Is CVS Moving Closer to Reaching Its Long-Term Low 3X Leverage Goal?

Core Insights - CVS Health aims to reduce its leverage ratio to a low 3X range, with a current ratio of 4.32 as of March 2025, down from 4.70 at the end of 2024 [1][9] - The company generated approximately $4.6 billion in operating cash flows in Q1 and returned $840 million to shareholders as dividends, maintaining its current dividend level [2][9] - Aetna, CVS' insurance arm, is on a multi-year path to recover margins, addressing challenges from elevated medical costs and Medicaid redeterminations [3] Financial Position Overview - UnitedHealth Group holds liquid and marketable equity securities of $79.1 billion, with cash flows from operations of $5.5 billion in Q1, reflecting low financial leverage at 1.99 times EBITDA [4] - Cigna Group reported a debt-to-capitalization ratio of 43.1% and has repurchased 8.2 million shares for approximately $2.6 billion, indicating a strong balance sheet [5] Market Performance - CVS Health shares have surged 49.2% year-to-date, contrasting with a 2.8% decline in the industry [8] - The stock is trading at a forward five-year sales multiple of 0.22, compared to the industry average of 0.39, and carries a Value Score of A [10] Earnings Estimates - Consensus estimates for CVS' earnings in 2025 and 2026 show a bullish trend, with current estimates of $6.12 for 2025 and $7.00 for 2026 [11][12]