Stock Analysis on Net
Stock Analysis on Net

CVS Health Corp. (NYSE:CVS)

This company has been moved to the archive! The financial data has not been updated since May 1, 2025.

Economic Value Added (EVA)

Microsoft Excel

EVA is registered trademark of Stern Stewart.

Economic value added or economic profit is the difference between revenues and costs,where costs include not only expenses, but also cost of capital.


Economic Profit

CVS Health Corp., economic profit calculation

US$ in millions

Microsoft Excel
12 months ended: Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Net operating profit after taxes (NOPAT)1 5,319 9,523 3,871 9,170 9,067
Cost of capital2 8.25% 8.60% 9.26% 9.13% 7.86%
Invested capital3 131,642 134,694 123,703 130,882 136,669
 
Economic profit4 (5,548) (2,066) (7,588) (2,774) (1,677)

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

1 NOPAT. See details »

2 Cost of capital. See details »

3 Invested capital. See details »

4 2024 Calculation
Economic profit = NOPAT – Cost of capital × Invested capital
= 5,319 – 8.25% × 131,642 = -5,548


Analysis of the financial performance from 2020 to 2024 reveals a consistent inability to generate positive economic profit. The organization has experienced continuous value destruction throughout this period, as the net operating profit after taxes consistently failed to cover the associated cost of capital for the invested assets.

Net Operating Profit After Taxes (NOPAT)
NOPAT exhibited significant volatility over the five-year period. After remaining relatively stable between 2020 and 2021, a sharp decline occurred in 2022, with profits falling to 3,871 million USD. A strong recovery was noted in 2023, peaking at 9,523 million USD, before retreating to 5,319 million USD in 2024.
Capital Cost and Investment Base
Invested capital remained relatively stable, fluctuating within a range of 123,703 million USD to 136,669 million USD. Simultaneously, the cost of capital trended upward from 7.86% in 2020 to a peak of 9.26% in 2022, followed by a gradual decline to 8.25% by the end of 2024.
Economic Profit and Value Creation
Economic profit remained negative for all reported years, indicating that the return on invested capital was lower than the weighted average cost of capital. The most severe value destruction occurred in 2022, reaching -7,588 million USD, which coincided with the lowest NOPAT and the highest cost of capital. Although a partial recovery was observed in 2023 (-2,066 million USD), the economic profit declined again in 2024 to -5,548 million USD, underscoring a persistent trend of economic loss.

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Net Operating Profit after Taxes (NOPAT)

CVS Health Corp., NOPAT calculation

US$ in millions

Microsoft Excel
12 months ended: Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Net income attributable to CVS Health 4,614 8,344 4,149 7,910 7,179
Deferred income tax expense (benefit)1 (572) (676) (2,075) (428) (564)
Increase (decrease) in allowance for credit losses2 64 10 (6) (19) 39
Increase (decrease) in equity equivalents3 (508) (666) (2,081) (447) (525)
Interest expense 2,958 2,658 2,287 2,503 2,907
Interest expense, operating lease liability4 766 800 813 872 918
Adjusted interest expense 3,724 3,458 3,100 3,375 3,825
Tax benefit of interest expense5 (782) (726) (651) (709) (803)
Adjusted interest expense, after taxes6 2,942 2,732 2,449 2,666 3,022
Net investment income (2,153) (1,153) (838) (1,199) (798)
Investment income, before taxes (2,153) (1,153) (838) (1,199) (798)
Tax expense (benefit) of investment income7 452 242 176 252 168
Investment income, after taxes8 (1,701) (911) (662) (947) (630)
(Income) loss from discontinued operations, net of tax9 — — — — 9
Net income (loss) attributable to noncontrolling interest (28) 24 16 (12) 13
Net operating profit after taxes (NOPAT) 5,319 9,523 3,871 9,170 9,067

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

1 Elimination of deferred tax expense. See details »

2 Addition of increase (decrease) in allowance for credit losses.

3 Addition of increase (decrease) in equity equivalents to net income attributable to CVS Health.

4 2024 Calculation
Interest expense on capitalized operating leases = Operating lease liability × Discount rate
= 16,650 × 4.60% = 766

5 2024 Calculation
Tax benefit of interest expense = Adjusted interest expense × Statutory income tax rate
= 3,724 × 21.00% = 782

6 Addition of after taxes interest expense to net income attributable to CVS Health.

7 2024 Calculation
Tax expense (benefit) of investment income = Investment income, before tax × Statutory income tax rate
= 2,153 × 21.00% = 452

8 Elimination of after taxes investment income.

9 Elimination of discontinued operations.


Financial performance between 2020 and 2024 is characterized by significant volatility in both operational profitability and bottom-line earnings. A cyclical pattern of sharp contractions and subsequent recoveries is evident throughout the observed period.

