Full Press Release Details
| CVS HEALTH REPORTS STRONG FIRST QUARTER RESULTS |
| WOONSOCKET, RHODE ISLAND, May 4, 2022 - CVS Health Corporation (NYSE CVS) today announced operating results for the three months ended March 31, 2022. |
Total revenues increased to $76.8 billion, up 11.2% compared to prior year
GAAP diluted EPS of $1.74 and Adjusted EPS of $2.22
Generated cash flow from operations of $3.6 billion
| Three Months Ended March 31, | |||||||||||
| In millions, except per share amounts | 2022 | 2021 | Change | ||||||||
| Total revenues | $ | 76,826 | $ | 69,097 | $ | 7,729 | |||||
| Operating income | 3,490 | 3,577 | (87) | ||||||||
| Adjusted operating income (1) | 4,483 | 4,205 | 278 | ||||||||
| Diluted earnings per share | $ | 1.74 | $ | 1.68 | $ | 0.06 | |||||
| Adjusted EPS (2) | $ | 2.22 | $ | 2.04 | $ | 0.18 |
| 2022 FULL-YEAR GUIDANCE |
| Revised GAAP diluted EPS guidance range to $6.93 to $7.13 from $7.04 to $7.24 Raised Adjusted EPS guidance range to $8.20 to $8.40 from $8.10 to $8.30 Confirmed cash flow from operations guidance range of $12.0 billion to $13.0 billion |
Increased quarterly dividend by 10% effective February 1, 2022, resulting in the return of $722 million to shareholders in Q1. Repurchased approximately 19.1 million shares of common stock, marking the first time the Company has repurchased stock since 2017.
Continued to lead the nation's pandemic response by administering more than six million COVID-19 tests and more than eight million COVID-19 vaccines in the first quarter of 2022.
Invested nearly $53 million to construct approximately 600 affordable housing units in Denver, Fresno, Nashville, and San Antonio, building on the Company's commitment to addressing housing insecurities and increasing access to health care services in underserved communities.
Announced that Roger N. Farah will succeed David W. Dorman as Independent Chair of the Board of Directors following Chair Dorman's retirement, effective with the annual meeting of stockholders to be held on May 11, 2022. Director Tony L. White will also retire in May at the end of his current term.
Investor Contact Thomas Cowhey Senior Vice President Capital Markets (800) 201-0938
Media Contact T.J. Crawford Vice President External Affairs (212) 457-0583
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 22 for explanations of non-GAAP financial measures presented in this press release. See pages 13 through 14 and page 21 for reconciliations of each non-GAAP financial measure used in this release to the most directly comparable GAAP financial measure.
Consolidated First Quarter Results and Operational Highlights
| Three Months Ended March 31, | |||||||||||||||||
| In millions, except per share amounts | 2022 | 2021 | Change | ||||||||||||||
| Total revenues | $ | 76,826 | $ | 69,097 | $ | 7,729 | |||||||||||
| Operating income | 3,490 | 3,577 | (87) | ||||||||||||||
| Adjusted operating income (1) | 4,483 | 4,205 | 278 | ||||||||||||||
| Net income | 2,313 | 2,224 | 89 | ||||||||||||||
| Diluted earnings per share | $ | 1.74 | $ | 1.68 | $ | 0.06 | |||||||||||
| Adjusted EPS (2) | $ | 2.22 | $ | 2.04 | $ | 0.18 |
For the three months ended March 31, 2022 compared to the prior year
Total revenues increased 11.2% driven by growth across all segments.
Operating income decreased 2.4% primarily due to the establishment of a legal settlement accrual related to the pending agreement with the State of Florida to settle all opioid claims against the Company for $484 million, which will be paid over a period of 18 years. The decrease in operating income was partially offset by the increase in adjusted operating income described below and a decrease in amortization of intangible assets compared to prior year.
Adjusted operating income increased 6.6% primarily due to increased prescription and front store volume, including the sale of COVID-19 over-the-counter ("OTC") test kits, and the impact of COVID-19 vaccinations in the Retail LTC segment and improved purchasing economics and growth in specialty pharmacy in the Pharmacy Services segment.
