M* | $19.00M* | -$666.00M* | |
|---|
| 2021-09-30 | $2.50B* | -$1.44B* | -$451.00M* | -$276.00M | -$2.00M* | $0.00* | -$450.00M* | -$8.00M* | $20.00M* | -$3.00M* | $340.00M* | |
|---|
| 2021-06-30 | $1.68B* | -$4.92B* | -$480.00M* | -$278.00M | -$952.00M* | $0.00* | $550.00M* | -$2.00M* | $52.00M* | -$160.00M* | $450.00M* | |
|---|
| 2021-03-31 | $2.50B | -$2.31B | -$447.00M | -$277.00M | $0.00 | $3.46B | -$250.00M | -$91.00M | $89.00M | $171.00M | $731.00M* | $3.58B |
|---|
| 2020-12-31 | $3.81B* | $305.00M* | -$1.36B* | | -$968.00M* | -$1.00M* | $250.00M* | -$16.00M* | $64.00M* | -$621.00M* | $283.00M* | |
|---|
| 2020-09-30 | -$1.15B* | $89.00M* | -$758.00M* | -$238.00M | -$809.00M* | $1.00M* | $0.00* | -$1.00M* | $20.00M* | $747.00M* | $54.00M* | |
|---|
| 2020-06-30 | $5.51B* | -$4.93B* | -$55.00M* | -$242.00M | -$103.00M* | $2.18B* | -$1.30B* | -$4.00M* | $48.00M* | -$30.00M* | -$388.00M* | |
|---|
| 2020-03-31 | $2.52B | -$2.78B | -$529.00M | -$240.00M | -$52.00M | $300.00M | $905.00M | -$107.00M | $44.00M | -$94.00M | $452.00M* | $408.00M |
|---|
| 2019-12-31 | $1.33B* | $723.00M* | -$305.00M* | -$202.00M | -$200.00M* | $0.00* | -$100.00M* | -$2.00M* | $0.00* | -$420.00M* | -$75.00M* | $747.00M* |
|---|
| 2019-09-30 | $1.67B* | -$1.70B* | -$644.00M* | -$204.00M | -$850.00M* | $2.47B* | -$400.00M* | -$2.00M* | $0.00* | $173.00M* | -$402.00M* | $112.00M* |
|---|
| 2019-06-30 | $1.44B* | -$1.17B* | -$458.00M* | -$206.00M | -$10.00M* | -$2.00M* | $25.00M* | -$2.00M* | $24.00M* | $37.00M* | -$85.00M* | -$404.00M* |
|---|
| 2019-03-31 | $1.63B | -$652.00M | -$294.00M | -$206.00M | -$63.00M | $2.00M | $178.00M | -$78.00M | $76.00M | $6.00M | -$50.00M* | $548.00M |
|---|
| 2018-12-31 | $463.00M* | $773.00M* | -$493.00M* | -$193.00M | -$291.00M* | $0.00* | -$53.00M* | -$4.00M* | $0.00* | | -$527.00M* | -$326.00M* |
|---|
| 2018-09-30 | $607.00M* | -$688.00M* | -$397.00M* | -$195.00M | -$730.00M* | $0.00* | $650.00M* | -$1.00M* | $0.00* | | $333.00M* | -$422.00M* |
|---|
| 2018-06-30 | $542.00M* | -$778.00M* | -$400.00M* | -$196.00M | $0.00* | -$1.00M* | -$596.00M* | -$3.00M* | $35.00M* | | $1.45B* | $51.00M* |
|---|
| 2018-03-31 | $2.21B | -$566.00M | -$395.00M | -$192.00M | -$663.00M | $836.00M | -$108.00M | -$73.00M | $60.00M | | -$92.00M* | $1.02B |
|---|
| 2017-12-31 | -$1.30B* | -$3.62B* | -$363.00M* | -$180.00M | -$1.89B* | $5.46B* | -$512.00M* | $0.00* | $0.00* | $0.00* | -$85.00M* | -$2.49B* |
|---|
| 2017-09-30 | $2.40B* | $806.80M* | -$1.13B* | -$181.00M | -$100.00K* | $0.00* | -$660.80M* | -$400.00K* | $0.00* | $0.00* | $291.80M* | $1.54B* |