Net Operating Profit After Taxes (NOPAT) Trends
NOPAT exhibits high variance, reaching a peak of US$ 9,523 million in 2023. A substantial contraction occurred in 2022, with values falling to US$ 3,871 million, marking a significant operational downturn. While a strong recovery was recorded in 2023, the momentum reversed in 2024, with NOPAT declining to US$ 5,319 million.
Net Income Correlation
Net income attributable to CVS Health closely tracks the trajectory of NOPAT. Earnings rose from US$ 7,179 million in 2020 to US$ 7,910 million in 2021, before dropping to US$ 4,149 million in 2022. A sharp rebound to US$ 8,344 million in 2023 was followed by a decrease to US$ 4,614 million in 2024, mirroring the operational volatility seen in the NOPAT figures.
Operational Profitability Analysis
The correlation between NOPAT and net income suggests that fluctuations in the bottom line are primarily driven by operating performance rather than non-operating financial items. The recurring volatility, specifically the sharp declines in 2022 and 2024, indicates susceptibility to significant periodic shocks or adjustments in operating costs and revenues.

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Cash Operating Taxes

CVS Health Corp., cash operating taxes calculation

US$ in millions

Microsoft Excel
12 months ended: Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Income tax provision 1,562 2,805 1,463 2,522 2,569
Less: Deferred income tax expense (benefit) (572) (676) (2,075) (428) (564)
Add: Tax savings from interest expense 782 726 651 709 803
Less: Tax imposed on investment income 452 242 176 252 168
Cash operating taxes 2,464 3,965 4,013 3,407 3,769

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


An analysis of the tax expenditures from 2020 through 2024 reveals a consistent divergence between the accounting income tax provision and the actual cash operating taxes paid. While the income tax provision exhibited significant volatility, cash operating taxes remained relatively elevated until a substantial reduction occurred in the final year of the period.

Cash Operating Tax Trends
Cash operating taxes remained within a range of $3,407 million to $4,013 million between 2020 and 2023, peaking in 2022. However, a sharp contraction is observed in 2024, where cash operating taxes fell to $2,464 million, representing a decrease of approximately 37.8% from the 2023 level.
Income Tax Provision Volatility
The income tax provision demonstrated a non-linear trajectory, characterized by a significant dip in 2022 to $1,463 million, followed by a sharp recovery to a period high of $2,805 million in 2023, before declining again to $1,562 million in 2024.
Cash-to-Provision Variance
Throughout the entire five-year period, cash operating taxes consistently exceeded the income tax provision. This disparity was most pronounced in 2022, when cash payments were nearly 2.7 times the amount of the reported tax provision. Such a persistent gap indicates that actual cash outflows for taxes significantly outweigh the accounting expense recognized in the income statement, a critical factor when calculating the Net Operating Profit After Tax (NOPAT) for Economic Value Added (EVA) purposes.

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Invested Capital

CVS Health Corp., invested capital calculation (financing approach)

US$ in millions

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Short-term debt 2,119 200 — — —
Current portion of long-term debt 3,624 2,772 1,778 4,205 5,440
Long-term debt, excluding current portion 60,527 58,638 50,476 51,971 59,207
Operating lease liability1 16,650 17,775 18,478 19,823 20,395
Total reported debt & leases 82,920 79,385 70,732 75,999 85,042
Total CVS Health shareholders’ equity 75,560 76,461 71,015 75,075 69,389
Net deferred tax (assets) liabilities2 3,806 4,311 3,749 6,270 6,794
Allowance for credit losses3 407 343 333 339 358
Equity equivalents4 4,213 4,654 4,082 6,609 7,152
Accumulated other comprehensive (income) loss, net of tax5 120 297 1,465 (965) (1,414)
Noncontrolling interests 170 175 300 306 312
Adjusted total CVS Health shareholders’ equity 80,063 81,587 76,862 81,025 75,439
Investments6 (31,341) (26,278) (23,891) (26,142) (23,812)
Invested capital 131,642 134,694 123,703 130,882 136,669

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

1 Addition of capitalized operating leases.

2 Elimination of deferred taxes from assets and liabilities. See details »

3 Addition of allowance for doubtful accounts receivable.

4 Addition of equity equivalents to total CVS Health shareholders’ equity.

5 Removal of accumulated other comprehensive income.

6 Subtraction of investments.


The invested capital of CVS Health Corp. exhibited a fluctuating trajectory between 2020 and 2024, characterized by a distinct contraction in the mid-period followed by a partial recovery. The overall capital base reached its lowest point in 2022 before returning to levels closer to the initial 2020 baseline.

