CVS HEALTH CORPORATION REPORTS THIRD QUARTER 2026 RESULTS AND RAISES FULL-YEAR 2026 GUIDANCE
The earnings recovery included improved insurance performance, while pharmacy revenue faced drug-price reductions and reimbursement pressure.
Sentiment and the balance of points
Rhea-AI Sentiment reads the wording of the document, how positive or negative its language is on a 1 to 5 scale. The balance of points shown with the takes weighs what the document actually discloses, so the two can disagree, for example when a trial that missed its main goal is described in upbeat language.
Rhea-AI Summary
CVS Health (CVS) raised its full-year 2026 earnings and operating cash flow guidance after reporting higher third-quarter revenue and profit. Revenue rose 5.4% to $108.4 billion. GAAP diluted earnings per share were $1.68, versus a $3.13 loss a year earlier, when results included a $5.7 billion goodwill impairment. Adjusted EPS increased to $2.09 from $1.60.
Full-year guidance now calls for GAAP diluted EPS of at least $6.98, adjusted EPS of at least $8.20 and operating cash flow of at least $15.5 billion. Year-to-date operating cash flow reached $15.3 billion. All operating segments increased adjusted operating income. Health Care Benefits' medical benefit ratio, the share of premiums spent on care, improved to 91.3% from 92.8%. Pharmacy & Consumer Wellness revenue fell 2.0%. CVS maintained a cautious outlook because of elevated cost trends and potential macroeconomic headwinds.
How this balance works
Rhea-AI gives every point it takes from this document a weight. Minor counts 1, Moderate 3 and Major 9, so one Major point outweighs several Minor ones. The bar adds up the weights on each side, and when neither side holds more than 65% of the total the balance reads Mixed.
It reads the document as published, with the same rules for every company, and it does not look at what the market expected or at how the stock traded, so a point can be objectively good on a day the stock falls.
Rhea-AI Sentiment measures something else, the tone of the wording.
Hollow bars mark forward-looking points. How the balance works
Positive
- Major point. Forward-looking: it has not happened yet and may not happen.Full-year adjusted EPS guidance raised to at least $8.20 from $7.90–$8.10.
- Moderate pointThird-quarter revenue increased 5.4% year over year to $108,399 million.
- Moderate pointThird-quarter adjusted EPS increased to $2.09 from $1.60 a year earlier.
- Moderate pointThird-quarter adjusted operating income rose 21.2% to $4,194 million.
- Moderate pointHealth Care Benefits third-quarter revenue rose 2.4% to $36,855 million.
- Moderate pointHealth Care Benefits third-quarter adjusted operating income increased to $912 million from $314 million.
- Moderate pointHealth Care Benefits' third-quarter medical benefit ratio improved to 91.3% from 92.8% a year earlier.
- Moderate pointPrior-years' health care cost estimates developed favorably by $1.3 billion during the first nine months of 2026.
- Moderate pointHealth Services third-quarter revenue increased 9.5% to $53,964 million.
- Moderate pointHealth Services third-quarter adjusted operating income increased 2.7% to $2,106 million.
- Moderate pointPharmacy & Consumer Wellness third-quarter adjusted operating income increased 10.6% to $1,635 million.
18 minor points
- Minor point. Forward-looking: it has not happened yet and may not happen.Full-year GAAP diluted EPS guidance increased to at least $6.98 from $6.84–$7.04.
- Minor point. Forward-looking: it has not happened yet and may not happen.Operating cash flow guidance raised to at least $15.5 billion from at least $11.5 billion.
- Minor point. Forward-looking: it has not happened yet and may not happen.Full-year revenue projected at at least $420.0 billion.
- Minor pointThird-quarter GAAP diluted EPS reached $1.68 versus a $3.13 loss, without the prior-year goodwill impairment.
- Minor pointThird-quarter operating income reached $3,566 million versus a $3,207 million loss a year earlier.
- Minor pointThird-quarter net income reached $2,171 million versus a $3,990 million loss a year earlier.
- Minor pointYear-to-date operating cash flow totaled $15.3 billion.
- Minor pointNine-month revenue increased to $314,921 million from $296,374 million a year earlier.
- Minor pointNine-month operating income increased to $12,949 million from $2,548 million a year earlier.
- Minor pointNine-month adjusted operating income increased to $14,501 million from $11,846 million a year earlier.
- Minor pointNine-month net income reached $8,123 million versus a $1,195 million loss a year earlier.
- Minor pointNine-month GAAP diluted EPS reached $6.29 versus a $0.93 loss a year earlier.
- Minor pointNine-month adjusted EPS increased to $7.24 from $5.66 a year earlier.
- Minor pointHealth Services third-quarter pharmacy claims rose 1.3% to 481.7 million on a 30-day equivalent basis.
- Minor pointPharmacy & Consumer Wellness third-quarter prescriptions rose 1.9% to 470.0 million on a 30-day equivalent basis.
- Minor pointCash and equivalents increased to $11,738 million at September 30, 2026, from $8,453 million at year-end 2025.
- Minor pointLong-term debt decreased to $57,223 million from $60,502 million at year-end 2025.
- Minor pointCurrent portion of long-term debt decreased to $3,457 million from $4,068 million at year-end 2025.
Negative
- Moderate pointPharmacy & Consumer Wellness third-quarter revenue declined 2.0% to $35,498 million.
- Moderate pointMedical membership declined to 26.1 million from 26.7 million a year earlier, remaining stable versus June 2026.
- Minor pointPharmacy revenue faced regulatory-related drug-price reductions, generic introductions and reimbursement pressure.
- Minor pointHealth Services' client price improvements partially offset third-quarter revenue and adjusted operating income growth.
- Minor pointThe 2026 individual exchange exit partially offset Health Care Benefits' third-quarter revenue growth.
- Minor point. Forward-looking: it has not happened yet and may not happen.CVS cited elevated cost trends and potential macroeconomic headwinds in maintaining a cautious remainder-year view.
Details
Market Reaction – CVS
On Nov 4, the day this news came out, the latest delayed price for CVS is 1.54% below the previous close. The latest delayed price is $90.00. Relative volume is exceptionally heavy at 119.4x what this stock usually trades by this time of day.
Data tracked by StockTitan Argus (15 min delayed). Upgrade to Gold for real-time data.
Key Figures
- Third-quarter revenue
- $108.4 billion; +5.4% year-over-year
- Three months ended September 30, 2026
- GAAP diluted EPS
- $1.68 vs. $(3.13)
- Third quarter 2026 vs. third quarter 2025
- Adjusted EPS
- $2.09 vs. $1.60
- Third quarter 2026 vs. third quarter 2025
- Cash flow from operations
- $15.3 billion
- Year to date through September 30, 2026
- 2026 GAAP diluted EPS guidance
- At least $6.98, from a range of $6.84 to $7.04
- Full-year 2026 guidance raised
- 2026 Adjusted EPS guidance
- At least $8.20, from a range of $7.90 to $8.10
- Full-year 2026 guidance raised
- 2026 cash flow from operations guidance
- At least $15.5 billion, from at least $11.5 billion
- Full-year 2026 guidance raised
Previous Earnings Reports
-
CVS raised full-year 2026 guidance; shares declined 5.08% over the following 24 hours.
