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CVS HEALTH CORPORATION REPORTS SECOND QUARTER 2025 RESULTS AND UPDATES FULL-YEAR 2025 GUIDANCE Financial Highlights Second quarter total revenues increased to $98.9 billion, up 8.4% compared to prior year Second quarter

Key Takeaway: CVS Health Corporation reported its Q2 2025 financial results, showing total revenues of $98.9 billion, an 8.4% increase year-over-year. Despite a drop in GAAP diluted EPS to $0.80 due to litigation charges, the company raised its Adjusted EPS guidance. Significant operational highlights include CVS Pharmacy's planned acquisition of Rite Aid stores and a $20 billion commitment to improving U.S. healthcare systems over the next decade. The company faces challenges with decreasing operating income and medical membership, which could impact future performance.

Market Sentiment Analysis

POSITIVE FACTORS

  • Total revenues increased by 8.4% to $98.9 billion compared to the prior year.
  • Revised Adjusted EPS guidance was raised to $6.30 to $6.40.
  • The company announced a commitment of $20 billion over the next decade to improve the U.S. health system.

CONCERNS & RISKS

  • GAAP diluted EPS decreased from $1.41 to $0.80, impacted by litigation charges.
  • Operating income decreased by 21.8% primarily due to litigation expenses.
  • Medical membership decreased by 358,000 members compared to the previous quarter.

