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    CVS HEALTH CORPORATION REPORTS FOURTH QUARTER AND FULL-YEAR 2025 RESULTS

    2/10/26 6:30:00 AM ET
    $CVS
    Retail-Drug Stores and Proprietary Stores
    Consumer Staples
    Get the next $CVS alert in real time by email

    Fourth Quarter Highlights

    • Total revenues increased to $105.7 billion, up 8.2% compared to prior year
    • GAAP diluted EPS of $2.30 and Adjusted EPS of $1.09

    Full-Year Highlights

    • Total revenues increased to a record high $402.1 billion, up 7.8% compared to prior year
    • GAAP diluted EPS of $1.39 and Adjusted EPS of $6.75
    • Generated cash flow from operations of $10.6 billion

    Operational Highlights

    • CVS Pharmacy® successfully completed the transition to cost-based reimbursement across its Commercial, Third-Party Discount, Medicare and Medicaid businesses.
    • Aetna® continues to improve the experience for health care professionals and their patients, approving more than 95% of all eligible prior authorizations within 24 hours, with many completed instantaneously.
    • Caremark® closes out 2025 with significant customer wins and strong retention, providing momentum into 2026.

    2026 Full-Year Guidance

    • Confirmed GAAP diluted EPS guidance range of $5.94 to $6.14
    • Confirmed Adjusted EPS guidance range of $7.00 to $7.20
    • Updated cash flow from operations guidance to at least $9.0 billion from at least $10.0 billion

    CEO Commentary

    "Our fourth quarter and full-year results demonstrate the progress we are making in transforming the health care experience with our unique collection of businesses. From lowering drug prices, to improving navigation of health care, to being the front door of care across our country, we are well positioned to achieve our ambition to be the most trusted health care company in America."

    - David Joyner, CVS Health President and CEO

    WOONSOCKET, R.I., Feb. 10, 2026 /PRNewswire/ -- CVS Health Corporation (NYSE:CVS) today announced operating results for the three months and year ended December 31, 2025.

    Financial Results Summary



    Three Months Ended

    December 31,

    In millions, except per share amounts

    2025



    2024



    Change

    Total revenues 

    $  105,693



    $    97,710



    $      7,983

    Operating income

    2,112



    2,368



    (256)

    Adjusted operating income (1)

    2,597



    2,728



    (131)

    Diluted earnings per share

    $        2.30



    $        1.30



    $        1.00

    Adjusted EPS (2)

    $        1.09



    $        1.19



    $      (0.10)

    Fourth quarter GAAP diluted EPS of $2.30 increased from $1.30 in the prior year. Adjusted EPS of $1.09 decreased from $1.19 in the prior year, primarily due to a decline in adjusted operating income in the Health Care Benefits segment, reflecting changes in the seasonality of the Medicare Part D program due to the impact of the Inflation Reduction Act ("IRA").

    Consolidated fourth quarter and full-year results



    Three Months Ended

    December 31,



    Year Ended

    December 31,

    In millions, except per share amounts

    2025



    2024



    Change



    2025



    2024



    Change

    Total revenues 

    $ 105,693



    $  97,710



    $    7,983



    $ 402,067



    $ 372,809



    $  29,258

    Operating income

    2,112



    2,368



    (256)



    4,660



    8,516



    (3,856)

    Adjusted operating income (1)

    2,597



    2,728



    (131)



    14,443



    11,976



    2,467

    Net income

    2,923



    1,623



    1,300



    1,728



    4,586



    (2,858)

    Diluted earnings per share

    $      2.30



    $      1.30



    $      1.00



    $      1.39



    $      3.66



    $     (2.27)

    Adjusted EPS (2)

    $      1.09



    $      1.19



    $     (0.10)



    $      6.75



    $      5.42



    $      1.33

    For the three months and year ended December 31, 2025 compared to the prior year:

    • Total revenues increased 8.2% in the three months ended December 31, 2025 and increased 7.8% in the year ended December 31, 2025 driven by growth across all operating segments.
    • Operating income decreased 10.8% in the three months ended December 31, 2025 primarily due to a decrease in adjusted operating income and a decline in net realized capital gains compared to the prior year.
    • Operating income decreased 45.3% for the year ended December 31, 2025 primarily due to a $5.7 billion goodwill impairment charge related to the Health Care Delivery reporting unit and approximately $1.2 billion of legacy litigation charges, both recorded during the year ended December 31, 2025. These decreases were partially offset by an increase in adjusted operating income and the absence of approximately $1.2 billion of restructuring charges recorded in the prior year.
    • Adjusted operating income decreased 4.8% in the three months ended December 31, 2025 and increased 20.6% in the year ended December 31, 2025. See pages 3 through 5 for a discussion of the adjusted operating income performance of the Company's segments.
    • Interest expense increased $29 million, or 3.8%, and $161 million, or 5.4%, respectively, primarily as a result of long-term debt issuances in December 2024 and August 2025.
    • The Company recorded an income tax benefit at an effective income tax rate of (115.9)% in the fourth quarter of 2025, compared to income tax expense at an effective income tax rate of 23.7% in the prior year. The change was due to a worthless stock deduction associated with a subsidiary that filed for bankruptcy in 2025.
    • The effective income tax rate for the full year decreased to 19.1% compared to 25.4% in the prior year due to the worthless stock deduction described above, partially offset by the impact of the goodwill impairment charge and the legacy litigation charges recorded during 2025, both of which were not deductible for income tax purposes.

    Health Care Benefits segment

    The Health Care Benefits segment offers a full range of insured and self-insured ("ASC") medical, pharmacy, dental and behavioral health products and services. The segment results for the three months and years ended December 31, 2025 and 2024 were as follows:



    Three Months Ended

    December 31,



    Year Ended

    December 31,

    In millions, except percentages

    2025



    2024



    Change



    2025



    2024



    Change

    Total revenues

    $   36,293



    $   32,958



    $     3,335



    $  143,354



    $  130,665



    $  12,689

    Adjusted operating income (loss) (1)

    (676)



    (439)



    (237)



    2,939



    307



    2,632

    Medical benefit ratio ("MBR") (3)

    94.8 %



    94.8 %



    — %



    91.2 %



    92.5 %



    (1.3) %

    Medical membership (4)













    26.6



    27.1



    (0.5)

    • Total revenues increased 10.1% and 9.7% for the three months and year ended December 31, 2025, respectively, compared to the prior year primarily driven by increases in the Government business, largely due to the impact of the IRA on the Medicare Part D program.
    • Adjusted operating loss increased $237 million for the three months ended December 31, 2025 compared to the prior year primarily driven by changes in the seasonality of the Medicare Part D program due to the impact of the IRA and the unfavorable year-over-year impact of premium deficiency reserves, partially offset by improved underlying performance in the Government business.
    • Adjusted operating income increased $2.6 billion for the year ended December 31, 2025 compared to the prior year primarily driven by improved underlying performance in the Government business and higher favorable prior year development.
    • The MBR of 94.8% in the three months ended December 31, 2025 remained consistent with the prior year as improved underlying performance in the Government business was offset by changes in the seasonality of the Medicare Part D program due to the impact of the IRA.
    • The MBR decreased to 91.2% in the year ended December 31, 2025 compared to 92.5% in the prior year primarily driven by improved underlying performance in the Government business and higher favorable prior year development.
    • Medical membership as of December 31, 2025 of 26.6 million decreased 112,000 members compared with September 30, 2025 reflecting declines in the individual exchange product line, partially offset by an increase in Commercial ASC membership. Medical membership as of December 31, 2025 decreased 504,000 members compared with December 31, 2024, reflecting declines in the individual exchange and Government product lines, partially offset by an increase in Commercial ASC membership.
    • Prior years' health care costs payable estimates developed favorably by $2.0 billion during the year ended December 31, 2025. This development is reported on a basis consistent with the prior years' development reported in the health care costs payable table in the Company's annual audited financial statements and does not directly correspond to an increase in 2025 operating results.
    • Days claims payable were 38.9 days as of December 31, 2025, a decrease of 3.6 days compared to September 30, 2025.

