ELEVANCE HEALTH INC ELV
COM · Common Stock · CUSIP 036752103 · ISIN US0367521038
American healthcare company
- SectorHealth care
- IndustryHospital & Medical Service Plans
- HeadquartersIndianapolis, IN
- Founded1940
- Websiteelevancehealth.com
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($210.3m this quarter). Holder counts are more reliable. Shares outstanding: 217.2m as of 2026-04-15, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $292.72. Options: 29 managers hold calls ($549.8m notional), 28 hold puts ($290.6m).
Trends to Q1 2026
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 1,449 |
| Q4 2022 | 1,547 |
| Q1 2023 | 1,518 |
| Q2 2023 | 1,526 |
| Q3 2023 | 1,530 |
| Q4 2023 | 1,660 |
| Q1 2024 | 1,671 |
| Q2 2024 | 1,712 |
| Q3 2024 | 1,701 |
| Q4 2024 | 1,604 |
| Q1 2025 | 1,665 |
| Q2 2025 | 1,594 |
| Q3 2025 | 1,511 |
| Q4 2025 | 1,554 |
| Q1 2026 | 1,471 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q2 2024 | 838 | 637 |
| Q3 2024 | 795 | 730 |
| Q4 2024 | 574 | 1,021 |
| Q1 2025 | 850 | 672 |
| Q2 2025 | 721 | 791 |
| Q3 2025 | 681 | 829 |
| Q4 2025 | 630 | 763 |
| Q1 2026 | 607 | 855 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q2 2025 | $766.9m | $535.5m | 0.70 |
| Q3 2025 | $984.9m | $865.7m | 0.88 |
| Q4 2025 | $826.4m | $551.1m | 0.67 |
| Q1 2026 | $549.8m | $290.6m | 0.53 |
Biggest buyers
| Amundi | Added | +1.6m |
| Invesco Ltd. | Added | +913.5k |
| SG Americas Securities, LLC | Added | +561.3k |
| BANK OF AMERICA CORP /DE/ | Added | +511.6k |
| FMR LLC | Added | +496.4k |
| MILLENNIUM MANAGEMENT LLC | Added | +466.1k |
| BARCLAYS PLC | Added | +460.0k |
| Bank of New York Mellon Corp | Added | +436.6k |
| Balyasny Asset Management L.P. | Added | +247.3k |
| Prana Capital Management, LP | Added | +216.4k |
Biggest sellers
| PRICE T ROWE ASSOCIATES INC /MD/ | Reduced | -2.7m |
| Orbis Allan Gray Ltd | Reduced | -1.1m |
| BAILLIE GIFFORD & CO | Reduced | -805.1k |
| Grantham, Mayo, Van Otterloo & Co. LLC | Reduced | -592.8k |
| Capital International Investors | Reduced | -536.6k |
| BlackRock, Inc. | Reduced | -515.5k |
| HSBC HOLDINGS PLC | Reduced | -501.9k |
| EMINENCE CAPITAL, LP | Sold out | -487.1k |
| Assenagon Asset Management S.A. | Reduced | -414.7k |
| AMERIPRISE FINANCIAL INC | Reduced | -352.5k |
Biggest calls
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $111.7m381.5k shares |
| HARRIS ASSOCIATES L P | New | $99.5m340.0k shares |
| IMC-Chicago, LLC | Added | $91.4m312.2k shares |
| CITADEL ADVISORS LLC | Reduced | $61.9m211.5k shares |
| JANE STREET GROUP, LLC | Reduced | $32.1m109.6k shares |
| GROUP ONE TRADING LLC | Reduced | $30.6m104.6k shares |
| Caption Management, LLC | New | $30.2m103.0k shares |
| NOMURA HOLDINGS INC | Added | $14.8m50.5k shares |
| SIMPLEX TRADING, LLC | New | $14.7m50.3k shares |
| Squarepoint Ops LLC | Reduced | $9.6m32.9k shares |
Biggest puts
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $109.8m375.2k shares |
| IMC-Chicago, LLC | Reduced | $35.8m122.4k shares |
| CITADEL ADVISORS LLC | Reduced | $35.5m121.1k shares |
| JANE STREET GROUP, LLC | Reduced | $18.5m63.3k shares |
| Squarepoint Ops LLC | Reduced | $11.3m38.7k shares |
| PEAK6 LLC | Reduced | $10.0m34.1k shares |
| UBS Group AG | Reduced | $7.2m24.7k shares |
| MILLENNIUM MANAGEMENT LLC | Reduced | $7.1m24.3k shares |
| GROUP ONE TRADING LLC | Reduced | $6.8m23.2k shares |
| TUDOR INVESTMENT CORP ET AL | Added | $6.3m21.6k shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
