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CVS HEALTH CORPORATION REPORTS THIRD QUARTER 2025 RESULTS AND UPDATES FULL-YEAR 2025 GUIDANCE Financial Highlights Third quarter total revenues increased to a record high $102.9 billion, up 7.8% compared to prior year Th

Key Takeaway: CVS Health Corporation has reported its third-quarter results for 2025, with revenues increasing to a record high of $102.9 billion, up 7.8% from the previous year. Despite this revenue growth, the company faced a significant GAAP diluted loss per share of $3.13 due to a $5.7 billion goodwill impairment charge. The updated full-year guidance reflects mixed performance across segments, with improvements in Health Care Benefits but challenges in Health Services. CEO David Joyner emphasized CVS's commitment to enhancing customer experience and operational stability.

Market Sentiment Analysis

POSITIVE FACTORS

  • Third-quarter total revenues reached a record high of $102.9 billion, showing a 7.8% increase year-over-year.
  • CVS Health has launched an annual vaccination campaign at CVS Pharmacy and MinuteClinic locations nationwide.
  • Aetna achieved industry-leading Medicare Advantage Star Ratings, with 81% of members rated 4 stars or higher.

CONCERNS & RISKS

  • The company reported a GAAP diluted loss per share of $3.13, reflecting a significant $5.7 billion goodwill impairment charge.
  • Operating loss of $3.2 billion was noted, contrasting sharply with operational income of $832 million in the prior year.
  • The company's Health Care Delivery unit continues to face challenges that have hindered business growth projections.

