CVS · Consumer staples(retail-drug stores and proprietary stores) · 10 years of annual accounts filed with the SEC · latest fiscal year ended 2025-12-31
CVS Health Corp reported revenue of $402.1 billion in fiscal 2025, after growing 9.0% a year over the previous 9 years. Its operating margin narrowed from 5.2% in 2017 to 1.2%, and it earned 5.0% on its invested capital in the latest year. Of the $113.2 billion its operations generated over 10 years, 54.9% went to acquisitions and 21.9% to dividends; the share count rose 24.1%. On the accounting screens, it passes 7 of 9 Piotroski tests and its Altman Z'' of 0.99 is in the distress zone; 1 of the six cross-checks between its statements fires.
Revenue, fiscal 2025402.1B+9.0% a year over 9 years
Operating margin1.2%gross margin 45.0%
Return on invested capital5.0%8.7% on average over 4 years
Free cash flow after stock pay7.3B1.8% of revenue
Net debt ÷ EBITDANet cash8.5B more cash than debt
Piotroski F-score7/9tests of improvement passed
Is it growing?
Revenue and the operating income it turns into. Growth that does not reach operating income is growth bought with margin.
RevenueOperating income
0200.0B400.0B600.0B
2017Revenue 184.8BOperating income 9.5B
2018Revenue 193.9BOperating income 4.0B
2019
2019Revenue 256.8BOperating income 12.0B
2020Revenue 268.7BOperating income 13.9B
2021Revenue 292.1BOperating income 13.3B
2022Revenue 322.5BOperating income 8.0B
2023Revenue 357.8BOperating income 13.7B
2024Revenue 372.8BOperating income 8.5B
2025Revenue 402.1BOperating income 4.7B
2017201820192019202020212022202320242025
Compound growth a year
3 yrs
5 yrs
9 yrs
Revenue
+7.6%
+8.4%
+9.0%
Operating income
-16.3%
-19.6%
-7.7%
Net income
-25.7%
-24.4%
-13.6%
Earnings per share
-24.7%
-23.9%
-15.7%
Free cash flow per share
-15.5%
-9.7%
+0.4%
Dividend per share
+6.7%
+6.0%
+3.3%
Shares
-1.3%
-0.7%
+2.4%
Falling shares are buybacks: each remaining share owns more of the company.
Does it earn more than its capital costs?
Margins say how much of each sale is kept; return on invested capital says how much the business earns on the money it needs to operate. Growth only creates value when that return is above the cost of the capital.
Return on invested capitalCost of capital today · 10.2%
-5.0%0.0%5.0%10.0%15.0%
2017Return on invested capital 12.1%
2018Return on invested capital -1.3%
2019
2019Return on invested capital 13.1%
2020
2021
2022Return on invested capital 8.3%
2023Return on invested capital 13.4%
2024Return on invested capital 8.2%
2025Return on invested capital 5.0%
2017201820192019202020212022202320242025
Economic profit
Economic profit
-20.0B-15.0B-10.0B-5.0B05.0B
2017Economic profit 1.2B
2018Economic profit -15.0B
2019
2019Economic profit 1.9B
2020
2021
2022Economic profit -1.4B
2023Economic profit 2.5B
2024Economic profit -1.6B
2025Economic profit -3.9B
2017201820192019202020212022202320242025
(return on capital − cost of capital) × capital invested: the profit left after paying for the money used. Today's cost of capital is applied to every year, since a past one cannot be rebuilt honestly.
Return on equity
2.4%
Return on assets
0.7%
Asset turnover
1.59×
Is the profit cash, and where does the cash go?
Net income is an accounting opinion; free cash flow is what was left in the bank after investing. Stock-based pay does not leave the bank — shareholders pay it through dilution — so it is shown taken off as well.
Net incomeFree cash flowAfter stock-based pay
-5.0B05.0B10.0B15.0B20.0B
2017Net income 6.6BFree cash flow 6.1BAfter stock-based pay 5.9B
2018Net income -594.0MFree cash flow 6.8BAfter stock-based pay 6.5B
2019
2019Net income 6.6BFree cash flow 10.4BAfter stock-based pay 9.9B
2020Net income 7.2BFree cash flow 13.4BAfter stock-based pay 13.0B
2021Net income 8.0BFree cash flow 15.7BAfter stock-based pay 15.3B
2022Net income 4.3BFree cash flow 13.4BAfter stock-based pay 13.0B
2023Net income 8.3BFree cash flow 10.4BAfter stock-based pay 9.8B
2024Net income 4.6BFree cash flow 6.3BAfter stock-based pay 5.8B
2025Net income 1.8BFree cash flow 7.8BAfter stock-based pay 7.3B
2017201820192019202020212022202320242025
Where 10 years of operating cash went, 2017–2025
113.2B generated by the business. Each band is its share of that total.
