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Management credibility scorecard

Elevance Health (ELV)

4 quarters tracked (Q4'25 to Q3'26) · latest call October 21, 2026
Get the next ELV call sheet
100%
Kept of 6 resolved - limited history
6
Kept or exceeded
0
Missed
20
Still pending
Share count, 3 yrs/yr · accretor

Score History

QuarterCall dateDisclosureFinancial qualityKeptMissed
Q3'26October 21, 20265/121 high, 4 medium, 3 low flags00Call sheet →
Q2'26July 15, 20266/121 high, 5 medium, 2 low flags20Call sheet →
Q1'26April 22, 202610/121 high, 3 medium, 2 low flags00Call sheet →
Q4'252026-01-289/122 high, 2 medium, 2 low flags40Call sheet →
Disclosure: the 6-item rubric, each scored 0-2, out of 12. Financial quality: flagged indicators by severity. Kept and missed count the prior-quarter promises scored on that call.

Promise Ledger · All Quarters

MarkedStatusPromise
Q3'26PendingThese are one-time and non-recurring investments... that will not go on beyond 2026
2026 is not over, so this cannot be judged delivered or missed yet; however, management used the identical 'one-time' framing again this quarter, which raises doubt about whether the spend genuinely sunsets after 2026.
Q3'26PendingWe do expect the second-half Medicaid margin profile to improve from the second quarter
Second half of 2026 is not yet complete; actual not stated on the call in citable terms, so this remains unresolved.
Q3'26PendingWe now expect to end 2026 with at least 1 million individual ACA members
Target has been raised twice since (to 1.2M this quarter); actual Q3 ending membership of 1.3 million already exceeds the original target with one quarter left.
Q3'26PendingOur capabilities support our path to an operating margin of at least 2% this year (Medicare Advantage)
Reiterated unchanged this quarter at 'at least 2%'; no upward revision despite stated outperformance.
Q3'26PendingWe are raising our full-year operating cash flow to at least $6 billion
FY2026 not complete; subsequently raised to at least $6.5 billion this quarter despite a sequential quarterly OCF decline from $1.9B to $1.3B.
Q3'26PendingWe remain confident in returning to at least 12% adjusted EPS growth in 2027 off this higher earnings baseline
2027 has not started; reaffirmed this quarter off a now-higher $26.75 baseline.
Q3'26PendingWe are raising our 2026 adjusted diluted earnings per share guidance to at least $27
FY2026 is not complete; guidance was subsequently raised again to at least $29 this quarter, a positive revision, not yet a delivered/missed outcome.
Q2'26DeliveredRegular assessment of Medicaid markets for strategic fit
Delivered via D.C. exit announcement and 12-18 month exit timeline for others
Q2'26PendingComplete CMS risk adjustment matter by July 31
On track per management, received confirmation sanctions won't be imposed
Q2'26ExceededOperating cash flow of at least $5.5 billion
Raised to at least $6 billion despite CMS settlement payment
Q2'26PendingContinue to invest $1B+ in digital and AI capabilities
Using one-time gains to fund rather than operating cash, suggests lower confidence in ROI
Q2'26PendingMedicare Advantage margin of at least 2% in 2026
Q2 outperformed, on track to deliver
Q2'26PendingMedicaid margin of approximately -1.75% for 2026
Tracking in line per Q2, but concerning they won't improve despite rate wins
Q2'26PendingAchieve at least 12% adjusted EPS growth in 2027
Reiterated but now off higher base of $26 vs $25.75 prior
Q1'26Pending80% of prior authorization decisions in real time by 2027
Mentioned as 'remain on track to exceed' this commitment
Q1'26PendingAt least $2.3 billion share repurchases in 2026
On track with $1.1B completed in Q1 at average $300+ per share
Q1'26PendingAt least $5.5 billion operating cash flow in 2026
Strong Q1 of $4.3B puts on good trajectory for full-year target
Q1'26PendingMedicaid operating margin approximately negative 1.75% for 2026
Q1 slightly favorable to expectations but maintaining prudent full-year stance
Q1'26PendingMedicare Advantage operating margin of at least 2% in 2026
On track per management - portfolio repositioning supporting this target
Q1'26PendingReturn to at least 12% adjusted EPS growth in 2027
Reaffirmed with new baseline of $25.75 instead of prior $25.50 - promise maintained but baseline adjusted
Q4'25DeliveredDisciplined capital allocation with focus on shareholder returns
Maintained $2.3B buyback plan despite lower earnings guidance
Q4'25PendingReturn to at least 12% adjusted EPS growth in 2027
Reaffirmed but added qualifier about 'ending 2026 earnings baseline'
Q4'25DeliveredStrong Carillon external growth momentum
Confirmed best growth year ever but acknowledged membership headwinds
Q4'25ExceededMedicare margin improvement through disciplined actions
Now guiding to at least 2% margin, meaningful improvement from prior expectations
Q4'25Pending2026 as a trough year for Medicaid
Still maintaining this narrative but providing more specific loss expectations
Q4'25DeliveredAt least 125 basis point year-over-year decline in Medicaid margins
Guided to approximately -1.75% for 2026, which is 125 bps worse than -0.50% for 2025
Each row is a promise from the prior call, scored against the quarter in "Marked". Kept-promise rate counts resolved promises only; pending is excluded.
Promise-kept rate counts resolved promises only (pending excluded).
Scores, kept-promise rates, and flags on this site reflect the author's opinion, applying a stated methodology to statements management made on public earnings calls. Informational and educational purposes only - not investment advice, a recommendation, or an offer to buy or sell any security. Sources believed reliable but not guaranteed; the author may hold positions in the securities discussed.

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