-
Prior-year Q3 GAAP loss included a $5.7 billion goodwill impairment charge.
24h Move is the share-price change in the day after each event; other market factors may also have contributed.
Key Terms
gaap financial
goodwill impairment financial
medical benefit ratio financial
glp-1 medical
AI-generated analysis. How Rhea-AI works. Not financial advice.
- Third quarter total revenues increased to
, up$108.4 billion 5.4% year-over-year - Third quarter GAAP diluted EPS of
and Adjusted EPS of$1.68 $2.09 - Generated year-to-date cash flow from operations of
$15.3 billion - Raising full-year 2026 guidance:
- GAAP diluted EPS guidance to at least
from a range of$6.98 to$6.84 $7.04 - Adjusted EPS guidance to at least
from a range of$8.20 to$7.90 $8.10 - Cash flow from operations guidance to at least
from at least$15.5 billion $11.5 billion
- GAAP diluted EPS guidance to at least
"Our colleagues build trust every day through delivering quality health care rooted in our purpose - to simplify health care one person, one family and one community at a time. Through their continued dedication, each of our businesses delivered another quarter of strong results. We continue to advance our strategy by improving the consumer experience, lowering health care costs, and connecting care for the people we serve."
- David Joyner, CVS Health Chairman and CEO
|
|
Three Months Ended September 30, |
|
Year Ending December 31, |
||
|
In billions, except per share amounts |
2026 |
|
2025 |
|
2026 Projected |
|
Total revenues |
$ 108.4 |
|
$ 102.9 |
|
At least |
|
Diluted earnings (loss) per share |
$ 1.68 |
|
$ (3.13) |
|
At least |
|
Adjusted EPS (2) |
$ 2.09 |
|
$ 1.60 |
|
At least |
Third quarter GAAP diluted earnings per share of
The Company is increasing its full-year 2026 GAAP diluted EPS, Adjusted EPS and cash flow from operations guidance to reflect increases in the Health Care Benefits and Pharmacy & Consumer Wellness segments, while maintaining a cautious view for the remainder of the year in light of continued elevated cost trends and the potential for macro headwinds.
Consolidated third quarter results
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
||||||||
|
In millions, except per share amounts |
2026 |
|
2025 |
|
Change |
|
2026 |
|
2025 |
|
Change |
|
Total revenues |
|
|
|
|
$ 5,528 |
|
|
|
|
|
$ 18,547 |
|
Operating income (loss) |
3,566 |
|
(3,207) |
|
6,773 |
|
12,949 |
|
2,548 |
|
10,401 |
|
Adjusted operating income (1) |
4,194 |
|
3,459 |
|
735 |
|
14,501 |
|
11,846 |
|
2,655 |
|
Net income (loss) |
2,171 |
|
(3,990) |
|
6,161 |
|
8,123 |
|
(1,195) |
|
9,318 |
|
Diluted earnings (loss) per share |
$ 1.68 |
|
$ (3.13) |
|
$ 4.81 |
|
$ 6.29 |
|
$ (0.93) |
|
$ 7.22 |
|
Adjusted EPS (2) |
$ 2.09 |
|
$ 1.60 |
|
$ 0.49 |
|
$ 7.24 |
|
$ 5.66 |
|
$ 1.58 |
For the three months ended September 30, 2026 compared to the prior year:
- Total revenues increased
5.4% primarily driven by growth in the Health Services and Health Care Benefits segments. - During the three months ended September 30, 2026, the Company generated operating income of
compared to an operating loss of$3.6 billion in the prior year. The difference was primarily driven by the absence of the$3.2 billion .7 billion goodwill impairment charge related to the Health Care Delivery reporting unit recorded in the prior year and the increase in adjusted operating income described below.$5 - Adjusted operating income increased
21.2% primarily driven by increases across all operating segments. See pages 3 through 5 for additional discussion of the adjusted operating income performance of the Company's segments.
Operational Updates
- More than 69 percent of Aetna® Medicare Advantage members are in 2027 plans rated 4 stars or higher (out of 5 stars) by the Centers for Medicare & Medicaid Services. These results position Aetna second among large, publicly traded Medicare Advantage organizations in the Star Ratings program. For the third consecutive year, Aetna's commitment to care has driven strong performance across various clinical quality, preventive care and member experience measures.
- CVS Health continues to lead the industry through enhancements to its direct-to-consumer weight management offerings to improve access, affordability, care and support for GLP-1 medications. CVS Pharmacy offers all FDA-approved GLP-1s. Through its integrated offerings, CVS Health can combine a MinuteClinic digital weight loss visit with a licensed clinician, same-day medication pickup at 9,000 local CVS Pharmacy locations, and in-person pharmacist support in one connected experience, with no membership or recurring monthly fee.
- Health100™, a CVS Health subsidiary, earned the CARIN Code of Conduct for Consumer-Facing Applications Accreditation from DirectTrust® for the Health100 mobile app. Health100 provides consumers with cost transparency and the ability to reduce out-of-pocket costs, helps them find and access expanded care, and offers integrated, simpler health care navigation and chronic condition management, including real-time proactive support to stay on track.
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 and nine months ended September 30, 2026 and 2025 were as follows:
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
||||||||
|
In millions, except percentages |
2026 |
|
2025 |
|
Change |
|
2026 |
|
2025 |
|
Change |
|
Total revenues |
|
|
|
|
$ 862 |
|
$ 110,364 |
|
$ 107,061 |
|
$ 3,303 |
|
Adjusted operating income (1) |
912 |
|
314 |
|
598 |
|
6,379 |
|
3,615 |
|
2,764 |
|
Medical benefit ratio ("MBR") (3) |
91.3 % |
|
92.8 % |
|
(1.5) % |
|
87.8 % |
|
90.0 % |
|
(2.2) % |
|
Medical membership (4) |
|
|
|
|
|
|
26.1 |
|
26.7 |
|
(0.6) |
- Total revenues increased
2.4% for the three months ended September 30, 2026 compared to the prior year primarily driven by an increase in the Government business, partially offset by a decline as a result of the Company's exit of the individual exchange business in 2026. - Adjusted operating income increased significantly in the three months ended September 30, 2026 compared to the prior year primarily driven by improved underlying performance in the Government business.
- The MBR decreased to
91.3% in the three months ended September 30, 2026 compared to92.8% in the prior year primarily driven by improved underlying performance in the Government business. - Medical membership as of September 30, 2026 of 26.1 million remained consistent compared with June 30, 2026.