Reinvested in the business 20%22.7B
Acquisitions 55%62.1B
Dividends 22%24.7B
Share buybacks 11%12.9B
More than it generated: funded with cash or new debt -8%-9.3B
Over the same years it paid 4.0B in stock. The share count rose 24.1%. 8.9B of the buybacks went beyond offsetting that dilution.
Per share
Earnings per shareFree cash flow per shareDividend per share
$-5.00$0.00$5.00$10.00$15.00
2017Earnings per share $6.47Free cash flow per share $5.95Dividend per share $2.00
2018Earnings per share $-0.57Free cash flow per share $6.54Dividend per share $1.95
2019
2019Earnings per share $5.08Free cash flow per share $7.96Dividend per share $1.99
2020Earnings per share $5.46Free cash flow per share $10.22Dividend per share $2.00
2021Earnings per share $6.02Free cash flow per share $11.85Dividend per share $1.98
2022Earnings per share $3.26Free cash flow per share $10.17Dividend per share $2.20
2023Earnings per share $6.47Free cash flow per share $8.06Dividend per share $2.43
2024Earnings per share $3.66Free cash flow per share $5.01Dividend per share $2.67
2025Earnings per share $1.39Free cash flow per share $6.14Dividend per share $2.67
2017201820192019202020212022202320242025
Shares outstanding
Diluted shares
1.0B1.1B1.2B1.3B1.4B
2017Diluted shares 1.0B
2018Diluted shares 1.0B
2019
2019Diluted shares 1.3B
2020Diluted shares 1.3B
2021Diluted shares 1.3B
2022Diluted shares 1.3B
2023Diluted shares 1.3B
2024Diluted shares 1.3B
2025Diluted shares 1.3B
2017201820192019202020212022202320242025
How strong is the balance sheet?
Debt is not bad in itself; debt the business cannot service in a bad year is. Net debt is debt minus cash, and below zero the company holds more cash than it owes.
Net debt
-25.0B025.0B50.0B75.0B
2017Net debt 24.0B
2018Net debt 68.7B
2019Net debt 72.6B
2019Net debt -1.9B
2020
2021
2022Net debt -12.9B
2023Net debt -8.0B
2024Net debt -6.5B
2025Net debt -8.5B
2017201820192019202020212022202320242025
Net debt ÷ EBITDA
-0.9×
Interest coverage
1× operating income ÷ interest
Current ratio
0.84 current assets ÷ current liabilities
Cash conversion cycle
— collects in 36d
Three classic screens of the accounts
Each asks a different question of the same statements — is it improving, does it look like a company heading for distress, do the accounts resemble ones that were manipulated. None is a verdict; each shows what moves it.
Piotroski F-score
Is the business improving? Nine yes-or-no tests, this year against last.
7of 9 tests passed
✓ProfitableReturn on assets above zeropassed
✓Cash from operationsOperating cash flow above zeropassed
✕Profitability improvedReturn on assets higher than a year beforefailed
✓Profit backed by cashOperating cash flow above net income (low accruals)passed
✓Less long-term debtLong-term debt as a share of assets fellpassed
✓More liquidCurrent ratio higher than a year beforepassed
✕No new sharesShare count did not growfailed
✓Better gross marginGross margin higher than a year beforepassed
✓Sells more per assetAsset turnover higher than a year beforepassed
Where it misleads: it measures change, not level. An excellent business that stood still for a year scores low; a poor one recovering from a disaster scores high.
Altman Z''-score
Does the balance sheet look like those of companies that went bankrupt?
0.99distress zone
1.12.6
Working capital ÷ assets -0.06 × 6.56-0.36
Retained earnings ÷ assets 0.24 × 3.26+0.79
Operating income ÷ assets 0.02 × 6.72+0.12
Equity ÷ liabilities 0.42 × 1.05+0.44
Where it misleads: buybacks. A company that returns so much cash that its equity turns small or negative sinks the last two ratios without being anywhere near bankruptcy. Banks and insurers do not fit the model at all.
Beneish M-score
Do the accounts resemble those of companies that manipulated their earnings?
The accounts lack too many of the lines it needs.
Where the statements disagree
Cross-checks between the income statement, the balance sheet and the cash flow for the latest year, each with the benign reading and the worrying one.
Capital spending (2,832M) is well below depreciation (4,606M).
Benign
Mature assets, or a business that has become less capital-intensive.
Worrying
Under-investing: today's profit is being held up by consuming tomorrow's capacity.
What is it worth, under which assumptions?