    See the supplemental information on page 18 for additional information regarding the performance of the Health Care Benefits segment.

    Health Services segment

    The Health Services segment provides a full range of pharmacy benefit management ("PBM") solutions, delivers health care services in its medical clinics, virtually, and in the home, and offers provider enablement solutions. The segment results for the three months and years ended December 31, 2025 and 2024 were as follows:



    Three Months Ended

    December 31,



    Year Ended

    December 31,

    In millions

    2025



    2024



    Change



    2025



    2024



    Change

    Total revenues

    $  51,244



    $  47,020



    $    4,224



    $ 190,425



    $ 173,605



    $   16,820

    Adjusted operating income (1)

    1,923



    1,761



    162



    7,151



    7,243



    (92)

    Pharmacy claims processed (5) (6)

    491.9



    499.4



    (7.5)



    1,900.7



    1,917.6



    (16.9)

    • Total revenues increased 9.0% and 9.7% for the three months and year ended December 31, 2025, respectively, compared to the prior year primarily driven by pharmacy drug mix and brand inflation, partially offset by continued pharmacy client price improvements.
    • Adjusted operating income increased 9.2% for the three months ended December 31, 2025 compared to the prior year primarily driven by improved purchasing economics, partially offset by continued pharmacy client price improvements.
    • Adjusted operating income decreased 1.3% for the year ended December 31, 2025 compared to the prior year primarily driven by continued pharmacy client price improvements and the impact of a higher medical benefit ratio in the Company's health care delivery business, partially offset by improved purchasing economics and pharmacy drug mix.
    • Pharmacy claims processed decreased 1.5% and 0.9% on a 30-day equivalent basis for the three months and year ended December 31, 2025, respectively, compared to the prior year.

    See the supplemental information on page 19 for additional information regarding the performance of the Health Services segment.

    Pharmacy & Consumer Wellness segment

    The Pharmacy & Consumer Wellness segment dispenses prescriptions in its retail pharmacies and through its infusion operations, provides ancillary pharmacy services including pharmacy patient care programs, diagnostic testing and vaccination administration, and sells a wide assortment of health and wellness products and general merchandise. The segment also provides pharmacy fulfillment services to support the Health Services segment's specialty and mail order pharmacy offerings. The segment results for the three months and years ended December 31, 2025 and 2024 were as follows:



    Three Months Ended

    December 31,



    Year Ended

    December 31,

    In millions

    2025



    2024



    Change



    2025



    2024



    Change

    Total revenues

    $  37,660



    $  33,514



    $    4,146



    $ 139,367



    $ 124,500



    $     14,867

    Adjusted operating income (1)

    1,911



    1,758



    153



    6,040



    5,774



    266

    Prescriptions filled (5) (6)

    473.8



    445.9



    27.9



    1,808.8



    1,715.5



    93.3

    • Total revenues increased 12.4% and 11.9% for the three months and year ended December 31, 2025, respectively, compared to the prior year primarily driven by pharmacy drug mix and increased prescription volume, including incremental volume resulting from the Company's Rite Aid prescription file acquisitions, partially offset by continued pharmacy reimbursement pressure and the impact of recent generic drug introductions.
    • Adjusted operating income increased 8.7% and 4.6% for the three months and year ended December 31, 2025, respectively, compared to the prior year primarily driven by increased prescription volume, including incremental volume resulting from the Company's Rite Aid prescription file acquisitions, as well as favorable drug mix, partially offset by continued pharmacy reimbursement pressure and increased investments in the segment's colleagues and capabilities.
    • Prescriptions filled increased 6.3% and 5.4% on a 30-day equivalent basis for the three months and year ended December 31, 2025, respectively, compared to the prior year primarily driven by increased utilization and incremental volume resulting from the Company's Rite Aid prescription file acquisitions.
    • Same store prescription volume(6)(11) increased 9.7% and 8.0% on a 30-day equivalent basis for the three months and year ended December 31, 2025, respectively, compared to the prior year.

    See the supplemental information on page 20 for additional information regarding the performance of the Pharmacy & Consumer Wellness segment.

    Teleconference and webcast

    The Company will be holding a conference call today for investors at 8:00 a.m. (Eastern Time) to discuss its fourth quarter and full-year results. An audio webcast of the call will be broadcast simultaneously for all interested parties through the Investor Relations section of the CVS Health website at http://investors.cvshealth.com. This webcast will be archived and available on the website for a one-year period following the conference call.

    Non-GAAP Financial Information

    The Company presents both GAAP and non-GAAP financial measures in this press release to assist in the comparison of the Company's past financial performance with its current financial performance. See "Non-GAAP Financial Information" beginning on page 11 and endnotes beginning on page 24 for explanations of non-GAAP financial measures presented in this press release. See pages 14 through 16 and page 23 for reconciliations of each non-GAAP financial measure used in this release to the most directly comparable GAAP financial measure.

    About CVS Health

    CVS Health is a leading health solutions company building a world of health around every consumer, wherever they are. As of December 31, 2025, the Company had approximately 9,000 retail pharmacy locations, more than 1,000 walk-in and primary care medical clinics and a leading pharmacy benefits manager with approximately 87 million plan members. The Company also serves an estimated more than 37 million people through traditional, voluntary and consumer-directed health insurance products and related services, including highly rated Medicare Advantage offerings and a leading standalone Medicare Part D prescription drug plan. The Company's integrated model uses personalized, technology driven services to connect people to simply better health, increasing access to quality care, delivering better outcomes, and lowering overall costs.

    Cautionary statement concerning forward-looking statements

    The Private Securities Litigation Reform Act of 1995 provides a safe harbor for forward-looking statements made by or on behalf of CVS Health Corporation. Statements in this press release that are forward-looking include, but are not limited to, the information under the headings "2026 Full-Year Guidance", "CEO Commentary" and "Financial Results Summary" and the information included in the reconciliations and endnotes. By their nature, all forward-looking statements are not guarantees of future performance or results and are subject to risks and uncertainties that are difficult to predict and/or quantify. Actual results may differ materially from those contemplated by the forward-looking statements due to the risks and uncertainties described in our Securities and Exchange Commission ("SEC") filings, including those set forth in the Risk Factors section and under the heading "Cautionary Statement Concerning Forward-Looking Statements" in our most recently filed Annual Report on Form 10-K, our Quarterly Reports on Form 10-Q for the quarterly periods ended March 31, 2025, June 30, 2025 and September 30, 2025 and our Current Reports on Form 8-K.

    You are cautioned not to place undue reliance on CVS Health's forward-looking statements. CVS Health's forward-looking statements are and will be based upon management's then-current views and assumptions regarding future events and operating performance, and are applicable only as of the dates of such statements. CVS Health does not assume any duty to update or revise forward-looking statements, whether as a result of new information, future events, uncertainties or otherwise.