- Prior years' health care costs payable estimates developed favorably by
.3 billion during the nine months ended September 30, 2026.$1 - Days claims payable were 41.9 days as of September 30, 2026, an increase of 0.2 days compared to June 30, 2026.
Health Services segment
The Health Services segment provides a full range of pharmacy benefit management 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 and nine months ended September 30, 2026 and 2025 were as follows:
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
||||||||
|
In millions |
2026 |
|
2025 |
|
Change |
|
2026 |
|
2025 |
|
Change |
|
Total revenues |
$ 53,964 |
|
$ 49,266 |
|
$ 4,698 |
|
|
|
|
|
$ 14,815 |
|
Adjusted operating income (1) |
2,106 |
|
2,050 |
|
56 |
|
5,328 |
|
5,228 |
|
100 |
|
Pharmacy claims processed (5) (6) |
481.7 |
|
475.6 |
|
6.1 |
|
1,419.4 |
|
1,408.8 |
|
10.6 |
- Total revenues increased
9.5% for the three months ended September 30, 2026 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
2.7% for the three months ended September 30, 2026 compared to the prior year primarily driven by improved purchasing economics and pharmacy drug mix, partially offset by continued pharmacy client price improvements.
- Pharmacy claims processed increased
1.3% on a 30-day equivalent basis for the three months ended September 30, 2026 compared to the prior year.
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 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 and nine months ended September 30, 2026 and 2025 were as follows:
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
||||||||
|
In millions |
2026 |
|
2025 |
|
Change |
|
2026 |
|
2025 |
|
Change |
|
Total revenues |
$ 35,498 |
|
$ 36,214 |
|
$ (716) |
|
|
|
|
|
$ (404) |
|
Adjusted operating income (1) |
1,635 |
|
1,478 |
|
157 |
|
4,307 |
|
4,129 |
|
178 |
|
Prescriptions filled (5) (6) |
470.0 |
|
461.4 |
|
8.6 |
|
1,378.2 |
|
1,335.0 |
|
43.2 |
- Total revenues decreased
2.0% for the three months ended September 30, 2026 compared to the prior year primarily driven by regulatory-related price reductions on certain drugs, the impact of recent generic drug introductions and pharmacy reimbursement pressure. These decreases were partially offset by pharmacy drug mix, increased prescription volume, including contributions from the Company's Rite Aid asset acquisitions which were completed during the third quarter of 2025, and brand inflation. - Adjusted operating income increased
10.6% for the three months ended September 30, 2026 compared to the prior year primarily driven by core pharmacy strength and contributions from the Company's Rite Aid asset acquisitions. These increases were partially offset by continued business investments and the impact of consumer dynamics. - Prescriptions filled increased
1.9% on a 30-day equivalent basis for the three months ended September 30, 2026 compared to the prior year primarily driven by increased utilization and incremental volume resulting from the Company's Rite Aid prescription file acquisitions, partially offset by the absence of long-term care pharmacy prescription volume following the deconsolidation of Omnicare, LLC ("Omnicare") in September 2025.
About CVS Health
CVS Health is a leading health solutions company simplifying health care one person, one family and one community at a time. As of September 30, 2026, 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 37 million people through a broad range of health insurance products and related services. 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.
Teleconference and Webcast
The Company will be holding a conference call today for investors at 8:00 a.m. (Eastern Time) to discuss its third quarter 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 10 and endnotes beginning on page 20 for explanations of non-GAAP financial measures presented in this press release. See pages 12 through 14 and page 19 for reconciliations of each non-GAAP financial measure used in this release to the most directly comparable GAAP financial measure.
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 full-year 2026 guidance information, Mr. Joyner's quotation 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, 2026, June 30, 2026 and September 30, 2026 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 September 30, |
|
Nine Months Ended September 30, |
||||
|
In millions, except per share amounts |
2026 |
|
2025 |
|
2026 |
|
2025 |
|
Revenues: |
|
|
|
|
|
|
|
|
Products |
$ 69,225 |
|
$ 64,590 |
|
$ 197,670 |
|
$ 182,866 |
|
Premiums |
34,566 |
|
33,719 |
|
103,474 |
|
100,734 |
|
Services |
3,961 |
|
3,930 |
|
11,915 |
|
11,135 |
|
Net investment income |
647 |
|
632 |
|
1,862 |
|
1,639 |
|
Total revenues |
108,399 |
|
102,871 |
|
314,921 |
|
296,374 |
|
Operating costs: |
|
|
|
|
|
|
|
|
Cost of products sold |
61,185 |
|
57,045 |
|
175,491 |
|
162,107 |
|
Health care costs |
32,316 |
|
32,020 |
|
93,159 |
|
92,472 |
|
Operating expenses |
11,332 |
|
11,288 |
|
33,322 |
|
33,522 |
|
Goodwill impairment |
— |
|
5,725 |
|
— |
|
5,725 |
|
Total operating costs |
104,833 |
|
106,078 |
|
301,972 |
|
293,826 |
|
Operating income (loss) |
3,566 |
|
(3,207) |
|
12,949 |
|
2,548 |
|
Gain on deconsolidation of subsidiary |
— |
|
483 |
|
— |
|
483 |
|
Interest expense |
(747) |
|
(784) |
|
(2,278) |
|
(2,332) |
|
Other income |
30 |
|
26 |
|
93 |
|
83 |
|
Income (loss) before income tax provision |
2,849 |
|
(3,482) |
|
10,764 |
|
782 |
|
Income tax provision |
678 |
|
508 |
|
2,641 |
|
1,977 |
|
Net income (loss) |
2,171 |
|
(3,990) |
|
8,123 |
|
(1,195) |
|
Net (income) loss attributable to noncontrolling interests |
1 |
|
15 |
|
(29) |
|
20 |
|
Net income (loss) attributable to CVS Health |
$ 2,172 |
|
$ (3,975) |
|
$ 8,094 |
|
$ (1,175) |
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share attributable to CVS Health: |
|
|
|
|
|
|
|
|
Basic |
$ 1.70 |
|
$ (3.13) |
|
$ 6.33 |
|
$ (0.93) |
|
Diluted |
$ 1.68 |
|
$ (3.13) |
|
$ 6.29 |
|
$ (0.93) |
|
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|
Basic |
1,282 |
|
1,269 |
|
1,278 |
|
1,266 |
|
Diluted |
1,291 |
|
1,269 |
|
1,286 |
|
1,266 |
|
CVS HEALTH CORPORATION Condensed Consolidated Balance Sheets (Unaudited)
|
|||
|
|
|||
|
In millions |
September 30, |
|
December 31, |
|
Assets: |
|
|
|
|
