Relative Intelligence · Managed Health Care

How Elevance Health (ELV) compares with the whole market and its popular alternatives
Built by QuantCommons' quantitative engine, this page is about relative opportunity, not data on ELV alone. It places ELV (Elevance Health Inc.) against 13 popular alternatives, its neighboring categories and the entire market of over 10,000 U.S.-listed stocks and ETFs, and surfaces what has done better on consistent outperformance, return for the risk taken, behavior in real market crashes and diversification. The result is a clearer view of where ELV stands in the market, and of the alternatives worth a closer look.
Period covered: ELV's full trading record, from October 2001 through September 2026. The crash tests reach back to 2000 using older funds and the S&P 500. All returns include reinvested dividends. Data as of October 20, 2026.
Data as of October 20, 2026. Full tables and charts read best on a larger screen.
On this page12 sections
Key findings
- Right nowELV has run far ahead of the market, rising 39.0% over the past 6 months against 9.1% for the S&P 500 and 11.2% for the Nasdaq 100. Its managed health care peers were far apart over the past 6 months, from HUM (Humana, up 104%) to CI (Cigna, up 10.8%). Consistency ↓
- Stock or market?ELV's 15.7% gain over the past 3 months far outran its industry: the managed health care ETF IHF (iShares U.S. Healthcare Providers ETF) rose 7.1%. The S&P 500 rose 3.9%. ELV rose 7.5% last month as the S&P 500 fell 0.6% and the Nasdaq 100 fell 3.2%.
- Past 1 to 3 yearsA ahead of 74% of stocks worth at least $300 million over 10 years, but behind 76% of the stocks worth at least $300 million over 3 years. On the flip side, over the past year, ELV rose 26.8% against 15.8% for the S&P 500 and 17.9% for the Nasdaq 100. Market rank ↓
- Long termELV turned $10,000 into $40,700 over the past decade, against $42,100 in the S&P 500. Even so, it outpaced every one of its managed health care peers over the past decade, including UNH (UnitedHealth Group) and CVS (CVS Health). Growth of $10,000 ↓
- In a crashAcross six sell-offs, ELV has typically fallen 1.2 times as far as the S&P 500. Even so, in the 2022 bear market, ELV held up better than CVS (CVS Health), HUM and CNC; only CI (Cigna) fell less. Crash tests ↓
- DiversificationAgainst the S&P 500, ELV has a correlation of 0.38 over 5 years, less closely than 54% of stocks worth at least $300 million. Next to an index fund it is some diversification, but not a hedge. Market capture ↓
- Better options
- Popular alternatives
- MCK (McKesson) and COR (Cencora) earned more than ELV with less volatility over the past 5 years. MCK returned 38.7% a year at 25.0% volatility, against 2.2% a year at 29.4%.
- Nearby categories and themes
- EHC (Encompass Health, health care facilities) and CAH (Cardinal Health, health care distribution) earned more than ELV with less volatility over the past 5 years. EHC returned 18.4% a year at 26.8% volatility, against 2.2% a year at 29.4%.
- Whole market
- 1,032 of the 3,633 stocks and funds worth at least $500 million earned more than ELV with less volatility over the past 5 years, among them VTI (Vanguard Morningstar Total Stock Market ETF), VOO (Vanguard S&P 500 ETF) and BRK-B (Berkshire Hathaway).
How much would $10,000 in ELV have grown?
This chart tracks a hypothetical $10,000 investment in ELV over the past 24 years, with dividends reinvested, alongside the same amount in the S&P 500, investments that ended ahead of ELV over the same span and ELV's popular alternatives, among those that traded for the entire period. A second view covers the past 5 years, the period the better options further down the page are judged on. It shows not only where each investment ended up but also how smooth or uneven the path was.
- $10,000 invested in ELV at the end of September 2002 would have grown to $151,886 by September 2026, more than the $144,215 it would have become in SPY, an S&P 500 fund.
- Five of the eight other investments on the chart ended ahead of ELV, and MCK finished highest, at $360,420.
Choose a period
From the end of September 2002 to the end of September 2026. The scale is logarithmic, so equal steps up the chart are equal percentage gains. Hover over a fund in the key to pick out its line. 483 of the 1,370 stocks and funds worth at least $500 million that traded the whole period ended ahead of ELV; the chart shows 5, closest alternatives first. The other 3 lines are popular alternatives, shown for context.
- MCK$360,420+3,504% total · +16.1% a year
- HUM$353,303+3,433% total · +16.0% a year
- CNC$279,806+2,698% total · +14.9% a year
- COR$234,223+2,242% total · +14.0% a year
- UNH$221,131+2,111% total · +13.8% a year
- ELV$151,886+1,419% total · +12.0% a year
- SPY (S&P 500)$144,215+1,342% total · +11.8% a year
- CI$135,029+1,250% total · +11.5% a year
- CVS$106,575+966% total · +10.4% a year
- UHS$76,600+666% total · +8.9% a year
From the end of September 2021 to the end of September 2026. The scale is logarithmic, so equal steps up the chart are equal percentage gains. Hover over a fund in the key to pick out its line. 2,281 of the 3,628 stocks and funds worth at least $500 million that traded the whole period ended ahead of ELV; the chart shows 5, closest alternatives first. The other 3 lines are popular alternatives, shown for context.
- MCK$43,941+339% total · +34.5% a year
- COR$26,420+164% total · +21.4% a year
- SPY (S&P 500)$19,000+90.0% total · +13.7% a year
- HCA$18,335+83.3% total · +12.9% a year
- OSCR$17,735+77.4% total · +12.1% a year
- CI$14,904+49.0% total · +8.3% a year
- UHS$12,922+29.2% total · +5.3% a year
- CVS$11,915+19.1% total · +3.6% a year
- ELV$11,221+12.2% total · +2.3% a year
- VEEV$9,905−0.9% total · −0.2% a year
ELV at a glance
This section summarizes the key facts about the stock, its returns over periods from one to ten years and the risk it has carried, with dividends reinvested throughout. These figures serve as the baseline for every comparison that follows.
- ELV's deepest decline since it began trading in 2001 was 67.2%, from December 2007 to November 2008. It took about five years from the low to climb back to its old high.
- Over 24 full calendar years, ELV's best was 2017, when it returned 58.7%, and its worst was 2008, when it lost 52.0%. It lost money in seven of those years.
- ELV is 18.4% below its all-time high.
The company
- Market value
- $95B
- Industry
- Medical - Healthcare Plans
- Price history from
- October 2001
Returns
- Past 1 year
- +26.8%total return
- Past 3 years
- +2.0%+0.7% a year
- Past 5 years
- +11.7%+2.2% a year
- Past 10 years
- +307%+15.1% a year
- Best calendar year
- +58.7%2017
- Worst calendar year
- −52.0%2008
- Losing years
- 7 of 24full calendar years
Risk
- Volatility
- 29.4%typical yearly swing, 5 years
- Sharpe ratio
- 0.23return per unit of risk, 5 years
- Worst decline ever
- −67.2%Dec 2007 to Nov 2008
- From its all-time high
- −18.4%below the peak
ELV against the whole market
Where ELV ranks among every stock and fund, and what across the market has done better.
How does ELV rank among all stocks?
This section ranks ELV on return, volatility, risk-adjusted return and worst decline against every stock worth at least $300 million with enough history. Where the comparisons with its popular alternatives show how ELV stacks up against its peers, these rankings show where it stands in the market as a whole.
- ELV's worst decline of the past 10 years ranks in the top 22% of the 2,187 stocks worth at least $300 million, where the top fell the least.
- ELV's 3-year return ranks in the bottom 24% of the 3,017 stocks worth at least $300 million with 3 years of history.