| BlackRock, Inc. 13G · institution filed 2025-04-17 | 7.8% |
| VANGUARD CAPITAL MANAGEMENT LLC 13G · institution new · filed 2026-04-29 | 7.1% |
Fell to 5% or below in the last year: VANGUARD GROUP INC (0.0%, 2026-03-26; now reported by VANGUARD CAPITAL MANAGEMENT LLC)
Insider purchases and sales in Q1 2026
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
Officers and directors buying vs selling
Number of people, by quarter (10% owners not included)
Numbers
| Quarter | Buying | Bought | Selling | Sold | Sold under a plan |
|---|---|---|---|---|---|
| Q2 2024 | 0 | — | 1 | $10.8m | — |
| Q3 2024 | 0 | — | 3 | $17.6m | $17.4m |
| Q4 2024 | 0 | — | 1 | $3.2m | — |
| Q1 2025 | 0 | — | 2 | $1.6m | — |
| Q2 2025 | 0 | — | 1 | $1.9m | — |
| Q3 2025 | 2 | $2.8m | 0 | — | — |
| Q4 2025 | 0 | — | 0 | — | — |
| Q1 2026 | 1 | $869.5k | 2 | $918.1k | — |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2026-03-12 | SCHULMAN AMY W Director | Sold | $7.5k26 shares |
| 2026-03-06 | Kendrick Charles Morgan JR EVP & President, Commercial | Sold | $910.6k3.2k shares |
| 2026-03-05 | COLLIS STEVEN H Director | Bought | $869.5k3.0k shares |
Their holding: how much the trade added to or took from the insider's holding (direct, or the trust or fund named). The same trade is sometimes reported by more than one insider, such as a fund and the director who represents it; totals count it once. A value is left blank where the reported price is far from the market price (usually a typo).
Holders, Q1 2026
| Manager | Shares | Change |
|---|---|---|
| BlackRock, Inc. 0.10% of their portfolio | 19.9m $5.8bn | Reduced -515.5k |
| VANGUARD CAPITAL MANAGEMENT LLC 0.10% of their portfolio | 14.3m $4.2bn | First filing |
| STATE STREET CORP 0.10% of their portfolio | 10.3m $3.0bn | Reduced -52.8k |
| WELLINGTON MANAGEMENT GROUP LLP 0.45% of their portfolio | 8.2m $2.4bn | Reduced -61.4k |
| VANGUARD PORTFOLIO MANAGEMENT LLC 0.10% of their portfolio | 6.4m $1.9bn | First filing |
| Sanders Capital, LLC 2.06% of their portfolio | 5.9m $1.7bn | Added +143.4k |
| GEODE CAPITAL MANAGEMENT, LLC 0.09% of their portfolio | 5.2m $1.5bn | Added +68.1k |
| Artisan Partners Limited Partnership 2.45% of their portfolio | 5.1m $1.5bn | Added +94.4k |
| Invesco Ltd. 0.14% of their portfolio | 4.8m $1.4bn | Added +913.5k |
| HARRIS ASSOCIATES L P 1.88% of their portfolio | 4.8m $1.4bn | Added +2.1k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.16% of their portfolio | 4.7m $1.4bn | Reduced -2.7m |
| First Eagle Investment Management, LLC 2.05% of their portfolio | 4.1m $1.2bn | Added +109.4k |
| Bank of New York Mellon Corp 0.15% of their portfolio | 2.8m $833.0m | Added +436.6k |
| BANK OF AMERICA CORP /DE/ 0.06% of their portfolio | 2.7m $795.9m | Added +511.6k |
| Amundi 0.21% of their portfolio | 2.7m $788.6m | Added +1.6m |
| MORGAN STANLEY 0.05% of their portfolio | 2.6m $769.7m | Added +108.0k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.15% of their portfolio | 2.5m $737.3m | Added +170.8k |
| MASSACHUSETTS FINANCIAL SERVICES CO /MA/ 0.22% of their portfolio | 2.2m $657.3m | Reduced -124.7k |
| HOTCHKIS & WILEY CAPITAL MANAGEMENT LLC 1.98% of their portfolio | 2.2m $641.6m | Added +140.4k |
| NORTHERN TRUST CORP 0.08% of their portfolio | 2.2m $631.8m | Reduced -73.4k |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.52% of their portfolio | 2.1m $608.4m | Reduced -197.0k |
| FMR LLC 0.03% of their portfolio | 2.0m $578.4m | Added +496.4k |