Full Press Release Details

CVS HEALTH CORPORATION REPORTS THIRD QUARTER 2025 RESULTS AND UPDATES FULL-YEAR 2025 GUIDANCE
Financial Highlights
Third quarter total revenues increased to a record high $102.9 billion, up 7.8% compared to prior year Third quarter GAAP diluted loss per share of $3.13, inclusive of a $5.7 billion goodwill impairment charge related to the Health Care Delivery reporting unit Third quarter Adjusted EPS of $1.60 Generated year-to-date cash flow from operations of $7.2 billion
Operational Highlights
Aetna receives industry-leading Medicare Advantage Star Ratings results Launch of annual vaccination campaign at CVS Pharmacy and MinuteClinic locations nationwide Caremark closes out another strong selling season with contract wins totaling nearly $6.0 billion and retention in the high nineties, highlighting commitment to providing exceptional value and transparency
2025 Full-Year Guidance
Updated GAAP diluted earnings (loss) per share guidance range to $(0.34) to $(0.24) from $3.84 to $3.94 Raised Adjusted EPS guidance range to $6.55 to $6.65 from $6.30 to $6.40 Updated cash flow from operations guidance to a range of $7.5 billion to $8.0 billion from at least $7.5 billion
CEO Commentary
"CVS Health uniquely delivers what the people we serve want the most a connected, simpler experience that improves health and simplifies care. Our leadership team has stabilized operations and is focused on businesses and markets where we can succeed. As a result, we are making progress on our journey to be America's most trusted health care company. Our strong Enterprise performance demonstrates the continued focus we have on operational and financial improvement across our businesses." - David Joyner, CVS Health President and CEO
WOONSOCKET, RHODE ISLAND, October 29, 2025 - CVS Health Corporation (NYSE CVS) today announced operating results for the three months ended September 30, 2025.
Financial Results Summary
Three Months Ended September 30,
In millions, except per share amounts 2025 2024 Change
Total revenues $ 102,871 $ 95,428 $ 7,443
Operating income (loss) (3,207) 832 (4,039)
Adjusted operating income (1) 3,459 2,547 912
Diluted earnings (loss) per share $ (3.13) $ 0.07 $ (3.20)
Adjusted EPS (2) $ 1.60 $ 1.09 $ 0.51
Third quarter GAAP diluted loss per share of $3.13 reflects a $5.7 billion goodwill impairment charge related to the Health Care Delivery reporting unit, partially offset by a gain of $483 million on the deconsolidation of Omnicare, LLC ("Omnicare") in connection with the initiation of Omnicare's voluntary Chapter 11 proceedings. Adjusted EPS of $1.60 increased from $1.09 in the prior year primarily due to improved adjusted operating income in the Health Care Benefits segment.
The Company's full-year 2025 guidance updates reflect third quarter performance in the Health Care Benefits and Pharmacy Consumer Wellness segments, partially offset by a decrease in the Health Services segment.
Consolidated third quarter results
Three Months Ended September 30, Nine Months Ended September 30,
In millions, except per share amounts 2025 2024 Change 2025 2024 Change
Total revenues $ 102,871 $ 95,428 $ 7,443 $ 296,374 $ 275,099 $ 21,275
Operating income (loss) (3,207) 832 (4,039) 2,548 6,148 (3,600)
Adjusted operating income (1) 3,459 2,547 912 11,846 9,248 2,598
Net income (loss) (3,990) 71 (4,061) (1,195) 2,963 (4,158)
Diluted earnings (loss) per share $ (3.13) $ 0.07 $ (3.20) $ (0.93) $ 2.35 $ (3.28)
Adjusted EPS (2) $ 1.60 $ 1.09 $ 0.51 $ 5.66 $ 4.23 $ 1.43
For the three months ended September 30, 2025 compared to the prior year
Total revenues increased 7.8% driven by revenue growth across all operating segments.
During the three months ended September 30, 2025, the Company incurred an operating loss of $3.2 billion compared to operating income of $832 million in the prior year. The difference was primarily driven by the $5.7 billion goodwill impairment charge related to the Health Care Delivery reporting unit, partially offset by the absence of approximately $1.2 billion of restructuring charges recorded in the prior year and the increase in adjusted operating income described below.
Adjusted operating income increased 35.8% driven by an increase in the Health Care Benefits segment, partially offset by declines in the Health Services and Pharmacy Consumer Wellness segments. See pages 3 through 5 for additional discussion of the adjusted operating income performance of the Company's segments.