Ranked against U.S.-listed stocks worth at least $300M that have enough history for each measure, so the count changes from row to row; smaller stocks are left out. Lower volatility and smaller declines rank higher.
| Measure | ELV | Rank | Standing |
|---|---|---|---|
| 1-year return | +26.8% | 1,061 of 3,287 | top 32% |
| 3-year return | +2.0% | 2,299 of 3,017 | bottom 25% |
| 5-year return | +11.7% | 1,569 of 2,893 | bottom 47% |
| 10-year return | +307% | 571 of 2,202 | top 26% |
| Volatility, 5 years | 29.4% | 667 of 2,893 | top 23% |
| Sharpe ratio, 5 years | 0.23 | 1,778 of 2,893 | bottom 40% |
| Worst decline, past 10 years | −50.4% | 473 of 2,187 | top 22% |
What has beaten ELV on both return and risk?
Each dot is an investment, placed by how much it earned a year over the past 5 years (higher is better) and how much its price swung, its volatility (further left is calmer). ELV sits where the dashed lines cross. Anything in the green box above and to the left earned more than ELV with smaller swings, a better trade-off over this period on both counts. Past results are no promise, but a name in the box is worth a closer look.
- 321 stocks and 711 ETFs worth at least $500 million sit in the green region: each earned more than ELV over the past 5 years with smaller price swings. That is 28% of the 3,633 screened.
- Among those with at least half ELV's swings, CAH has the best return for its risk: 42.1% a year at 24.7% volatility, 16% less than ELV's 29.4%, and a Sharpe ratio (return above cash per unit of volatility) of 1.55 against 0.23 for ELV.
- Among ELV's popular alternatives, MCK and COR are in the region. MCK earned 38.7% a year against 2.2% a year for ELV, at 25.0% volatility, 15% less than ELV's 29.4%.
Annual return is the annualized total return with dividends reinvested, and volatility the annualized swing in daily prices, both over 5 years. Labeled dots are the strongest picks from the table below and the names called out above, colored by how close they sit to ELV; faint dots are 94 more of the 1,032 in the green region (the strongest, one per fund family). 3,633 stocks and funds worth at least $500 million were screened. Hover over a dot for its figures.
- Popular alternatives
- Same and neighboring categories, and shared themes
- The whole market
- Others in the green region
- 1 with more than 1.6× ELV's volatility is in the table only
Is there a better investment than ELV?
Investments that beat ELV over the past 5 years on return, volatility, drawdowns, consistency, crash losses or fees, from its popular alternatives out to the whole market.
- Among ELV's popular alternatives, MCK and COR earned more than ELV with less volatility over the past 5 years. MCK returned 38.7% a year at 25.0% volatility, against 2.2% a year at 29.4%.
- Looking beyond its popular alternatives, EHC (health care facilities) and CAH (health care distribution) earned more than ELV with less volatility over the past 5 years. EHC returned 18.4% a year at 26.8% volatility, against 2.2% a year at 29.4%.
- Across the whole market, 1,032 of the 3,633 stocks and funds worth at least $500 million earned more than ELV with less volatility over the past 5 years, among them VTI, VOO and BRK-B.
How this works
The table below lists investments that beat ELV over the past 5 years on at least one of these measures: a higher annual return with lower volatility, a higher annual return at similar volatility, a similar return with lower volatility, a higher Sharpe ratio with a smaller worst decline, a higher total return in most periods from 3 months to 10 years, or smaller losses in recent market crashes. It checks ELV's popular alternatives first, then the rest of its own and neighboring categories, then every stock and fund worth at least $500 million, and shows the strongest few in each group. The full list of those with a higher return and lower volatility than ELV follows the table.
Annual return is the annualized total return with dividends reinvested. Annual return, volatility and the Sharpe ratio cover 5 years; the worst decline covers the past 10 years. Green marks a better figure than ELV's. "On the frontier" means no other option shown or tested earned more with less volatility. Funds that hold the same thing are shown once. Beyond the popular alternatives, nothing with more than 1.5× ELV's volatility counts as better.
These figures cover the past 5 years. Green marks a better figure than ELV's.
| Investment | Why it is better | Past 5 years | Downside | Long run | Fit | ||||
|---|---|---|---|---|---|---|---|---|---|
| Annual return?higher is better | Volatility?lower is calmer | Sharpe?return per unit of risk | Worst decline?past 10 years | 10Y returntotal | Corr. with ELV?lower diversifies more | Expenseper year | |||
| +2.2% | 29.4% | 0.23 | −50.4% | +307% | 1.00 | — | |||
| +12.7% | 17.1% | 0.79 | −33.7% | +321% | 0.38 | 0.09% | |||
| Popular alternativesbest 6 shownThe investments people most often weigh against ELV. 8 of 13 passed at least one test. | |||||||||
| Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +38.7% | 25.0% | 1.44 | −38.1% | +586% | 0.21 | — | ||
| Higher return, lower volatilityHigher Sharpe, smaller worst decline | +24.2% | 22.8% | 1.07 | −32.4% | +406% | 0.38 | — | ||
| Higher return, similar volatilityHigher Sharpe, smaller worst decline | +9.4% | 28.3% | 0.46 | −42.5% | +176% | 0.61 | — | ||
| Higher return in most periods | −0.1% | 39.6% | 0.19 | −55.7% | +715% | -0.02 | — | ||
OSCROscar Health, Inc. · Managed Health Care | Higher return in most periods | +15.7% | 80.0% | 0.57 | −94.2% | — | 0.33 | — | |
| Higher return, similar volatility | +14.1% | 30.1% | 0.59 | −54.7% | +513% | 0.30 | — | ||
| Same and neighboring categories, and shared themesbest 4 shownEverything else in Managed Health Care and the categories next to it (Health Care Facilities, Health Care Distribution, Application Software), plus ELV's specific themes. 4 of 39 passed at least one test. | |||||||||
EHCEncompass Health Corporation · Health Care Facilities | Higher return, lower volatilityHigher Sharpe, smaller worst decline | +18.4% | 26.8% | 0.77 | −39.5% | +340% | 0.29 | — | |
| On the frontierHigher return, lower volatility | +42.1% | 24.7% | 1.55 | −46.1% | +349% | 0.20 | — | ||
ENSGThe Ensign Group, Inc. · Health Care Facilities | Higher return, lower volatility | +19.8% | 26.8% | 0.81 | −55.5% | +896% | 0.12 | — | |
DBXDropbox, Inc. · Application Software | Higher return in most periods | +3.9% | 34.4% | 0.29 | −62.6% | — | 0.18 | — | |
| The whole marketbest 8 shownEvery other stock and fund worth at least $500 million. 1,474 of 3,581 passed at least one test. | |||||||||
| Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +26.1% | 23.4% | 1.11 | −45.1% | +603% | 0.25 | — | ||
| Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +16.3% | 24.8% | 0.74 | −43.4% | +241% | 0.33 | — | ||
| Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +19.6% | 24.9% | 0.85 | −24.9% | +266% | 0.22 | — | ||
| Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +22.8% | 24.9% | 0.95 | −30.5% | +200% | 0.04 | — | ||
CIBRFirst Trust Nasdaq Cybersecurity ETF · Cybersecurity | Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +14.1% | 26.1% | 0.64 | −33.9% | +454% | 0.29 | 0.58% | |
NHCNational HealthCare Corporation · Medical - Care Facilities | Higher return, similar volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +32.0% | 28.5% | 1.12 | −35.3% | +394% | 0.26 | — | |
| Higher Sharpe, smaller worst declineSmaller losses in recent crashes | +40.7% | 32.8% | 1.21 | −34.5% | +1,807% | 0.35 | — | ||
| Similar return, lower volatilityHigher Sharpe, smaller worst decline | +2.7% | 2.9% | 0.94 | −6.3% | +32.7% | 0.31 | 0.03% | ||
What these numbers mean for ELV
- Annual return
- ELV returned 2.2% a year over the past 5 years with dividends reinvested, against 12.7% a year for the S&P 500. At that pace, $10,000 became about $11,200. Annual return is the steady yearly rate that would produce the same total result, so investments held over the same span compare fairly. Guide: What is performance and return? →
- Volatility
- ELV's volatility over the past 5 years was 29.4%, 1.7 times the S&P 500's 17.1%. Volatility measures how widely returns swing around their average: in roughly two years out of three, ELV's return lands within 29.4% of its average, either way. The higher it is, the rougher the ride and the harder it is to hold through a slump. Guide: Understanding and measuring risk (volatility) →
- Sharpe ratio
- ELV's Sharpe ratio over the past 5 years was 0.23, against 0.79 for the S&P 500, so ELV earned less for each unit of risk than an index fund did. The Sharpe ratio is the return earned above cash for each unit of volatility: two investments with the same return are not equal if one got there with far bigger swings. Guide: Balancing reward with risk (Sharpe ratio) →
- Worst decline
- ELV's worst fall from a peak to a low over the past 10 years was 50.4%, against 33.7% for the S&P 500. Losses and gains are not symmetric: climbing back from a 50.4% fall takes a 102% gain. Guide: Market crash risk and tail risk →
- Correlation
- Over the past 5 years, ELV's monthly returns had a correlation of 0.38 with the S&P 500. Correlation runs from 1 (moving in lockstep) through 0 (unrelated) to −1 (moving in opposite directions). They are only loosely linked, which makes it a real diversifier next to an index fund. In the table, the correlation column measures each option against ELV instead: the lower it is, the more that option would diversify a ELV holding. Guide: Correlation and diversification →
Show all 1,032 stocks and funds worth at least $500 million that earned more than ELV with less volatility
Out of 3,633 tested over 5 years. The strongest 100 are listed, best first, with funds that hold the same thing listed once.