Interest expense decreased $71 million, or 10.8%, due to lower debt in the three months ended March 31, 2022.
The effective income tax rate decreased to 21.5% compared to 25.1% primarily due to the impact of certain discrete tax items concluded in the first quarter of 2022. The Company's adjusted effective income tax rate (3) remained relatively consistent compared to prior year.
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 ended March 31, 2022 and 2021 were as follows
| Three Months Ended March 31, | ||||||||||||||
| In millions, except percentages | 2022 | 2021 | Change | |||||||||||
| Total revenues | $ | 23,109 | $ | 20,483 | $ | 2,626 | ||||||||
| Adjusted operating income (1) | 1,751 | 1,782 | (31) | |||||||||||
| Medical benefit ratio ("MBR") (4) | 83.5 | % | 83.2 | % | 0.3 | % | ||||||||
| Medical membership (5) | 24.5 | 23.6 | 0.9 |
Total revenues increased 12.8% for the three months ended March 31, 2022 compared to the prior year driven by growth across all product lines.
Adjusted operating income decreased slightly for the three months ended March 31, 2022 compared to the prior year primarily driven by net realized capital losses and the continued progression towards normalized total medical costs, largely offset by membership growth across all product lines.
The MBR increased slightly to 83.5% in the three months ended March 31, 2022 compared to 83.2% in the prior year reflective of the continued progression towards normalized total medical costs.
Medical membership as of March 31, 2022 of 24.5 million increased 674,000 members compared with December 31, 2021, reflecting increases across all product lines.
The segment experienced favorable development of prior-years' health care cost estimates in its Government Services and Commercial businesses during the three months ended March 31, 2022, primarily attributable to fourth quarter 2021 performance.
Prior years' health care costs payable estimates developed favorably by $676 million during the three months ended March 31, 2022. 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 2022 operating results.
See the supplemental information on page 16 for additional information regarding the performance of the Health Care Benefits segment.
Pharmacy Services Segment
The Pharmacy Services segment provides a full range of pharmacy benefit management solutions to employers, health plans, government employee groups and government sponsored programs. The segment results for the three months ended March 31, 2022 and 2021 were as follows
| Three Months Ended March 31, | |||||||||||||||||
| In millions | 2022 | 2021 | Change | ||||||||||||||
| Total revenues | $ | 39,461 | $ | 36,321 | $ | 3,140 | |||||||||||
| Adjusted operating income (1) | 1,636 | 1,507 | 129 | ||||||||||||||
| Total pharmacy claims processed (6) (7) | 567.0 | 535.9 | 31.1 | ||||||||||||||
| Pharmacy network (8) | 484.3 | 455.4 | 28.9 | ||||||||||||||
| Mail choice (9) | 82.7 | 80.5 | 2.2 |
Total revenues increased 8.6% for the three months ended March 31, 2022 compared to the prior year primarily driven by increased pharmacy claims volume, growth in specialty pharmacy and brand inflation, partially offset by continued client price improvements.
Adjusted operating income increased 8.6% for the three months ended March 31, 2022 compared to the prior year primarily driven by improved purchasing economics, including increased contributions from the products and services of the Company's group purchasing organization, and specialty pharmacy. These increases were partially offset by continued client price improvements.
Total pharmacy claims processed increased 5.8% on a 30-day equivalent basis for the three months ended March 31, 2022 compared to the prior year. The increase was primarily driven by net new business, increased utilization and the impact of a weaker cough, cold and flu season experienced in the prior year. Excluding the impact of COVID-19 vaccinations, total pharmacy claims processed increased 5.5% on a 30-day equivalent basis for the three months ended March 31, 2022 compared to the prior year.
See the supplemental information on page 18 for additional information regarding the performance of the Pharmacy Services segment.