Full Press Release Details

CVS HEALTH CORPORATION REPORTS SECOND QUARTER 2025 RESULTS AND UPDATES FULL-YEAR 2025 GUIDANCE
Financial Highlights
Second quarter total revenues increased to $98.9 billion, up 8.4% compared to prior year Second quarter GAAP diluted EPS of $0.80 and Adjusted EPS of $1.81 Generated year-to-date cash flow from operations of $6.5 billion
Operational Highlights
Aetna delivers distinctive advances in care navigation CVS Pharmacy agreed to acquire certain prescription files and store locations from Rite Aid CVS Caremark demonstrates market-leading innovation in strong renewal and sales season
2025 Full-Year Guidance
Revised GAAP diluted EPS guidance range to $3.84 to $3.94 from $4.23 to $4.43 Raised Adjusted EPS guidance range to $6.30 to $6.40 from $6.00 to $6.20 Raised cash flow from operations guidance to at least $7.5 billion from approximately $7.0 billion
CEO Commentary
"What people want most - a connected, simpler health care experience - is what CVS Health uniquely provides. For the 185 million people we serve, we deliver better access, greater affordability and aligned advocacy. Our strong performance demonstrates the continued focus we have on operational and financial improvement across our businesses, led by a significant and durable recovery at Aetna, strong retention at CVS Caremark and growth and momentum at CVS Pharmacy." - David Joyner, CVS Health President and CEO
WOONSOCKET, RHODE ISLAND, July 31, 2025 - CVS Health Corporation (NYSE CVS) today announced operating results for the three months ended June 30, 2025.
Financial Results Summary
Three Months Ended June 30,
In millions, except per share amounts 2025 2024 Change
Total revenues $ 98,915 $ 91,234 $ 7,681
Operating income 2,381 3,045 (664)
Adjusted operating income (1) 3,808 3,744 64
Diluted earnings per share $ 0.80 $ 1.41 $ (0.61)
Adjusted EPS (2) $ 1.81 $ 1.83 $ (0.02)
Second quarter GAAP diluted EPS of $0.80 decreased from $1.41 in the prior year, reflecting the impact of two litigation charges associated with the Company's past business practices recorded during three months ended June 30, 2025. Adjusted EPS of $1.81 remained relatively consistent compared to the prior year. The Company's financial results reflect improved operating performance in the Health Care Benefits and Pharmacy Consumer Wellness segments, largely offset by a decline in the Health Services segment.
"We are encouraged by a second consecutive quarter of solid 2025 results, while we continue to navigate a dynamic environment," said Brian Newman, Chief Financial Officer of CVS Health. "As we execute against our strategic priorities, we remain focused on delivering on our financial commitments and advancing initiatives that create long-term value for our stakeholders."
The Company's full-year 2025 guidance updates reflect second quarter performance in the Health Care Benefits and Pharmacy Consumer Wellness segments, partially offset by a decrease in the Health Services segment.
Consolidated second quarter results
Three Months Ended June 30, Six Months Ended June 30,
In millions, except per share amounts 2025 2024 Change 2025 2024 Change
Total revenues $ 98,915 $ 91,234 $ 7,681 $ 193,503 $ 179,671 $ 13,832
Operating income 2,381 3,045 (664) 5,755 5,316 439
Adjusted operating income (1) 3,808 3,744 64 8,387 6,701 1,686
Net income 1,013 1,768 (755) 2,795 2,892 (97)
Diluted earnings per share $ 0.80 $ 1.41 $ (0.61) $ 2.21 $ 2.28 $ (0.07)
Adjusted EPS (2) $ 1.81 $ 1.83 $ (0.02) $ 4.06 $ 3.14 $ 0.92
For the three months ended June 30, 2025 compared to the prior year
Total revenues increased 8.4% driven by revenue growth across all operating segments.
Operating income decreased 21.8% primarily due to $833 million in litigation charges recorded during the three months ended June 30, 2025 related to two court decisions associated with the Company's past business practices, partially offset by a decrease in acquisition-related integration costs compared to the prior year and the increase in adjusted operating income described below.
Adjusted operating income increased 1.7% driven by increases in the Health Care Benefits and Pharmacy Consumer Wellness segments, largely offset by a decline in the Health Services segment. See pages 3 through 5 for additional discussion of the adjusted operating income performance of the Company's segments.
Interest expense increased $31 million, or 4.2%, due to higher debt in the three months ended June 30, 2025, primarily as a result of long-term debt issued in December of 2024.
The effective income tax rate increased to 38.5% compared to 24.3% primarily due to the impact of non-deductible litigation charges recorded in the three months ended June 30, 2025.
Operational Highlights