| # | Investment | Found in | Annual return | Volatility | Sharpe | Worst decline | 10Y return | Corr. with ELV | Expense |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Whole market | +26.1% | 23.4% | 1.11 | −45.1% | +603% | 0.25 | — | |
| 2 | Whole market | +16.3% | 24.8% | 0.74 | −43.4% | +241% | 0.33 | — | |
| 3 | Whole market | +19.6% | 24.9% | 0.85 | −24.9% | +266% | 0.22 | — | |
| 4 | Whole market | +22.8% | 24.9% | 0.95 | −30.5% | +200% | 0.04 | — | |
| 5 | Popular alternative | +38.7% | 25.0% | 1.44 | −38.1% | +586% | 0.21 | — | |
| 6 | CIBRFirst Trust Nasdaq Cybersecurity ETF · Cybersecurity | Whole market | +14.1% | 26.1% | 0.64 | −33.9% | +454% | 0.29 | 0.58% |
| 7 | Whole market | +3.8% | 0.3% | 13.25 | −0.3% | — | -0.17 | 0.09% | |
| 8 | Whole market | +17.3% | 18.2% | 0.97 | −40.0% | +352% | 0.36 | — | |
| 9 | JAAAJanus Henderson AAA CLO ETF · CLO Bonds | Whole market | +5.1% | 1.7% | 2.98 | −2.6% | — | -0.07 | 0.20% |
| 10 | HACKAmplify Cybersecurity ETF · Technology | Whole market | +12.6% | 25.8% | 0.59 | −38.7% | +373% | 0.21 | 0.60% |
| 11 | Whole market | +27.1% | 26.5% | 1.04 | −61.0% | +214% | 0.14 | — | |
| 12 | COMTiShares GSCI Commodity Dynamic Roll Strategy ETF · Commodities | Whole market | +13.1% | 21.1% | 0.69 | −39.2% | +160% | 0.19 | 0.49% |
| 13 | Whole market | +19.5% | 25.2% | 0.84 | −55.8% | +238% | 0.18 | — | |
| 14 | IHAKiShares Cybersecurity and Tech ETF · Technology | Whole market | +8.3% | 25.0% | 0.44 | −34.4% | — | 0.31 | 0.47% |
| 15 | Whole market | +11.5% | 17.5% | 0.71 | −35.0% | +302% | 0.37 | 0.03% | |
| 16 | RSPHInvesco S&P 500 Equal Weight Health Care ETF · Healthcare | Whole market | +6.1% | 16.8% | 0.44 | −30.4% | +177% | 0.46 | 0.40% |
| 17 | Whole market | +21.0% | 24.8% | 0.90 | −67.2% | +233% | 0.08 | — | |
| 18 | Whole market | +12.8% | 16.9% | 0.80 | −34.0% | +324% | 0.38 | 0.03% | |
| 19 | Whole market | +20.8% | 22.6% | 0.96 | −25.7% | +508% | 0.19 | — | |
| 20 | Whole market | +13.4% | 17.1% | 0.82 | −29.6% | +274% | 0.39 | — | |
| 21 | Whole market | +17.3% | 24.3% | 0.78 | −43.6% | +537% | 0.26 | — | |
| 22 | Whole market | +12.7% | 17.9% | 0.76 | −27.4% | +196% | 0.13 | — | |
| 23 | Whole market | +12.8% | 22.9% | 0.64 | −36.4% | +429% | 0.32 | — | |
| 24 | Whole market | +23.0% | 25.6% | 0.94 | −61.4% | +278% | 0.15 | — | |
| 25 | VRIGInvesco Variable Rate Investment Grade ETF · Bonds | Whole market | +4.7% | 1.3% | 3.51 | −13.1% | +40.5% | -0.12 | 0.30% |
| 26 | DXJWisdomTree Japan Hedged Equity Fund · International Equity | Whole market | +26.6% | 19.1% | 1.34 | −39.1% | +428% | 0.12 | 0.48% |
| 27 | LVHIFranklin International Low Volatility High Dividend Index ETF · International Equity | Whole market | +17.0% | 11.1% | 1.48 | −32.4% | +194% | 0.22 | 0.40% |
| 28 | Whole market | +14.7% | 16.8% | 0.91 | −37.0% | +204% | 0.48 | — | |
| 29 | BALTInnovator Defined Wealth Shield ETF · Crypto | Whole market | +6.3% | 3.3% | 1.85 | −4.9% | — | 0.20 | 0.69% |
| 30 | Whole market | +17.4% | 22.9% | 0.82 | −31.4% | +685% | 0.19 | — | |
| 31 | Whole market | +8.2% | 16.4% | 0.57 | −36.0% | +140% | 0.37 | 0.05% | |
| 32 | Whole market | +14.5% | 23.0% | 0.71 | −35.1% | +553% | 0.25 | 0.18% | |
| 33 | Whole market | +12.4% | 23.8% | 0.61 | −41.0% | +541% | 0.20 | — | |
| 34 | Whole market | +21.0% | 23.4% | 0.94 | −42.9% | +242% | 0.26 | — | |
| 35 | Whole market | +16.8% | 26.1% | 0.73 | −42.0% | +374% | 0.28 | — | |
| 36 | Whole market | +17.1% | 20.7% | 0.87 | −26.8% | +226% | 0.39 | — | |
| 37 | Whole market | +12.1% | 13.7% | 0.90 | −36.8% | +235% | 0.48 | 0.03% | |
| 38 | FLRTPacer Aristotle Pacific Floating Rate High Income ETF · Financials | Whole market | +6.0% | 2.3% | 2.55 | −21.0% | +58.0% | 0.11 | 0.60% |
| 39 | Whole market | +22.6% | 25.5% | 0.93 | −66.8% | +189% | 0.24 | 0.08% | |
| 40 | Whole market | +11.9% | 19.4% | 0.68 | −54.4% | +30.4% | 0.01 | — | |
| 41 | Whole market | +9.3% | 16.9% | 0.61 | −35.8% | +153% | 0.40 | 0.03% | |
| 42 | Whole market | +15.8% | 20.0% | 0.84 | −42.0% | +310% | 0.44 | — | |
| 43 | Whole market | +19.9% | 22.3% | 0.93 | −42.5% | +361% | 0.16 | — | |
| 44 | Whole market | +17.7% | 18.9% | 0.96 | −26.4% | +213% | 0.12 | 0.40% | |
| 45 | Whole market | +5.1% | 18.3% | 0.37 | −23.8% | +145% | 0.36 | — | |
| 46 | Whole market | +11.5% | 20.9% | 0.63 | −32.6% | +394% | 0.36 | — | |
| 47 | Whole market | +18.4% | 26.0% | 0.78 | −35.1% | +779% | 0.25 | 0.09% | |
| 48 | Whole market | +21.3% | 25.6% | 0.89 | −30.3% | +816% | 0.39 | — | |