The Retail LTC segment fulfills prescriptions for medications, provides patient care programs, sells a wide assortment of health and wellness products and general merchandise, provides health care services through walk-in medical clinics, provides medical diagnostic testing, administers vaccinations and provides pharmacy services to long-term care facilities. The segment results for the three months ended March 31, 2022 and 2021 were as follows
| Three Months Ended March 31, | |||||||||||||||||
| In millions | 2022 | 2021 | Change | ||||||||||||||
| Total revenues | $ | 25,418 | $ | 23,274 | $ | 2,144 | |||||||||||
| Adjusted operating income (1) | 1,605 | 1,394 | 211 | ||||||||||||||
| Prescriptions filled (6) (7) | 394.6 | 375.4 | 19.2 |
Total revenues increased 9.2% for the three months ended March 31, 2022 compared to the prior year primarily driven by increased prescription and front store volume, including the sale of COVID-19 OTC test kits and the impact of a weaker cough, cold and flu season experienced in the prior year, as well as pharmacy brand inflation. These increases were partially offset by the impact of recent generic introductions, continued pharmacy reimbursement pressure and decreased COVID-19 diagnostic testing.
Adjusted operating income increased 15.1% for the three months ended March 31, 2022 compared to the prior year primarily driven by the increased prescription and front store volume described above, the impact of COVID-19 vaccinations and improved generic drug purchasing. These increases were partially offset by continued pharmacy reimbursement pressure, increased investments in the segment's operations and capabilities and decreased COVID-19 diagnostic testing.
Prescriptions filled increased 5.1% on a 30-day equivalent basis for the three months ended March 31, 2022 compared to the prior year primarily driven by increased utilization and the impact of a weaker cough, cold and flu season experienced in the prior year. Excluding the impact of COVID-19 vaccinations, prescriptions filled increased 5.6% on a 30-day equivalent basis for the three months ended March 31, 2022 compared to the prior year.
See the supplemental information on page 19 for additional information regarding the performance of the Retail LTC segment.
2022 Full-Year Guidance
The Company revised its full-year 2022 GAAP diluted EPS guidance range to $6.93 to $7.13 from $7.04 to $7.24 and raised its full-year 2022 Adjusted EPS guidance range to $8.20 to $8.40 from $8.10 to $8.30. The Company also confirmed its full-year 2022 cash flow from operations guidance range of $12.0 billion to $13.0 billion.
The adjustments between full-year 2022 GAAP diluted EPS and Adjusted EPS include amortization of intangible assets, a legal settlement accrual, a loss on assets held for sale, the corresponding income tax benefit or expense related to the items excluded from adjusted income attributable to CVS Health and the impact of certain discrete tax items concluded in the first quarter of 2022.
Teleconference and Webcast
The Company will be holding a conference call today for investors at 8 00 a.m. (Eastern Time) to discuss its first 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.
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues - including more than 40,000 physicians, pharmacists, nurses, and nurse practitioners. Wherever and whenever people need us, we help them with their health - whether that's managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system - and their personal health care - by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Learn more at www.cvshealth.com.
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, Ms. Lynch's quotation, the information under the headings "2022 Full-Year Guidance" and "Q1 In The Spotlight" and the information included in the endnotes and reconciliations. 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 related to the COVID-19 pandemic, including the potential emergence of additional variants, vaccine and testing protocols, government testing initiatives, the geographies impacted by and the severity and duration of the pandemic, the pandemic's impact on the U.S. and global economies and consumer behavior and health care utilization patterns, and the timing, scope and impact of stimulus legislation and other federal, state and local governmental responses to the pandemic, as well as 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 period ended March 31, 2022 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.