Interest expense increased $32 million, or 4.3%, due to higher debt in the three months ended September 30, 2025, primarily as a result of long-term debt issued in December of 2024 and August of 2025.
The effective income tax rate was (14.6)% compared to 32.4% in the prior year primarily due to the $5.7 billion goodwill impairment charge recorded in the three months ended September 30, 2025, which was not deductible for income tax purposes.
Operational Highlights
More than 81% of Aetna Medicare Advantage members are in 2026 Medicare Advantage Prescription Drug plans that are rated 4 stars or higher (out of 5 stars) by the Centers for Medicare Medicaid Services. Additionally, more than 63% of Aetna Medicare Advantage members are in a 4.5-star plan for 2026.
During the third quarter, the Company launched its annual vaccination campaign, with updated flu and COVID-19 vaccines now available at CVS Pharmacy and MinuteClinic locations nationwide.
During 2025, the Company's Health Care Delivery reporting unit within the Health Services segment has continued to experience challenges which have impacted its ability to grow the business at the rate previously estimated. The Company made a number of changes to its Health Care Delivery management team during 2025 and during the third quarter of 2025, finalized certain strategic changes, including the determination that it would reduce the number of new primary care clinics it would open in 2026 and thereafter. Upon updating its financial projections to reflect these changes, management determined that there were indicators that the Health Care Delivery reporting unit's goodwill may be impaired and, accordingly, an interim goodwill impairment test was performed. The results of the impairment test showed that the fair value of the Health Care Delivery reporting unit was lower than its carrying value, resulting in a $5.7 billion goodwill impairment charge.
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, 2025 and 2024 were as follows
Three Months Ended September 30, Nine Months Ended September 30,
In millions, except percentages 2025 2024 Change 2025 2024 Change
Total revenues $ 35,993 $ 32,996 $ 2,997 $ 107,061 $ 97,707 $ 9,354
Adjusted operating income (loss) (1) 314 (924) 1,238 3,615 746 2,869
Medical benefit ratio ("MBR") (3) 92.8 % 95.2 % (2.4) % 90.0 % 91.7 % (1.7) %
Medical membership (4) 26.7 27.1 (0.4)
Total revenues increased 9.1% for the three months ended September 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 ("IRA") on the Medicare Part D program.
During the three months ended September 30, 2025, the Health Care Benefits segment had adjusted operating income of $314 million compared to an adjusted operating loss of $924 million in the prior year. The change was primarily driven by the favorable year-over-year impact of premium deficiency reserves, higher favorable prior period development and improved underlying performance in the Government business. These increases were partially offset by changes in the seasonality of the Medicare Part D program due to the impact of the IRA and the impact of higher acuity in the individual exchange product line.
The MBR decreased to 92.8% in the three months ended September 30, 2025 compared to 95.2% in the prior year driven by the favorable year-over-year impact of premium deficiency reserves recorded as health care costs, higher favorable prior period development and improved underlying performance in the Government business. These decreases were partially offset by changes in the seasonality of the Medicare Part D program due to the impact of the IRA and the impact of higher acuity in the individual exchange product line.
Medical membership as of September 30, 2025 of 26.7 million remained consistent compared with June 30, 2025.
Prior years' health care costs payable estimates developed favorably by $1.9 billion during the nine months ended September 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 42.5 days as of September 30, 2025, an increase of 1.6 days compared to June 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 and nine months ended September 30, 2025 and 2024 were as follows
Three Months Ended September 30, Nine Months Ended September 30,
In millions 2025 2024 Change 2025 2024 Change
Total revenues $ 49,266 $ 44,129 $ 5,137 $ 139,181 $ 126,585 $ 12,596
Adjusted operating income (1) 2,050 2,204 (154) 5,228 5,482 (254)
Pharmacy claims processed (5) (6) 475.6 484.1 (8.5) 1,408.8 1,418.2 (9.4)