Cash and cash equivalents |
$ 11,738 |
|
$ 8,453 |
|
Investments |
3,149 |
|
2,145 |
|
Accounts receivable, net |
42,073 |
|
39,779 |
|
Inventories |
18,240 |
|
19,246 |
|
Other current assets |
4,192 |
|
5,091 |
|
Total current assets |
79,392 |
|
74,714 |
|
Long-term investments |
34,066 |
|
32,669 |
|
Property and equipment, net |
13,322 |
|
13,083 |
|
Operating lease right-of-use assets |
14,226 |
|
14,973 |
|
Goodwill |
85,478 |
|
85,478 |
|
Intangible assets, net |
24,224 |
|
25,508 |
|
Other assets |
7,367 |
|
7,113 |
|
Total assets |
$ 258,075 |
|
$ 253,538 |
|
|
|
|
|
|
Liabilities: |
|
|
|
|
Accounts payable |
$ 17,875 |
|
$ 17,641 |
|
Pharmacy claims and discounts payable |
26,296 |
|
26,344 |
|
Health care costs payable |
16,858 |
|
15,399 |
|
Accrued expenses and other current liabilities |
25,787 |
|
22,387 |
|
Other insurance liabilities |
904 |
|
1,116 |
|
Current portion of operating lease liabilities |
1,920 |
|
1,737 |
|
Current portion of long-term debt |
3,457 |
|
4,068 |
|
Total current liabilities |
93,097 |
|
88,692 |
|
Long-term operating lease liabilities |
12,697 |
|
13,643 |
|
Long-term debt |
57,223 |
|
60,502 |
|
Deferred income taxes |
3,866 |
|
3,832 |
|
Other long-term insurance liabilities |
4,231 |
|
4,716 |
|
Other long-term liabilities |
6,272 |
|
6,771 |
|
Total liabilities |
177,386 |
|
178,156 |
|
|
|
|
|
|
Shareholders' equity: |
|
|
|
|
Preferred stock |
— |
|
— |
|
Common stock and capital surplus |
51,154 |
|
50,402 |
|
Treasury stock |
(36,769) |
|
(36,790) |
|
Retained earnings |
66,707 |
|
61,196 |
|
Accumulated other comprehensive income (loss) |
(595) |
|
406 |
|
Total CVS Health shareholders' equity |
80,497 |
|
75,214 |
|
Noncontrolling interests |
192 |
|
168 |
|
Total shareholders' equity |
80,689 |
|
75,382 |
|
Total liabilities and shareholders' equity |
$ 258,075 |
|
$ 253,538 |
|
CVS HEALTH CORPORATION Condensed Consolidated Statements of Cash Flows (Unaudited) |
|||
|
|
|||
|
|
Nine Months Ended September 30, |
||
|
In millions |
2026 |
|
2025 |
|
Cash flows from operating activities: |
|
|
|
|
Reconciliation of net income (loss) to net cash provided by operating activities: |
|
|
|
|
Net income (loss) |
$ 8,123 |
|
$ (1,195) |
|
Adjustments required to reconcile net income (loss) to net cash provided by |
|
|
|
|
Depreciation and amortization |
3,373 |
|
3,459 |
|
Goodwill impairment |
— |
|
5,725 |
|
Stock-based compensation |
610 |
|
400 |
|
Loss on sale of subsidiary |
— |
|
236 |
|
Gain on deconsolidation of subsidiary |
— |
|
(483) |
|
Deferred income taxes and other items |
(344) |
|
(440) |
|
Change in operating assets and liabilities |
3,556 |
|
(453) |
|
Net cash provided by operating activities |
15,318 |
|
7,249 |
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
Proceeds from sales and maturities of investments |
10,382 |
|
9,640 |
|
Purchases of investments |
(13,592) |
|
(11,045) |
|
Purchases of property and equipment |
(2,357) |
|
(2,048) |
|
Acquisitions |
(15) |
|
(429) |
|
Other |
37 |
|
9 |
|
Net cash used in investing activities |
(5,545) |
|
(3,873) |
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
Commercial paper borrowings (repayments), net |
— |
|
(872) |
|
Proceeds from issuance of long-term debt |
— |
|
3,969 |
|
Repayments of long-term debt |
(4,057) |
|
(3,609) |
|
Dividends paid |
(2,578) |
|
(2,552) |
|
Proceeds from exercise of stock options |
339 |
|
308 |
|
Payments for taxes related to net share settlement of equity awards |
(175) |
|
(145) |
|
Other |
(66) |
|
(7) |
|
Net cash used in financing activities |
(6,537) |
|
(2,908) |
|
Net increase in cash, cash equivalents and restricted cash |
3,236 |
|
468 |
|
Cash, cash equivalents and restricted cash at the beginning of the period |
8,712 |
|
8,884 |
|
Cash, cash equivalents and restricted cash at the end of the period |
$ 11,948 |
|
$ 9,352 |
|
|
|||
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 third quarter 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 and nine months ended September 30, 2026 and 2025, 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 three and nine months ended September 30, 2026, the Omnicare guarantee relates to an estimated contingent guarantee liability recorded in connection with agreements to resolve certain litigation and Chapter 11 bankruptcy matters involving Omnicare. Following bankruptcy court approval of the agreements in August 2026 and the determination that the sale of Omnicare's assets is probable of occurring in the fourth quarter of 2026, the Company recorded an estimated contingent guarantee liability in the third quarter of 2026. The Omnicare guarantee is reflected in operating expenses within the Corporate/Other Segment.
- During the three and nine months ended September 30, 2025, the goodwill impairment charge relates to the Health Care Delivery reporting unit within the Health Services segment.
- During the three and nine months ended September 30, 2025, the Health Care Delivery clinic closure charge primarily relates to the write down of long-lived assets in connection with the closure of certain Oak Street Health clinics in 2026, as well as associated severance and employee-related costs. The Health Care Delivery clinic closure charge was reflected in operating expenses within the Health Services segment.
- During the three and nine months ended September 30, 2025, the opioid litigation charge relates to a change in the Company's accrual related to ongoing opioid litigation matters.
- During the nine months ended September 30, 2025, the Company recorded legacy litigation charges related to two court decisions associated with its past business practices. The legacy litigation charges were reflected in operating expenses within the Pharmacy & Consumer Wellness and Health Services segments.
- During the nine months ended September 30, 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, as well as costs incurred in connection with the wind down of the Company's ACO REACH operations. The loss on Accountable Care assets was reflected in operating expenses within the Health Services segment.
- During the nine months ended September 30, 2025, 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. The office real estate optimization charges were reflected in operating expenses within each segment.
