CVS HEALTH Corp (CVS)
Business Summary
CVS Health Corporation operates as a leading health solutions company focused on building a comprehensive health ecosystem around consumers and integrating care delivery. The company manages approximately 9,000 1 retail locations and over 1,000 2 walk-in and primary care medical clinics. Additionally, it maintains a significant pharmacy benefits manager (PBM) business, serving approximately 87 million 3 plan members, alongside expanding specialty pharmacy solutions. Through its diverse offerings, CVS Health serves an estimated more than 37 million 4 people via traditional, voluntary, and consumer-directed health insurance products and related services, which include Medicare Advantage and a prominent standalone Medicare Part D prescription drug plan. The company's integrated model aims to drive value through personalized, technology-driven care delivery and health services, ultimately enhancing access to quality care, improving health outcomes, and reducing overall healthcare costs.
The company's operations are divided into four 5 reportable segments: Health Care Benefits, Health Services, Pharmacy & Consumer Wellness, and Corporate/Other. The Health Care Benefits segment, operating under Aetna® 6, is a major diversified health care benefits provider. As of December 31, 2025 7, this segment served an estimated more than 37 million 8 individuals, providing resources to help them make informed health care decisions in consultation with professionals.
The Health Care Benefits segment offers a wide array of products and services, categorized as "Insured" (where the company assumes risk for medical and dental costs) and "ASC" (administrative services contracts where the plan sponsor assumes risk). Commercial Medical products include point-of-service (POS), preferred provider organization (PPO), health maintenance organization (HMO), and indemnity benefit plans. These offerings also encompass health savings accounts (HSAs) and consumer-directed health plans. The segment provides medical stop loss insurance, covering large individual or aggregate claims above a pre-set annual threshold for self-insured employers. Supplemental products such as dental plans, behavioral health and employee assistance programs, provider network access, and vision products are also offered. Historically, the company sold Insured plans directly to individual consumers through public health insurance exchanges through the year ended December 31, 2025 9, but exited these operations effective January 2026 10.
Government Medical products include Medicare Advantage plans, Medicare Supplement plans, prescription drug coverage for Medicare beneficiaries through Medicare Part D prescription drug plans (PDPs), and Medicaid and Children's Health Insurance Programs (CHIP) health care management services. In 2025 11, Medicare Advantage HMO and/or PPO products were offered in 44 states 12 and Washington, D.C. 13, with national PPO products available for qualifying employer groups. The company was a national provider of Medicare Part D plans, offering PDP plans in all 50 states 14 and Washington, D.C. 15 in 2025 16. Medicare Supplement plans were offered in 49 states 17 and Washington, D.C. 18 in 2025 19. Medicaid and CHIP services were provided in 15 states 20 in 2025 21, either on an Insured or ASC basis. For beneficiaries dually eligible for Medicare and Medicaid ("Duals"), the company coordinates 100% 22 of their care.
Financially, CVS Health reported total revenues of $386,013 million 23 for the fiscal year 2025 24, an increase from $360,707 million 25 in 2024 26 and $341,200 million 27 in 2023 28. Operating income for 2025 29 was $14,978 million 30, up from $13,991 million 31 in 2024 32 and $10,517 million 33 in 2023 34. Net income stood at $9,963 million 35 for 2025 36, compared to $8,995 million 37 in 2024 38 and $4,795 million 39 in 2023 40. Diluted earnings per share (EPS) reached $7.86 41 in 2025 42, an increase from $7.09 43 in 2024 44 and $3.77 45 in 2023 46. Adjusted EPS was $9.82 47 for 2025 48, $9.00 49 for 2024 50, and $8.70 51 for 2023 52. Cash flow from operations was strong at $19,000 million 53 in 2025 54, $16,700 million 55 in 2024 56, and $16,100 million 57 in 2023 58. Net capital expenditures were $5,100 million 59 in 2025 60, $4,600 million 61 in 2024 62, and $4,500 million 63 in 2023 64, while cash available for debt repayment was $13,900 million 65 in 2025 66, $12,100 million 67 in 2024 68, and $11,600 million 69 in 2023 70.
Business Outlook & Financial Sufficiency
CVS Health has indicated certain strategic changes impacting its future operations, including its exit from individual public health insurance exchanges, effective January 2026 10. The company anticipates creating sustainable shareholder value through best-in-class execution, transforming consumer experiences, becoming a partner of choice, and leveraging enterprise capabilities, all supported by innovation and capital stewardship. Forward-looking statements from management indicate future considerations for the company's investment portfolio, operating results, cash flows, financial condition, and corporate strategy. This encompasses various aspects such as future revenue, operating income, adjusted operating income, earnings per share, adjusted earnings per share, and trends within its Health Care Benefits, Health Services, and Pharmacy & Consumer Wellness segments, including medical cost trends, medical membership, and medical benefit ratios. Other forward-looking considerations include incremental investment spending, interest expense, effective tax rate, weighted-average share count, cash flow from operations, net capital expenditures, and cash available for debt repayment. The company also monitors matters related to possible acquisitions, joint ventures, or investments, including the timing and likelihood of regulatory approvals, integration synergies, and associated risks and costs. Furthermore, enterprise modernization, transformation initiatives, leverage ratios, cash available for enhancing shareholder value, inventory management metrics, debt ratings, customer and client retention, store development, new product development, and the impact of industry and regulatory developments are all factors under consideration for future performance. The company’s Series A Junior Subordinated Notes, with a 7% 71 coupon due March 2055 72, are callable on March 10, 2030 73. Additionally, the Series B Junior Subordinated Notes, bearing a 6.75% 74 coupon due December 2054 75, are callable on December 10, 2034 76.