| 49 | Whole market | +15.7% | 20.4% | 0.82 | −42.6% | +248% | 0.51 | — | |
| 50 | Whole market | +6.8% | 17.6% | 0.47 | −39.4% | +198% | 0.33 | 0.03% | |
| 51 | Whole market | +10.4% | 14.1% | 0.78 | −31.7% | +258% | 0.46 | 0.04% | |
| 52 | FLOTiShares Floating Rate Bond ETF · Floating Rate Bonds | Whole market | +4.5% | 1.8% | 2.48 | −13.5% | +35.9% | -0.06 | 0.15% |
| 53 | Whole market | +22.7% | 27.7% | 0.88 | −40.5% | +955% | 0.22 | — | |
| 54 | Whole market | +9.7% | 14.3% | 0.72 | −33.4% | +252% | 0.40 | 0.06% | |
| 55 | Whole market | +9.8% | 25.2% | 0.50 | −39.4% | +60.7% | 0.14 | — | |
| 56 | Whole market | +26.3% | 24.9% | 1.07 | −41.6% | +654% | 0.22 | — | |
| 57 | Whole market | +7.1% | 22.9% | 0.42 | −38.7% | +295% | 0.42 | — | |
| 58 | Whole market | +6.2% | 20.6% | 0.40 | −42.0% | +179% | 0.31 | 0.03% | |
| 59 | Whole market | +7.1% | 27.1% | 0.39 | −43.9% | +313% | 0.27 | — | |
| 60 | Whole market | +17.2% | 24.9% | 0.77 | −30.4% | +285% | 0.21 | — | |
| 61 | Whole market | +11.1% | 24.2% | 0.56 | −36.7% | +204% | 0.16 | — | |
| 62 | Whole market | +10.3% | 16.2% | 0.69 | −34.2% | +223% | 0.38 | 0.06% | |
| 63 | Whole market | +11.3% | 18.8% | 0.67 | −38.4% | +170% | 0.12 | — | |
| 64 | Whole market | +6.4% | 26.1% | 0.37 | −44.0% | +253% | 0.09 | — | |
| 65 | Whole market | +6.8% | 19.4% | 0.44 | −38.7% | +122% | 0.28 | 0.09% | |
| 66 | Whole market | +5.2% | 17.5% | 0.38 | −36.4% | +102% | 0.23 | 0.06% | |
| 67 | Whole market | +5.2% | 8.9% | 0.61 | −25.4% | +37.8% | 0.04 | — | |
| 68 | Whole market | +11.2% | 20.8% | 0.62 | −37.4% | +319% | 0.03 | — | |
| 69 | Whole market | +9.1% | 18.9% | 0.56 | −44.1% | +103% | 0.27 | — | |
| 70 | Whole market | +13.9% | 18.5% | 0.80 | −34.0% | +446% | 0.30 | — | |
| 71 | Whole market | +9.0% | 22.9% | 0.49 | −40.8% | +320% | 0.26 | — | |
| 72 | Whole market | +5.5% | 21.5% | 0.36 | −30.1% | +89.8% | 0.29 | — | |
| 73 | PJULInnovator U.S. Equity Power Buffer ETF · Broad Market | Whole market | +10.5% | 8.6% | 1.20 | −18.2% | — | 0.30 | 0.79% |
| 74 | Whole market | +8.2% | 16.1% | 0.57 | −39.0% | +211% | 0.38 | 0.20% | |
| 75 | Whole market | +15.9% | 23.4% | 0.75 | −42.0% | +393% | 0.27 | — | |
| 76 | Whole market | +14.8% | 23.6% | 0.71 | −32.8% | +625% | 0.22 | — | |
| 77 | Whole market | +9.3% | 19.2% | 0.56 | −30.1% | +344% | 0.19 | — | |
| 78 | Whole market | +9.5% | 24.5% | 0.49 | −37.6% | +95.1% | 0.29 | — | |
| 79 | Whole market | +11.8% | 22.6% | 0.61 | −39.2% | +118% | 0.38 | — | |
| 80 | FJANFT Vest U.S. Equity Buffer ETF - January · Multi-Asset | Whole market | +11.1% | 10.5% | 1.05 | −13.6% | — | 0.29 | 0.85% |
| 81 | Whole market | +19.2% | 22.4% | 0.90 | −42.0% | +311% | 0.03 | — | |
| 82 | Whole market | +7.5% | 18.0% | 0.50 | −37.4% | +132% | 0.21 | — | |
| 83 | Whole market | +12.4% | 20.2% | 0.68 | −32.9% | +185% | 0.21 | — | |
| 84 | Whole market | +17.0% | 26.2% | 0.73 | −41.4% | +356% | 0.22 | — | |
| 85 | EWZiShares MSCI Brazil ETF · International Equity | Whole market | +14.9% | 27.7% | 0.64 | −57.0% | +90.3% | 0.32 | 0.59% |
| 86 | Whole market | +17.9% | 26.1% | 0.76 | −37.9% | +314% | 0.16 | — | |
| 87 | NEARiShares Short Duration Bond Active ETF · Short-Term Bonds | Whole market | +3.9% | 1.4% | 2.71 | −9.6% | +31.8% | 0.10 | 0.25% |
| 88 | Whole market | +15.8% | 24.6% | 0.72 | −30.7% | +576% | 0.05 | — | |
| 89 | Whole market | +8.3% | 23.3% | 0.46 | −40.5% | +446% | 0.22 | — | |
| 90 | Whole market | +13.1% | 22.4% | 0.67 | −34.5% | +451% | 0.24 | 0.04% | |
| 91 | Whole market | +14.4% | 22.1% | 0.72 | −42.7% | +481% | 0.17 | — | |
| 92 | Whole market | +6.6% | 27.8% | 0.37 | −41.8% | +226% | 0.08 | — | |
| 93 | Whole market | +14.7% | 17.5% | 0.87 | −34.7% | — | 0.32 | 0.26% | |
| 94 | Whole market | +10.8% | 21.9% | 0.58 | −41.6% | +160% | 0.26 | — | |
| 95 | Whole market | +10.9% | 24.2% | 0.55 | −44.4% | +516% | 0.32 | — | |
| 96 | Whole market | +7.2% | 19.2% | 0.46 | −29.0% | +68.8% | 0.42 | — | |
| 97 | Whole market | +5.4% | 21.8% | 0.35 | −34.3% | +240% | 0.23 | — | |
| 98 | Whole market | +4.9% | 22.4% | 0.33 | −41.7% | +194% | 0.26 | 0.05% | |
| 99 | Whole market | +6.7% | 21.4% | 0.41 | −37.9% | +208% | 0.20 | — | |
| 100 | Whole market | +6.7% | 24.1% | 0.39 | −43.7% | +176% | 0.28 | — |
ELV against its popular alternatives
The investments people most often weigh against ELV, compared period by period and year by year.
How do ELV's risk and return compare with its alternatives?
