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Research · S&P 500 · Health Care
The numbers, the scorecard and what analysts say, with the source for each. Information, not advice.
Price · last 3 months · daily close
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Daily closing prices via yfinance. Quotes are delayed. Past prices are not a guarantee of future results.
Value Scorecard · run 2026-10-18
Earnings & returns
Diluted EPS: $21.30 (2022), $17.39 (2023), $12.12 (2024), $22.18 (2025). It ended above 2022 but did not rise in 2 of 3 years; the framework scores that as 3.
ROE (net income / common equity): 15.0% (2022), 11.2% (2023), 8.4% (2024), 14.3% (2025). Median 12.7%, lowest 8.4%; the framework scores a median 10-15% as 3.
ROIC of 9.1%: operating income of $9.20B divided by $101.58B of capital (total assets $157.92B minus current liabilities $56.34B), fiscal year to Dec 31, 2025, as filed in the 10-K (SEC EDGAR). The framework scores 5-10% as 2.
Net margin of 2.3%; the framework scores 0-5% as 2; gross margin 9.1%, operating margin 4.0%.
Balance sheet & cash
Debt-to-equity of 0.74; the framework scores 0.3-0.8 as 4 (total debt $31.88B, total cash $7.26B).
Free cash flow (operating cash flow minus capital expenditure): $7.36B (2022), $10.24B (2023), $8.96B (2024), $8.39B (2025). It ended above 2022 but did not rise in 2 of 3 years; the framework scores that as 3.
Retained earnings, as filed in the 10-Ks (SEC EDGAR): $37.94B (2022), $41.65B (2023), $43.52B (2024), $47.87B (2025). It rose every year; the framework scores that as 5.
Valuation models
IV = EPS x (8.5 + 2g) x (4.4 / Y) = $24.19 x (8.5 + 2 x 12.9) x (4.4 / 4.5) = $811.28. Current price $302.30; price is 62.7% below the model value.
FCF/share = $30.200, stage 1 growth = 18.8% for 5 years, terminal growth = 3%, discount rate = 10%. Stage 1 PV = $191.35, PV of terminal value = $652.93, DCF value = $844.28. Current price $302.30; price is 64.2% below the model value.
Graham value $811.28 (price is 62.7% below the model value); DCF value $844.28 (price is 64.2% below the model value).
P/B of 1.87; the framework scores 1.5-3.0 as 3.
Business quality
A moat (a brand, a network, switching costs, patents, scale, a licence) is not a number in the filings, so Valerius doesn’t score it. Below are the figures and the words moat analysis starts from, from the company’s own 10-K filings. The conclusion is yours.
Return on capital, each year
Above 15% in 0 of 9 years (2017-2025); lowest 3.4%, highest 9.6%.
Gross margin, each year
Between 21.8% and 94.1% over 10 years (a range of 72.3 points).
Competition, in the company’s own words · 10-K filed Feb 26, 2026
The primary competitive factors in the industry include the ability to negotiate with retail pharmacies to ensure retail pharmacy networks meet the needs of clients and customers; provide home delivery and specialty pharmacy services; negotiate with drug manufacturers to lower the cost of prescription drugs; manage cost and quality of specialty drugs; specialize in claim adjudication and benefit administration; improve access, outcomes, and efficiencies within the health care ecosystem; deliver quality primary and behavioral care in virtual-led hybrid settings and in the workplace; navigate the complexities of government-reimbursed business including Medicare, Medicaid and the public exchanges; and use the information obtained about drug, behavioral and medical utilization patterns and consumer behavior to reduce costs for clients and customers and assess the level of service provided. Our focus on improving the health and vitality of those we serve will allow us to further differentiate ourselves from our primary competitors. Our primary competitors include independent and managed care pharmacy benefit managers; retail, home delivery and specialty pharmacies; specialty drug distributors; health plans; third-party benefit administrators; group purchasing organizations; clinical solutions companies; health care data analytics companies; and care services providers.
The opening of the company’s “Competition” section in its 10-K, quoted word for word, not summarized or edited. It is the company’s own description, not Valerius’s view, and may include the company’s expectations. Open the filing.
Return on capital = operating income / (total assets − current liabilities), the ROIC row’s definition; 15% is the framework’s return threshold. Gross margin = gross profit / revenue. Both from each year’s 10-K via SEC EDGAR. Moat analysis commonly looks at whether returns and margins held up over many years. These figures don’t say whether the company has an advantage, what it is, or whether it will last.
Capital allocation, 2022-2025: dividends or buybacks paid in every year (pass); $26.56B paid out against $34.95B of free cash flow (pass); total debt $31.09B to $31.46B, up 1.2%, 2.6x EBITDA (pass: not up more than 10%); shares outstanding 0.30B to 0.26B, down 11.8% (pass). 4 of 4 tests passed; the framework scores that as 5.
Filings
Three kinds of event the company reported to the SEC in the last 5 years, from its filings on SEC EDGAR.
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These are events the company reported to the SEC. An auditor change or a late filing can have many causes; each date links to the filing, where the company explains it. Valerius does not score these.
Graham Formula:
IV = EPS x (8.5 + 2g) x (4.4 / Y)
EPS = $24.19, g = 12.9%, Y = 4.5
IV = $811.28
Current price $302.30 vs Graham value $811.28 — price is 62.7% below the model value.
DCF:
FCF/share = $30.200
Stage 1 growth = 18.8% for 5 years | terminal growth = 3.0% | discount rate = 10.0%
Y1: $35.878 → PV $32.616
Y2: $42.623 → PV $35.226
Y3: $50.636 → PV $38.044
Y4: $60.156 → PV $41.087
Y5: $71.465 → PV $44.374
Stage 1 PV sum = $191.35
Terminal value at end of Y5 = $1,051.55
PV of terminal value = $652.93
DCF value = $844.28
Current price $302.30 vs DCF value $844.28 — price is 64.2% below the model value.Data from yfinance summary figures and financial statements, and from the company’s 10-K filings via SEC EDGAR; computed at a price of $302.30. Every score is calculated from the figures by the framework’s fixed rules, and the explanation beside it is generated from the same figures: Graham value, DCF value, margin of safety, ROIC, profit margins, debt-to-equity, price-to-book, EPS trend, ROE trend, free cash flow, retained earnings and capital allocation. No AI is involved in this scorecard. The moat is shown as evidence, without a score. Read each score with the figures beside it. Intrinsic value calculations are model outputs based on stated assumptions, not predictions.
Recent headlines · third-party publishers · not investment advice
The 8 newest headlines whose title names the company, shown automatically and never chosen by Valerius. From third-party publishers via Yahoo Finance, linked to the source. Valerius doesn't write or endorse them. Not investment advice.