CVS HEALTH CORPORATION
Condensed Consolidated Statements of Operations
| Three Months Ended March 31, | |||||||||||
| In millions, except per share amounts | 2022 | 2021 | |||||||||
| Revenues | |||||||||||
| Products | $ | 52,522 | $ | 47,387 | |||||||
| Premiums | 21,631 | 18,960 | |||||||||
| Services | 2,505 | 2,453 | |||||||||
| Net investment income | 168 | 297 | |||||||||
| Total revenues | 76,826 | 69,097 | |||||||||
| Operating costs | |||||||||||
| Cost of products sold | 45,509 | 40,894 | |||||||||
| Benefit costs | 17,951 | 15,704 | |||||||||
| Operating expenses | 9,876 | 8,922 | |||||||||
| Total operating costs | 73,336 | 65,520 | |||||||||
| Operating income | 3,490 | 3,577 | |||||||||
| Interest expense | 586 | 657 | |||||||||
| Other income | (42) | (50) | |||||||||
| Income before income tax provision | 2,946 | 2,970 | |||||||||
| Income tax provision | 633 | 746 | |||||||||
| Net income | 2,313 | 2,224 | |||||||||
| Net income attributable to noncontrolling interests | (1) | (1) | |||||||||
| Net income attributable to CVS Health | $ | 2,312 | $ | 2,223 | |||||||
| Net income per share attributable to CVS Health | |||||||||||
| Basic | $ | 1.76 | $ | 1.69 | |||||||
| Diluted | $ | 1.74 | $ | 1.68 | |||||||
| Weighted average shares outstanding | |||||||||||
| Basic | 1,312 | 1,313 | |||||||||
| Diluted | 1,328 | 1,322 | |||||||||
| Dividends declared per share | $ | 0.55 | $ | 0.50 |
CVS HEALTH CORPORATION
Condensed Consolidated Balance Sheets
| In millions | March 31, 2022 | December 31, 2021 | |||||
| Assets | |||||||
| Cash and cash equivalents | $ | 8,442 | $ | 9,408 | |||
| Investments | 2,900 | 3,117 | |||||
| Accounts receivable, net | 26,451 | 24,431 | |||||
| Inventories | 18,160 | 17,760 | |||||
| Other current assets | 5,530 | 5,292 | |||||
| Total current assets | 61,483 | 60,008 | |||||
| Long-term investments | 22,595 | 23,025 | |||||
| Property and equipment, net | 12,844 | 12,896 | |||||
| Operating lease right-of-use assets | 18,801 | 19,122 | |||||
| Goodwill | 79,060 | 79,121 | |||||
| Intangible assets, net | 28,543 | 29,026 | |||||
| Separate accounts assets | 4,670 | 5,087 | |||||
| Other assets | 4,877 | 4,714 | |||||
| Total assets | $ | 232,873 | $ | 232,999 | |||
| Liabilities | |||||||
| Accounts payable | $ | 12,738 | $ | 12,544 | |||
| Pharmacy claims and discounts payable | 18,572 | 17,330 | |||||
| Health care costs payable | 10,260 | 8,808 | |||||
| Policyholders' funds | 4,138 | 4,301 | |||||
| Accrued expenses | 16,619 | 17,670 | |||||
| Other insurance liabilities | 1,387 | 1,303 | |||||
| Current portion of operating lease liabilities | 1,849 | 1,646 | |||||
| Current portion of long-term debt | 4,217 | 4,205 | |||||
| Total current liabilities | 69,780 | 67,807 | |||||
| Long-term operating lease liabilities | 17,786 | 18,177 | |||||
| Long-term debt | 52,063 | 51,971 | |||||
| Deferred income taxes | 5,829 | 6,270 | |||||
| Separate accounts liabilities | 4,670 | 5,087 | |||||
| Other long-term insurance liabilities | 6,363 | 6,402 | |||||
| Other long-term liabilities | 2,242 | 1,904 | |||||
| Total liabilities | 158,733 | 157,618 | |||||
| Shareholders' equity | |||||||
| Preferred stock | - | - | |||||
| Common stock and capital surplus | 47,677 | 47,377 | |||||
| Treasury stock | (30,145) | (28,173) | |||||
| Retained earnings | 56,488 | 54,906 | |||||
| Accumulated other comprehensive income (loss) | (190) | 965 | |||||
| Total CVS Health shareholders' equity | 73,830 | 75,075 | |||||
| Noncontrolling interests | 310 | 306 | |||||
| Total shareholders' equity | 74,140 | 75,381 | |||||
| Total liabilities and shareholders' equity | $ | 232,873 | $ | 232,999 |
CVS HEALTH CORPORATION
Condensed Consolidated Statements of Cash Flows
| Three Months Ended March 31, | |||||||
| In millions | 2022 | 2021 | |||||
| Cash flows from operating activities | |||||||
| Cash receipts from customers | $ | 74,192 | $ | 66,487 | |||