This map plots each investment's annual return over the past 5 years against its volatility, the size of its typical price swings. Investments toward the upper left earned more for a smoother ride, and those toward the lower right earned less for a rougher one. The dashed lines cross at ELV, which divides the map into what did better or worse on each measure.
- MCK, COR and CI were both more rewarding and calmer than ELV over the past 5 years, earning a higher annual return with lower volatility.
- Over the past 5 years, ELV returned 2.2% a year, less than the S&P 500's 12.7%, with higher volatility (29.4% against 17.1%).
Green points earned more than ELV with less volatility; red points earned less with more. Hover over a point for its figures. Total returns with dividends reinvested, annualized.
All figures
| Investment | Annual return | Volatility |
|---|---|---|
| MCK McKesson Corporation | +38.7% | 25.0% |
| COR Cencora, Inc. | +24.2% | 22.8% |
| OSCR Oscar Health, Inc. | +15.7% | 80.0% |
| HCA HCA Healthcare, Inc. | +14.1% | 30.1% |
| SPY S&P 500State Street SPDR S&P 500 ETF | +12.7% | 17.1% |
| CI Cigna Corporation | +9.4% | 28.3% |
| UHS Universal Health Services, Inc. | +7.3% | 32.1% |
| CVS CVS Health Corp. | +5.3% | 30.4% |
| ELV This pageElevance Health Inc. | +2.2% | 29.4% |
| UNH UnitedHealth Group Incorporated | +1.1% | 32.1% |
| CNC Centene Corp. | +0.8% | 40.0% |
| VEEV Veeva Systems Inc. | −0.1% | 39.6% |
| HUM Humana Inc. | −0.3% | 38.5% |
| MOH Molina Healthcare, Inc. | −5.4% | 40.6% |
| ALHC Alignment Healthcare, Inc. | −15.1% | 65.8% |
Has ELV consistently beaten its popular alternatives?
This section compares ELV with the investments people most often weigh against it, checking each one over eight periods from one month to ten years. Counting how often an alternative earned more than ELV helps separate lasting outperformance from a single strong stretch.
- Three of the 13 popular alternatives, MCK, VEEV and OSCR, outperformed ELV in at least 3 of 5 short-term and 2 of 3 long-term timeframes.
- MCK, COR and CI earned more for the risk they took than ELV (a higher Sharpe ratio) and fell less in their worst decline of the past 10 years.
- COR outperformed ELV over all three long-term periods but in only one of the five short-term ones, so ELV has had the better of it lately.
A green cell means the alternative earned more than ELV over that period. "Qualified" marks those that did so in at least 3 of 5 short-term periods and 2 of 3 long-term periods.
| Investment | Periods outperformed | Short term | Long term | Risk · 5 years | Fund | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1M | 3M | 6M | YTD | 1Y | 3Y | 5Y | 10Y | Volatilitylower is calmer | Sharpehigher is better | Worst declinepast 10 years | Expense | Assets | Overlapsame sectors | ||
| ELV Elevance Health Inc. (this page) | — | +7.5% | +15.7% | +39.0% | +26.1% | +26.8% | +2.0% | +11.7% | +307% | 29.4% | 0.23 | −50.4% | — | $95B | — |
| MCK QualifiedMcKesson Corporation | 3/5 short3/3 long | +16.2% | +24.0% | +20.2% | +25.5% | +31.3% | +131% | +413% | +586% | 25.0% | 1.44 | −38.1% | — | $120B | — |
| VEEV QualifiedVeeva Systems Inc. | 4/5 short2/3 long | +22.0% | +61.4% | +88.7% | +45.2% | +11.5% | +59.0% | −0.4% | +715% | 39.6% | 0.19 | −55.7% | — | $52B | — |
| OSCR QualifiedOscar Health, Inc. | 3/5 short2/3 long | +7.6% | +13.7% | +105% | +125% | +66.8% | +560% | +107% | — | 80.0% | 0.57 | −94.2% | — | $8.7B | — |
| HCA Medical - Care FacilitiesHCA Healthcare, Inc. | 2/5 short3/3 long | +9.3% | +26.0% | −2.2% | −0.5% | +8.3% | +97.6% | +93.6% | +513% | 30.1% | 0.59 | −54.7% | — | $101B | — |
| COR Medical - DistributionCencora, Inc. | 1/5 short3/3 long | +8.5% | +13.1% | +6.7% | +1.9% | +5.7% | +86.5% | +195% | +406% | 22.8% | 1.07 | −32.4% | — | $66B | — |
| CI Medical - Healthcare PlansCigna Corporation | 1/5 short2/3 long | +11.7% | +8.6% | +10.8% | +11.7% | +2.2% | +5.9% | +56.7% | +176% | 28.3% | 0.46 | −42.5% | — | $81B | — |
| UHS Medical - Care FacilitiesUniversal Health Services, Inc. | 1/5 short2/3 long | +6.2% | +23.4% | +3.5% | −15.3% | −10.0% | +50.9% | +42.4% | +55.7% | 32.1% | 0.38 | −56.3% | — | $11B | — |
| CVS Medical - Healthcare PlansCVS Health Corp. | 1/5 short2/3 long | +8.2% | −11.4% | +25.6% | +21.0% | +18.5% | +52.5% | +29.2% | +47.0% | 30.4% | 0.32 | −56.8% | — | $121B | — |
| ALHC Medical - Healthcare PlansAlignment Healthcare, Inc. | 0/5 short1/3 long | +2.2% | −59.7% | −60.5% | −57.9% | −51.1% | +19.9% | −55.8% | — | 65.8% | 0.08 | −83.6% | — | $1.8B | — |
| HUM Medical - Healthcare PlansHumana Inc. | 4/5 short0/3 long | +12.9% | +7.3% | +104% | +62.8% | +52.1% | −15.1% | −1.3% | +166% | 38.5% | 0.19 | −69.9% | — | $51B | — |
| CNC Medical - Healthcare PlansCentene Corp. | 4/5 short0/3 long | +9.0% | +7.6% | +84.9% | +69.6% | +98.9% | −1.5% | +4.0% | +129% | 40.0% | 0.24 | −74.1% | — | $35B | — |
| MOH Medical - Healthcare PlansMolina Healthcare, Inc. | 2/5 short0/3 long | +11.1% | −4.3% | +46.4% | +23.1% | +11.3% | −37.0% | −24.3% | +277% | 40.6% | 0.07 | −70.8% | — | $11B | — |
| UNH Medical - Healthcare PlansUnitedHealth Group Incorporated | 2/5 short0/3 long | +11.0% | +0.1% | +31.2% | +27.1% | +18.1% | −15.3% | +5.5% | +241% | 32.1% | 0.20 | −61.4% | — | $376B | — |
How did ELV do year by year?
This table shows each investment's total return in every full calendar year since 2002, along with where ELV ranked among its popular alternatives each year. Annual results reveal how consistently each one kept pace with ELV and how far its good and bad years diverged, detail that multiyear averages tend to smooth over.
- ELV finished ahead of the S&P 500 in 13 of its 24 full calendar years, and behind it in each of the last three.
- Among its popular alternatives, HCA came out ahead of ELV most often, in 11 of the 14 years both traded.
- Ranked against its popular alternatives each year, ELV finished in the top quarter in four of 24 years and in the bottom quarter in four. In 2025, it ranked 11 of 14.
