Elevance Health (ELV) vs Guardant Health (GH)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 7, 2026.
Summary
Guardant Health (GH) has outperformed Elevance Health (ELV) over the past year, gaining 165.3% versus a gain of 13.1%. Over five years, GH leads with a +65.7% price change compared with +2.9% for ELV. Elevance Health is the larger company by market cap ($87.68 billion vs $22.59 billion), about 3.9 times the size, while Guardant Health is growing revenue faster (+32.9% vs +12.5%).
Elevance Health pays a dividend yielding 1.70%, while Guardant Health does not currently pay one. Elevance Health converts more of its revenue into profit, with a net margin of 2.8% versus -42.4%.
Summary generated from market data by MetaCap's automated system. Methodology
Relative performance
Percent change in share price from the first common trading day shown; excludes dividends.
Head-to-head
| Metric | ELV | GH |
|---|---|---|
| Share price | $404.31 | $168.33 |
| Market cap | $87.68B | $22.59B |
| 1-day change | +1.05% | -1.38% |
| YTD return | +15.34% | +64.80% |
| 1-year return | +13.10% | +165.34% |
| 5-year return | +2.86% | +65.68% |
| P/E ratio (TTM) | 17.90 | — |
| Forward P/E | 13.69 | — |
| EPS (TTM) | $22.59 | $-3.50 |
| Dividend yield | 1.70% | 0.00% |
| Annual dividend | $6.86 | $0.00 |
| Revenue (latest FY) | $199.13B | $982.02M |
| Revenue growth (YoY) | +12.49% | +32.88% |
| Net income (latest FY) | $5.66B | $-416.28M |
| Gross margin | 89.36% | 64.46% |
| Operating margin | 3.62% | -44.53% |
| Net margin | 2.84% | -42.39% |
| 52-week high | $436.24 | $191.05 |
| 52-week low | $274.84 | $61.00 |
| Distance from 52-week high | -7.32% | -11.89% |
| Analyst consensus | buy | strong_buy |
| Avg. price target upside | +11.67% | +18.72% |
| Average volume | 1.20M | 2.01M |
| Shares outstanding | 216.87M | 134.20M |
| Employees | 96,129 | 2,490 |
| Sector | Health Care | Health Care |
| Industry | Medical Specialities | Medical Specialities |
Highlighted cells mark the higher value for growth, returns, margins and yield, and the lower value for P/E ratios. Highlighting is a mechanical comparison, not a recommendation.
Key differences
- Elevance Health is about 3.9 times larger than Guardant Health by market value ($87.68B vs $22.59B).
- GH has outperformed ELV by 152.2 percentage points over the past year.
- Elevance Health offers a meaningfully higher dividend yield (1.70% vs 0.00%).
- Elevance Health is more profitable, keeping 2.8 cents of every revenue dollar as net income versus -42.4 cents for Guardant Health.
- Guardant Health grew revenue faster in its latest fiscal year (+32.88% vs +12.49%).
About Elevance Health
ELV stock →Elevance Health, Inc., together with its subsidiaries, operates as a health benefits company in the United States. The company operates in four segments: Health Benefits, CarelonRx, Carelon Services, and Corporate & Other.
Health Care · Medical Specialities · 96,129 employees
About Guardant Health
GH stock →Guardant Health, Inc., a precision oncology company, provides blood and tissue tests, and data sets in the United States and internationally. The company offers Guardant360 CDx test, a liquid biopsy test for tumor mutation profiling; Guardant360 Liquid test, which measures 740+ genes and supports all guideline-recommended biomarkers; Guardant Reveal test, a blood test that utilizes circulating tumor DNA to detect cancer at the molecular level; and Guardant360 Tissue test, a molecular profiling test for tumor tissue that provides genomic, transcriptomic, and epigenomic insights.
Health Care · Medical Specialities · 2,490 employees
ELV vs GH FAQ
Which is bigger, Elevance Health or Guardant Health?
Elevance Health (ELV) is larger, with a market capitalization of $87.68B compared with $22.59B for Guardant Health (GH).
Which stock has performed better over the past year, ELV or GH?
GH returned +165.34% over the past 12 months, compared with +13.10% for ELV (price return, excluding dividends). Past performance does not predict future results.
Which pays a higher dividend, Elevance Health or Guardant Health?
Elevance Health pays a dividend yielding 1.70%, while Guardant Health does not currently pay a regular dividend.
Are Elevance Health and Guardant Health in the same industry?
Yes. Both are classified in the Medical Specialities industry within the Health Care sector.