| Cash paid for inventory and prescriptions dispensed by retail network pharmacies | (44,365) | (39,171) | |||||
| Insurance benefits paid | (16,616) | (15,456) | |||||
| Cash paid to other suppliers and employees | (8,969) | (8,270) | |||||
| Interest and investment income received | 199 | 222 | |||||
| Interest paid | (782) | (876) | |||||
| Income taxes paid | (96) | (44) | |||||
| Net cash provided by operating activities | 3,563 | 2,892 | |||||
| Cash flows from investing activities | |||||||
| Proceeds from sales and maturities of investments | 2,570 | 2,177 | |||||
| Purchases of investments | (3,474) | (3,131) | |||||
| Purchases of property and equipment | (1,051) | (829) | |||||
| Acquisitions (net of cash acquired) | (7) | (84) | |||||
| Other | (31) | - | |||||
| Net cash used in investing activities | (1,993) | (1,867) | |||||
| Cash flows from financing activities | |||||||
| Net borrowings of short-term debt | - | 252 | |||||
| Repayments of long-term debt | (14) | (3,049) | |||||
| Repurchase of common stock | (2,000) | - | |||||
| Dividends paid | (722) | (656) | |||||
| Proceeds from exercise of stock options | 297 | 212 | |||||
| Payments for taxes related to net share settlement of equity awards | (62) | (3) | |||||
| Other | (149) | 59 | |||||
| Net cash used in financing activities | (2,650) | (3,185) | |||||
| Net decrease in cash, cash equivalents and restricted cash | (1,080) | (2,160) | |||||
| Cash, cash equivalents and restricted cash at the beginning of the period | 12,691 | 11,043 | |||||
| Cash, cash equivalents and restricted cash at the end of the period | $ | 11,611 | $ | 8,883 |
CVS HEALTH CORPORATION
Condensed Consolidated Statements of Cash Flows
| Three Months Ended March 31, | |||||||
| In millions | 2022 | 2021 | |||||
| Reconciliation of net income to net cash provided by operating activities | |||||||
| Net income | $ | 2,313 | $ | 2,224 | |||
| Adjustments required to reconcile net income to net cash provided by operating activities | |||||||
| Depreciation and amortization | 1,055 | 1,126 | |||||
| Stock-based compensation | 89 | 87 | |||||
| Deferred income taxes and other noncash items | (187) | (166) | |||||
| Change in operating assets and liabilities, net of effects from acquisitions | |||||||
| Accounts receivable, net | (1,967) | (2,093) | |||||
| Inventories | (400) | 879 | |||||
| Other assets | (352) | (286) | |||||
| Accounts payable and pharmacy claims and discounts payable | 1,974 | 576 | |||||
| Health care costs payable and other insurance liabilities | 1,478 | 294 | |||||
| Other liabilities | (440) | 251 | |||||
| Net cash provided by operating activities | $ | 3,563 | $ | 2,892 |
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 performance. These non-GAAP financial measures are provided as supplemental information to the financial measures presented in this press release 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 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.
The Company's Non-GAAP adjusted effective income tax rate excludes from the relevant GAAP metric the corresponding tax benefit or expense related to the amortization of intangible assets 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 and certain discrete tax items.
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 the unaudited condensed consolidated statements of operations 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.
During the three months ended March 31, 2022, the legal settlement accrual relates to the pending agreement with the State of Florida, entered into in March 2022, to resolve opioid claims dating back more than a decade. Under this agreement, CVS Health Corporation will settle all opioid claims against it and its subsidiaries by the State of Florida for $484 million, inclusive of certain legal fees, to be paid over a period of 18 years. The legal settlement accrual is reflected in the unaudited condensed consolidated statement of operations in operating expenses within the Corporate Other segment.