| Nuveen, LLC 0.16% of their portfolio | 2.0m $574.0m | Reduced -14.6k |
| Grantham, Mayo, Van Otterloo & Co. LLC 1.44% of their portfolio | 1.9m $564.3m | Reduced -592.8k |
| Legal & General Group Plc 0.13% of their portfolio | 1.9m $551.0m | Added +15.9k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.08% of their portfolio | 1.8m $518.3m | Added +32.8k |
| DIMENSIONAL FUND ADVISORS LP 0.10% of their portfolio | 1.6m $481.7m | Added +129.0k |
| CITADEL ADVISORS LLC 0.32% of their portfolio | 1.6m $457.3m | Reduced -105.8k |
| EAGLE CAPITAL MANAGEMENT LLC 1.52% of their portfolio | 1.5m $453.4m | Added +44.6k |
| GOLDMAN SACHS GROUP INC 0.06% of their portfolio | 1.5m $432.2m | Reduced -84.2k |
| Ruane, Cunniff & Goldfarb L.P. 6.74% of their portfolio | 1.4m $406.3m | Reduced -34.5k |
| BAUPOST GROUP LLC/MA 7.30% of their portfolio | 1.3m $373.3m | Added +5.9k |
| VANGUARD FIDUCIARY TRUST CO 0.09% of their portfolio | 1.2m $363.7m | First filing |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 0.19% of their portfolio | 1.2m $358.9m | Reduced -121.2k |
| BAILLIE GIFFORD & CO 0.35% of their portfolio | 1.2m $343.3m | Reduced -805.1k |
| Brave Warrior Advisors, LLC 8.13% of their portfolio | 1.1m $328.6m | Reduced -129.5k |
| JPMORGAN CHASE & CO 0.02% of their portfolio | 1.1m $304.7m | Added +42.1k |
| Capital International Investors 0.07% of their portfolio | 1.1m $307.6m | Reduced -536.6k |
| Newport Trust Company, LLC 0.71% of their portfolio | 985.2k $288.4m | Reduced -19.8k |
| DEUTSCHE BANK AG\ 0.09% of their portfolio | 923.4k $270.3m | Added +33.6k |
| MILLENNIUM MANAGEMENT LLC 0.20% of their portfolio | 919.2k $269.1m | Added +466.1k |
| Beutel, Goodman & Co Ltd. 1.76% of their portfolio | 886.7k $259.6m | Added +68.8k |
| BARCLAYS PLC 0.09% of their portfolio | 838.9k $245.6m | Added +460.0k |
| FRANKLIN RESOURCES INC 0.06% of their portfolio | 821.6k $240.5m | Reduced -17.2k |
| SG Americas Securities, LLC 0.26% of their portfolio | 796.6k $233.2m | Added +561.3k |
| 1832 Asset Management L.P. 0.30% of their portfolio | 774.1k $226.6m | Added +11.9k |
| UBS Group AG 0.04% of their portfolio | 735.1k $215.2m | Reduced -76.3k |
| ALLIANCEBERNSTEIN L.P. 0.08% of their portfolio | 672.7k $235.8m | Reduced -113.2k |
| FIRST TRUST ADVISORS LP 0.14% of their portfolio | 656.4k $192.1m | Added +117.1k |
| Swiss National Bank 0.11% of their portfolio | 652.2k $190.9m | Added +35.2k |
| Veritas Asset Management LLP 3.15% of their portfolio | 635.4k $186.0m | Reduced -238.6k |
| Sumitomo Mitsui Trust Group, Inc. 0.11% of their portfolio | 602.9k $176.5m | Reduced -346.1k |
| National Pension Service 0.13% of their portfolio | 592.6k $173.5m | Added +11.8k |
| DAVENPORT & Co LLC 0.92% of their portfolio | 574.0k $166.8m | Reduced -1.8k |
| BROWN ADVISORY INC 0.26% of their portfolio | 540.6k $158.3m | Added +40.7k |
| Allianz Asset Management GmbH 0.18% of their portfolio | 535.9k $156.9m | Added +120.8k |
| HSBC HOLDINGS PLC 0.09% of their portfolio | 511.1k $149.6m | Reduced -501.9k |
| Focused Investors LLC 4.85% of their portfolio | 509.8k $149.2m | Reduced -12.9k |
| Ninety One UK Ltd 0.34% of their portfolio | 504.9k $147.8m | Added +5.5k |
| Mitsubishi UFJ Asset Management Co., Ltd. 0.10% of their portfolio | 503.6k $147.4m | Added +33.2k |
| Vanguard Global Advisers, LLC 0.08% of their portfolio | 500.7k $146.6m | First filing |
| ROYAL BANK OF CANADA 0.03% of their portfolio | 495.4k $145.0m | Added +38.3k |