|---|
| 2017-06-30 | $393.10M* | -$1.04B* | -$458.30M* | -$172.00M | -$528.80M* | $0.00* | -$371.30M* | -$3.70M* | $47.50M* | $0.00* | -$77.20M* | -$2.21B* |
|---|
| 2017-03-31 | $2.69B | -$1.23B | -$50.70M | -$172.00M | -$401.10M | $0.00 | $1.72B | -$41.90M | $103.50M | $0.00 | $77.40M* | $2.70B |
|---|
| 2016-12-31 | $276.60M* | $670.80M* | $0.00* | | $0.00* | $0.00* | $124.50M* | -$3.40M* | $28.80M* | $5.30M* | $423.80M* | $1.53B* |
|---|
| 2016-09-30 | $964.00M* | $523.00M* | $0.00* | -$171.10M | $0.00* | $0.00* | $47.70M* | -$500.00K* | $19.50M* | $2.70M* | -$422.90M* | $963.30M* |
|---|
| 2016-06-30 | $669.60M* | -$316.80M* | $0.00* | -$170.90M | $0.00* | | -$147.90M* | -$7.60M* | $20.80M* | $6.20M* | -$145.30M* | -$93.30M* |
|---|
| 2016-03-31 | $1.36B | -$1.39B | $0.00 | -$170.70M | $0.00 | | -$77.30M | -$55.50M | $50.90M | $39.80M | -$195.90M* | -$437.50M |
|---|
| 2015-12-31 | $1.04B* | $630.70M* | $0.00* | -$163.10M | -$310.70M* | $0.00* | -$283.60M* | | $16.10M* | $3.30M* | -$370.30M* | $565.70M* |
|---|
| 2015-09-30 | $343.40M* | $244.50M* | -$105.20M* | -$163.00M | -$456.50M* | -$2.20M* | $268.40M* | | $14.70M* | $3.50M* | -$153.60M* | -$5.20M* |
|---|
| 2015-06-30 | $1.17B* | $684.90M* | -$636.50M* | -$163.90M | -$1.91B* | | $58.60M* | | $45.90M* | $20.20M* | $886.30M* | $156.00M* |
|---|
| 2015-03-31 | $1.65B | -$2.71B | -$774.10M | -$166.60M | -$16.40M | | $638.80M | | $109.30M | $68.80M | $452.10M* | -$754.70M |
|---|
| 2014-12-31 | $305.10M* | $660.10M* | -$343.00M* | | $700.00K* | $0.00* | -$425.70M* | | $32.90M* | $6.50M* | $199.70M* | $433.80M* |
|---|
| 2014-09-30 | $605.70M* | -$107.70M* | -$578.60M* | -$119.20M | -$1.69B* | $2.70B* | -$441.40M* | | $85.90M* | $10.60M* | -$532.50M* | -$66.70M* |
|---|
| 2014-06-30 | $1.07B* | -$783.00M* | -$814.40M* | -$120.50M | -$20.90M* | | $108.50M* | | $52.40M* | $6.90M* | $313.90M* | -$186.60M* |
|---|
| 2014-03-31 | $1.39B | -$744.30M | -$1.26B | -$123.40M | -$24.20M | | $379.40M | | $130.10M | $22.40M | $619.90M* | $384.30M |
|---|
| 2013-12-31 | $272.80M* | -$147.60M* | -$449.70M* | -$110.50M* | $0.00* | $0.00* | -$415.80M* | | $149.80M* | $6.60M* | $93.80M* | -$598.80M* |
|---|
| 2013-09-30 | $1.40B* | -$23.40M* | -$554.90M* | -$111.40M | -$1.25B* | | -$126.90M* | | $221.60M* | $9.70M* | $1.27B* | $838.40M* |
|---|
| 2013-06-30 | $425.20M* | -$867.80M* | -$275.30M* | -$112.70M | $0.00* | | $90.70M* | | $129.60M* | $9.60M* | $282.00M* | -$318.00M* |
|---|