During the three months ended March 31, 2022, the loss on assets held for sale relates to the Commercial Business reporting unit within the Health Care Benefits segment. In March 2022, the Company reached an agreement to sell its international health care business domiciled in Thailand ("Thailand business"), which is included in the Commercial Business reporting unit. At that time, a portion of the Commercial Business
goodwill was specifically allocated to the Thailand business. The net assets of the Thailand business were accounted for as assets held for sale and included in other current assets and accrued expenses on the unaudited condensed consolidated balance sheet at March 31, 2022. The carrying value of the Thailand business was determined to be greater than its fair value and a loss on assets held for sale was recorded. The sale is expected to close in the second quarter of 2022. The loss on assets held for sale is reflected in the unaudited condensed consolidated statement of operations in operating expenses within the Health Care Benefits segment.
During the three months ended March 31, 2021, acquisition-related integration costs relate to the acquisition of Aetna Inc. The acquisition-related integration costs are reflected in the unaudited condensed consolidated statement of operations in operating expenses within the Corporate Other segment.
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. During the three months ended March 31, 2022, the Company's adjusted income tax provision also excludes the impact of certain discrete tax items concluded in the first quarter of 2022.
See endnotes (1), (2) and (3) on page 22 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 14 and page 21.
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 to segment adjusted operating income
| Three Months Ended March 31, 2022 | |||||||||||||||||||||||
| In millions | Health Care Benefits | Pharmacy Services | Retail LTC | Corporate Other | Intersegment Eliminations | Consolidated Totals | |||||||||||||||||
| Operating income (loss) (GAAP measure) | $ | 1,409 | $ | 1,592 | $ | 1,483 | $ | (790) | $ | (204) | $ | 3,490 | |||||||||||
| Amortization of intangible assets | 301 | 44 | 122 | 1 | - | 468 | |||||||||||||||||
| Legal settlement accrual | - | - | - | 484 | - | 484 | |||||||||||||||||
| Loss on assets held for sale | 41 | - | - | - | - | 41 | |||||||||||||||||
| Adjusted operating income (loss) (1) | $ | 1,751 | $ | 1,636 | $ | 1,605 | $ | (305) | $ | (204) | $ | 4,483 |
| Three Months Ended March 31, 2021 | |||||||||||||||||||||||
| In millions | Health Care Benefits | Pharmacy Services | Retail LTC | Corporate Other | Intersegment Eliminations | Consolidated Totals | |||||||||||||||||
| Operating income (loss) (GAAP measure) | $ | 1,380 | $ | 1,452 | $ | 1,265 | $ | (345) | $ | (175) | $ | 3,577 | |||||||||||
| Amortization of intangible assets | 402 | 55 | 129 | 1 | - | 587 | |||||||||||||||||
| Acquisition-related integration costs | - | - | - | 41 | - | 41 | |||||||||||||||||
| Adjusted operating income (loss) (1) | $ | 1,782 | $ | 1,507 | $ | 1,394 | $ | (303) | $ | (175) | $ | 4,205 |
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 March 31, 2022 | Three Months Ended March 31, 2021 | ||||||||||||||
| In millions, except per share amounts | Total Company | Per Common Share | Total Company | Per Common Share | |||||||||||
| Net income attributable to CVS Health (GAAP measure) | $ | 2,312 | $ | 1.74 | $ | 2,223 | $ | 1.68 | |||||||
| Amortization of intangible assets | 468 | 0.35 | 587 | 0.44 | |||||||||||
| Legal settlement accrual | 484 | 0.36 | - | - | |||||||||||
| Loss on assets held for sale | 41 | 0.03 | - | - | |||||||||||
| Acquisition-related integration costs | - | - | 41 | 0.03 | |||||||||||
| Tax impact of non-GAAP adjustments | (363) | (0.26) | (154) | (0.11) | |||||||||||
| Adjusted income attributable to CVS Health (2) | $ | 2,942 | $ | 2.22 | $ | 2,697 | $ | 2.04 | |||||||
| Weighted average diluted shares outstanding | 1,328 | 1,322 |
Adjusted Effective Income Tax Rate
The following are reconciliations of the effective income tax rate (GAAP measure) to the adjusted effective income tax rate
| Three Months Ended March 31, | |||||
| 2022 | 2021 | ||||
| Effective income tax rate (GAAP measure) | 21.5 | % | 25.1 | % | |
| Impact of non-GAAP adjustments | 3.8 | (0.1) | |||
| Adjusted effective income tax rate (3) | 25.3 | % | 25.0 | % |
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, which is defined as operating income (GAAP measure) excluding the impact of amortization of intangible assets 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 Company uses adjusted operating income as its principal measure of segment performance as it enhances the Company's ability to compare past financial performance with current performance and analyze underlying business performance and trends.