The Company announced it will commit $20.0 billion over the next decade to simplify the U.S. health system for the American consumer. Specifically, the Company is committed to advancing interoperability between members, patients caregivers, health care providers and appropriate community resource entities to foster collaboration, improve member outcomes and increase satisfaction.
Brian Newman joined CVS Health as Executive Vice President and Chief Financial Officer. He was most recently Executive Vice President and Chief Financial Officer of United Parcel Service. Amy Compton-Phillips, MD, joined CVS Health as Executive Vice President and Chief Medical Officer. She was most recently Chief Physician Executive of Press Ganey, a health care performance improvement company.
Aetna will support initiatives championed by trade association America's Health Insurance Plans to improve the experience of doctors and patients. Aetna is also leading the market through a comprehensive strategy to advance advocacy, making it easier to navigate health care - reducing reviews, simplifying care site transitions and putting technology to work for health care professionals and their patients.
CVS Pharmacy has agreed to acquire the prescription files of certain Rite Aid pharmacies across 15 states in areas that CVS serves, as well as acquire and operate certain Rite Aid stores in Idaho, Oregon and Washington. The closings are underway. Each remains subject to the satisfaction of customary closing conditions. The Company is well-positioned to serve its existing customers and patients, as well as those who may be transitioning from Rite Aid, and is excited to introduce Rite Aid customers to CVS Pharmacy's best-in-class front store and pharmacy offerings.
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 six months ended June 30, 2025 and 2024 were as follows
Three Months Ended June 30, Six Months Ended June 30,
In millions, except percentages 2025 2024 Change 2025 2024 Change
Total revenues $ 36,258 $ 32,475 $ 3,783 $ 71,068 $ 64,711 $ 6,357
Adjusted operating income (1) 1,308 938 370 3,301 1,670 1,631
Medical benefit ratio ("MBR") (3) 89.9 % 89.6 % 0.3 % 88.6 % 90.0 % (1.4) %
Medical membership (4) 26.7 27.0 (0.3)
Total revenues increased 11.6% for the three months ended June 30, 2025 compared to the prior year primarily driven by increases in the Government business, largely due to the impact of the Inflation Reduction Act on the Medicare Part D program.
Adjusted operating income increased 39.4% for the three months ended June 30, 2025 compared to the prior year primarily driven by the favorable year-over-year impact of changes to the Company's individual exchange business risk adjustment estimates, improved underlying performance in the Government business and higher favorable prior period development. These increases were partially offset by the premium deficiency reserve described below.
During the second quarter of 2025, in light of continued utilization pressure, the Company recorded a premium deficiency reserve of $471 million to health care costs in its Group Medicare Advantage product line related to anticipated losses for the remainder of the 2025 coverage year.
The MBR increased to 89.9% in the three months ended June 30, 2025 compared to 89.6% in the prior year driven by the $471 million (140 basis points) premium deficiency reserve recorded as health care costs described above, largely offset by the favorable year-over-year impact of changes to the Company's individual exchange business risk adjustment estimates.
Medical membership as of June 30, 2025 of 26.7 million decreased 358,000 members compared with March 31, 2025, reflecting the previously announced membership declines in the individual exchange product line.
Prior years' health care costs payable estimates developed favorably by $1.9 billion during the six months ended June 30, 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 40.9 days as of June 30, 2025, a decrease of 2.3 days compared to March 31, 2025. The decrease was primarily driven by a higher mix of pharmacy costs, partially offset by the impact of the Group Medicare Advantage premium deficiency reserve recorded as health care costs in the second quarter of 2025 discussed above.
See the supplemental information on page 17 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 and six months ended June 30, 2025 and 2024 were as follows
Three Months Ended June 30, Six Months Ended June 30,
In millions 2025 2024 Change 2025 2024 Change
Total revenues $ 46,453 $ 42,171 $ 4,282 $ 89,915 $ 82,456 $ 7,459
Adjusted operating income (1) 1,575 1,915 (340) 3,178 3,278 (100)
Pharmacy claims processed (5) (6) 469.0 471.2 (2.2) 933.2 934.1 (0.9)
Total revenues increased 10.2% for the three months ended June 30, 2025 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 decreased 17.8% for the three months ended June 30, 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 remained relatively consistent on a 30-day equivalent basis for the three months ended June 30, 2025 compared to the prior year.
