CVS Health
CVS on NYSE. CVS Health sells prescriptions, health insurance, and clinic visits to people and employers. Market value $111.3bn.
Price checks use the past 12 months to June 2026. Quality checks use five annual reports, the latest for the year to December 2025.
Should I look at this?
Worth a closer look
Why it could be worth it
What to watch out for
Nothing stood out in the numbers we check.
This is not advice. Check the numbers below.
For every $100 of what the whole company costs, it produced $10.64 of spare cash in the past 12 months. A savings account pays about $4.
You pay 19.4 years of operating profit for the business. The average large US company costs around 18.
Each dollar kept in the business earns 6 cents a year. Above 10 is good.
Quality score: 70 of 100. Price score: 77 of 100. Our list needs 70 on quality and 60 on price.
$86.43 a share, 24% above its 1-year low
Over the past year the price has ranged from $69.51 to $110.68.
Dividend: 3.1% a year
Paid every year for at least 5 years
Prices from Tuesday’s close (6 October).
Five years of cash, in billions
Spare cash swings from quarter to quarter here: $11.8 billion in the past 12 months, $7.8 billion in the year to December 2025.
| Revenue | |||||
| Revenue | $292.1bn | $322.5bn | $357.8bn | $372.8bn | $402.1bn |
| Operating margin | |||||
| Operating margin | 4.6% | 2.5% | 3.8% | 2.3% | 1.2% |
| Debt to equity | |||||
| Debt to equity | 0.75 | 0.73 | 0.81 | 0.88 | 0.86 |
| Shares outstanding | |||||
| Shares outstanding | 1.31bn | 1.29bn | 1.26bn | 1.27bn | 1.28bn |
Health checks
- Free cash flow positive5 of 5 years
- Accounting looks honest (Beneish)Not enough data
- Financial strength (Piotroski)8 of 9
- Profit backed by cash (accruals)Yes
- Debt0.86× equity
- Revenue growth, five yearsSlow, 8.4% a year
- Buying back its own sharesYes, 3% fewer since 2021
The quarter to June 2026
How the business did, compared with the same quarter a year earlier.
- Sales: $106.1 billion last quarter, up 7% on a year ago.
- Profit: $3 billion, up 192% on a year ago.
- It keeps 2 cents of each $1 of sales as operating profit, about the same as a year earlier.
- Spare cash over the past 12 months: $11.8 billion, up from $4.8 billion.
- 1% more shares than a year ago. Each share owns a bit less of the company.
- Debt is $50.1 billion more than cash, down from $54.7 billion a year ago.
- Sales grew on a year ago in each of the last 4 quarters.
| Quarter to | Amount |
|---|---|
| September 2024 | $95.4bn |
| December 2024 | $97.7bn |
| March 2025 | $94.6bn |
| June 2025 | $98.9bn |
| September 2025 | $102.9bn |
| December 2025 | $105.7bn |
| March 2026 | $100.4bn |
| June 2026 | $106.1bn |
| Quarter to | Amount |
|---|---|
| September 2024 | $87m |
| December 2024 | $1.6bn |
| March 2025 | $1.8bn |
| June 2025 | $1.0bn |
| September 2025 | -$4.0bn |
| December 2025 | $2.9bn |
| March 2026 | $2.9bn |
| June 2026 | $3.0bn |
From the company's quarterly reports to the SEC.
Dates
- Next results (estimated)
- 28 October 2026
- Last annual report (10-K)
- 10 February 2026
- Next quarterly (estimated, 10-Q)
- 4 November 2026
Who owns it
26 long-term investors we follow own it, down from 28 last quarter. 2,064 funds in all.