Newest year first. Green marks a year in which the fund came out ahead of ELV; gray means the two finished within a fraction of a point. The rank row places ELV among the alternatives that traded the full year; dark green is the top quarter and red the bottom quarter.
| Investment | Years ahead of ELV | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2002 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELV This pageElevance Health Inc. | — | −3.1% | −20.7% | −6.9% | +11.8% | +46.1% | +7.8% | +16.3% | +18.1% | +58.7% | +5.1% | +12.9% | +38.2% | +54.6% | −6.3% | +18.2% | −2.4% | +38.4% | −52.0% | +11.5% | −1.4% | +38.8% | +53.3% | +19.3% | +27.1% |
| Rank among alternatives | Top quarter in 4 of 24 | 11 of 14 | 12 of 14 | 9 of 14 | 4 of 14 | 4 of 12 | 8 of 12 | 10 of 12 | 4 of 12 | 2 of 12 | 5 of 12 | 6 of 12 | 5 of 12 | 6 of 11 | 10 of 11 | 6 of 10 | 10 of 10 | 5 of 10 | 7 of 10 | 7 of 10 | 8 of 10 | 5 of 10 | 3 of 10 | 7 of 9 | 2 of 9 |
| SPY S&P 500State Street SPDR S&P 500 ETF | 11 of 24 | +17.7% | +24.9% | +26.2% | −18.2% | +28.7% | +18.3% | +31.2% | −4.6% | +21.7% | +12.0% | +1.2% | +13.5% | +32.3% | +16.0% | +1.9% | +15.1% | +26.4% | −36.8% | +5.1% | +15.9% | +4.8% | +10.7% | +28.2% | −21.6% |
| MCK McKesson Corporation | 14 of 24 | +44.5% | +23.7% | +24.1% | +51.8% | +44.2% | +27.1% | +26.7% | −28.4% | +12.0% | −28.3% | −4.5% | +29.3% | +67.7% | +25.6% | +11.8% | +13.8% | +62.9% | −40.4% | +29.7% | −1.2% | +64.9% | −1.4% | +19.9% | −27.2% |
| VEEV Veeva Systems Inc. | 7 of 12 | +6.2% | +9.2% | +19.3% | −36.8% | −6.2% | +93.5% | +57.5% | +61.6% | +35.8% | +41.1% | +9.2% | −17.7% | — | — | — | — | — | — | — | — | — | — | — | — |
| OSCR Oscar Health, Inc. | 3 of 4 | +6.9% | +46.9% | +272% | −68.7% | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| HCA HCA Healthcare, Inc. | 11 of 14 | +56.7% | +11.8% | +13.8% | −5.6% | +57.6% | +11.6% | +20.2% | +43.4% | +18.7% | +9.4% | −7.8% | +53.8% | +58.1% | +70.9% | — | — | — | — | — | — | — | — | — | — |
| COR Cencora, Inc. | 14 of 24 | +51.5% | +10.4% | +25.3% | +26.3% | +38.0% | +17.0% | +18.2% | −16.6% | +20.6% | −23.3% | +16.9% | +29.9% | +65.3% | +17.9% | +10.3% | +32.4% | +48.0% | −19.8% | +3.3% | +8.9% | +41.4% | +2.5% | +5.6% | −14.5% |
| CI Cigna Corporation | 11 of 24 | +1.7% | −6.3% | −8.0% | +46.7% | +12.3% | +1.8% | +7.7% | −6.5% | +52.3% | −8.8% | +42.2% | +17.7% | +63.8% | +27.4% | +14.6% | +4.1% | +110% | −68.6% | +22.6% | +17.9% | +37.1% | +42.8% | +43.6% | −54.8% |
| UHS Universal Health Services, Inc. | 10 of 24 | +22.0% | +18.2% | +8.8% | +9.4% | −5.2% | −4.0% | +23.6% | +3.2% | +6.9% | −10.7% | +7.7% | +37.3% | +68.6% | +26.1% | −10.1% | +43.2% | +63.3% | −26.2% | −7.1% | +19.3% | +5.7% | −16.6% | +19.1% | +5.4% |
| CVS CVS Health Corp. | 10 of 24 | +84.3% | −40.8% | −12.6% | −7.6% | +54.9% | −5.1% | +17.3% | −7.0% | −5.8% | −17.8% | +2.9% | +36.5% | +50.4% | +20.3% | +19.0% | +9.1% | +13.2% | −27.2% | +29.4% | +17.7% | +17.8% | +25.7% | +45.7% | −14.9% |
| ALHC Alignment Healthcare, Inc. | 2 of 4 | +75.6% | +30.7% | −26.8% | −16.4% | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| HUM Humana Inc. | 12 of 24 | +2.4% | −44.0% | −9.9% | +11.2% | +13.8% | +12.7% | +28.9% | +16.3% | +22.6% | +14.9% | +25.1% | +40.4% | +52.3% | −20.6% | +61.5% | +24.7% | +17.7% | −50.5% | +36.2% | +1.8% | +83.0% | +29.9% | +128% | −15.2% |
| CNC Centene Corp. | 11 of 24 | −32.1% | −18.4% | −9.5% | −0.5% | +37.3% | −4.5% | +9.0% | +14.3% | +78.5% | −14.1% | +26.7% | +76.1% | +43.8% | +3.5% | +56.1% | +19.9% | +7.3% | −28.1% | +11.7% | −6.5% | −7.3% | +103% | +25.0% | +53.0% |
| MOH Molina Healthcare, Inc. | 12 of 22 | −40.4% | −19.4% | +9.4% | +3.8% | +49.6% | +56.7% | +16.8% | +51.6% | +41.3% | −9.8% | +12.3% | +54.0% | +28.4% | +21.2% | +20.3% | +21.8% | +29.9% | −54.5% | +19.1% | +22.0% | −42.6% | +83.8% | — | — |
| UNH UnitedHealth Group Incorporated | 11 of 24 | −33.1% | −2.4% | +0.8% | +6.9% | +45.2% | +21.3% | +20.0% | +14.5% | +39.8% | +38.4% | +18.3% | +36.5% | +41.0% | +8.6% | +42.2% | +19.9% | +14.8% | −54.3% | +8.3% | −13.5% | +41.2% | +51.4% | +39.4% | +18.1% |
Risk and diversification
How ELV has fallen, how it held up in crashes beside the S&P 500 and its popular alternatives, and what moves independently of it.
What were ELV's worst declines?
A drawdown is the decline from a peak to the lowest point before a new high. This section presents ELV's five deepest drawdowns since it began trading in 2001, alongside the S&P 500's return over the same dates, and how long each took to recover. Together, these figures show how much an investor could have lost and how long it took to get back to even.
- In all five of ELV's worst declines, the S&P 500 held up better over the same dates.
- Not every decline was the market's doing: ELV fell 50.4% from September 2024 to August 2025, while the S&P 500 rose 14.0%.
- The slowest recovery came after ELV fell 67.2% from December 2007 to November 2008; it did not regain that peak until July 2013, five years later.
Green means ELV fell less than the S&P 500 over the same dates. Based on daily closing prices with dividends reinvested.
| During | ELV fell | S&P 500, same dates | Peak | Low | Time to the low | Back at the peak | Time to recover |
|---|---|---|---|---|---|---|---|
| 2008 financial crisis | −67.2% | −48.6% | Dec 2007 | Nov 2008 | 11 months | Jul 2013 | 4.7 years |
| No named crash | −50.4% | +14.0% | Sep 2024 | Aug 2025 | 11 months | Not yet | — |
| Covid crash | −44.1% | −18.2% | Feb 2019 | Mar 2020 | 13 months | Oct 2020 | 7 months |
| 2015 China and oil sell-off | −30.9% | −11.5% | Jun 2015 | Feb 2016 | 8 months | Mar 2017 | 13 months |
| Dot-com bust | −27.3% | −18.9% | Jun 2002 | Feb 2003 | 8 months | May 2003 | 3 months |
How did ELV do in stock market crashes?
This section measures how far ELV, the S&P 500 and each alternative fell from peak to trough during every major market crash since 2000. A smaller decline means an investment held up better, and comparing results across crashes shows whether that resilience was consistent or a one-off.
Note: ELV began trading on October 30, 2001, so its row reads "Not yet trading" for the dot-com bust. The older alternatives and the S&P 500 show how those crashes played out.