See the supplemental information on page 18 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 services to long-term care facilities and pharmacy fulfillment services to support the Health Services segment's specialty and mail order pharmacy offerings. The segment results for the three and six months ended June 30, 2025 and 2024 were as follows
Three Months Ended June 30, Six Months Ended June 30,
In millions 2025 2024 Change 2025 2024 Change
Total revenues $ 33,581 $ 29,838 $ 3,743 $ 65,493 $ 58,563 $ 6,930
Adjusted operating income (1) 1,338 1,243 95 2,651 2,420 231
Prescriptions filled (5) (6) 438.1 420.4 17.7 873.6 838.0 35.6
Total revenues increased 12.5% for the three months ended June 30, 2025 compared to the prior year primarily driven by pharmacy drug mix and increased prescription and front store volume, partially offset by continued pharmacy reimbursement pressure.
Adjusted operating income increased 7.6% for the three months ended June 30, 2025 compared to the prior year primarily driven by increased prescription and front store volume, partially offset by continued pharmacy reimbursement pressure.
Prescriptions filled increased 4.2% on a 30-day equivalent basis for the three months ended June 30, 2025 compared to the prior year primarily driven by increased utilization.
Same store prescription volume(6)(11) increased 6.4% on a 30-day equivalent basis for the three months ended June 30, 2025 compared to the prior year.
See the supplemental information on page 19 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 second 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 11 and endnotes beginning on page 23 for explanations of non-GAAP financial measures presented in this press release. See pages 13 through 15 and page 22 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 June 30, 2025, the Company had approximately 9,000 retail pharmacy locations, more than 1,000 walk-in and primary care medical clinics, a leading pharmacy benefits manager with approximately 87 million plan members, and a dedicated senior pharmacy care business serving more than 800,000 patients per year. 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 "2025 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 Report on Form 10-Q for the quarterly periods ended March 31, 2025 and June 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, Chief Strategy Officer and
Chief Strategic Advisor to the CEO (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 June 30, Six Months Ended June 30,
In millions, except per share amounts 2025 2024 2025 2024
Revenues
Products $ 60,607 $ 56,212 $ 118,276 $ 109,936
Premiums 34,195 30,667 67,015 61,058
Services 3,626 3,961 7,205 7,829
Net investment income 487 394 1,007 848
Total revenues 98,915 91,234 193,503 179,671
Operating costs
Cost of products sold 54,005 49,998 105,062 98,071
Health care costs 31,317 27,853 60,452 55,656
Operating expenses 11,212 10,338 22,234 20,628
Total operating costs 96,534 88,189 187,748 174,355
Operating income 2,381 3,045 5,755 5,316
Interest expense 763 732 1,548 1,448
Other income (29) (24) (57) (49)
Income before income tax provision 1,647 2,337 4,264 3,917
Income tax provision 634 569 1,469 1,025
Net income 1,013 1,768 2,795 2,892
Net (income) loss attributable to noncontrolling interests 8 2 5 (9)
Net income attributable to CVS Health $ 1,021 $ 1,770 $ 2,800 $ 2,883
Net income per share attributable to CVS Health
Basic $ 0.81 $ 1.41 $ 2.22 $ 2.29
Diluted $ 0.80 $ 1.41 $ 2.21 $ 2.28
Weighted average shares outstanding
Basic 1,266 1,256 1,264 1,258
Diluted 1,270 1,259 1,267 1,263
CVS HEALTH CORPORATION
Condensed Consolidated Balance Sheets
In millions June 30, 2025 December 31, 2024
Assets
Cash and cash equivalents $ 11,787 $ 8,586
Investments 2,386 2,407
Accounts receivable, net 40,651 36,469
Inventories 17,447 18,107
Other current assets 3,378 3,076
Total current assets 75,649 68,645
Long-term investments 29,858 28,934
Property and equipment, net 12,825 12,993
Operating lease right-of-use assets 15,512 15,944
Goodwill 91,203 91,272
Intangible assets, net 26,224 27,323
Separate accounts assets 1,858 3,311
Other assets 5,214 4,793
Total assets $ 258,343 $ 253,215
Liabilities
Accounts payable $ 17,258 $ 15,892
Pharmacy claims and discounts payable 26,338 24,166
Health care costs payable 15,271 15,064
Accrued expenses and other current liabilities 23,101 20,810
Other insurance liabilities 1,088 1,183
Current portion of operating lease liabilities 1,906 1,751
Short-term debt 3,040 2,119
Current portion of long-term debt 6,160 3,624
Total current liabilities 94,162 84,609
Long-term operating lease liabilities 14,328 14,899