- During the three and nine months ended September 30, 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. - 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 20 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 12 through 14 and page 19.
|
|
|||||||||
|
Reconciliations of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Adjusted Operating Income (Unaudited) |
|||||||||
|
|
|||||||||
|
The following are reconciliations of consolidated operating income (loss) (GAAP measure) to consolidated adjusted |
|||||||||
|
|
|||||||||
|
|
Three Months Ended September 30, 2026 |
||||||||
|
In millions |
Health Care Benefits |
|
Health Services |
|
Pharmacy & Consumer Wellness |
|
Corporate/ Other |
|
Consolidated Totals |
|
Operating income (loss) (GAAP measure) |
$ 653 |
|
$ 1,980 |
|
$ 1,573 |
|
$ (640) |
|
$ 3,566 |
|
Amortization of intangible assets |
236 |
|
126 |
|
62 |
|
1 |
|
425 |
|
Net realized capital (gains) losses |
23 |
|
— |
|
— |
|
(26) |
|
(3) |
|
Acquisition-related integration costs |
— |
|
— |
|
— |
|
13 |
|
13 |
|
Omnicare guarantee |
— |
|
— |
|
— |
|
193 |
|
193 |
|
Adjusted operating income (loss) (1) |
$ 912 |
|
$ 2,106 |
|
$ 1,635 |
|
$ (459) |
|
$ 4,194 |
|
|
Three Months Ended September 30, 2025 |
||||||||
|
In millions |
Health Care Benefits |
|
Health Services |
|
Pharmacy & Consumer Wellness |
|
Corporate/ Other |
|
Consolidated Totals |
|
Operating income (loss) (GAAP measure) |
$ 53 |
|
$ (3,899) |
|
$ 1,414 |
|
$ (775) |
|
$ (3,207) |
|
Amortization of intangible assets |
294 |
|
141 |
|
64 |
|
1 |
|
500 |
|
Net realized capital (gains) losses |
(33) |
|
— |
|
— |
|
44 |
|
11 |
|
Acquisition-related integration costs |
— |
|
— |
|
— |
|
27 |
|
27 |
|
Goodwill impairment |
— |
|
5,725 |
|
— |
|
— |
|
5,725 |
|
Health Care Delivery clinic closure charge |
— |
|
83 |
|
— |
|
— |
|
83 |
|
Opioid litigation charge |
— |
|
— |
|
— |
|
320 |
|
320 |
|
Adjusted operating income (loss) (1) |
$ 314 |
|
$ 2,050 |
|
$ 1,478 |
|
$ (383) |
|
$ 3,459 |
|
|
Nine Months Ended September 30, 2026 |
||||||||
|
In millions |
Health Care Benefits |
|
Health Services |
|
Pharmacy & Consumer Wellness |
|
Corporate/ Other |
|
Consolidated Totals |
|
Operating income (loss) (GAAP measure) |
$ 5,650 |
|
$ 4,930 |
|
$ 4,118 |
|
$ (1,749) |
|
$ 12,949 |
|
Amortization of intangible assets |
709 |
|
398 |
|
189 |
|
2 |
|
1,298 |
|
Net realized capital losses |
20 |
|
— |
|
— |
|
6 |
|
26 |
|
Acquisition-related integration costs |
— |
|
— |
|
— |
|
35 |
|
35 |
|
Omnicare guarantee |
— |
|
— |
|
— |
|
193 |
|
193 |
|
Adjusted operating income (loss) (1) |
$ 6,379 |
|
$ 5,328 |
|
$ 4,307 |
|
$ (1,513) |
|
$ 14,501 |
|
|
Nine Months Ended September 30, 2025 |
||||||||
|
In millions |
Health Care Benefits |
|
Health Services |
|
Pharmacy & Consumer Wellness |
|
Corporate/ Other |
|
Consolidated Totals |
|
Operating income (loss) (GAAP measure) |
$ 2,729 |
|
$ (1,570) |
|
$ 3,014 |
|
$ (1,625) |
|
$ 2,548 |
|
Amortization of intangible assets |
881 |
|
426 |
|
184 |
|
2 |
|
1,493 |
|
Net realized capital (gains) losses |
1 |
|
(15) |
|
— |
|
73 |
|
59 |
|
Acquisition-related integration costs |
— |
|
— |
|
— |
|
100 |
|
100 |
|
Goodwill impairment |
— |
|
5,725 |
|
— |
|
— |
|
5,725 |
|
Health Care Delivery clinic closure charge |
— |
|
83 |
|
— |
|
— |
|
83 |
|
Opioid litigation charge |
— |
|
— |
|
— |
|
320 |
|
320 |
|
Legacy litigation charges |
— |
|
291 |
|
929 |
|
— |
|
1,220 |
|
Loss on Accountable Care assets |
— |
|
288 |
|
— |
|
— |
|
288 |
|
Office real estate optimization charges |
4 |
|
— |
|
2 |
|
4 |
|
10 |
|
Adjusted operating income (loss) (1) |
$ 3,615 |
|
$ 5,228 |
|
$ 4,129 |
|
$ (1,126) |
|
$ 11,846 |
|
Adjusted Earnings Per Share (Unaudited) |
|||||||
|
|
|||||||
|
The following are reconciliations of net income (loss) attributable to CVS Health to adjusted income attributable to |
|||||||
|
|
|||||||
|
|
Three Months Ended September 30, 2026 |
|
Three Months Ended September 30, 2025 |
||||
|
In millions, except per share amounts |
Total |
|
Per |
|
Total |
|
Per |
|
Net income (loss) attributable to CVS Health (GAAP measure) |
$ 2,172 |
|
$ 1.68 |
|
$ (3,975) |
|
$ (3.13) |
|
Amortization of intangible assets |
425 |
|
0.33 |
|
500 |
|
0.39 |
|
Net realized capital (gains) losses |
(3) |
|
— |
|
11 |
|
0.01 |
|
Acquisition-related integration costs |
13 |
|
0.01 |
|
27 |
|
0.02 |
|
Omnicare guarantee |
193 |
|
0.15 |
|
— |
|
— |
|
Goodwill impairment |
— |
|
— |
|
5,725 |
|
4.50 |
|
Health Care Delivery clinic closure charge |
— |
|
— |
|
83 |
|
0.07 |
|
Opioid litigation charge |
— |
|
— |
|
320 |
|
0.25 |
|
Gain on deconsolidation of subsidiary |
— |
|
— |
|
(483) |
|
(0.38) |
|
Tax impact of non-GAAP adjustments |
(103) |
|
(0.08) |
|
(171) |
|
(0.13) |
|
Adjusted income attributable to CVS Health (2) |
$ 2,697 |
|
$ 2.09 |
|
$ 2,037 |
|
$ 1.60 |
|
|
|
|
|
|
|
|
|
|
Weighted average diluted shares outstanding |
|
|
1,291 |
|
|
|
1,269 |
|
Adjusted weighted average diluted shares outstanding (non- |
|
|
1,291 |
|
|
|
1,272 |
|
|
Nine Months Ended September 30, 2026 |
|
Nine Months Ended September 30, 2025 |
||||
|
In millions, except per share amounts |
Total |
|
Per |
|
Total |
|
Per |
|