- Among its popular alternatives, MCK held up best, falling less than ELV in five of the nine crashes they both traded through.
- ELV began trading after the dot-com bust, but seven of its popular alternatives lived through it. The mildest fall among them was UNH's 19.8%, against 47.5% for the S&P 500.
- ELV fell less than the S&P 500 in five of the nine crashes it has traded through. The clearest case was the 2022 bear market, when ELV fell 15.9% and the S&P 500 fell 24.5%.
Newest crash first. Each figure is the fund's deepest fall within the crash window; green means a smaller fall than ELV.
| Investment | Held up better | 2023 regional bank crisisMar 2023 | 2022 bear marketJan 2022 | Covid crashFeb 2020 | Late-2018 sell-offSep 2018 | February 2018 volatility shockFeb 2018 | 2015 China and oil sell-offAug 2015 | 2011 euro debt crisisJul 2011 | 2010 flash crashMay 2010 | 2008 financial crisisOct 2007 | Dot-com bustMar 2000 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ELV This pageElevance Health Inc. | — | −2.3% | −15.9% | −42.3% | −15.7% | −3.6% | −22.9% | −23.4% | −0.7% | −67.2% | Not yet trading |
| SPY S&P 500State Street SPDR S&P 500 ETF | 4 of 9 | −3.4% | −24.5% | −33.7% | −19.3% | −6.5% | −12.8% | −17.9% | −1.5% | −55.2% | −47.5% |
| MCK McKesson Corporation | 5 of 9 | −0.9% | −10.5% | −32.1% | −20.7% | −6.5% | −30.8% | −14.2% | −3.5% | −57.7% | −39.4% |
| VEEV Veeva Systems Inc. | 1 of 6 | −4.6% | −40.0% | −26.7% | −26.5% | −9.5% | −28.9% | — | — | — | — |
| OSCR Oscar Health, Inc. | 0 of 2 | −18.1% | −62.4% | — | — | — | — | — | — | — | — |
| HCA HCA Healthcare, Inc. | 0 of 7 | −2.2% | −39.5% | −54.4% | −20.6% | −3.8% | −31.3% | −49.0% | — | — | — |
| COR Cencora, Inc. | 4 of 9 | −2.3% | −17.8% | −23.8% | −24.2% | −7.1% | −21.4% | −14.5% | −2.8% | −41.9% | −29.7% |
| CI Cigna Corporation | 3 of 9 | −2.6% | −10.7% | −41.3% | −20.8% | −7.4% | −16.2% | −24.0% | −4.7% | −84.3% | −56.3% |
| UHS Universal Health Services, Inc. | 2 of 9 | −5.2% | −43.4% | −52.5% | −17.8% | −4.8% | −30.3% | −40.4% | 0.0% | −52.5% | −32.3% |
| CVS CVS Health Corp. | 4 of 9 | −4.4% | −19.9% | −27.3% | −22.1% | −9.2% | −16.9% | −14.2% | −1.1% | −45.3% | −62.4% |
| ALHC Alignment Healthcare, Inc. | 0 of 2 | −11.6% | −51.7% | — | — | — | — | — | — | — | — |
| HUM Humana Inc. | 2 of 9 | −2.0% | −20.9% | −43.4% | −22.8% | −5.1% | −17.3% | −17.5% | −2.7% | −78.4% | −45.3% |
| CNC Centene Corp. | 2 of 9 | −4.1% | −24.1% | −32.4% | −25.7% | −4.2% | −27.4% | −27.5% | −3.3% | −53.1% | — |
| MOH Molina Healthcare, Inc. | 2 of 9 | −3.0% | −27.6% | −29.9% | −29.3% | −14.0% | −37.3% | −40.7% | −3.6% | −59.0% | — |
| UNH UnitedHealth Group Incorporated | 3 of 9 | −1.8% | −16.9% | −35.9% | −18.6% | −6.7% | −12.4% | −20.7% | −0.8% | −72.4% | −19.8% |
How closely does ELV move with the S&P 500?
Upside capture measures how much of the S&P 500's gains an investment kept in the months the market rose, and downside capture how much of its losses it took in the months the market fell. An investment that captures more of the gains than the losses has compounded ahead of the market over time. This section compares ELV with its popular alternatives on both measures, and on beta (how strongly each has moved with the market), over the past 10 years.
- Six of the 11 popular alternatives had a higher capture ratio (upside capture divided by downside capture) than ELV's 0.96, led by MCK, COR and VEEV.
- COR took just 58% of the S&P 500's losses, against 98% for ELV, while still keeping 80% of its gains.
- Over the past 10 years, ELV captured 94% of the S&P 500's gains in rising months and 98% of its losses in falling months, with a beta of 0.86. Its share of the market's losses was slightly larger than its share of the gains.
Monthly total returns over the past 10 years, measured against SPY. 100% capture or a beta of 1.00 means moving in line with the S&P 500. Green marks a better figure than ELV's: more upside, less downside or a higher capture ratio. Sorted by capture ratio.
| Investment | Upside capture | Downside capture | Capture ratio | Beta |
|---|---|---|---|---|
| ELV This pageElevance Health Inc. | 94% | 98% | 0.96 | 0.86 |
| MCK McKesson Corporation | 72% | 27% | 2.71 | 0.56 |
| COR Cencora, Inc. | 80% | 58% | 1.39 | 0.56 |
| VEEV Veeva Systems Inc. | 113% | 89% | 1.26 | 0.87 |
| MOH Molina Healthcare, Inc. | 72% | 63% | 1.14 | 0.74 |
| UNH UnitedHealth Group Incorporated | 81% | 82% | 0.98 | 0.70 |
| HCA HCA Healthcare, Inc. | 135% | 140% | 0.97 | 1.37 |
| CI Cigna Corporation | 66% | 74% | 0.90 | 0.58 |
| HUM Humana Inc. | 70% | 80% | 0.87 | 0.82 |
| CNC Centene Corp. | 69% | 94% | 0.73 | 0.80 |
| UHS Universal Health Services, Inc. | 86% | 141% | 0.61 | 1.13 |
| CVS CVS Health Corp. | 59% | 99% | 0.60 | 0.70 |
What diversifies ELV?
Correlation measures how closely two investments move together, on a scale from 1 (in lockstep) through 0 (unrelated) to -1 (in opposite directions). This section lists large ETFs and stocks whose returns have had a low correlation with ELV's. Because such investments tend not to fall at the same time, pairing ELV with them can reduce a portfolio's overall swings.
- Moving a fifth of the money in ELV into DXJ would have cut the portfolio's volatility by 18% over the past 5 years and raised its annual return (+2.3% for ELV alone, +7.7% for the mix).
- GLD made money in seven of the seven calendar years in which ELV lost money.
- Among large ETFs, LVHI, DXJ and EMLP have moved largely independently of ELV over the past 5 years, with correlations of 0.26 or lower, and each still earned a positive 5-year return.
Only ETFs with at least $1.0B in assets and stocks worth at least $10B, with a correlation below 0.5 over the past 5 years and a positive return, are included, ranked by Sharpe ratio; funds that hold the same thing are shown once. The year columns are the years in which ELV lost money. The last two columns show a portfolio that is 80% ELV and 20% the other investment, rebalanced monthly.