Long-term debt 57,290 60,527
Deferred income taxes 3,603 3,806
Separate accounts liabilities 1,858 3,311
Other long-term insurance liabilities 4,769 4,902
Other long-term liabilities 4,782 5,431
Total liabilities 180,792 177,485
Shareholders' equity
Preferred stock - -
Common stock and capital surplus 50,020 49,661
Treasury stock (36,849) (36,818)
Retained earnings 63,936 62,837
Accumulated other comprehensive income (loss) 272 (120)
Total CVS Health shareholders' equity 77,379 75,560
Noncontrolling interests 172 170
Total shareholders' equity 77,551 75,730
Total liabilities and shareholders' equity $ 258,343 $ 253,215
CVS HEALTH CORPORATION
Condensed Consolidated Statements of Cash Flows
Six Months Ended June 30,
In millions 2025 2024
Cash flows from operating activities
Cash receipts from customers $ 186,500 $ 173,728
Cash paid for inventory, prescriptions dispensed and health services rendered (101,198) (90,845)
Insurance benefits paid (58,844) (52,485)
Cash paid to other suppliers and employees (18,630) (21,124)
Interest and investment income received 972 839
Interest paid (1,484) (1,392)
Income taxes paid (863) (729)
Net cash provided by operating activities 6,453 7,992
Cash flows from investing activities
Proceeds from sales and maturities of investments 6,866 4,418
Purchases of investments (7,186) (6,781)
Purchases of property and equipment (1,350) (1,343)
Acquisitions (net of cash and restricted cash acquired) (139) (73)
Other 23 60
Net cash used in investing activities (1,786) (3,719)
Cash flows from financing activities
Commercial paper borrowings (repayments), net 921 (200)
Proceeds from issuance of long-term debt - 4,959
Repayments of long-term debt (762) (37)
Repurchase of common stock - (3,024)
Dividends paid (1,706) (1,698)
Proceeds from exercise of stock options 191 228
Payments for taxes related to net share settlement of equity awards (125) (176)
Other (45) (30)
Net cash provided by (used in) financing activities (1,526) 22
Net increase in cash, cash equivalents and restricted cash 3,141 4,295
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 $ 12,025 $ 12,820
CVS HEALTH CORPORATION
Condensed Consolidated Statements of Cash Flows
Six Months Ended June 30,
In millions 2025 2024
Reconciliation of net income to net cash provided by operating activities
Net income $ 2,795 $ 2,892
Adjustments required to reconcile net income to net cash provided by operating activities
Depreciation and amortization 2,325 2,289
Stock-based compensation 262 270
Loss on sale of subsidiary 236 -
Deferred income taxes and other items (283) (341)
Change in operating assets and liabilities, net of effects from acquisitions
Accounts receivable, net (4,139) 2,798
Inventories 671 1,937
Other assets (969) (2,241)
Accounts payable and pharmacy claims and discounts payable 3,831 1,191
Health care costs payable and other insurance liabilities (34) 1,581
Other liabilities 1,758 (2,384)
Net cash provided by operating activities $ 6,453 $ 7,992
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 second 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 six months ended June 30, 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 three and six months ended June 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 in response to its ongoing flexible work arrangement. The office real estate optimization charges are reflected in operating expenses within each segment.
During the three and six months ended June 30, 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, L.L.C. (f k a Omnicare, Inc., "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 three months ended June 30, 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. The Company intends to appeal the verdict once the judgment is entered.
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 three months ended June 30, 2025. This litigation charge is reflected in operating expenses within the Health Services segment. The judgment will not be final until the Court enters penalties at a later date. The Company intends to appeal the decision once the judgment is entered.
During the three and six months ended June 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, 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 six months ended June 30, 2024, the opioid litigation charge relates to a change in the Company's accrual related to ongoing opioid litigation matters.
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 23 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 13 through 15 and page 22.
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 June 30, 2025
In millions Health Care Benefits Health Services Pharmacy Consumer Wellness Corporate Other Consolidated Totals
Operating income (loss) (GAAP measure) $ 1,002 $ 1,102 $ 736 $ (459) $ 2,381
Amortization of intangible assets 293 141 60 - 494