| 2013-03-31 | $956.90M | -$1.20B | -$340.20M | -$113.40M | -$556.90M | | $260.30M | | $23.70M | $4.20M | $143.20M* | -$819.30M |
|---|
| 2012-12-31 | $759.80M* | -$1.27B* | -$668.00M* | -$87.10M | -$100.00K* | $1.53B* | -$259.10M* | | $24.10M* | $5.60M* | -$1.30M* | $42.50M* |
|---|
| 2012-09-30 | $240.20M* | -$1.32B* | -$655.20M* | -$90.70M | -$800.10M* | $3.21B* | $40.60M* | | $3.00M* | $500.00K* | -$144.10M* | $489.00M* |
|---|
| 2012-06-30 | $521.50M* | -$1.99B* | -$493.80M* | -$93.50M | -$100.30M* | | -$48.30M* | | $48.00M* | $3.40M* | $1.83B* | -$326.00M* |
|---|
| 2012-03-31 | $1.22B | $20.10M | -$679.80M | -$95.80M | -$350.80M | | $37.80M | | $35.70M | $19.30M | -$133.40M* | $77.50M |
|---|
| 2011-12-31 | $57.90M* | $381.20M* | -$685.60M* | | -$1.30M* | $0.00* | -$195.00M* | | $15.80M* | $3.80M* | $118.30M* | -$306.80M* |
|---|
| 2011-09-30 | $1.43B* | -$853.00M* | -$897.90M* | -$88.20M | -$1.10M* | $1.10B* | $57.70M* | | $14.00M* | $2.30M* | $49.90M* | $808.60M* |
|---|
| 2011-06-30 | $771.80M* | -$752.30M* | -$714.70M* | -$91.10M | -$1.90M* | | -$162.20M* | | $167.70M* | $13.50M* | $65.20M* | -$702.20M* |
|---|
| 2011-03-31 | $1.11B | $282.10M | -$741.60M | -$92.80M | -$700.80M | | $763.10M | | $47.50M | $22.60M | -$83.80M* | $613.20M |
|---|
| 2010-12-31 | $587.00M* | -$102.60M* | -$1.02B* | | -$1.70M* | $0.00* | -$54.90M* | | $27.40M* | $3.00M* | $101.60M* | -$457.40M* |
|---|
| 2010-09-30 | $896.50M* | -$849.00M* | -$463.70M* | | -$408.20M* | $988.50M* | -$109.00M* | | $23.80M* | $2.20M* | $133.90M* | $218.30M* |
|---|
| 2010-06-30 | $256.10M* | -$511.80M* | -$1.49B* | | -$56.70M* | | | | $22.90M* | $1.30M* | $286.20M* | -$1.50B* |
|---|
| 2010-03-31 | -$322.90M | $191.90M | -$1.39B | | -$15.10M | | | | $69.50M | $21.60M | $154.70M* | -$1.29B |
|---|
| 2009-12-31 | $29.70M* | $4.16B* | -$827.00M* | | -$316.40M* | $0.00* | -$100.00M* | | $48.90M* | $4.30M* | -$20.00M* | $2.97B* |
|---|
| 2009-09-30 | $1.44B* | -$201.60M* | -$693.20M* | | -$209.70M* | $0.00* | $0.00* | | $34.30M* | $3.60M* | -$256.40M* | $117.60M* |
|---|
| 2009-06-30 | $377.60M* | -$168.00M* | -$437.00M* | | -$165.10M* | $0.00* | $0.00* | | $25.40M* | $1.00M* | -$288.60M* | -$653.50M* |
|---|
| 2009-03-31 | $1.19B | -$790.90M | -$681.20M | | -$228.10M | $990.30M | $2.00M | | $17.90M | $700.00K | -$308.50M* | $194.20M |
|---|
| 2008-12-31 | $477.50M* | $172.50M* | -$229.20M* | | -$29.50M* | $0.00* | -$2.00M* | | $17.30M* | $1.10M* | -$494.40M* | -$86.70M* |
|---|
| 2008-09-30 | $898.50M* | $800.00K* | -$171.80M* | | -$3.30M* | $0.00* | $100.00M* | | $19.80M* | $1.30M* | -$848.50M* | -$3.20M* |
|---|