Net income (loss) attributable to CVS Health (GAAP measure) |
$ 8,094 |
|
$ 6.29 |
|
$ (1,175) |
|
$ (0.93) |
|
Amortization of intangible assets |
1,298 |
|
1.01 |
|
1,493 |
|
1.18 |
|
Net realized capital losses |
26 |
|
0.02 |
|
59 |
|
0.05 |
|
Acquisition-related integration costs |
35 |
|
0.03 |
|
100 |
|
0.08 |
|
Omnicare guarantee |
193 |
|
0.15 |
|
— |
|
— |
|
Goodwill impairment |
— |
|
— |
|
5,725 |
|
4.50 |
|
Health Care Delivery clinic closure charge |
— |
|
— |
|
83 |
|
0.07 |
|
Opioid litigation charge |
— |
|
— |
|
320 |
|
0.25 |
|
Legacy litigation charges |
— |
|
— |
|
1,220 |
|
0.96 |
|
Loss on Accountable Care assets |
— |
|
— |
|
288 |
|
0.23 |
|
Office real estate optimization charges |
— |
|
— |
|
10 |
|
0.01 |
|
Gain on deconsolidation of subsidiary |
— |
|
— |
|
(483) |
|
(0.38) |
|
Tax impact of non-GAAP adjustments |
(333) |
|
(0.26) |
|
(455) |
|
(0.36) |
|
Adjusted income attributable to CVS Health (2) |
$ 9,313 |
|
$ 7.24 |
|
$ 7,185 |
|
$ 5.66 |
|
|
|
|
|
|
|
|
|
|
Weighted average diluted shares outstanding |
|
|
1,286 |
|
|
|
1,266 |
|
Adjusted weighted average diluted shares outstanding (non- |
|
|
1,286 |
|
|
|
1,269 |
|
Supplemental Information (Unaudited)
|
|||||||||||
|
|
|||||||||||
|
The following are reconciliations of financial measures of the Company's segments to the consolidated totals: |
|||||||||||
|
|
|||||||||||
|
In millions |
Health Care Benefits |
|
Health Services |
|
Pharmacy & Consumer Wellness |
|
Corporate/ Other |
|
Intersegment Eliminations (a) |
|
Consolidated Totals |
|
Three Months Ended |
|
|
|
|
|
|
|
|
|
|
|
|
September 30, 2026 |
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
$ 36,855 |
|
$ 53,964 |
|
$ 35,498 |
|
$ 205 |
|
$ (18,123) |
|
$ 108,399 |
|
Adjusted operating |
912 |
|
2,106 |
|
1,635 |
|
(459) |
|
— |
|
4,194 |
|
September 30, 2025 |
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
$ 35,993 |
|
$ 49,266 |
|
$ 36,214 |
|
$ 133 |
|
$ (18,735) |
|
$ 102,871 |
|
Adjusted operating |
314 |
|
2,050 |
|
1,478 |
|
(383) |
|
— |
|
3,459 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended |
|
|
|
|
|
|
|
|
|
|
|
|
September 30, 2026 |
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
$ 110,364 |
|
|
|
$ 101,303 |
|
$ 478 |
|
$ (51,220) |
|
$ 314,921 |
|
Adjusted operating |
6,379 |
|
5,328 |
|
4,307 |
|
(1,513) |
|
— |
|
14,501 |
|
September 30, 2025 |
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
$ 107,061 |
|
|
|
$ 101,707 |
|
$ 362 |
|
$ (51,937) |
|
$ 296,374 |
|
Adjusted operating |
3,615 |
|
5,228 |
|
4,129 |
|
(1,126) |
|
— |
|
11,846 |
|
|
|
|
|
|
|
|
|
(a) |
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
|
|||||||||||||||
|
|
|||||||||||||||
|
|
|
|
|
|
Change |
||||||||||
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|
Three Months Ended September 30, 2026 vs 2025 |
|
Nine Months Ended September 30, 2026 vs 2025 |
||||||||
|
In millions, except percentages and |
2026 |
|
2025 |
|
2026 |
|
2025 |
|
$ |
|
% |
|
$ |
|
% |
|
Revenues: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Premiums |
$ 34,569 |
|
$ 33,739 |
|
|
|
|
|
$ 830 |
|
2.5 % |
|
$ 2,749 |
|
2.7 % |
|
Services |
1,831 |
|
1,741 |
|
5,459 |
|
5,023 |
|
90 |
|
5.2 % |
|
436 |
|
8.7 % |
|
Net investment income |
455 |
|
513 |
|
1,425 |
|
1,307 |
|
(58) |
|
(11.3) % |
|
118 |
|
9.0 % |
|
Total revenues |
36,855 |
|
35,993 |
|
110,364 |
|
107,061 |
|
862 |
|
2.4 % |
|
3,303 |
|
3.1 % |
|
Health care costs |
31,556 |
|
31,319 |
|
90,827 |
|
90,696 |
|
237 |
|
0.8 % |
|
131 |
|
0.1 % |
|
MBR (Health care costs as a % |
91.3 % |
|
92.8 % |
|
87.8 % |
|
90.0 % |
|
(150) |
bps |
|
(220) |
bps |
||
|
Operating expenses |
|
|
|
|
|
|
$ 13,636 |
|
$ 25 |
|
0.5 % |
|
$ 251 |
|
1.8 % |
|
Operating expenses as a % of |
12.6 % |
|
12.8 % |
|
12.6 % |
|
12.7 % |
|
|
|
|
|
|
|
|
|
Operating income |
$ 653 |
|
$ 53 |
|
$ 5,650 |
|
|
|
$ 600 |
|
1,132.1 % |
|
$ 2,921 |
|
107.0 % |
|
Operating income as a % of |
1.8 % |
|
0.1 % |
|
5.1 % |
|
2.5 % |
|
|
|
|
|
|
|
|
|
Adjusted operating income (1) |
$ 912 |
|
$ 314 |
|
$ 6,379 |
|
|
|
$ 598 |
|
190.4 % |
|
$ 2,764 |
|
76.5 % |
|
Adjusted operating income as a |
2.5 % |
|
0.9 % |
|
5.8 % |
|
3.4 % |
|
|
|
|
|
|
|
|
|
Premium revenues (by business): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Government |
$ 28,108 |
|
$ 25,968 |
|
|
|
$ 76,800 |
|
$ 2,140 |
|
8.2 % |
|
$ 7,585 |
|
9.9 % |
|
Commercial |
6,461 |
|
7,771 |
|
19,095 |
|
23,931 |
|
(1,310) |
|
(16.9) % |
|
(4,836) |
|
(20.2) % |
|
The following table summarizes the Health Care Benefits segment's medical membership for the respective periods: |
|||||||||||||||||||||||
|
|
|||||||||||||||||||||||
|
|
September 30, 2026 |
|
June 30, 2026 |
|
December 31, 2025 |
|
September 30, 2025 |
||||||||||||||||
|
In thousands |
Insured |
|
ASC |
|
Total |
|
Insured |
|
ASC |
|
Total |
|
Insured |
|
ASC |
|
Total |
|
Insured |
|
ASC |
|
Total |
|
Medical membership: (4) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Commercial |
2,565 |
|
15,839 |
|
18,404 |
|
2,487 |
|
15,833 |
|
18,320 |
|
3,447 |
|
15,350 |
|
18,797 |
|
3,536 |
|
15,314 |
|
18,850 |
|
Medicare Advantage |
4,229 |
|
— |
|
4,229 |
|
4,202 |
|
— |
|
4,202 |
|
4,267 |
|
— |
|
4,267 |
|
4,266 |