     - Tables Follow -

     

    CVS HEALTH CORPORATION

    Condensed Consolidated Statements of Operations

    (Unaudited)





    Three Months Ended

    December 31,



    Year Ended

    December 31,

    In millions, except per share amounts

    2025



    2024



    2025



    2024

    Revenues:















    Products

    $    67,042



    $    61,911



    $  249,908



    $  231,521

    Premiums

    34,017



    30,913



    134,751



    122,896

    Services

    4,040



    4,131



    15,175



    16,239

    Net investment income

    594



    755



    2,233



    2,153

    Total revenues

    105,693



    97,710



    402,067



    372,809

    Operating costs:















    Cost of products sold

    59,060



    55,268



    221,167



    206,287

    Health care costs

    33,066



    29,543



    125,538



    115,121

    Operating expenses

    11,455



    10,521



    44,977



    41,706

    Goodwill impairment

    —



    —



    5,725



    —

    Restructuring charges

    —



    10



    —



    1,179

    Total operating costs

    103,581



    95,342



    397,407



    364,293

    Operating income

    2,112



    2,368



    4,660



    8,516

    Interest expense

    (787)



    (758)



    (3,119)



    (2,958)

    Gain on early extinguishment of debt

    —



    491



    —



    491

    Gain on deconsolidation of subsidiary

    —



    —



    483



    —

    Other income

    29



    25



    112



    99

    Income before income tax provision

    1,354



    2,126



    2,136



    6,148

    Income tax provision (benefit)

    (1,569)



    503



    408



    1,562

    Net income

    2,923



    1,623



    1,728



    4,586

    Net loss attributable to noncontrolling interests

    20



    21



    40



    28

    Net income attributable to CVS Health

    $      2,943



    $      1,644



    $      1,768



    $      4,614

















    Net income per share attributable to CVS Health:















    Basic

    $       2.32



    $       1.31



    $       1.40



    $       3.67

    Diluted

    $       2.30



    $       1.30



    $       1.39



    $       3.66

    Weighted average shares outstanding:















    Basic

    1,270



    1,259



    1,267



    1,259

    Diluted

    1,277



    1,261



    1,271



    1,262

     

    CVS HEALTH CORPORATION

    Condensed Consolidated Balance Sheets

    (Unaudited)





    At December 31,

    In millions

    2025



    2024

    Assets:







    Cash and cash equivalents

    $         8,453



    $         8,586

    Investments

    2,145



    2,407

    Accounts receivable, net

    39,779



    36,469

    Inventories

    19,246



    18,107

    Other current assets

    5,091



    3,076

      Total current assets

    74,714



    68,645

    Long-term investments

    32,669



    28,934

    Property and equipment, net

    13,083



    12,993

    Operating lease right-of-use assets

    14,973



    15,944

    Goodwill

    85,478



    91,272

    Intangible assets, net

    25,508



    27,323

    Separate accounts assets

    1,994



    3,311

    Other assets

    5,119



    4,793

    Total assets

    $      253,538



    $      253,215









    Liabilities:







    Accounts payable

    $       17,641



    $       15,892

    Pharmacy claims and discounts payable

    26,344



    24,166

    Health care costs payable

    15,399



    15,064

    Accrued expenses and other current liabilities

    22,387



    20,810

    Other insurance liabilities

    1,116



    1,183

    Current portion of operating lease liabilities

    1,737



    1,751

    Short-term debt

    —



    2,119

    Current portion of long-term debt

    4,068



    3,624

      Total current liabilities

    88,692



    84,609

    Long-term operating lease liabilities

    13,643



    14,899

    Long-term debt

    60,502



    60,527

    Deferred income taxes

    3,832



    3,806

    Separate accounts liabilities

    1,994



    3,311

    Other long-term insurance liabilities

    4,716



    4,902

    Other long-term liabilities

    4,777



    5,431

    Total liabilities

    178,156



    177,485









    Shareholders' equity:







    Preferred stock

    —



    —

    Common stock and capital surplus

    50,402



    49,661

    Treasury stock

    (36,790)



    (36,818)

    Retained earnings

    61,196



    62,837

    Accumulated other comprehensive income (loss)

    406



    (120)

      Total CVS Health shareholders' equity

    75,214



    75,560

    Noncontrolling interests

    168



    170

    Total shareholders' equity

    75,382



    75,730

    Total liabilities and shareholders' equity

    $      253,538



    $      253,215

     

    CVS HEALTH CORPORATION

    Condensed Consolidated Statements of Cash Flows

    (Unaudited)





    Year Ended

    December 31,

    In millions

    2025



    2024

    Cash flows from operating activities:







    Cash receipts from customers

    $      389,128



    $      357,995

    Cash paid for inventory, prescriptions dispensed and health services rendered

    (216,493)



    (197,726)

    Insurance benefits paid

    (121,238)



    (109,464)

    Cash paid to other suppliers and employees

    (37,570)



    (38,821)

    Interest and investment income received

    1,969



    1,735

    Interest paid

    (2,991)



    (2,909)

    Income taxes paid

    (2,166)



    (1,703)

    Net cash provided by operating activities

    10,639



    9,107









    Cash flows from investing activities:







    Proceeds from sales and maturities of investments

    12,383



    10,353

    Purchases of investments

    (15,012)



    (15,191)

    Purchases of property and equipment

    (2,832)



    (2,781)

    Acquisitions (net of cash and restricted cash acquired)

    (436)



    (95)

    Other

    26



    101

    Net cash used in investing activities

    (5,871)



    (7,613)









    Cash flows from financing activities:







    Commercial paper borrowings (repayments), net

    (2,119)



    1,919

    Proceeds from issuance of long-term debt

    3,969



    7,913

    Repayments of long-term debt

    (3,629)



    (4,773)

    Repurchase of common stock

    —



    (3,023)

    Dividends paid

    (3,397)



    (3,373)

    Proceeds from exercise of stock options

    394



    361

    Payments for taxes related to net share settlement of equity awards

    (158)



    (185)

    Other

    —



    26

    Net cash used in financing activities

    (4,940)



    (1,135)

    Net increase (decrease) in cash, cash equivalents and restricted cash

    (172)



    359

    Cash, cash equivalents and restricted cash at the beginning of the period

    8,884



    8,525

    Cash, cash equivalents and restricted cash at the end of the period

    $         8,712



    $         8,884

     

    CVS HEALTH CORPORATION

    Condensed Consolidated Statements of Cash Flows

    (Unaudited)





    Year Ended

    December 31,

    In millions

    2025



    2024

    Reconciliation of net income to net cash provided by operating activities:







    Net income

    $         1,728



    $         4,586

    Adjustments required to reconcile net income to net cash provided by operating activities:







      Depreciation and amortization

    4,606



    4,597

      Goodwill impairment

    5,725



    —

      Stock-based compensation

    535



    540

      Loss on sale of subsidiary

    236



    —

      Gain on early extinguishment of debt

    —



    (491)

      Gain on deconsolidation of subsidiary

    (483)



    —

      Restructuring charges (impairment of long-lived assets)

    —



    840

      Deferred income taxes

    102



    (572)

      Other items

    (336)



    (502)

     Change in operating assets and liabilities, net of effects from acquisitions:







    Accounts receivable, net

    (3,498)



    (1,301)

    Inventories

    (1,267)



    (102)

    Other assets

    (2,593)



    (38)

    Accounts payable and pharmacy claims and discounts payable

    3,855



    2,335

    Health care costs payable and other insurance liabilities

    16



    2,757

    Other liabilities

    2,013



    (3,542)

    Net cash provided by operating activities

    $       10,639



    $         9,107

    Non-GAAP Financial Information

    The Company uses non-GAAP financial measures to analyze underlying business performance and trends. The Company believes that providing these non-GAAP financial measures enhances the Company's and investors' ability to compare the Company's past financial performance with its current and expected future performance. These non-GAAP financial measures, which are included in this press release and which may be referred to on the conference call discussing the Company's fourth quarter and full-year 2025 financial results, are provided as supplemental information to the financial measures presented in this press release and discussed on the conference call that are calculated and presented in accordance with GAAP. Non-GAAP financial measures should not be considered a substitute for, or superior to, financial measures determined or calculated in accordance with GAAP. The Company's definitions of its non-GAAP financial measures may not be comparable to similarly titled measures reported by other companies.

    Non-GAAP financial measures such as consolidated adjusted operating income, adjusted earnings per share ("EPS") and adjusted income attributable to CVS Health exclude from the relevant GAAP metrics, as applicable: amortization of intangible assets, net realized capital gains or losses and other items, if any, that neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance.