Total Reported Debt and Leases
A significant deleveraging trend occurred between 2020 and 2022, during which debt and leases decreased from 85,042 million to 70,732 million. This downward trend reversed in 2023, with liabilities increasing to 79,385 million and continuing upward to 82,920 million by the end of 2024, indicating a strategic shift back toward increased leverage.
Total Shareholders' Equity
Equity remained relatively stable over the five-year period with moderate volatility. After increasing from 69,389 million in 2020 to 75,075 million in 2021, the figure fluctuated, reaching a peak of 76,461 million in 2023 before slightly declining to 75,560 million in 2024. The stability of the equity component suggests that fluctuations in total invested capital were primarily driven by debt obligations rather than equity shifts.
Invested Capital Synthesis
The total invested capital closely mirrored the movements of the debt component. A decline from 136,669 million in 2020 to 123,703 million in 2022 reflects the period of debt reduction. The subsequent rise to 134,694 million in 2023 and the slight correction to 131,642 million in 2024 indicate that the organization's capital intensity has largely returned to its 2020-2021 levels.

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Cost of Capital

CVS Health Corp., cost of capital calculations

Capital (fair value)1 Weights Cost of capital
Equity2 79,707 79,707 ÷ 157,200 = 0.51 0.51 × 12.72% = 6.45%
Debt3 60,843 60,843 ÷ 157,200 = 0.39 0.39 × 4.64% × (1 – 21.00%) = 1.42%
Operating lease liability4 16,650 16,650 ÷ 157,200 = 0.11 0.11 × 4.60% × (1 – 21.00%) = 0.38%
Total: 157,200 1.00 8.25%

Based on: 10-K (reporting date: 2024-12-31).

1 US$ in millions

2 Equity. See details »

3 Debt. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 95,705 95,705 ÷ 172,131 = 0.56 0.56 × 12.72% = 7.07%
Debt3 58,651 58,651 ÷ 172,131 = 0.34 0.34 × 4.32% × (1 – 21.00%) = 1.16%
Operating lease liability4 17,775 17,775 ÷ 172,131 = 0.10 0.10 × 4.50% × (1 – 21.00%) = 0.37%
Total: 172,131 1.00 8.60%

Based on: 10-K (reporting date: 2023-12-31).

1 US$ in millions

2 Equity. See details »

3 Debt. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 114,235 114,235 ÷ 180,366 = 0.63 0.63 × 12.72% = 8.06%
Debt3 47,653 47,653 ÷ 180,366 = 0.26 0.26 × 4.07% × (1 – 21.00%) = 0.85%
Operating lease liability4 18,478 18,478 ÷ 180,366 = 0.10 0.10 × 4.40% × (1 – 21.00%) = 0.36%
Total: 180,366 1.00 9.26%

Based on: 10-K (reporting date: 2022-12-31).

1 US$ in millions

2 Equity. See details »

3 Debt. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 137,538 137,538 ÷ 221,518 = 0.62 0.62 × 12.72% = 7.90%
Debt3 64,157 64,157 ÷ 221,518 = 0.29 0.29 × 4.00% × (1 – 21.00%) = 0.92%
Operating lease liability4 19,823 19,823 ÷ 221,518 = 0.09 0.09 × 4.40% × (1 – 21.00%) = 0.31%
Total: 221,518 1.00 9.13%

Based on: 10-K (reporting date: 2021-12-31).

1 US$ in millions

2 Equity. See details »

3 Debt. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 92,490 92,490 ÷ 188,825 = 0.49 0.49 × 12.72% = 6.23%
Debt3 75,940 75,940 ÷ 188,825 = 0.40 0.40 × 3.92% × (1 – 21.00%) = 1.25%
Operating lease liability4 20,395 20,395 ÷ 188,825 = 0.11 0.11 × 4.50% × (1 – 21.00%) = 0.38%
Total: 188,825 1.00 7.86%

Based on: 10-K (reporting date: 2020-12-31).