| MANNING & NAPIER ADVISORS LLC 1.96% of their portfolio | 475.2k $139.1m | Added +106.8k |
| CIBC Bancorp USA Inc. 0.18% of their portfolio | 462.4k $135.4m | First filing |
| Russell Investments Group, Ltd. 0.14% of their portfolio | 458.8k $134.1m | Reduced -50.9k |
| VANGUARD ASSET MANAGEMENT, Ltd 0.11% of their portfolio | 446.2k $130.6m | First filing |
| BNP PARIBAS FINANCIAL MARKETS 0.09% of their portfolio | 445.5k $130.4m | Reduced -8.5k |
| ENVESTNET ASSET MANAGEMENT INC 0.03% of their portfolio | 439.5k $128.7m | Added +14.2k |
| RHUMBLINE ADVISERS 0.11% of their portfolio | 438.6k $128.4m | Reduced -2.4k |
| FIL Ltd 0.10% of their portfolio | 419.7k $122.9m | Reduced -7.7k |
| JANUS HENDERSON GROUP PLC 0.06% of their portfolio | 413.3k $121.0m | Added +452 |
| BARROW HANLEY MEWHINNEY & STRAUSS LLC 0.39% of their portfolio | 407.2k $119.2m | Reduced -98.4k |
| D. E. Shaw & Co., Inc. 0.09% of their portfolio | 406.0k $118.9m | Reduced -86.0k |
| BNP PARIBAS ASSET MANAGEMENT Holding S.A. 0.13% of their portfolio | 393.5k $115.3m | Added +133.4k |
| CANADA LIFE ASSURANCE Co 0.20% of their portfolio | 371.3k $109.2m | Reduced -10.9k |
| Canoe Financial LP 1.47% of their portfolio | 367.3k $107.5m | Reduced -3.4k |
| WELLS FARGO & COMPANY/MN 0.02% of their portfolio | 361.2k $105.7m | Added +2.0k |
| RAYMOND JAMES FINANCIAL INC 0.03% of their portfolio | 357.0k $104.5m | Reduced -6.1k |
| High Ground Investment Management LLP 18.70% of their portfolio | 344.1k $100.7m | Added +18.1k |
| DekaBank Deutsche Girozentrale 0.17% of their portfolio | 343.3k $101.4m | Unchanged |
| YACKTMAN ASSET MANAGEMENT LP 1.31% of their portfolio | 334.3k $97.9m | Added +5.6k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.10% of their portfolio | 330.8k $96.8m | Reduced -11.0k |
| AQR CAPITAL MANAGEMENT LLC 0.04% of their portfolio | 318.0k $92.6m | Reduced -303.3k |
| California Public Employees Retirement System 0.06% of their portfolio | 316.1k $92.6m | Reduced -264.4k |
| NATIONAL BANK OF CANADA /FI/ 0.09% of their portfolio | 312.8k $91.6m | Added +127.0k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.13% of their portfolio | 308.1k $90.2m | Reduced -16.3k |
| Swedbank AB 0.09% of their portfolio | 301.1k $88.1m | Reduced -5.1k |
| Vulcan Value Partners, LLC 2.30% of their portfolio | 296.8k $86.9m | Reduced -89.4k |
| M&G PLC 0.45% of their portfolio | 295.9k $86.7m | Reduced -333.0k |
| Universal- Beteiligungs- und Servicegesellschaft mbH 0.16% of their portfolio | 284.9k $90.2m | Added +25.8k |
| AMERIPRISE FINANCIAL INC 0.02% of their portfolio | 280.9k $82.2m | Reduced -352.5k |
| Aberdeen Group plc 0.13% of their portfolio | 278.5k $81.5m | Reduced -10.4k |
| Munich Reinsurance Co Stock Corp in Munich 1.97% of their portfolio | 274.2k $80.3m | Added +83.9k |
| Marathon Asset Management Ltd 3.01% of their portfolio | 268.4k $78.6m | Added +21.6k |
| Balyasny Asset Management L.P. 0.15% of their portfolio | 265.7k $77.8m | Added +247.3k |
| VICTORY CAPITAL MANAGEMENT INC 0.05% of their portfolio | 264.3k $77.4m | Added +136.5k |
| Maj Invest Holding A/S 3.35% of their portfolio | 260.2k $76.2m | Reduced -1.9k |
| PRINCIPAL FINANCIAL GROUP INC 0.04% of their portfolio | 258.4k $75.6m | Added +1.2k |
| CANADA PENSION PLAN INVESTMENT BOARD 0.05% of their portfolio | 255.6k $74.8m | Added +69.6k |
| Caisse de depot et placement du Quebec 0.11% of their portfolio | 243.6k $71.3m | Added +190.6k |