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

Key Takeaway: CVS Health Corporation reported robust financial results for the fourth quarter and full-year 2025, with total revenues increasing to $105.7 billion in Q4 and a record high of $402.1 billion for the year. The company posted a GAAP diluted EPS of $2.30 for Q4 and an adjusted EPS of $6.75 for the full year, although the adjusted EPS saw a slight decline compared to the previous year. Despite strong revenue growth, CVS faced challenges, including a significant drop in operating income primarily due to impaired assets and litigation costs. The company reaffirmed its guidance for 2026, positioning itself strongly within the health care sector.

Market Sentiment Analysis

POSITIVE FACTORS

  • Total revenues reached a record high of $402.1 billion, marking an increase of 7.8% compared to the prior year.
  • GAAP diluted EPS for the fourth quarter increased by $1.00 compared to the previous year.
  • CVS Pharmacy successfully transitioned to cost-based reimbursement, enhancing operational efficiency.
  • Aetna improved approval rates for prior authorizations, enhancing customer experience.

CONCERNS & RISKS

  • Adjusted EPS for the fourth quarter decreased by $0.10 from the prior year.
  • Operating income showed a significant decline, down 10.8% in Q4 and 45.3% for the full year due to substantial impairments and litigation charges.
  • The company faces challenges with decreases in medical membership and costs associated with prior year adjustments.

Full Press Release Details

CVS HEALTH CORPORATION REPORTS FOURTH QUARTER AND FULL-YEAR 2025 RESULTS
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, RHODE ISLAND, February 10, 2026 - 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.
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.
Investor Contact Larry McGrath Executive Vice President, Capital Markets (800) 201-0938
Media Contact Ethan Slavin Executive Director, Corporate Communications (860) 273-6095
CVS HEALTH CORPORATION
Condensed Consolidated Statements of Operations
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
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
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
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
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
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
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

Frequently Asked Questions

What were CVS Health's total revenues in Q4 2025?

CVS Health's total revenues in Q4 2025 reached $105.7 billion.

How did the GAAP diluted EPS change year-over-year?

GAAP diluted EPS increased from $1.30 in 2024 to $2.30 in 2025.

What is CVS's adjusted EPS guidance for 2026?

CVS confirmed its adjusted EPS guidance for 2026 is between $7.00 and $7.20.

What was the net income in Q4 2025?

The net income in Q4 2025 was $2.9 billion, up from $1.6 billion in Q4 2024.

How much cash flow from operations did CVS generate in 2025?

CVS generated $10.6 billion in cash flow from operations in 2025.

Last updated: Feb 10, 2026