1 US$ in millions

2 Equity. See details »

3 Debt. See details »

4 Operating lease liability. See details »


Economic Spread Ratio

CVS Health Corp., economic spread ratio calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Selected Financial Data (US$ in millions)
Economic profit1 (5,548) (2,066) (7,588) (2,774) (1,677)
Invested capital2 131,642 134,694 123,703 130,882 136,669
Performance Ratio
Economic spread ratio3 -4.21% -1.53% -6.13% -2.12% -1.23%
Benchmarks
Economic Spread Ratio, Competitors4
Abbott Laboratories -4.57% -4.75% -2.51% -2.02% —
Elevance Health Inc. -0.68% -1.03% 0.01% 1.33% —
Intuitive Surgical Inc. 3.74% -2.71% -2.99% 12.62% —
Medtronic PLC -6.60% -6.38% -5.14% -6.78% —
UnitedHealth Group Inc. -0.04% 4.85% 3.88% 3.74% —

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

1 Economic profit. See details »

2 Invested capital. See details »

3 2024 Calculation
Economic spread ratio = 100 × Economic profit ÷ Invested capital
= 100 × -5,548 ÷ 131,642 = -4.21%

4 Click competitor name to see calculations.


The analysis of economic value added from 2020 to 2024 reveals a consistent failure to generate positive economic profit, indicating that the returns on invested capital have remained below the required cost of capital throughout the period.

Economic Profit Trends
A volatile trend is observed in economic profit, characterized by persistent negative values. From a loss of 1,677 million USD in 2020, the deficit widened significantly to 7,588 million USD by 2022. Although a partial recovery occurred in 2023, where losses narrowed to 2,066 million USD, the trend reversed in 2024 with economic profit falling again to negative 5,548 million USD.
Invested Capital Stability
Invested capital remained relatively range-bound, fluctuating between a high of 136,669 million USD in 2020 and a low of 123,703 million USD in 2022. A moderate increase was noted in 2023 to 134,694 million USD, followed by a slight contraction to 131,642 million USD in 2024.
Economic Spread Ratio Performance
The economic spread ratio remained negative for the entire five-year duration, confirming continuous economic value destruction. The ratio reached its most critical point in 2022 at -6.13%, representing the widest gap between the return on capital and the cost of capital. A significant improvement was recorded in 2023 at -1.53%, but this was subsequently offset by a deterioration to -4.21% in 2024.

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Economic Profit Margin

CVS Health Corp., economic profit margin calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Selected Financial Data (US$ in millions)
Economic profit1 (5,548) (2,066) (7,588) (2,774) (1,677)
Revenues from customers 370,656 356,623 321,629 290,912 267,908
Performance Ratio
Economic profit margin2 -1.50% -0.58% -2.36% -0.95% -0.63%
Benchmarks
Economic Profit Margin, Competitors3
Abbott Laboratories -6.55% -7.06% -3.52% -2.92% —
Elevance Health Inc. -0.30% -0.42% 0.00% 0.62% —
Intuitive Surgical Inc. 3.48% -2.70% -2.58% 9.93% —
Medtronic PLC -13.98% -14.41% -11.28% -16.28% —
UnitedHealth Group Inc. -0.02% 2.41% 1.99% 1.83% —

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

1 Economic profit. See details »

2 2024 Calculation
Economic profit margin = 100 × Economic profit ÷ Revenues from customers
= 100 × -5,548 ÷ 370,656 = -1.50%

3 Click competitor name to see calculations.


An analysis of the financial performance between December 31, 2020, and December 31, 2024, reveals a persistent inability to generate positive economic value despite consistent top-line growth. While revenues have expanded steadily throughout the period, economic profit has remained negative, indicating that the returns on capital have consistently failed to exceed the company's cost of capital.

Revenue Trajectory
A consistent upward trend in revenues from customers is observed, growing from 267,908 million USD in 2020 to 370,656 million USD by 2024. This represents a steady expansion of the scale of operations over the five-year period.
Economic Profit Volatility
Economic profit remained negative for all reported years, exhibiting significant volatility. A marked deterioration occurred between 2020 and 2022, with losses widening from -1,677 million USD to a peak deficit of -7,588 million USD. Although a substantial recovery was noted in 2023, where the deficit narrowed to -2,066 million USD, this trend reversed in 2024 as economic profit fell again to -5,548 million USD.
Economic Profit Margin Trends
The economic profit margin reflects the underlying instability in value creation. The margin deteriorated from -0.63% in 2020 to a low of -2.36% in 2022. A brief improvement was recorded in 2023, reaching the period's high of -0.58%, before declining to -1.50% in 2024. The fluctuation in this margin suggests that revenue growth has not been accompanied by a sustainable improvement in capital efficiency or operating returns relative to the cost of funding.

The divergence between increasing revenues and fluctuating negative economic profit indicates that the expansion of the business has not translated into economic value added. The volatility observed in 2023 and 2024 suggests an inconsistent relationship between operational growth and the cost of the capital employed to achieve that growth.

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