ETFs
| Investment | Correlation | 5Y return | Sharpe | 2025 | 2024 | 2023 | 2012 | 2010 | 2008 | 2006 | 80/20 mix volatility | 80/20 mix annual return |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELV Elevance Health Inc. (this page) | 1.00 | +11.7% | 0.23 | −3.1% | −20.7% | −6.9% | −6.3% | −2.4% | −52.0% | −1.4% | 29.3% | +2.3% |
| LVHI InternationalFranklin International Low Volatility High Dividend Index ETF | 0.22 | +119% | 1.48 | +27.1% | +15.9% | +17.4% | — | — | — | — | 23.9% | +5.8% |
| DXJ InternationalWisdomTree Japan Hedged Equity Fund | 0.12 | +225% | 1.34 | +32.8% | +29.8% | +42.0% | +19.6% | −1.8% | −20.8% | — | 23.9% | +7.7% |
| EMLP Broad MarketFirst Trust North American Energy Infrastructure Fund | 0.26 | +101% | 1.04 | +9.7% | +33.4% | +8.0% | — | — | — | — | 24.3% | +5.6% |
| HDV Dividend & IncomeiShares Core High Dividend ETF | 0.40 | +83.3% | 1.00 | +11.9% | +14.1% | +1.8% | +9.6% | — | — | — | 24.7% | +4.9% |
| SMH TechnologyVanEck Semiconductor ETF | 0.21 | +323% | 0.97 | +49.2% | +39.1% | +73.4% | +8.6% | +19.0% | −44.7% | −6.7% | 25.8% | +10.1% |
| DBEF InternationalXtrackers MSCI EAFE Hedged Equity ETF | 0.33 | +85.0% | 0.96 | +23.1% | +13.4% | +20.1% | +20.9% | — | — | — | 24.2% | +5.2% |
| GLD CommoditiesSPDR Gold Shares | 0.12 | +126% | 0.96 | +63.7% | +26.7% | +12.7% | +6.6% | +29.3% | +4.9% | +22.6% | 24.1% | +6.2% |
| SPMO Broad MarketInvesco S&P 500 Momentum ETF | 0.40 | +136% | 0.93 | +26.6% | +45.8% | +17.6% | — | — | — | — | 25.4% | +6.7% |
Stocks
| Investment | Correlation | 5Y return | Sharpe | 2025 | 2024 | 2023 | 2012 | 2010 | 2008 | 2006 | 80/20 mix volatility | 80/20 mix annual return |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELV Elevance Health Inc. (this page) | 1.00 | +11.7% | 0.23 | −3.1% | −20.7% | −6.9% | −6.3% | −2.4% | −52.0% | −1.4% | 29.3% | +2.3% |
| CAH Medical - DistributionCardinal Health, Inc. | 0.20 | +479% | 1.55 | +76.3% | +19.0% | +34.1% | +3.8% | +21.4% | −39.6% | −5.8% | 25.0% | +9.7% |
| CLS Hardware, Equipment & PartsCelestica Inc. | 0.05 | +3,143% | 1.47 | +220% | +215% | +160% | +11.2% | +2.8% | −20.5% | −26.0% | 26.6% | +22.3% |
| FIX Engineering & ConstructionComfort Systems USA, Inc. | 0.10 | +1,636% | 1.46 | +121% | +107% | +79.6% | +15.7% | +8.7% | −15.2% | +38.9% | 25.9% | +18.3% |
| MCK Medical - DistributionMcKesson Corporation | 0.21 | +413% | 1.44 | +44.5% | +23.7% | +24.1% | +25.6% | +13.8% | −40.4% | −1.2% | 25.0% | +9.1% |
| MPC Oil & Gas Refining & MarketingMarathon Petroleum Corporation | 0.15 | +690% | 1.41 | +19.2% | −4.0% | +30.4% | +94.3% | — | — | — | 25.2% | +11.7% |
Common questions
What was ELV's worst drawdown?
ELV's deepest decline since it began trading in 2001 was 67.2%, from December 2007 to November 2008. It took about five years from the low to climb back to its old high.
What were ELV's best and worst years?
Over 24 full calendar years, ELV's best year was 2017, when it returned 58.7%. Its worst was 2008, with a return of -52.0%.
Is there a better investment than ELV?
Among ELV's popular alternatives, MCK and COR earned more than ELV with less volatility over the past 5 years. MCK returned 38.7% a year at 25.0% volatility, against 2.2% a year at 29.4%. Looking beyond its popular alternatives, EHC (health care facilities) and CAH (health care distribution) earned more than ELV with less volatility over the past 5 years. EHC returned 18.4% a year at 26.8% volatility, against 2.2% a year at 29.4%.
Is ELV more volatile than the S&P 500?
Yes. ELV's volatility over the past 5 years was 29.4%, 1.7 times the S&P 500's 17.1%. Volatility measures how widely returns swing around their average: in roughly two years out of three, ELV's return lands within 29.4% of its average, either way. The higher it is, the rougher the ride and the harder it is to hold through a slump.
What is ELV's Sharpe ratio?
ELV's Sharpe ratio over the past 5 years was 0.23, against 0.79 for the S&P 500, so ELV earned less for each unit of risk than an index fund did. The Sharpe ratio is the return earned above cash for each unit of volatility: two investments with the same return are not equal if one got there with far bigger swings.
How correlated is ELV with the S&P 500?
Over the past 5 years, ELV's monthly returns had a correlation of 0.38 with the S&P 500. Correlation runs from 1 (moving in lockstep) through 0 (unrelated) to −1 (moving in opposite directions). They are only loosely linked, which makes it a real diversifier next to an index fund. In the table, the correlation column measures each option against ELV instead: the lower it is, the more that option would diversify a ELV holding.
What are the best alternatives to ELV?
Of the 13 popular alternatives we compared, three outperformed ELV in at least 3 of 5 short-term and 2 of 3 long-term timeframes, with dividends reinvested: MCK, VEEV and OSCR.
Did ELV outperform the S&P 500?
ELV finished ahead of the S&P 500 (SPY) in 13 of 24 full calendar years. In 2025, it returned -3.1%, against +17.7% for the index.
How did ELV do in stock market crashes?
ELV fell less than the S&P 500 (SPY) in five of the nine major crashes it has traded through, and further in four. The clearest case was the 2022 bear market, when ELV fell 15.9% and the S&P 500 fell 24.5%.
What diversifies ELV?
These had a low correlation with ELV over the past 5 years and still earned a positive 5-year return: among large ETFs, LVHI (correlation 0.22), DXJ (correlation 0.12) and EMLP (correlation 0.26); among large stocks, CAH (correlation 0.20), CLS (correlation 0.05) and FIX (correlation 0.10). A correlation near zero means the two have moved largely independently.
How we measure
- Short-term periods are 1M, 3M, 6M, YTD, 1Y; long-term periods are 3Y, 5Y, 10Y. An investment outperformed in a period when its total return, with dividends reinvested, was higher than ELV's. Returns within 0.5 points or 3% of ELV's, whichever is larger, count as a tie.
- "Qualified" means outperforming in at least 3 of 5 short-term periods and 2 of 3 long-term periods. "All-weather" means outperforming in every long-term period and all but one short-term period.
- Popular alternatives are the funds and stocks most often compared with this one. We include only those that trade today, are not leveraged or inverse, and hold at least $200 million.
- Volatility is the annualized standard deviation of daily returns over 5 years, a measure of how much the price typically swings in a year. The Sharpe ratio is the return above cash for each unit of that volatility.
- A decline, or drawdown, runs from a peak to the lowest close before the next high. The worst decline ever uses all the price history we have; comparisons between funds use the past 10 years so that younger funds are judged on the same stretch.
- Sector overlap is the share of assets two funds hold in the same sectors. Correlation and the mixed-portfolio figures use monthly returns.
- Upside and downside capture follow Morningstar's definition: the compound monthly return in the months the S&P 500 rose (or fell), divided by the S&P 500's compound return in those months. Beta measures how strongly monthly returns have moved with the S&P 500. All three use the same window for every investment.
- Figures are computed from daily adjusted prices and update after each trading day. Past performance does not predict future results.
More research
Popular alternatives to ELV
MCKMcKesson
VEEVVeeva Systems
HCAHCA Healthcare
CORCencora
CICigna
CVSCVS Health
HUMHumana
UNHUnitedHealth Group