A company is worth the cash it will generate, brought back to today. This model projects revenue with growth that fades over the years, applies a free cash flow margin, and discounts the result at the cost of capital. Every assumption says where it came from, and all of them can be changed.
Value per share, with these assumptions$58.96discounted at 10.2% a year · 51% of it from after year 10
Type a share price on the left to ask the reverse questions: what growth, what margin or what discount rate that price implies.
What the value implies, in the usual multiples
At this model's value
Price ÷ earnings
42.4×
Enterprise value ÷ EBITDA
7.2×
Enterprise value ÷ revenue
0.2×
Free cash flow yield
9.7%
From cash flows to a value per share
10 years of cash flow, today32.7B
Everything after, today33.8B
The whole business66.5B
Plus net cash8.5B
What belongs to shareholders74.9B
Divided among 1.3B shares: <strong>$58.96</strong> each.
The projection next to its history
Reported free cash flow after stock pay, then the model's. A projection that looks nothing like the past needs a reason.
ReportedProjected
05.0B10.0B15.0B20.0B
2017Reported 5.9B
2018Reported 6.5B
2019
2019Reported 9.9B
2020Reported 13.0B
2021Reported 15.3B
2022Reported 13.0B
2023Reported 9.8B
2024Reported 5.8B
2025Reported 7.3B
2026Projected 4.2B
2027Projected 4.6B
2028Projected 4.9B
2029Projected 5.2B
2030Projected 5.5B
2031Projected 5.8B
2032Projected 6.1B
2033Projected 6.3B
2034Projected 6.5B
2035Projected 6.7B
2017201920202022202420262028203020322034
Year by year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
Revenue
436.2B
470.4B
504.1B
536.9B
568.2B
597.6B
624.5B
648.4B
668.9B
685.7B
Growth
8.5%
7.8%
7.2%
6.5%
5.8%
5.2%
4.5%
3.8%
3.2%
2.5%
Cash margin
1.0%
1.0%
1.0%
1.0%
1.0%
1.0%
1.0%
1.0%
1.0%
1.0%
Free cash flow
4.2B
4.6B
4.9B
5.2B
5.5B
5.8B
6.1B
6.3B
6.5B
6.7B
Worth today
3.9B
3.8B
3.7B
3.5B
3.4B
3.2B
3.1B
2.9B
2.7B
2.5B
If the least-known inputs move
Value per share as two inputs change at a time. Neighbouring cells that differ a lot are the conclusion: the value depends on numbers nobody knows to a point.
The discount rate and growth forever
discount ↓ · forever →
1.5%
2.0%
2.5%
3.0%
3.5%
9.2%
61
64
67
71
76
9.7%
57
60
63
66
70
10.2%
54
56
59
62
65
10.7%
51
53
56
58
61
11.2%
49
51
53
55
57
Year-one growth and the final margin
margin ↓ · growth →
4.5%
6.5%
8.5%
10.5%
12.5%
0.8%
45
48
51
55
59
0.9%
48
51
55
59
63
1.0%
51
55
59
63
68
1.1%
55
59
63
68
73
1.2%
58
62
67
72
78
All the inputs moving at once
5,000 valuations, each with growth, final margin, discount rate and growth forever drawn at random around the values on the left (spreads of 3.0%, 2.0%, 1.0% and 0.5%). Not a probability — the spreads are assumptions too — but an honest picture of how wide the answer is.
10th percentile$-45.44
Median$59.59
90th percentile$169.26
$0.00$200.00
Half of the simulations land between <b>$5.95</b> and <b>$116.87</b>; one in ten below $-45.44, one in ten above $169.26.
Does the long run make sense?
5.6×The terminal value prices the business in year 10 at 5.6 times that year's EBITDA.
Free growthIn year 10 free cash flow is at or above after-tax operating profit, yet the model grows 2.5% forever. Growth needs reinvestment; this assumes it comes for free, which flatters the terminal value.
51%of the value comes from after year 10. The more of it, the more the answer depends on the part nobody can see.
What lenders charge, after the tax saving on interest: 6.68% × (1 − 19.1%) = <strong>5.40%</strong>.
Weighted by how much of each the company uses (book value (no price given)): <strong>10.18%</strong>, the rate every future cash flow is discounted at.
What it has filed lately
The last twelve months at the SEC, most important first: annual and quarterly reports, events, large holders and insiders.
Accounts from the company's own SEC filings; lines some companies do not report are shown as a dash rather than estimated. The risk-free rate is the 10-year US Treasury yield. A DCF is a way of making assumptions explicit, not a forecast: it states what the company would be worth if the assumptions held. The scores are screens that point where to look, not verdicts. Nothing here is a recommendation to buy or sell.