The following is a reconciliation of financial measures of the Company's segments to the consolidated totals
| In millions | Health Care Benefits | Pharmacy Services (a) | Retail LTC | Corporate Other | Intersegment Eliminations (b) | Consolidated Totals | |||||||||||||||||
| Three Months Ended | |||||||||||||||||||||||
| March 31, 2022 | |||||||||||||||||||||||
| Total revenues | $ | 23,109 | $ | 39,461 | $ | 25,418 | $ | 126 | $ | (11,288) | $ | 76,826 | |||||||||||
| Adjusted operating income (loss) (1) | 1,751 | 1,636 | 1,605 | (305) | (204) | 4,483 | |||||||||||||||||
| March 31, 2021 | |||||||||||||||||||||||
| Total revenues | 20,483 | 36,321 | 23,274 | 135 | (11,116) | 69,097 | |||||||||||||||||
| Adjusted operating income (loss) (1) | 1,782 | 1,507 | 1,394 | (303) | (175) | 4,205 |
_____________________________________________
(a)Total revenues of the Pharmacy Services segment include approximately $3.8 billion and $3.4 billion of retail co-payments for the three months ended March 31, 2022 and 2021, respectively.
(b)Intersegment revenue eliminations relate to intersegment revenue generating activities that occur between the Health Care Benefits segment, the Pharmacy Services segment, and or the Retail LTC segment. Intersegment adjusted operating income eliminations occur when members of Pharmacy Services Segment clients ("PSS members") enrolled in Maintenance Choice elect to pick up maintenance prescriptions at one of the Company's retail pharmacies instead of receiving them through the mail. When this occurs, both the Pharmacy Services and Retail LTC segments record the adjusted operating income on a stand-alone basis.
Supplemental Information
Health Care Benefits Segment
The following table summarizes the Health Care Benefits segment's performance for the respective periods
| Three Months Ended March 31, | Change | |||||||||||||||||||
| In millions, except percentages and basis points ("bps") | 2022 | 2021 | $ | % | ||||||||||||||||
| Revenues | ||||||||||||||||||||
| Premiums | $ | 21,614 | $ | 18,942 | $ | 2,672 | 14.1 | % | ||||||||||||
| Services | 1,406 | 1,393 | 13 | 0.9 | % | |||||||||||||||
| Net investment income | 89 | 148 | (59) | (39.9) | % | |||||||||||||||
| Total revenues | 23,109 | 20,483 | 2,626 | 12.8 | % | |||||||||||||||
| Benefit costs | 18,049 | 15,757 | 2,292 | 14.5 | % | |||||||||||||||
| MBR (Benefit costs as a % of premium revenues) (4) | 83.5 | % | 83.2 | % | 30 | bps | ||||||||||||||
| Operating expenses | $ | 3,651 | $ | 3,346 | $ | 305 | 9.1 | % | ||||||||||||
| Operating expenses as a % of total revenues | 15.8 | % | 16.3 | % | ||||||||||||||||
| Operating income | $ | 1,409 | $ | 1,380 | $ | 29 | 2.1 | % | ||||||||||||
| Operating income as a % of total revenues | 6.1 | % | 6.7 | % | ||||||||||||||||
| Adjusted operating income (1) | $ | 1,751 | $ | 1,782 | $ | (31) | (1.7) | % | ||||||||||||
| Adjusted operating income as a % of total revenues | 7.6 | % | 8.7 | % | ||||||||||||||||
| Premium revenues (by business) | ||||||||||||||||||||
| Government | $ | 16,195 | $ | 13,917 | $ | 2,278 | 16.4 | % | ||||||||||||
| Commercial | 5,419 | 5,025 | 394 | 7.8 | % |
The following table summarizes the Health Care Benefits segment's medical membership for the respective periods