Total revenues increased 11.6% for the three months ended September 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 7.0% for the three months ended September 30, 2025 compared to the prior year primarily driven by continued pharmacy client price improvements, partially offset by improved purchasing economics.
Pharmacy claims processed decreased 1.8% on a 30-day equivalent basis for the three months ended September 30, 2025 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 and nine months ended September 30, 2025 and 2024 were as follows
Three Months Ended September 30, Nine Months Ended September 30,
In millions 2025 2024 Change 2025 2024 Change
Total revenues $ 36,214 $ 32,423 $ 3,791 $ 101,707 $ 90,986 $ 10,721
Adjusted operating income (1) 1,478 1,596 (118) 4,129 4,016 113
Prescriptions filled (5) (6) 461.4 431.6 29.8 1,335.0 1,269.6 65.4
Total revenues increased 11.7% for the three months ended September 30, 2025 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.
Adjusted operating income decreased 7.4% for the three months ended September 30, 2025 compared to the prior year primarily driven by continued pharmacy reimbursement pressure and increased investments in the segment's colleagues and capabilities, partially offset by increased prescription volume.
Prescriptions filled increased 6.9% on a 30-day equivalent basis for the three months ended September 30, 2025 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 8.9% on a 30-day equivalent basis for the three months ended September 30, 2025 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 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 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 September 30, 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 "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, 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, 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 September 30, Nine Months Ended September 30,
In millions, except per share amounts 2025 2024 2025 2024
Revenues
Products $ 64,590 $ 59,674 $ 182,866 $ 169,610
Premiums 33,719 30,925 100,734 91,983
Services 3,930 4,279 11,135 12,108
Net investment income 632 550 1,639 1,398
Total revenues 102,871 95,428 296,374 275,099
Operating costs
Cost of products sold 57,045 52,948 162,107 151,019
Health care costs 32,020 29,922 92,472 85,578
Operating expenses 11,288 10,557 33,522 31,185
Goodwill impairment 5,725 - 5,725 -
Restructuring charges - 1,169 - 1,169
Total operating costs 106,078 94,596 293,826 268,951
Operating income (loss) (3,207) 832 2,548 6,148
Gain on deconsolidation of subsidiary 483 - 483 -
Interest expense (784) (752) (2,332) (2,200)
Other income 26 25 83 74
Income (loss) before income tax provision (3,482) 105 782 4,022
Income tax provision 508 34 1,977 1,059
Net income (loss) (3,990) 71 (1,195) 2,963
Net loss attributable to noncontrolling interests 15 16 20 7
Net income (loss) attributable to CVS Health $ (3,975) $ 87 $ (1,175) $ 2,970
Net income (loss) per share attributable to CVS Health
Basic $ (3.13) $ 0.07 $ (0.93) $ 2.36
Diluted $ (3.13) $ 0.07 $ (0.93) $ 2.35
Weighted average shares outstanding
Basic 1,269 1,259 1,266 1,258
Diluted 1,269 1,259 1,266 1,262
CVS HEALTH CORPORATION
Condensed Consolidated Balance Sheets
In millions September 30, 2025 December 31, 2024
Assets
Cash and cash equivalents $ 9,098 $ 8,586
Investments 2,134 2,407
Accounts receivable, net 43,857 36,469
Inventories 18,962 18,107
Other current assets 3,058 3,076
Total current assets 77,109 68,645
Long-term investments 31,553 28,934
Property and equipment, net 12,838 12,993
Operating lease right-of-use assets 15,271 15,944
Goodwill 85,478 91,272
Intangible assets, net 25,984 27,323
Separate accounts assets 1,934 3,311
Other assets 5,160 4,793
Total assets $ 255,327 $ 253,215
Liabilities
Accounts payable $ 17,764 $ 15,892
Pharmacy claims and discounts payable 27,085 24,166
Health care costs payable 16,098 15,064
Accrued expenses and other current liabilities 23,415 20,810
Other insurance liabilities 1,096 1,183
Current portion of operating lease liabilities 1,909 1,751
Short-term debt 1,247 2,119
Current portion of long-term debt 4,081 3,624
Total current liabilities 92,695 84,609
Long-term operating lease liabilities 14,007 14,899
Long-term debt 60,508 60,527
Deferred income taxes 3,547 3,806
Separate accounts liabilities 1,934 3,311
Other long-term insurance liabilities 4,767 4,902
Other long-term liabilities 4,759 5,431
Total liabilities 182,217 177,485
Shareholders' equity
Preferred stock - -
Common stock and capital surplus 50,181 49,661