    For the periods covered in this press release, the following items are excluded from the non-GAAP financial measures described above, as applicable, because the Company believes they neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance:

    • The Company's acquisition activities have resulted in the recognition of intangible assets as required under the acquisition method of accounting which consist primarily of trademarks, customer contracts/relationships, covenants not to compete, technology, provider networks and value of business acquired. Definite-lived intangible assets are amortized over their estimated useful lives and are tested for impairment when events indicate that the carrying value may not be recoverable. The amortization of intangible assets is reflected in operating expenses within each segment. Although intangible assets contribute to the Company's revenue generation, the amortization of intangible assets does not directly relate to the underwriting of the Company's insurance products, the services performed for the Company's customers or the sale of the Company's products or services. Additionally, intangible asset amortization expense typically fluctuates based on the size and timing of the Company's acquisition activity. Accordingly, the Company believes excluding the amortization of intangible assets enhances the Company's and investors' ability to compare the Company's past financial performance with its current performance and to analyze underlying business performance and trends. Intangible asset amortization excluded from the related non-GAAP financial measure represents the entire amount recorded within the Company's GAAP financial statements, and the revenue generated by the associated intangible assets has not been excluded from the related non-GAAP financial measure. Intangible asset amortization is excluded from the related non-GAAP financial measure because the amortization, unlike the related revenue, is not affected by operations of any particular period unless an intangible asset becomes impaired or the estimated useful life of an intangible asset is revised.
    • The Company's net realized capital gains and losses arise from various types of transactions, primarily in the course of managing a portfolio of assets that support the payment of insurance liabilities. Net realized capital gains and losses are reflected in net investment income (loss) within each segment. These capital gains and losses are the result of investment decisions, market conditions and other economic developments that are unrelated to the performance of the Company's business, and the amount and timing of these capital gains and losses do not directly relate to the underwriting of the Company's insurance products, the services performed for the Company's customers or the sale of the Company's products or services. Accordingly, the Company believes excluding net realized capital gains and losses enhances the Company's and investors' ability to compare the Company's past financial performance with its current performance and to analyze underlying business performance and trends.
    • During the three months and year ended December 31, 2025 and 2024, the acquisition-related integration costs relate to the acquisitions of Signify Health, Inc. and Oak Street Health, Inc. The acquisition-related integration costs are reflected in operating expenses within the Corporate/Other segment.
    • During the year ended December 31, 2025, the goodwill impairment charge relates to the Health Care Delivery reporting unit within the Health Services segment.
    • During the year ended December 31, 2025, the Health Care Delivery clinic closure charge primarily relates to the write down of long-lived assets in connection with the planned closure of certain existing Oak Street Health clinics in 2026, as well as associated severance and employee-related costs expected to be incurred. The Health Care Delivery clinic closure charge is reflected in operating expenses within the Health Services segment.
    • During the years ended December 31, 2025 and 2024, the opioid litigation charges relate to changes in the Company's accrual related to ongoing opioid litigation matters.
    • During the year ended December 31, 2025 and the three months and year ended December 31, 2024, the office real estate optimization charges primarily relate to the abandonment of leased real estate and the related right-of-use assets and property and equipment in connection with the Company's evaluation of corporate office real estate space in response to its ongoing flexible work arrangement. The office real estate optimization charges are reflected in operating expenses within each segment.
    • During the year ended December 31, 2025, the Company recorded legacy litigation charges related to two court decisions associated with its past business practices.

      In April 2025, a jury found Omnicare, LLC ("Omnicare") and CVS Health Corporation liable in connection with alleged violations of the federal False Claims Act related to dispensing practices by Omnicare from 2010, prior to its acquisition by the Company in 2015, through 2018. Damages were found only with respect to Omnicare. Accordingly, the Company recorded a litigation charge of $387 million during the first quarter of 2025. During the second quarter of 2025, the Company recorded a charge of $542 million, reflecting penalties assessed under the False Claims Act. These litigation charges are reflected in operating expenses within the Pharmacy & Consumer Wellness segment.

      In June 2025, a court found certain subsidiaries of CVS Health Corporation liable for damages in connection with a complaint filed in February 2014, in which the government declined to intervene, related to PBM direct and indirect remuneration reporting practices for two clients from 2010 through 2016, which the Company has since modified. In connection with this court decision, the Company recorded a litigation charge of $291 million during the second quarter of 2025. This litigation charge is reflected in operating expenses within the Health Services segment.
    • During the year ended December 31, 2025, the loss on the wind down and sale of Accountable Care assets represents the pre-tax loss on the divestiture of the Company's Medicare Shared Savings Program ("MSSP") operations, which the Company sold in March 2025, as well as costs incurred in connection with the process of winding down the Company's Accountable Care Organization Realizing Equity, Access and Community Health ("ACO REACH") operations. The loss on Accountable Care assets is reflected in operating expenses within the Health Services segment.
    • During the three months ended December 31, 2024, the restructuring charges are primarily comprised of a stock-based compensation charge. During the year ended December 31, 2024, the restructuring charges also include a store impairment charge, corporate workforce optimization costs, including severance and employee-related costs, and other asset impairment and related charges associated with the discontinuation of certain non-core assets. During the third quarter of 2024, the Company finalized an enterprise-wide restructuring plan intended to streamline and simplify the organization, improve efficiency and reduce costs. In connection with this restructuring plan, the Company completed a strategic review of its retail business and determined that it planned to close additional retail stores in 2025, and, accordingly, it recorded a store impairment charge to write down the associated lease right-of-use assets and property and equipment. In addition, during the third quarter of 2024, the Company also conducted a review of its various strategic assets and determined that it would discontinue the use of certain non-core assets, at which time impairment losses were recorded to write down the carrying value of these assets to the Company's best estimate of their fair value. The restructuring charges associated with the store impairments are reflected within the Pharmacy & Consumer Wellness segment, other asset impairments and related charges are reflected within the Corporate/Other and Pharmacy & Consumer Wellness segments and corporate workforce optimization costs, including severance and employee-related costs, as well as the stock-based compensation charge, are reflected within the Corporate/Other segment.
    • During the three months and year ended December 31, 2024, the gain on early extinguishment of debt relates to the Company's repayment of approximately $2.6 billion of its outstanding senior notes in December 2024, pursuant to its tender offer for such senior notes.
    • During the year ended December 31, 2025, the gain on deconsolidation of subsidiary relates to Omnicare, a wholly-owned indirect subsidiary of CVS Health Corporation, and certain of its subsidiary entities (collectively, the "Omnicare Entities"). In September 2025, the Omnicare Entities voluntarily initiated Chapter 11 proceedings under the U.S. Bankruptcy Code, at which time the Company determined that it no longer retained control of the Omnicare Entities and deconsolidated the subsidiaries.
    • Following the voluntarily initiation of Chapter 11 proceedings described above, it was determined that the Company's investment in a subsidiary became worthless in 2025. Consequently, the Company recognized a related net tax benefit of approximately $1.9 billion in the aggregate during the three months and year ended December 31, 2025.
    • The corresponding tax benefit or expense related to the items excluded from adjusted income attributable to CVS Health and Adjusted EPS above. The nature of each non-GAAP adjustment is evaluated to determine whether a discrete adjustment should be made to the adjusted income tax provision.

    See endnotes (1) and (2) on page 24 for definitions of non-GAAP financial measures. Reconciliations of each non-GAAP financial measure to the most directly comparable GAAP financial measure are presented on pages 14 through 16 and page 23.