Net realized capital losses 13 - - 14 27
Acquisition-related integration costs - - - 28 28
Office real estate optimization charges - - - 4 4
Legacy litigation charges - 291 542 - 833
Loss on Accountable Care assets - 41 - - 41
Adjusted operating income (loss) (1) $ 1,308 $ 1,575 $ 1,338 $ (413) $ 3,808
Three Months Ended June 30, 2024
In millions Health Care Benefits Health Services Pharmacy Consumer Wellness Corporate Other Consolidated Totals
Operating income (loss) (GAAP measure) $ 574 $ 1,766 $ 1,179 $ (474) $ 3,045
Amortization of intangible assets 293 149 64 1 507
Net realized capital losses 71 - - 19 90
Acquisition-related integration costs - - - 102 102
Adjusted operating income (loss) (1) $ 938 $ 1,915 $ 1,243 $ (352) $ 3,744
Six Months Ended June 30, 2025
In millions Health Care Benefits Health Services Pharmacy Consumer Wellness Corporate Other Consolidated Totals
Operating income (loss) (GAAP measure) $ 2,676 $ 2,329 $ 1,600 $ (850) $ 5,755
Amortization of intangible assets 587 285 120 1 993
Net realized capital (gains) losses 34 (15) - 29 48
Acquisition-related integration costs - - - 73 73
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) $ 3,301 $ 3,178 $ 2,651 $ (743) $ 8,387
Six Months Ended June 30, 2024
In millions Health Care Benefits Health Services Pharmacy Consumer Wellness Corporate Other Consolidated Totals
Operating income (loss) (GAAP measure) $ 1,002 $ 2,979 $ 2,292 $ (957) $ 5,316
Amortization of intangible assets 587 299 128 1 1,015
Net realized capital losses 81 - - 27 108
Acquisition-related integration costs - - - 162 162
Opioid litigation charge - - - 100 100
Adjusted operating income (loss) (1) $ 1,670 $ 3,278 $ 2,420 $ (667) $ 6,701
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 EPS and Adjusted EPS
Three Months Ended June 30, 2025 Three Months Ended June 30, 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) $ 1,021 $ 0.80 $ 1,770 $ 1.41
Amortization of intangible assets 494 0.39 507 0.40
Net realized capital losses 27 0.02 90 0.07
Acquisition-related integration costs 28 0.02 102 0.08
Office real estate optimization charges 4 - - -
Legacy litigation charges 833 0.66 - -
Loss on Accountable Care assets 41 0.03 - -
Tax impact of non-GAAP adjustments (144) (0.11) (163) (0.13)
Adjusted income attributable to CVS Health (2) $ 2,304 $ 1.81 $ 2,306 $ 1.83
Weighted average diluted shares outstanding 1,270 1,259
Six Months Ended June 30, 2025 Six Months Ended June 30, 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) $ 2,800 $ 2.21 $ 2,883 $ 2.28
Amortization of intangible assets 993 0.78 1,015 0.80
Net realized capital losses 48 0.04 108 0.09
Acquisition-related integration costs 73 0.06 162 0.13
Office real estate optimization charges 10 0.01 - -
Legacy litigation charges 1,220 0.96 - -
Loss on Accountable Care assets 288 0.23 - -
Opioid litigation charge - - 100 0.08
Tax impact of non-GAAP adjustments (284) (0.23) (305) (0.24)
Adjusted income attributable to CVS Health (2) $ 5,148 $ 4.06 $ 3,963 $ 3.14
Weighted average diluted shares outstanding 1,267 1,263
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 (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
June 30, 2025
Total revenues $ 36,258 $ 46,453 $ 33,581 $ 96 $ (17,473) $ 98,915
Adjusted operating income (loss) (1) 1,308 1,575 1,338 (413) - 3,808
June 30, 2024
Total revenues $ 32,475 $ 42,171 $ 29,838 $ 111 $ (13,361) $ 91,234
Adjusted operating income (loss) (1) 938 1,915 1,243 (352) - 3,744
Six Months Ended
June 30, 2025
Total revenues $ 71,068 $ 89,915 $ 65,493 $ 229 $ (33,202) $ 193,503
Adjusted operating income (loss) (1) 3,301 3,178 2,651 (743) - 8,387
June 30, 2024
Total revenues $ 64,711 $ 82,456 $ 58,563 $ 226 $ (26,285) $ 179,671
Adjusted operating income (loss) (1) 1,670 3,278 2,420 (667) - 6,701
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(a)Total revenues of the Health Services segment include approximately $2.7 billion and $2.8 billion of retail co-payments for the three months ended June 30, 2025 and 2024, respectively, and $6.4 billion and $6.2 billion of retail co-payments for the six months ended June 30, 2025 and 2024, respectively.

Frequently Asked Questions

What was CVS Health's total revenue for Q2 2025?

CVS Health reported total revenues of $98.9 billion for Q2 2025.

How did CVS Health adjust its EPS guidance for 2025?

CVS Health revised its GAAP diluted EPS guidance to $3.84 to $3.94 for 2025.

What recent acquisition did CVS Pharmacy announce?

CVS Pharmacy plans to acquire certain prescription files and stores from Rite Aid.

What is CVS Health's commitment regarding the U.S. health system?

CVS Health is committing $20 billion to simplify the U.S. health system over a decade.

What was the adjusted EPS reported for Q2 2025?

The adjusted EPS reported for CVS Health in Q2 2025 was $1.81.

Last updated: Jul 31, 2025