- Fairfax FinancialPrem Watsa
- Value
- $281m
- Share of fund
- 10.6%
- Letko BrosseauLetko Brosseau team
- Value
- $113m
- Share of fund
- 1.7%
- Auxier Asset ManagementJeff Auxier
- Value
- $10m
- Share of fund
- 1.4%
- GAMCO InvestorsMario Gabelli
- Value
- $10m
- Share of fund
- <0.1%
- First Manhattan Co.First Manhattan partners
- Value
- $4m
- Share of fund
- <0.1%
- Boyar Asset ManagementMark Boyar
- Value
- $2m
- Share of fund
- 1.0%
- Matrix Asset AdvisorsDavid Katz
- Value
- $638,804
- Share of fund
- <0.1%
- Cullen Capital ManagementJames Cullen
- Value
- $490,870
- Share of fund
- <0.1%
Sold out this quarter
Largest holders overall
- BlackRock$12.7bnCut
- Vanguard Capital Management$8.6bn
- Capital World Investors$7.8bnCut
- State Street$6.2bn
- Dodge & Cox$5.2bnCut
- Wellington Management Group LLP$3.5bnAdded
- Geode Capital Management$3.1bn
- FMR$3.0bnCut
- Vanguard Portfolio Management$2.8bnAdded
- Capital Research Global Investors$2.5bnAdded
From 13F filings for the quarter ended 30 June 2026.
Big holders and activists
3 investors own more than 5%.
- BlackRock, Inc.Passive investor8.3%+1.2 ptsSince 30 June 2025
- Vanguard Capital ManagementPassive investor7.5%Since 31 March 2026
- Capital World InvestorsPassive investor5.5%Since 31 March 2025
- Dodge & CoxPassive investorSold down below 5%Since 30 June 2026
- The Vanguard GroupPassive investorSold down below 5%Since 13 March 2026
| Holder | Stake | Since | |
|---|---|---|---|
BlackRock, Inc. Passive investor | 8.3%+1.2 pts | 30 June 2025 | |
Vanguard Capital Management Passive investor | 7.5% | 31 March 2026 | |
Capital World Investors Passive investor | 5.5% | 31 March 2025 | |
Dodge & Cox Passive investor | Sold down below 5% | 30 June 2026 | |
The Vanguard Group Passive investor | Sold down below 5% | 13 March 2026 |
From Schedule 13D and 13G filings: anyone owning more than 5% must file one.
What insiders did
No insider bought shares on the open market in the last 12 months. 2 sold $324m.
- ROBBINS LARRYDirectorSold
- Date
- 21 May 2026
- Shares
- 370,462
- Price
- $93.45
- Value
- $35m
- ROBBINS LARRYDirectorSold
- Date
- 20 May 2026
- Shares
- 1,018,000
- Price
- $93.83
- Value
- $96m
- ROBBINS LARRYDirectorSold
- Date
- 19 May 2026
- Shares
- 1,983,538
- Price
- $94.45
- Value
- $187m
- Mandadi TilakEVP, Chief Exp & Tech OfficerSold
- Date
- 8 May 2026
- Shares
- 69,551
- Price
- $89.58
- Value
- $6m
| Date | Who | Did | Shares | Price | Value |
|---|---|---|---|---|---|
| 21 May 2026 | ROBBINS LARRY Director | Sold | 370,462 | $93.45 | $35m |
| 20 May 2026 | ROBBINS LARRY Director | Sold | 1,018,000 | $93.83 | $96m |
| 19 May 2026 | ROBBINS LARRY Director | Sold | 1,983,538 | $94.45 | $187m |
| 8 May 2026 | Mandadi Tilak EVP, Chief Exp & Tech Officer | Sold | 69,551 | $89.58 | $6m |
From Form 4 filings: insiders must report trades in their own company's shares within two days.
Warning signs in its filings
Problems the company itself reported to the SEC, in its own words.
None of the warning signs we check for were found.
We look for five warning signs: doubt it can keep going, weak checks on its own accounts, a notice that its past accounts can't be relied on, a change of auditor, and one customer bringing in a big share of sales. We don't check lawsuits, investigations or debt yet.
We checked the auditor's report, internal controls, restatement notices, auditor changes and big customers in the 10-K filed 10 Feb 2026, plus the 10-Q filed 5 Aug 2026 and 5 later 8-Ks.