Treasury stock (36,776) (36,818)
Retained earnings 59,107 62,837
Accumulated other comprehensive income (loss) 416 (120)
Total CVS Health shareholders' equity 72,928 75,560
Noncontrolling interests 182 170
Total shareholders' equity 73,110 75,730
Total liabilities and shareholders' equity $ 255,327 $ 253,215
CVS HEALTH CORPORATION
Condensed Consolidated Statements of Cash Flows
Nine Months Ended September 30,
In millions 2025 2024
Cash flows from operating activities
Cash receipts from customers $ 283,378 $ 264,538
Cash paid for inventory, prescriptions dispensed and health services rendered (157,849) (145,469)
Insurance benefits paid (88,769) (80,357)
Cash paid to other suppliers and employees (27,308) (28,933)
Interest and investment income received 1,494 1,288
Interest paid (2,529) (2,391)
Income taxes paid (1,168) (1,429)
Net cash provided by operating activities 7,249 7,247
Cash flows from investing activities
Proceeds from sales and maturities of investments 9,640 7,634
Purchases of investments (11,045) (12,677)
Purchases of property and equipment (2,048) (2,013)
Acquisitions (429) (85)
Other 9 75
Net cash used in investing activities (3,873) (7,066)
Cash flows from financing activities
Commercial paper borrowings (repayments), net (872) 600
Proceeds from issuance of long-term debt 3,969 4,959
Repayments of long-term debt (3,609) (1,706)
Repurchase of common stock - (3,023)
Dividends paid (2,552) (2,535)
Proceeds from exercise of stock options 308 342
Payments for taxes related to net share settlement of equity awards (145) (181)
Other (7) (22)
Net cash used in financing activities (2,908) (1,566)
Net increase (decrease) in cash, cash equivalents and restricted cash 468 (1,385)
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 $ 9,352 $ 7,140
CVS HEALTH CORPORATION
Condensed Consolidated Statements of Cash Flows
Nine Months Ended September 30,
In millions 2025 2024
Reconciliation of net income (loss) to net cash provided by operating activities
Net income (loss) $ (1,195) $ 2,963
Adjustments required to reconcile net income (loss) to net cash provided by operating activities
Depreciation and amortization 3,459 3,450
Goodwill impairment 5,725 -
Stock-based compensation 400 403
Loss on sale of subsidiary 236 -
Gain on deconsolidation of subsidiary (483) -
Restructuring charges (impairment of long-lived assets) - 840
Deferred income taxes and other items (440) (912)
Change in operating assets and liabilities, net of effects from acquisitions
Accounts receivable, net (7,537) (986)
Inventories (982) 355
Other assets (588) (850)
Accounts payable and pharmacy claims and discounts payable 5,052 2,169
Health care costs payable and other insurance liabilities 734 2,878
Other liabilities 2,868 (3,063)
Net cash provided by operating activities $ 7,249 $ 7,247
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, 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 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 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 three and nine months ended September 30, 2025 and the nine months ended September 30, 2024, the opioid litigation charges relate to changes in the Company's accrual related to ongoing opioid litigation matters.
During the nine months ended September 30, 2025 and the three and nine months ended September 30, 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 nine months ended September 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 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 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, 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 and nine months ended September 30, 2024, the restructuring charges are primarily comprised of 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 are reflected within the Corporate Other 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 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 (loss) (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 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
Three Months Ended September 30, 2024
In millions Health Care Benefits Health Services Pharmacy Consumer Wellness Corporate Other Consolidated Totals
Operating income (loss) (GAAP measure) $ (1,229) $ 2,055 $ 784 $ (778) $ 832
Amortization of intangible assets 294 149 64 - 507
Net realized capital (gains) losses 1 - - (20) (19)
Acquisition-related integration costs - - - 41 41
Office real estate optimization charges 10 - 1 6 17
Restructuring charges - - 747 422 1,169
