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Elevance Health vs Unitedhealth: revenue, profit, margins and growth compared

Elevance Health brought in $199.1B of revenue in fiscal 2025, Unitedhealth $447.6B in fiscal 2025. Revenue changed by +12.5% at Elevance Health and +11.8% at Unitedhealth on the year before, so Elevance Health grew faster. Elevance Health kept 2.8% of its revenue as net profit, Unitedhealth 2.7%. Free cash flow was $3.2B at Elevance Health and $16.1B at Unitedhealth.

Side by side, latest fiscal year

ELVUNH
Fiscal year endedFY2025 (December 31, 2025)FY2025 (December 31, 2025)
Revenue$199.1B$447.6B
Revenue growth+12.5%+11.8%
Net income$5.7B$12.1B
Net margin2.8%2.7%
Free cash flow$3.2B$16.1B
Free cash flow margin1.6%3.6%
Earnings per share (diluted)$25.21$13.23
Cash$9.5B$24.4B
Debt$31.9B$72.3B
Price to earnings15.728.5
Market value$85.9B$338B
Dividend yieldn/a2.32%
Rank by revenue in sector#6 of 523 · Health care#1 of 523 · Health care

Over the years

Revenue
ELV FY2018: $92.1BELV FY2019: $104.2BELV FY2020: $121.9BELV FY2021: $138.6BELV FY2022: $156.6BELV FY2023: $171.3BELV FY2024: $177BELV FY2025: $199.1BUNH FY2018: $226.2BUNH FY2019: $242.2BUNH FY2020: $257.1BUNH FY2021: $287.6BUNH FY2022: $324.2BUNH FY2023: $371.6BUNH FY2024: $400.3BUNH FY2025: $447.6BFY18FY19FY20FY21FY22FY23FY24FY25
ELV $199.1BUNH $447.6B
Net income
ELV FY2018: $3.8BELV FY2019: $4.8BELV FY2020: $4.6BELV FY2021: $6.2BELV FY2022: $5.9BELV FY2023: $6BELV FY2024: $6BELV FY2025: $5.7BUNH FY2018: $12BUNH FY2019: $13.8BUNH FY2020: $15.4BUNH FY2021: $17.3BUNH FY2022: $20.1BUNH FY2023: $22.4BUNH FY2024: $14.4BUNH FY2025: $12.1BFY18FY19FY20FY21FY22FY23FY24FY25
ELV $5.7BUNH $12.1B
Net margin
ELV FY2018: 4.1%ELV FY2019: 4.6%ELV FY2020: 3.8%ELV FY2021: 4.4%ELV FY2022: 3.8%ELV FY2023: 3.5%ELV FY2024: 3.4%ELV FY2025: 2.8%UNH FY2018: 5.3%UNH FY2019: 5.7%UNH FY2020: 6.0%UNH FY2021: 6.0%UNH FY2022: 6.2%UNH FY2023: 6.0%UNH FY2024: 3.6%UNH FY2025: 2.7%FY18FY19FY20FY21FY22FY23FY24FY25
ELV 2.8%UNH 2.7%
Revenue growth
ELV FY2019: +13.1%ELV FY2020: +16.9%ELV FY2021: +13.8%ELV FY2022: +13.0%ELV FY2023: +9.4%ELV FY2024: +3.3%ELV FY2025: +12.5%UNH FY2019: +7.0%UNH FY2020: +6.2%UNH FY2021: +11.8%UNH FY2022: +12.7%UNH FY2023: +14.6%UNH FY2024: +7.7%UNH FY2025: +11.8%FY19FY20FY21FY22FY23FY24FY25
ELV +12.5%UNH +11.8%
Free cash flow
ELV FY2018: $2.6BELV FY2019: $5BELV FY2020: $9.7BELV FY2021: $7.3BELV FY2022: $7.2BELV FY2023: $6.8BELV FY2024: $4.6BELV FY2025: $3.2BUNH FY2018: $13.7BUNH FY2019: $16.4BUNH FY2020: $20.1BUNH FY2021: $19.9BUNH FY2022: $23.4BUNH FY2023: $25.7BUNH FY2024: $20.7BUNH FY2025: $16.1BFY18FY19FY20FY21FY22FY23FY24FY25
ELV $3.2BUNH $16.1B

Fiscal years as each company reports them; the two may end in different months.

Questions about Elevance Health and Unitedhealth

Which is bigger by revenue, Elevance Health or Unitedhealth?

Unitedhealth is bigger by revenue: $447.6B in fiscal 2025, against $199.1B for Elevance Health in fiscal 2025.

Which keeps more of its revenue as profit, Elevance Health or Unitedhealth?

Elevance Health had a net margin of 2.8% in fiscal 2025; Unitedhealth had 2.7% in fiscal 2025.

Which grew revenue faster, Elevance Health or Unitedhealth?

In their latest fiscal years revenue changed by +12.5% at Elevance Health and +11.8% at Unitedhealth.

Where do these numbers come from?

From the annual reports each company files with the SEC (10-K, or 20-F and 40-F for foreign companies), read from their XBRL data. Margins and growth are simple arithmetic on those figures. Nothing here is a recommendation.

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