A 10-K is the yearly report every US company files with the SEC. An 8-K is a short notice of a big event.
What could go wrong
Cheap for a reason is the question the numbers cannot answer.
Whether the price already reflects the risks is what the deep dive is for.
What changed in the risks this year
Companies must list what could hurt them each year. These are the parts that changed since last year’s report.
We face unique regulatory and other challenges in our Medicare and Medicaid businesses.
Could happen• The “Working Families Tax Cut Act,” formerly the “One Big Beautiful Bill Act,” of 2025 makes changes to Medicaid eligibility rules and financing which will lead to reduced eligibility for Medicaid beneficiaries, particularly expansion populations, and reduced state funding, which will impact Medicaid benefits and payment rates. Given these changes, states that have not already done so are unlikely to consider Medicaid expansion.
Read moreWe may face increased regulatory risks related to our vertical integration strategy.
Could happenOur vertical integration strategy may lead to increased regulatory and public scrutiny as a result of consumer protection and quality of care concerns. In addition, there has been some new state legislative activity around prohibiting ownership or licensure of a pharmacy if it is affiliated with a PBM.
Read moreWe face unique regulatory and other challenges in our Medicare and Medicaid businesses.
Could happen• State Medicaid agencies regularly audit, and state officials regularly investigate, the Company’s performance across all areas of its contractual obligations to the state to determine compliance and quality of services. The Company may be subject to, among other penalties, significant fines, sanctions, corrective actions, and enrollment freezes depending on the findings of these audits and reviews. The Company’s ongoing performance and compliance with program requirements can impact our ability to expand and retain Medicaid business. State Medicaid agencies are also increasingly using the audit process to challenge the legality of PBM practices, such as guaranteed effective rate reconciliations with retail pharmacies and transmission fees.
Read moreOur business success and operating results depend in part on effective information technology systems and on continuing to develop and implement improvements in technology, including technology related to artificial intelligence (“AI”). The failure or disruption of our information technology systems or the failure of our information technology infrastructure to support our businesses could adversely affect our reputation, businesses, operating results and cash flows.
Could happenThe use of AI and related technology may also increase exposure to reputational, cybersecurity, data privacy, legal, regulatory and operational risks as AI technology rapidly evolves along with public opinion concerning the use of AI and the associated legal and regulatory framework. These risks include, but are not limited to, heightened exposure to cybersecurity incidents or the misuse of data during the integration of AI models and large data sets; increased potential liability and costs associated with complying with rapidly emerging regulatory frameworks; costs and competitive disadvantages associated with the failure to properly integrate AI into existing operations; and reputational harm caused by actual or perceived failures in the performance of AI or AI-related technology.
Read moreEach of our segments operates in a highly competitive and evolving business environment; and operating income in the industries in which we compete may decline.
Could happen• Direct-to-consumer (“DTC”) sales of prescription drugs by pharmaceutical companies is a growing trend in the United States. By implementing DTC sales platforms, pharmaceutical companies can advertise, or sell, their own branded drugs directly to patients, bypassing traditional distribution channels and intermediaries, including pharmacies and PBMs. DTC platforms may also increase demand for expensive, brand-name drugs that may not provide significant clinical benefit over more cost-effective alternatives. As a result, the DTC trend may increase overall health care costs for consumers and adversely impact the performance of the Company’s Pharmacy & Consumer Wellness and Health Services segments.
Read more
The deep dive
Everything above is arithmetic on public filings. The deep dive reads the last ten years of annual reports, the proxy statements, and the earnings calls, then argues the case the way Buffett, Klarman, and Hohn would, and checks every claim against the source.
- What the business is worth, as a range, and the margin of safety at today’s price
- Prices to start buying, buy, and buy hard
- The three things that would make this a mistake
- Every number footnoted to the filing it came from
Your first deep dive is free.
Not advice. Numbers on this page come from SEC filings and are updated each night; prices are updated again after the US market closes. The five-year figures are rounded.