CVS Health Corporation

CVS
Financial Analysis · Updated May 12, 2026 · Coverage 2026-Q2
Latest Q Revenue
$94.6B
Q1 2025 · +7% YoY
TTM ROIC
4.2%
FY2024 · Adjusted Net Income / Invested Capital (estimated) · WACC ~8% · Moat spread +-3.8pp

Financial Snapshot


ticker: CVS step: 04 generated: 2026-05-12 source: quick-research

CVS Health Corporation (CVS) — Financial Snapshot

Income Statement Summary

Metric FY2023 FY2024 FY2025 YoY (FY25)
Total Revenue $357.8B $372.8B ~$390B +4–5%
GAAP EPS $6.47 $3.40 (impairment-impacted) ~$5.50 (rebound) recovery
Adjusted EPS $8.74 $5.94 ~$6.50 recovering

Q1 2026 Beat + Raised Guidance

Metric Q1 2026
Revenue $100.4B (+6.2% YoY)
GAAP EPS $2.30 (vs. $1.41)
Adjusted EPS $2.57 (vs. $2.25)
Aetna Medical Loss Ratio 84.6% (vs. 87.3% prior year)
Operating Cash Flow $4.2B

FY2026 Raised Guidance (post Q1)

Metric 2026 Guide
Revenue At least $405B (raised from $400B)
Adjusted EPS $7.30–7.50 (raised from $7.00–7.20)
GAAP EPS $6.24–6.44
Operating Cash Flow At least $9.5B
Capital Returned to Shareholders Quarterly dividends maintained

Cash Flow & Capital Allocation (FY2025)

Metric Value
Operating Cash Flow ~$8B (constrained by working capital)
Capital Expenditures ~$3.5B
Free Cash Flow ~$4.5B
Quarterly Dividend $0.665
Annual Dividend $2.66
Dividend Yield ~4.5%
Cash & Investments ~$8B
Total Debt ~$60B (Aetna + Signify + Oak Street acquisitions)
Net Debt / EBITDA ~3.0x

Segment Performance Trends

Segment FY2025 Trends
Health Care Benefits (Aetna) MLR improving 84.6% (Q1 26) vs. 87.3% (Q1 25); Medicare Advantage stars top-tier for 2026
Health Services (Caremark + Oak Street + Signify) Caremark stable; Oak Street restructured post $5.7B impairment Q3 25
Pharmacy & Consumer Wellness Pharmacy script volume up; ~900 underperforming stores closed

Key Ratios (approximate)

  • P/E: ~10x (FY26E EPS midpoint) | EV/EBITDA: ~9x | FCF Yield: ~5%
  • Revenue Growth (FY25): +4–5%
  • Aetna MLR (Q1 26): 84.6% (vs. 87.3% Q1 25)
  • Dividend Yield: ~4.5%
  • Net Debt / EBITDA: ~3.0x

Growth Profile

2025 was the trough year for Aetna — Medicare Advantage cost pressures + Inflation Reduction Act + medical-cost inflation drove FY24 GAAP EPS down to $3.40 ($5.7B Oak Street impairment in Q3 2025). FY25 began the recovery; Q1 2026 confirmed the turnaround:

  • Aetna MLR improved 270 bps YoY to 84.6%
  • Aetna 2026 Medicare Advantage star ratings top-tier among national payers
  • Caremark PBM stable
  • Pharmacy + consumer wellness benefiting from closure of underperforming stores ($2B+ cost-cut program)
  • FY26 EPS guide raised from $7.00–7.20 to $7.30–7.50

The defining 2026 narrative: Aetna MA recovery + cost discipline + revamped Oak Street strategy.

Forward Estimates

FY2026 Guide (raised post Q1):

  • Revenue: ≥$405B
  • Adjusted EPS: $7.30–7.50 (~$2 above FY25)
  • FCF: ≥$9.5B operating cash flow

Bull case: Aetna MA returns to historical 86%+ MLR profitability (FY26-27); Caremark PBM regulatory pressure manageable; pharmacy closure benefits flow through margin; EPS reaches $9+ by FY28; multiple expands to 13x. Bear case: Medicare Advantage rate cycle remains unfavorable (CMS rate cuts); PBM rebate retention regulation passes; pharmacy front-store retail weakness; EPS stuck at $7. Consensus targets ~$90–105 vs. trading ~$74–84 (~15–30% implied upside).

Deeper Financial Analysis

The fundamental tier adds 9 additional research dimensions for $CVS.

Revenue Breakdown
Segment revenue, geographic mix, product-line contribution margins, and cohort dynamics.
Financial Trends
Quarter-over-quarter momentum, leading indicators, and inflection point analysis.
Balance Sheet
Debt structure, liquidity runway, dilution risk, and working capital dynamics.
Capital Allocation
Buyback cadence, M&A appetite, dividend policy, and reinvestment priorities.
Returns on Capital (ROIC)
Multi-year ROIC vs. WACC, marginal returns on reinvestment, sales-to-invested-capital efficiency, and moat spread.
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