    Reconciliations of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial

    Measures

     

    Adjusted Operating Income

    (Unaudited)



    The following are reconciliations of consolidated operating income (GAAP measure) to consolidated adjusted operating

    income, as well as reconciliations of segment GAAP operating income (loss) to segment adjusted operating income (loss):





    Three Months Ended December 31, 2025

    In millions

    Health Care

    Benefits



    Health

    Services



    Pharmacy &

    Consumer

    Wellness



    Corporate/

    Other



    Consolidated

    Totals

    Operating income (loss) (GAAP measure)

    $            (936)



    $       1,790



    $            1,846



    $          (588)



    $            2,112

    Amortization of intangible assets

    274



    143



    65



    1



    483

    Net realized capital (gains) losses

    (14)



    (10)



    —



    9



    (15)

    Acquisition-related integration costs

    —



    —



    —



    17



    17

    Adjusted operating income (loss) (1)

    $            (676)



    $       1,923



    $            1,911



    $          (561)



    $            2,597











    Three Months Ended December 31, 2024

    In millions

    Health Care

    Benefits



    Health

    Services



    Pharmacy &

    Consumer

    Wellness



    Corporate/

    Other





    Consolidated

    Totals

    Operating income (loss) (GAAP measure)

    $            (757)



    $       1,903



    $            1,694



    $          (472)





    $            2,368

    Amortization of intangible assets

    294



    147



    61



    1





    503

    Net realized capital (gains) losses

    15



    (289)



    —



    68





    (206)

    Acquisition-related integration costs

    —



    —



    —



    40





    40

    Office real estate optimization charges

    9



    —



    3



    1





    13

    Restructuring charges

    —



    —



    —



    10





    10

    Adjusted operating income (loss) (1)

    $            (439)



    $       1,761



    $            1,758



    $          (352)





    $            2,728

     



    Year Ended December 31, 2025

    In millions

    Health

    Care

    Benefits



    Health

    Services



    Pharmacy &

    Consumer

    Wellness



    Corporate/

    Other



    Consolidated

    Totals

    Operating income (loss) (GAAP measure)

    $          1,793



    $          220



    $            4,860



    $      (2,213)



    $            4,660

    Amortization of intangible assets

    1,155



    569



    249



    3



    1,976

    Net realized capital (gains) losses

    (13)



    (25)



    —



    82



    44

    Acquisition-related integration costs

    —



    —



    —



    117



    117

    Goodwill impairment

    —



    5,725



    —



    —



    5,725

    Health Care Delivery clinic closure charge

    —



    83



    —



    —



    83

    Opioid litigation charge

    —



    —



    —



    320



    320

    Office real estate optimization charges

    4



    —



    2



    4



    10

    Legacy litigation charges

    —



    291



    929



    —



    1,220

    Loss on Accountable Care assets

    —



    288



    —



    —



    288

    Adjusted operating income (loss) (1)

    $          2,939



    $       7,151



    $            6,040



    $      (1,687)



    $          14,443











    Year Ended December 31, 2024

    In millions

    Health

    Care

    Benefits



    Health

    Services



    Pharmacy &

    Consumer

    Wellness



    Corporate/

    Other



    Consolidated

    Totals

    Operating income (loss) (GAAP measure)

    $            (984)



    $       6,937



    $            4,770



    $      (2,207)



    $            8,516

    Amortization of intangible assets

    1,175



    595



    253



    2



    2,025

    Net realized capital (gains) losses

    97



    (289)



    —



    75



    (117)

    Acquisition-related integration costs

    —



    —



    —



    243



    243

    Opioid litigation charge

    —



    —



    —



    100



    100

    Office real estate optimization charges

    19



    —



    4



    7



    30

    Restructuring charges

    —



    —



    747



    432



    1,179

    Adjusted operating income (loss) (1)

    $              307



    $       7,243



    $            5,774



    $      (1,348)



    $          11,976

     

    Adjusted Earnings Per Share

    (Unaudited)



    The following are reconciliations of net income attributable to CVS Health to adjusted income attributable to CVS

    Health and calculations of GAAP diluted earnings per share and Adjusted EPS: 





    Three Months Ended

    December 31, 2025



    Three Months Ended

    December 31, 2024

    In millions, except per share amounts

    Total

    Company



    Per

    Common

    Share



    Total

    Company



    Per

    Common

    Share

    Net income attributable to CVS Health (GAAP measure)

    $      2,943



    $        2.30



    $      1,644



    $        1.30

    Amortization of intangible assets

    483



    0.38



    503



    0.40

    Net realized capital gains

    (15)



    (0.01)



    (206)



    (0.16)

    Acquisition-related integration costs

    17



    0.01



    40



    0.03

    Office real estate optimization charges

    —



    —



    13



    0.01

    Restructuring charges

    —



    —



    10



    0.01

    Gain on early extinguishment of debt

    —



    —



    (491)



    (0.39)

    Tax benefit from worthless stock deduction

    (1,928)



    (1.51)



    —



    —

    Tax impact of other non-GAAP adjustments

    (113)



    (0.08)



    (7)



    (0.01)

    Adjusted income attributable to CVS Health (2)

    $      1,387



    $        1.09



    $      1,506



    $        1.19

















    Weighted average diluted shares outstanding





    1,277







    1,261



















    Year Ended

    December 31, 2025



    Year Ended

    December 31, 2024

    In millions, except per share amounts

    Total

    Company



    Per

    Common

    Share



    Total

     Company



    Per

    Common

     Share

    Net income attributable to CVS Health (GAAP measure)

    $     1,768



    $       1.39



    $      4,614



    $       3.66

    Amortization of intangible assets

    1,976



    1.56



    2,025



    1.61

    Net realized capital (gains) losses

    44



    0.03



    (117)



    (0.09)

    Acquisition-related integration costs

    117



    0.09



    243



    0.19

    Goodwill impairment

    5,725



    4.50



    —



    —

    Health Care Delivery clinic closure charge

    83



    0.07



    —



    —

    Opioid litigation charges

    320



    0.25



    100



    0.08

    Office real estate optimization charges

    10



    0.01



    30



    0.02

    Legacy litigation charges

    1,220



    0.96



    —



    —

    Loss on Accountable Care assets

    288



    0.23



    —



    —

    Restructuring charges

    —



    —



    1,179



    0.93

    Gain on early extinguishment of debt

    —



    —



    (491)



    (0.39)

    Gain on deconsolidation of subsidiary

    (483)



    (0.38)



    —



    —

    Tax benefit from worthless stock deduction

    (1,928)



    (1.51)



    —



    —

    Tax impact of other non-GAAP adjustments

    (568)



    (0.45)



    (745)



    (0.59)

    Adjusted income attributable to CVS Health (2)

    $     8,572



    $       6.75



    $      6,838



    $       5.42

















    Weighted average diluted shares outstanding





    1,271







    1,262

















     

     Supplemental Information

    (Unaudited)

    The Company's segments maintain separate financial information, and the Company's chief operating decision maker (the "CODM") evaluates the segments' operating results on a regular basis in deciding how to allocate resources among the segments and in assessing segment performance. The CODM evaluates the performance of the Company's segments based on adjusted operating income. Adjusted operating income is defined as operating income (loss) (GAAP measure) excluding the impact of amortization of intangible assets, net realized capital gains or losses and other items, if any, that neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance as further described in endnote (1). The CODM uses adjusted operating income as its principal measure of segment performance as it enhances the CODM's ability to compare past financial performance with current performance and analyze underlying business performance and trends.

    The following are reconciliations of financial measures of the Company's segments to the consolidated totals:

    In millions

    Health Care

    Benefits



    Health

    Services (a)



    Pharmacy &

    Consumer

    Wellness



    Corporate/

    Other



    Intersegment

    Eliminations (b)



    Consolidated

    Totals

    Three Months Ended























    December 31, 2025























    Total revenues

    $     36,293



    $   51,244



    $      37,660



    $        122



    $        (19,626)



    $     105,693

    Adjusted operating income

    (loss) (1)

    (676)



    1,923



    1,911



    (561)



    —



    2,597

    December 31, 2024























    Total revenues

    $     32,958



    $   47,020



    $      33,514



    $          83



    $        (15,865)



    $      97,710

    Adjusted operating income

    (loss) (1)

    (439)



    1,761



    1,758



    (352)



    —



    2,728

























    Year Ended























    December 31, 2025























    Total revenues

    $   143,354



    $ 190,425



    $    139,367



    $        484



    $        (71,563)



    $     402,067

    Adjusted operating income

    (loss) (1)

    2,939



    7,151



    6,040



    (1,687)



    —



    14,443

    December 31, 2024























    Total revenues

    $   130,665



    $ 173,605



    $    124,500



    $        451



    $        (56,412)



    $     372,809

    Adjusted operating income

    (loss) (1)

    307



    7,243



    5,774



    (1,348)



    —



    11,976













    (a)

    Total revenues of the Health Services segment include approximately $2.1 billion and $2.5 billion of retail co-payments for the three months ended December 31, 2025 and 2024, respectively, and $10.9 billion and $11.4 billion of retail co-payments for the years ended December 31, 2025 and 2024, respectively.