Adjusted operating income (loss) (1) $ (924) $ 2,204 $ 1,596 $ (329) $ 2,547
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
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) $ 3,615 $ 5,228 $ 4,129 $ (1,126) $ 11,846
Nine Months Ended September 30, 2024
In millions Health Care Benefits Health Services Pharmacy Consumer Wellness Corporate Other Consolidated Totals
Operating income (loss) (GAAP measure) $ (227) $ 5,034 $ 3,076 $ (1,735) $ 6,148
Amortization of intangible assets 881 448 192 1 1,522
Net realized capital losses 82 - - 7 89
Acquisition-related integration costs - - - 203 203
Opioid litigation charge - - - 100 100
Office real estate optimization charges 10 - 1 6 17
Restructuring charges - - 747 422 1,169
Adjusted operating income (loss) (1) $ 746 $ 5,482 $ 4,016 $ (996) $ 9,248
Adjusted Earnings Per Share
The following are reconciliations of net income (loss) attributable to CVS Health to adjusted income attributable to CVS Health and calculations of GAAP diluted earnings (loss) per share and Adjusted EPS
Three Months Ended September 30, 2025 Three Months Ended September 30, 2024
In millions, except per share amounts Total Company Per Common Share Total Company Per Common Share
Net income (loss) attributable to CVS Health (GAAP measure) $ (3,975) $ (3.13) $ 87 $ 0.07
Amortization of intangible assets 500 0.39 507 0.40
Net realized capital (gains) losses 11 0.01 (19) (0.02)
Acquisition-related integration costs 27 0.02 41 0.03
Goodwill impairment 5,725 4.50 - -
Health Care Delivery clinic closure charge 83 0.07 - -
Opioid litigation charge 320 0.25 - -
Office real estate optimization charges - - 17 0.01
Restructuring charges - - 1,169 0.93
Gain on deconsolidation of subsidiary (483) (0.38) - -
Tax impact of non-GAAP adjustments (171) (0.13) (433) (0.33)
Adjusted income attributable to CVS Health (2) $ 2,037 $ 1.60 $ 1,369 $ 1.09
Weighted average diluted shares outstanding 1,269 1,259
Adjusted weighted average diluted shares outstanding (non-GAAP) (2) 1,272 1,259
Nine Months Ended September 30, 2025 Nine Months Ended September 30, 2024
In millions, except per share amounts Total Company Per Common Share Total Company Per Common Share
Net income (loss) attributable to CVS Health (GAAP measure) $ (1,175) $ (0.93) $ 2,970 $ 2.35
Amortization of intangible assets 1,493 1.18 1,522 1.21
Net realized capital losses 59 0.05 89 0.07
Acquisition-related integration costs 100 0.08 203 0.16
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 17 0.01
Legacy litigation charges 1,220 0.96 - -
Loss on Accountable Care assets 288 0.23 - -
Restructuring charges - - 1,169 0.93
Gain on deconsolidation of subsidiary (483) (0.38) - -
Tax impact of non-GAAP adjustments (455) (0.36) (738) (0.58)
Adjusted income attributable to CVS Health (2) $ 7,185 $ 5.66 $ 5,332 $ 4.23
Weighted average diluted shares outstanding 1,266 1,262
Adjusted weighted average diluted shares outstanding (non-GAAP) (2) 1,269 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
September 30, 2025
Total revenues $ 35,993 $ 49,266 $ 36,214 $ 133 $ (18,735) $ 102,871
Adjusted operating income (loss) (1) 314 2,050 1,478 (383) - 3,459
September 30, 2024
Total revenues $ 32,996 $ 44,129 $ 32,423 $ 142 $ (14,262) $ 95,428
Adjusted operating income (loss) (1) (924) 2,204 1,596 (329) - 2,547
Nine Months Ended
September 30, 2025
Total revenues $ 107,061 $ 139,181 $ 101,707 $ 362 $ (51,937) $ 296,374
Adjusted operating income (loss) (1) 3,615 5,228 4,129 (1,126) - 11,846
September 30, 2024
Total revenues $ 97,707 $ 126,585 $ 90,986 $ 368 $ (40,547) $ 275,099
Adjusted operating income (loss) (1) 746 5,482 4,016 (996) - 9,248
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Frequently Asked Questions

What were CVS Health's total revenues in Q3 2025?

In Q3 2025, CVS Health's total revenues reached a record $102.9 billion.

What caused CVS Health's GAAP diluted loss per share in Q3 2025?

The GAAP diluted loss per share of $3.13 in Q3 2025 included a $5.7 billion goodwill impairment charge.

What is CVS Health's updated Adjusted EPS guidance for 2025?

CVS Health raised its Adjusted EPS guidance for 2025 to a range of $6.55 to $6.65.

What percentage of Aetna Medicare Advantage members rated high in 2026?

Over 81% of Aetna Medicare Advantage members are in plans rated 4 stars or higher for 2026.

What was the impact of the Inflation Reduction Act on CVS Health?

The Inflation Reduction Act positively influenced the Government business in CVS's Health Care Benefits segment.

Last updated: Oct 29, 2025