|
— |
|
4,266 |
|
Medicare Supplement |
1,164 |
|
— |
|
1,164 |
|
1,176 |
|
— |
|
1,176 |
|
1,202 |
|
— |
|
1,202 |
|
1,221 |
|
— |
|
1,221 |
|
Medicaid |
1,961 |
|
362 |
|
2,323 |
|
1,964 |
|
361 |
|
2,325 |
|
1,952 |
|
373 |
|
2,325 |
|
1,978 |
|
388 |
|
2,366 |
|
Total medical membership |
9,919 |
|
16,201 |
|
26,120 |
|
9,829 |
|
16,194 |
|
26,023 |
|
10,868 |
|
15,723 |
|
26,591 |
|
11,001 |
|
15,702 |
|
26,703 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Supplemental membership information: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
Medicare Prescription Drug Plan (stand-alone) |
3,858 |
|
|
|
|
|
3,870 |
|
|
|
|
|
4,041 |
|
|
|
|
|
4,056 |
||||
|
The following table summarizes the Health Care Benefits segment's days claims payable for the respective periods: |
|||||||
|
|
|||||||
|
|
September 30, 2026 |
|
June 30, 2026 |
|
December 31, 2025 |
|
September 30, 2025 |
|
Days Claims Payable (7) |
41.9 |
|
41.7 |
|
38.9 |
|
42.5 |
|
Supplemental Information (Unaudited) |
|||||||||||||||
|
|
|||||||||||||||
|
Health Services segment The following table summarizes the Health Services segment's performance for the respective periods: |
|||||||||||||||
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
Change |
||||||||
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|
Three Months Ended September 30, 2026 vs 2025 |
|
Nine Months Ended September 30, 2026 vs 2025 |
||||||||
|
In millions, except percentages |
2026 |
|
2025 |
|
2026 |
|
2025 |
|
$ |
|
% |
|
$ |
|
% |
|
Revenues: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Products |
|
|
|
|
$ 146,433 |
|
$ 132,125 |
|
$ 4,724 |
|
10.1 % |
|
$ 14,308 |
|
10.8 % |
|
Services |
2,473 |
|
2,500 |
|
7,564 |
|
7,046 |
|
(27) |
|
(1.1) % |
|
518 |
|
7.4 % |
|
Net investment income (loss) |
— |
|
(1) |
|
(1) |
|
10 |
|
1 |
|
100.0 % |
|
(11) |
|
(110.0) % |
|
Total revenues |
53,964 |
|
49,266 |
|
153,996 |
|
139,181 |
|
4,698 |
|
9.5 % |
|
14,815 |
|
10.6 % |
|
Cost of products sold |
49,711 |
|
45,230 |
|
142,338 |
|
128,425 |
|
4,481 |
|
9.9 % |
|
13,913 |
|
10.8 % |
|
Health care costs |
1,346 |
|
1,291 |
|
3,998 |
|
3,439 |
|
55 |
|
4.3 % |
|
559 |
|
16.3 % |
|
Gross profit (8) |
2,907 |
|
2,745 |
|
7,660 |
|
7,317 |
|
162 |
|
5.9 % |
|
343 |
|
4.7 % |
|
Gross margin (Gross profit as a |
5.4 % |
|
5.6 % |
|
5.0 % |
|
5.3 % |
|
|
|
|
|
|
|
|
|
Operating expenses |
$ 927 |
|
$ 919 |
|
$ 2,730 |
|
$ 3,162 |
|
$ 8 |
|
0.9 % |
|
$ (432) |
|
(13.7) % |
|
Operating expenses as a % |
1.7 % |
|
1.9 % |
|
1.8 % |
|
2.3 % |
|
|
|
|
|
|
|
|
|
Goodwill impairment |
$ — |
|
$ 5,725 |
|
$ — |
|
$ 5,725 |
|
|
|
(100.0) % |
|
|
|
(100.0) % |
|
Operating income (loss) |
1,980 |
|
(3,899) |
|
4,930 |
|
(1,570) |
|
5,879 |
|
150.8 % |
|
6,500 |
|
414.0 % |
|
Operating income (loss) as a % |
3.7 % |
|
(7.9) % |
|
3.2 % |
|
(1.1) % |
|
|
|
|
|
|
|
|
|
Adjusted operating income (1) |
$ 2,106 |
|
$ 2,050 |
|
$ 5,328 |
|
$ 5,228 |
|
$ 56 |
|
2.7 % |
|
$ 100 |
|
1.9 % |
|
Adjusted operating income as a |
3.9 % |
|
4.2 % |
|
3.5 % |
|
3.8 % |
|
|
|
|
|
|
|
|
|
Pharmacy claims processed (5) (6) |
481.7 |
|
475.6 |
|
1,419.4 |
|
1,408.8 |
|
6.1 |
|
1.3 % |
|
10.6 |
|
0.8 % |
|
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 September 30, |
|
Nine Months Ended September 30, |
|
Three Months Ended September 30, 2026 vs 2025 |
|
Nine Months Ended September 30, 2026 vs 2025 |
||||||||
|
In millions, except percentages |
2026 |
|
2025 |
|
2026 |
|
2025 |
|
$ |
|
% |
|
$ |
|
% |
|
Revenues: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Products |
|
|
|
|
|
|
|
|
$ (696) |
|
(2.0) % |
|
$ (432) |
|
(0.4) % |
|
Services |
691 |
|
711 |
|
2,005 |
|
1,977 |
|
(20) |
|
(2.8) % |
|
28 |
|
1.4 % |
|
Total revenues |
35,498 |
|
36,214 |
|
101,303 |
|
101,707 |
|
(716) |
|
(2.0) % |
|
(404) |
|
(0.4) % |
|
Cost of products sold |
28,700 |
|
29,647 |
|
81,772 |
|
83,005 |
|
(947) |
|
(3.2) % |
|
(1,233) |
|
(1.5) % |
|
Gross profit (8) |
6,798 |
|
6,567 |
|
19,531 |
|
18,702 |
|
231 |
|
3.5 % |
|
829 |
|
4.4 % |
|
Gross margin (Gross profit as a |
19.2 % |
|
18.1 % |
|
19.3 % |
|
18.4 % |
|
|
|
|
|
|
|
|
|
Operating expenses |
|
|
$ 5,153 |
|
|
|
|
|
$ 72 |
|
1.4 % |
|
$ (275) |
|
(1.8) % |
|
Operating expenses as a % of |
14.7 % |
|
14.2 % |
|
15.2 % |
|
15.4 % |
|
|
|
|
|
|
|
|
|
Operating income |
|
|
$ 1,414 |
|
$ 4,118 |
|
$ 3,014 |
|
$ 159 |
|
11.2 % |
|
$ 1,104 |
|
36.6 % |
|
Operating income as a % of |
4.4 % |
|
3.9 % |
|
4.1 % |
|
3.0 % |
|
|
|
|
|
|
|
|
|
Adjusted operating income (1) |
|
|
$ 1,478 |
|
$ 4,307 |
|
$ 4,129 |
|
$ 157 |
|
10.6 % |
|
$ 178 |
|
4.3 % |
|
Adjusted operating income as a |
4.6 % |
|
4.1 % |
|
4.3 % |
|
4.1 % |
|
|
|
|
|
|
|
|
|
Revenues (by major |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Pharmacy |
|
|
|
|
|
|
|
|
$ (703) |
|
(2.3) % |
|
$ (506) |
|
(0.6) % |
|
Front Store |
5,164 |
|
5,192 |
|
15,830 |
|
15,803 |
|
(28) |
|
(0.5) % |
|
27 |
|
0.2 % |
|
Other |
609 |
|
594 |
|
1,844 |
|
1,769 |
|
15 |
|
2.5 % |
|
75 |
|
4.2 % |
|
Prescriptions filled (5) (6) |
470.0 |
|
461.4 |
|
1,378.2 |
|
1,335.0 |
|
8.6 |
|
1.9 % |
|
43.2 |
|
3.2 % |
|
Same store sales increase |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
(0.6) % |
|