    (b)

    Intersegment revenue eliminations relate to intersegment revenue generating activities that occur between the Health Care Benefits segment, the Health Services segment, and/or the Pharmacy & Consumer Wellness segment.  

     

    Supplemental Information

    (Unaudited)

     



    Health Care Benefits segment

     

    The following table summarizes the Health Care Benefits segment's performance for the respective periods:





















    Change



    Three Months Ended

    December 31,



    Year Ended

    December 31,



    Three Months Ended

    December 31,

    2025 vs 2024



    Year Ended

    December 31,

    2025 vs 2024

    In millions, except percentages and

    basis points ("bps")

    2025



    2024



    2025



    2024



    $



    %



    $



    %

    Revenues:































    Premiums

    $ 34,018



    $ 30,902



    $  134,749



    $  122,849



    $    3,116



    10.1 %



    $    11,900



    9.7 %

    Services

    1,800



    1,659



    6,823



    6,343



    141



    8.5 %



    480



    7.6 %

    Net investment income

    475



    397



    1,782



    1,473



    78



    19.6 %



    309



    21.0 %

      Total revenues

    36,293



    32,958



    143,354



    130,665



    3,335



    10.1 %



    12,689



    9.7 %

    Health care costs

    32,253



    29,300



    122,949



    113,659



    2,953



    10.1 %



    9,290



    8.2 %

    MBR (Health care costs as a % of

    premium revenues) (3)

    94.8 %



    94.8 %



    91.2 %



    92.5 %



    —

    bps



    (130)

    bps

    Operating expenses

    $   4,976



    $   4,415



    $ 18,612



    $ 17,990



    $       561



    12.7 %



    $         622



    3.5 %

    Operating expenses as a % of

    total revenues

    13.7 %



    13.4 %



    13.0 %



    13.8 %

















    Operating income (loss)

    $   (936)



    $   (757)



    $   1,793



    $   (984)



    $     (179)



    (23.6) %



    $      2,777



    282.2 %

    Operating income (loss) as a % of

    total revenues

    (2.6) %



    (2.3) %



    1.3 %



    (0.8) %

















    Adjusted operating income (loss) (1)

    $   (676)



    $   (439)



    $   2,939



    $       307



    $     (237)



    (54.0) %



    $      2,632



    857.3 %

    Adjusted operating income (loss)

    as a % of total revenues

    (1.9) %



    (1.3) %



    2.1 %



    0.2 %

















    Premium revenues (by business):































    Government

    $ 26,562



    $ 22,164



    $  103,362



    $ 88,433



    $    4,398



    19.8 %



    $    14,929



    16.9 %

    Commercial

    7,456



    8,738



    31,387



    34,416



    (1,282)



    (14.7) %



    (3,029)



    (8.8) %

     

    The following table summarizes the Health Care Benefits segment's medical membership for the respective periods:





    December 31, 2025



    September 30, 2025



    December 31, 2024

    In thousands

    Insured



    ASC



    Total



    Insured



    ASC



    Total



    Insured



    ASC



    Total

    Medical membership: (4)



































    Commercial

    3,447



    15,350



    18,797



    3,536



    15,314



    18,850



    4,691



    14,160



    18,851

    Medicare Advantage

    4,267



    —



    4,267



    4,266



    —



    4,266



    4,447



    —



    4,447

    Medicare Supplement

    1,202



    —



    1,202



    1,221



    —



    1,221



    1,282



    —



    1,282

    Medicaid

    1,952



    373



    2,325



    1,978



    388



    2,366



    2,094



    421



    2,515

    Total medical membership

    10,868



    15,723



    26,591



    11,001



    15,702



    26,703



    12,514



    14,581



    27,095





































    Supplemental membership information:





























    Medicare Prescription Drug Plan (stand-alone)

    4,041











    4,056











    4,882

     

    The following table summarizes the Health Care Benefits segment's days claims payable for the respective periods:





    December 31, 2025



    September 30, 2025



    June 30, 2025



    March 31, 2025



    December 31, 2024

    Days Claims Payable (7)

    38.9



    42.5



    40.9



    43.2



    44.0

     

    Supplemental Information

    (Unaudited)



    Health Services segment

     

    The following table summarizes the Health Services segment's performance for the respective periods:





















    Change



    Three Months Ended

    December 31,



    Year Ended

    December 31,



    Three Months Ended

    December 31,

    2025 vs 2024



    Year Ended

    December 31,

    2025 vs 2024

    In millions, except percentages

    2025



    2024



    2025



    2024



    $



    %



    $



    %

    Revenues:































    Products

    $ 48,802



    $ 44,019



    $    180,927



    $     162,436



    $    4,783



    10.9 %



    $ 18,491



    11.4 %

    Services

    2,432



    2,713



    9,478



    10,884



    (281)



    (10.4) %



    (1,406)



    (12.9) %

    Net investment income

    10



    288



    20



    285



    (278)



    (96.5) %



    (265)



    (93.0) %

      Total revenues

    51,244



    47,020



    190,425



    173,605



    4,224



    9.0 %



    16,820



    9.7 %

    Cost of products sold

    47,209



    43,358



    175,634



    160,036



    3,851



    8.9 %



    15,598



    9.7 %

    Health care costs

    1,395



    979



    4,834



    3,407



    416



    42.5 %



    1,427



    41.9 %

    Gross profit (8)

    2,640



    2,683



    9,957



    10,162



    (43)



    (1.6) %



    (205)



    (2.0) %

    Gross margin (Gross profit as a

    % of total revenues) (8)

    5.2 %



    5.7 %



    5.2 %



    5.9 %

















    Operating expenses

    $       850



    $       780



    $  4,012



    $  3,225



    $         70



    9.0 %



    $       787



    24.4 %

    Operating expenses as a % of

    total revenues

    1.7 %



    1.7 %



    2.1 %



    1.9 %

















    Goodwill impairment

    $         —



    $         —



    $  5,725



    $        —



    $         —



    — %



    $    5,725



    100.0 %

    Operating income

    1,790



    1,903



    220



    6,937



    (113)



    (5.9) %



    (6,717)



    (96.8) %

    Operating income as a % of total

    revenues

    3.5 %



    4.0 %



    0.1 %



    4.0 %

















    Adjusted operating income (1)

    $   1,923



    $   1,761



    $  7,151



    $  7,243



    $       162



    9.2 %



    $       (92)



    (1.3) %

    Adjusted operating income as a

    % of total revenues

    3.8 %



    3.7 %



    3.8 %



    4.2 %

















    Revenues (by distribution

    channel):































    Pharmacy network (9)

    $ 27,588



    $ 25,202



    $     101,775



    $     91,650



    $    2,386



    9.5 %



    $ 10,125



    11.0 %

    Mail & specialty (10)

    21,263



    18,750



    79,334



    70,877



    2,513



    13.4 %



    8,457



    11.9 %

    Other

    2,383



    2,780



    9,296



    10,793



    (397)



    (14.3) %



    (1,497)



    (13.9) %

    Net investment income

    10



    288



    20



    285



    (278)



    (96.5) %



    (265)



    (93.0) %

    Pharmacy claims processed (5) (6)

    491.9



    499.4



    1,900.7



    1,917.6



    (7.5)



    (1.5) %



    (16.9)



    (0.9) %

     

    Supplemental Information

    (Unaudited)



    Pharmacy & Consumer Wellness segment

     

    The following table summarizes the Pharmacy & Consumer Wellness segment's performance for the respective periods:





















    Change



    Three Months Ended

    December 31,



    Year Ended

    December 31,



    Three Months Ended

    December 31,

    2025 vs 2024



    Year Ended

    December 31,

    2025 vs 2024

    In millions, except percentages

    2025



    2024



    2025



    2024



    $



    %



    $



    %

    Revenues:































    Products

    $  36,845



    $ 32,833



    $  136,575



    $  122,028



    $    4,012



    12.2 %



    $ 14,547



    11.9 %

    Services

    815



    681



    2,792



    2,472



    134



    19.7 %



    320



    12.9 %

      Total revenues

    37,660



    33,514



    139,367



    124,500



    4,146



    12.4 %



    14,867



    11.9 %

    Cost of products sold

    30,578



    26,710



    113,583



    99,337



    3,868



    14.5 %



    14,246



    14.3 %

    Gross profit (8)

    7,082



    6,804



    25,784



    25,163



    278



    4.1 %



    621



    2.5 %

    Gross margin (Gross profit as a

    % of total revenues) (8)

    18.8 %



    20.3 %



    18.5 %



    20.2 %

















    Operating expenses

    $  5,236



    $   5,110



    $  20,924



    $  19,646



    $       126



    2.5 %



    $    1,278



    6.5 %

    Operating expenses as a % of

    total revenues

    13.9 %



    15.2 %



    15.0 %



    15.8 %

















    Restructuring charges

    $        —



    $         —



    $         —



    $       747



    $         —



    — %



    $     (747)



    (100.0) %

    Operating income

    1,846



    1,694



    4,860



    4,770



    152



    9.0 %



    90



    1.9 %

    Operating income as a % of

    total revenues

    4.9 %



    5.1 %



    3.5 %



    3.8 %

















    Adjusted operating income (1)

    $  1,911



    $   1,758



    $    6,040



    $    5,774



    $       153



    8.7 %



    $       266



    4.6 %

    Adjusted operating income as

    a % of total revenues

    5.1 %



    5.2 %



    4.3 %



    4.6 %

















    Revenues (by major

    goods/service lines):































    Pharmacy

    $  31,375



    $ 27,224



    $  115,510



    $  100,687



    $    4,151



    15.2 %



    $ 14,823



    14.7 %

    Front Store

    5,656



    5,675



    21,459



    21,522



    (19)



    (0.3) %



    (63)



    (0.3) %

    Other

    629



    615



    2,398



    2,291



    14



    2.3 %



    107



    4.7 %

    Prescriptions filled (5) (6)

    473.8



    445.9



    1,808.8



    1,715.5



    27.9



    6.3 %



    93.3



    5.4 %

    Same store sales increase

    (decrease): (11)































    Total

    16.0 %



    10.2 %



    15.0 %



    9.4 %

















    Pharmacy

    19.3 %



    13.0 %



    18.0 %



    12.3 %

















    Front Store

    0.5 %



    (1.2) %



    1.2 %



    (2.1) %

















    Prescription volume (6)

    9.7 %



    5.9 %



    8.0 %



    6.8 %

















     

    Supplemental Information

    (Unaudited)



    Corporate/Other segment 



    The following table summarizes the Corporate/Other segment's performance for the respective periods:





















    Change



    Three Months Ended

    December 31,



    Year Ended

    December 31,



    Three Months Ended

    December 31,

    2025 vs 2024



    Year Ended

    December 31,

    2025 vs 2024

    In millions, except percentages

    2025



    2024



    2025



    2024



    $



    %



    $



    %

    Revenues:































    Premiums

    $          11



    $          11



    $          45



    $          47



    $          —



    — %



    $          (2)



    (4.3) %

    Services

    2



    2



    8



    9



    —



    — %



    (1)



    (11.1) %

    Net investment income

    109



    70



    431



    395



    39



    55.7 %



    36



    9.1 %

      Total revenues

    122



    83



    484



    451



    39



    47.0 %



    33



    7.3 %

    Health care costs

    44



    45



    177



    187



    (1)



    (2.2) %



    (10)



    (5.3) %

    Operating expenses

    666



    500



    2,520



    2,039



    166



    33.2 %



    481



    23.6 %

    Restructuring charges

    —



    10



    —



    432



    (10)



    (100.0) %



    (432)



    (100.0) %

    Operating loss

    (588)



    (472)



    (2,213)



    (2,207)



    (116)



    (24.6) %



    (6)



    (0.3) %

    Adjusted operating loss (1)

    (561)



    (352)



    (1,687)



    (1,348)



    (209)



    (59.4) %



    (339)



    (25.1) %

     

     Supplemental Information

    (Unaudited)



    The following table shows the components of the change in the consolidated health care costs payable during the

    years ended December 31, 2025 and 2024:





    Year Ended

    December 31,

    In millions

    2025



    2024

    Health care costs payable, beginning of the period

    $       15,064



    $       12,049

    Less: Reinsurance recoverables

    81



    5

    Less: Impact of discount rate on long-duration insurance reserves (a)

    (1)



    (23)

    Health care costs payable, beginning of the period, net

    14,984



    12,067

    Add: Components of incurred health care costs







      Current year

    127,256



    115,774

      Prior years (b)

    (1,982)



    (947)

    Total incurred health care costs (c)

    125,274



    114,827

    Less: Claims paid







      Current year

    113,023



    101,583

      Prior years

    11,906



    10,327

    Total claims paid

    124,929



    111,910

    Health care costs payable, end of the period, net

    15,329



    14,984

    Add: Reinsurance recoverables

    90



    81

    Add: Impact of discount rate on long-duration insurance reserves (a)

    (20)



    (1)

    Health care costs payable, end of the period

    $       15,399



    $       15,064















    (a)

    Reflects the difference between the current discount rate and the locked-in discount rate on long-duration insurance reserves which is recorded within accumulated other comprehensive income (loss) on the condensed consolidated balance sheets.

    (b)

    Negative amounts reported for incurred health care costs related to prior years result from claims being settled for amounts less than originally estimated.

    (c)

    Total incurred health care costs for the years ended December 31, 2025 and 2024 in the table above exclude $87 million and $107 million, respectively, of health care costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the condensed consolidated balance sheets and $177 million and $187 million, respectively, of health care costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the condensed consolidated balance sheets.





    Adjusted Earnings Per Share Guidance

    (Unaudited)

    The following reconciliations of projected net income attributable to CVS Health to projected adjusted income attributable to CVS Health and calculations of projected GAAP diluted EPS and projected Adjusted EPS contain forward-looking information. All forward-looking information involves risks and uncertainties. Actual results may differ materially from those contemplated by the forward-looking information for a number of reasons as described in our SEC filings, including those set forth in the Risk Factors section and under the heading "Cautionary Statement Concerning Forward-Looking Statements" in our most recently filed Annual Report on Form 10-K and our most recently filed Quarterly Report on Form 10-Q. See "Non-GAAP Financial Information" earlier in this press release and endnote (2) later in this press release for more information on how we calculate Adjusted EPS.



    Year Ending

    December 31, 2026



    Low



    High

    In millions, except per share amounts

    Total

    Company



    Per

    Common

     Share



    Total

    Company



    Per

    Common

    Share

    Net income attributable to CVS Health (GAAP measure)

    $      7,638



    $        5.94



    $     7,892



    $       6.14

    Non-GAAP adjustments:















    Amortization of intangible assets

    1,730



    1.35



    1,730



    1.35

    Acquisition-related integration costs

    80



    0.06



    80



    0.06

    Tax impact of non-GAAP adjustments

    (450)



    (0.35)



    (450)



    (0.35)

    Adjusted income attributable to CVS Health (2)

    $      8,998



    $        7.00



    $     9,252



    $       7.20

















    Weighted average diluted shares outstanding





    1,285







    1,285



    Endnotes

    (1) The Company defines adjusted operating income as operating income (GAAP measure) excluding the impact of amortization of intangible assets, net realized capital gains or losses and other items, if any, that neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance, such as acquisition-related integration costs, goodwill impairment charges, Health Care Delivery clinic closure charges, opioid litigation charges, office real estate optimization charges, certain legacy litigation charges, losses on Accountable Care assets and restructuring charges. The CODM uses adjusted operating income as its principal measure of segment performance as it enhances the CODM's ability to compare past financial performance with current performance and analyze underlying business performance and trends. The consolidated measure is not determined in accordance with GAAP and should not be considered a substitute for, or superior to, the most directly comparable GAAP measure, consolidated operating income. See "Non-GAAP Financial Information" earlier in this press release for additional information regarding the items excluded from consolidated operating income in determining consolidated adjusted operating income.

    (2) GAAP diluted earnings per share and Adjusted EPS, respectively, are calculated by dividing net income attributable to CVS Health and adjusted income attributable to CVS Health by the Company's weighted average diluted shares outstanding. The Company defines adjusted income attributable to CVS Health as net income attributable to CVS Health (GAAP measure) excluding the impact of amortization of intangible assets, net realized capital gains or losses and other items, if any, that neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance, such as acquisition-related integration costs, goodwill impairment charges, Health Care Delivery clinic closure charges, opioid litigation charges, office real estate optimization charges, certain legacy litigation charges, losses on Accountable Care assets, restructuring charges, gains on early extinguishment of debt, the gain on deconsolidation of subsidiary, the tax benefit from a worthless stock deduction, as well as the corresponding income tax benefit or expense related to the items excluded from adjusted income attributable to CVS Health. See "Non-GAAP Financial Information" earlier in this press release for additional information regarding the items excluded from net income attributable to CVS Health in determining adjusted income attributable to CVS Health.

    (3) Medical benefit ratio is calculated by dividing the Health Care Benefits segment's health care costs by premium revenues and represents the percentage of premium revenues spent on medical benefits for the segment's insured members. Management uses MBR to assess the underlying business performance and underwriting of its insurance products, understand variances between actual results and expected results and identify trends in period-over-period results. MBR provides management and investors with information useful in assessing the operating results of the Health Care Benefits segment's insured products.

    (4) Medical membership represents the number of members covered by the Health Care Benefits segment's insured and ASC medical products and related services at a specified point in time. Management uses this metric to understand variances between actual medical membership and expected amounts as well as trends in period-over-period results. This metric provides management and investors with information useful in understanding the impact of medical membership on the Health Care Benefits segment's total revenues and operating results.

    (5) Pharmacy claims processed represents the number of prescription claims processed through the Company's pharmacy benefits manager and dispensed by either its retail network pharmacies or the Company's mail and specialty pharmacies. Prescriptions filled represents the number of prescriptions dispensed through the Pharmacy & Consumer Wellness segment's retail pharmacies and infusion services operations, as well as through the Omnicare long-term care pharmacies prior to their deconsolidation in September 2025. Management uses these metrics to understand variances between actual claims processed and prescriptions dispensed, respectively, and expected amounts as well as trends in period-over-period results. These metrics provide management and investors with information useful in understanding the impact of pharmacy claim volume and prescription volume, respectively, on segment total revenues and operating results.

    (6) Includes an adjustment to convert 90-day prescriptions to the equivalent of three 30-day prescriptions. This adjustment reflects the fact that these prescriptions include approximately three times the amount of product days supplied compared to a normal prescription.

    (7) Days claims payable is calculated by dividing the Health Care Benefits segment's health care costs payable at the end of each quarter by its average health care costs per day during such quarter. Management and investors use this metric as an indicator of the adequacy of the Health Care Benefits segment's health care costs payable liability at the end of each quarter and as an indicator of changes in such adequacy over time.

    (8) Gross profit is calculated as the segment's total revenues less its cost of products sold, and, for the Health Services segment, health care costs. Gross margin is calculated by dividing the segment's gross profit by its total revenues and represents the percentage of total revenues that remains after incurring direct costs associated with the segment's products sold and services provided. Gross margin provides investors with information that may be useful in assessing the operating results of the Company's Health Services and Pharmacy & Consumer Wellness segments.

    (9) Health Services pharmacy network revenues relate to claims filled at retail and specialty retail pharmacies, including pharmacies owned by the Company, as well as activity associated with Maintenance Choice®, which permits eligible client plan members to fill their maintenance prescriptions through mail order delivery or at a CVS pharmacy retail store for the same price as mail order.

    (10) Health Services mail and specialty revenues relate to specialty mail claims inclusive of Specialty Connect® claims picked up at a retail pharmacy, as well as mail order and specialty claims fulfilled by the Pharmacy & Consumer Wellness segment.

    (11) Same store sales and prescription volume represent the change in revenues and prescriptions filled in the Company's retail pharmacy stores that have been operating for greater than one year and digital sales initiated online or through mobile applications and fulfilled through the Company's distribution centers, expressed as a percentage that indicates the increase or decrease relative to the comparable prior period. Same store metrics exclude revenues and prescriptions from infusion services operations and long-term care pharmacies. Management uses these metrics to evaluate the performance of existing stores on a comparable basis and to inform future decisions regarding existing stores and new locations. Same-store metrics provide management and investors with information useful in understanding the portion of current revenues and prescriptions resulting from organic growth in existing locations versus the portion resulting from opening new stores.

     

    CVS Health logo (PRNewsFoto/CVS Health)

     

    Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/cvs-health-corporation-reports-fourth-quarter-and-full-year-2025-results-302683084.html

    SOURCE CVS Health

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    CVS Health Helps Improve Access to More Affordable Fertility Treatments

    WOONSOCKET, R.I., Oct. 16, 2025 /PRNewswire/ -- CVS Health (NYSE:CVS) today announced it will support simpler access to more affordable fertility treatments for all Americans through its CVS Specialty Pharmacy and make it easier to pick up fertility medication at its 9,000 community pharmacy locations. CVS Specialty Pharmacy will be a core partner in the TrumpRx Fertility program. As the Trump Administration continues to establish more competitive prices for important medicines, the Administration has engaged with EMD Serono, manufacturer of Gonal-F an in-vitro fertilization (

    10/16/25 5:09:00 PM ET
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    Retail-Drug Stores and Proprietary Stores
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    Aetna 2026 Medicare Advantage plans deliver access to affordable, personalized care

    Providing access to affordable care $0 copays on Tier 1 drugs & covered vaccines at in-network pharmacies1, $0 copay for colonoscopies and mammograms at in-network providers$0 copay for annual Healthy Home Visit from a licensed Signify Health clinicianContinued investment in technology, tools and teams that support our members Commitment to supporting unique member needs — those living with chronic conditions and individuals dually eligible for both Medicare and MedicaidLeveraging the strength of the CVS Health family of companies to deliver differentiated member experiencesWOONSOCKET, R.I., Oct. 1, 2025 /PRNewswire/ -- Aetna®, a CVS Health® company (NYSE: CVS), today announced our 2026 Medi

    10/1/25 7:00:00 AM ET
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    CVS Health Announces Chief Financial Officer Transition Plan; Appoints Chief Medical Officer

    WOONSOCKET, R.I., April 8, 2025 /PRNewswire/ -- CVS Health® (NYSE:CVS) today announced two leadership updates. Brian Newman has been named executive vice president and chief financial officer designate, effective April 21. He will succeed current chief financial officer, Tom Cowhey, who will transition to serve as a strategic advisor to president and chief executive officer David Joyner, effective May 12.Amy Compton-Phillips, M.D., is the company's new executive vice president and chief medical officer, effective May 19, also reporting to David Joyner.Based on year-to-date res

    4/8/25 6:30:00 AM ET
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    $CVS
    Large Ownership Changes

    This live feed shows all institutional transactions in real time.

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    SEC Form SC 13G filed by CVS Health Corporation

    SC 13G - CVS HEALTH Corp (0000064803) (Subject)

    11/13/24 1:00:57 PM ET
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    SEC Form SC 13G/A filed by CVS Health Corporation (Amendment)

    SC 13G/A - CVS HEALTH Corp (0000064803) (Subject)

    2/13/24 5:02:40 PM ET
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    SEC Form SC 13G/A filed by CVS Health Corporation (Amendment)

    SC 13G/A - CVS HEALTH Corp (0000064803) (Subject)

    2/9/23 11:16:32 AM ET
    $CVS
    Retail-Drug Stores and Proprietary Stores
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