14.3 % |
|
1.5 % |
|
14.6 % |
|
|
|
|
|
|
|
|
|
Pharmacy |
(0.6) % |
|
16.8 % |
|
1.7 % |
|
17.5 % |
|
|
|
|
|
|
|
|
|
Front Store |
(0.6) % |
|
1.5 % |
|
0.5 % |
|
1.5 % |
|
|
|
|
|
|
|
|
|
Prescription volume (6) |
3.9 % |
|
8.9 % |
|
5.8 % |
|
7.3 % |
|
|
|
|
|
|
|
|
|
Adjusted Earnings Per Share Guidance (Unaudited) |
|||
|
|
|||
|
The following reconciliations of projected net income attributable to CVS Health to projected adjusted income |
|||
|
|
|||
|
|
Year Ending December 31, 2026 |
||
|
|
At Least |
||
|
In millions, except per share amounts |
Total |
|
Per |
|
Net income attributable to CVS Health (GAAP measure) |
$ 9,002 |
|
$ 6.98 |
|
Non-GAAP adjustments: |
|
|
|
|
Amortization of intangible assets |
1,730 |
|
1.34 |
|
Net realized capital losses |
26 |
|
0.02 |
|
Acquisition-related integration costs |
80 |
|
0.06 |
|
Omnicare guarantee |
193 |
|
0.15 |
|
Tax impact of non-GAAP adjustments |
(460) |
|
(0.35) |
|
Adjusted income attributable to CVS Health (2) |
$ 10,571 |
|
$ 8.20 |
|
|
|
|
|
|
Weighted average diluted shares outstanding |
|
|
1,289 |
Endnotes
(1) The Company defines adjusted operating income 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, such as acquisition-related integration costs, the Omnicare guarantee, goodwill impairment charges, Health Care Delivery clinic closure charges, opioid litigation charges, certain legacy litigation charges, losses on Accountable Care assets and office real estate optimization charges. The chief operating decision maker (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 (loss). See "Non-GAAP Financial Information" earlier in this press release for additional information regarding the items excluded from consolidated operating income (loss) in determining consolidated adjusted operating income.
(2) GAAP diluted earnings (loss) per share and Adjusted EPS, respectively, are calculated by dividing net income (loss) 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 (loss) 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, the Omnicare guarantee, goodwill impairment charges, Health Care Delivery clinic closure charges, opioid litigation charges, certain legacy litigation charges, losses on Accountable Care assets, office real estate optimization charges, the gain on deconsolidation of subsidiary, as well as the corresponding income tax benefit or expense related to the items excluded from adjusted income attributable to CVS Health. Adjusted EPS for the three and nine months ended September 30, 2025 is calculated utilizing weighted average diluted shares outstanding, which include potential common shares in each period, as the impact of the potential common shares was dilutive. The potential common shares were excluded from the calculations of GAAP loss per share for the three and nine months ended September 30, 2025, as the shares would have had an anti-dilutive effect as a result of the GAAP net loss in each period. See "Non-GAAP Financial Information" earlier in this press release for additional information regarding the items excluded from net income (loss) 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 one of the indicators of the adequacy of the health care costs payable liability at the end of each quarter.
(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) 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.

View original content to download multimedia:https://www.prnewswire.com/news-releases/cvs-health-corporation-reports-third-quarter-2026-results-and-raises-full-year-2026-guidance-302928358.html
SOURCE CVS Health
FAQ
AI-generated questions and answers. How Rhea-AI works. Not financial advice.
What is CVS Health's updated full-year 2026 guidance?
CVS Health projects GAAP diluted EPS of at least $6.98, adjusted EPS of at least $8.20 and operating cash flow of at least $15.5 billion. Previous guidance was $6.84–$7.04, $7.90–$8.10 and at least $11.5 billion, respectively. Full-year revenue is projected at at least $420.0 billion.
How did CVS Health perform in the third quarter of 2026?
CVS Health reported $108.4 billion in revenue, up 5.4% year over year, with GAAP diluted EPS of $1.68 and adjusted EPS of $2.09. A year earlier, GAAP loss per share was $3.13 and adjusted EPS was $1.60. The prior-year quarter included a $5.7 billion goodwill impairment charge.
What drove CVS Health's Pharmacy & Consumer Wellness profit growth despite lower revenue?
Core pharmacy performance and contributions from the Rite Aid asset acquisitions drove 10.6% growth in third-quarter adjusted operating income. Continued business investments and consumer dynamics partially offset those gains. Revenue fell 2.0%, primarily because of regulatory-related price reductions on certain drugs, recent generic introductions and pharmacy reimbursement pressure.
What drove CVS Health's Health Services growth in the third quarter of 2026?
Pharmacy drug mix and brand inflation primarily drove 9.5% revenue growth, while improved purchasing economics and pharmacy drug mix primarily drove 2.7% adjusted operating income growth. Continued pharmacy client price improvements partially offset both increases. Pharmacy claims processed rose 1.3% on a 30-day equivalent basis.