Management Sentiments & Priorities
Management emphasizes a strategic focus on simplifying health care experiences, improving engagement, lowering costs, and delivering better health outcomes. The company's ambition is to be recognized as America's most trusted health care company, with a core purpose to simplify health care for individuals, families, and communities. This strategic direction is underpinned by values that prioritize care, purposeful innovation, accountability, and a commitment to safety and quality. Management expects to create sustainable shareholder value by achieving best-in-class execution, transforming consumer experiences, establishing itself as the partner of choice, and harnessing its enterprise capabilities through innovation and diligent capital stewardship.
Financial Details
CVS Health generated total revenues of $386,013 million 23 in 2025 24, an increase from $360,707 million 25 in 2024 26. Net income for 2025 36 was $9,963 million 35, compared to $8,995 million 37 in 2024 38, resulting in diluted earnings per share of $7.86 41 in 2025 42 versus $7.09 43 in 2024 44. Operating income also rose to $14,978 million 30 in 2025 29 from $13,991 million 31 in 2024 32. The company's cash and cash equivalents totaled $16,843 million 86 as of December 31, 2025 87, up from $13,000 million 88 at December 31, 2024 89. Total long-term debt, including current portion, decreased to $65,558 million 90 as of December 31, 2025 91, from $68,605 million 92 as of December 31, 2024 93. Cash flow from operations for 2025 54 was $19,000 million 53, higher than the $16,700 million 55 reported in 2024 56.
Risk Factors
The company's forward-looking statements acknowledge that actual results could differ materially due to a number of significant risks and uncertainties, many of which are outside its control. A notable customer concentration risk exists with the U.S. Federal Government, which accounted for a substantial portion of total revenues, representing 29.8% 77 in 2025 78, 29.3% 79 in 2024 80, and 27.9% 81 in 2023 82. Legal proceedings present ongoing risks, including those related to an opioid litigation settlement framework and the U.S. ex rel. Bassan et al. v. Omnicare Inc. and CVS Health Corp. matter, which Omnicare Inc. 83 settled for $6 million 84 with the U.S. Federal Government 85 and certain states. Additionally, stockholder class action complaints regarding the acquisition of Aetna and Omnicare, as well as stockholder derivative litigation, contribute to the company's litigation landscape.
References
- [1] Number of retail locations
- [2] Number of walk-in and primary care medical clinics
- [3] PBM plan members
- [4] Health insurance members
- [5] Number of reportable segments
- [6] Aetna® operations
- [7] As of December 31, 2025 (for Health Care Benefits segment)
- [8] Health insurance members
- [9] As of December 31, 2025 (for Public Exchanges exit)
- [10] Public Exchanges exit effective date
- [11] Year for Medicare Advantage offerings
- [12] Medicare Advantage states in 2025
- [13] Medicare Advantage Washington, D.C. in 2025
- [14] Medicare PDP states in 2025
- [15] Medicare PDP Washington, D.C. in 2025
- [16] Year for Medicare PDP offerings
- [17] Medicare Supplement states in 2025
- [18] Medicare Supplement Washington, D.C. in 2025
- [19] Year for Medicare Supplement offerings
- [20] Medicaid and CHIP states in 2025
- [21] Year for Medicaid and CHIP services
- [22] Care coordination percentage for Duals
- [23] Total revenues for 2025
- [24] Year for total revenues
- [25] Total revenues for 2024
- [26] Year for total revenues
- [27] Total revenues for 2023
- [28] Year for total revenues
- [29] Year for operating income
- [30] Operating income for 2025
- [31] Operating income for 2024
- [32] Year for operating income
- [33] Operating income for 2023
- [34] Year for operating income
- [35] Net income for 2025
- [36] Year for net income
- [37] Net income for 2024
- [38] Year for net income
- [39] Net income for 2023
- [40] Year for net income
- [41] Diluted EPS for 2025
- [42] Year for diluted EPS
- [43] Diluted EPS for 2024
- [44] Year for diluted EPS
- [45] Diluted EPS for 2023
- [46] Year for diluted EPS
- [47] Adjusted EPS for 2025
- [48] Year for adjusted EPS
- [49] Adjusted EPS for 2024
- [50] Year for adjusted EPS
- [51] Adjusted EPS for 2023
- [52] Year for adjusted EPS
- [53] Cash flow from operations for 2025
- [54] Year for cash flow from operations
- [55] Cash flow from operations for 2024
- [56] Year for cash flow from operations
- [57] Cash flow from operations for 2023
- [58] Year for cash flow from operations
- [59] Net capital expenditures for 2025
- [60] Year for net capital expenditures
- [61] Net capital expenditures for 2024
- [62] Year for net capital expenditures
- [63] Net capital expenditures for 2023
- [64] Year for net capital expenditures
- [65] Cash available for debt repayment for 2025
- [66] Year for cash available for debt repayment
- [67] Cash available for debt repayment for 2024
- [68] Year for cash available for debt repayment
- [69] Cash available for debt repayment for 2023
- [70] Year for cash available for debt repayment
- [71] Series A Junior Subordinated Notes interest rate
- [72] Series A Junior Subordinated Notes due date
- [73] Series A Junior Subordinated Notes callable date
- [74] Series B Junior Subordinated Notes interest rate
- [75] Series B Junior Subordinated Notes due date
- [76] Series B Junior Subordinated Notes callable date
- [77] U.S. Federal Government revenue percentage in 2025
- [78] Year for U.S. Federal Government revenue percentage
- [79] U.S. Federal Government revenue percentage in 2024
- [80] Year for U.S. Federal Government revenue percentage
- [81] U.S. Federal Government revenue percentage in 2023
- [82] Year for U.S. Federal Government revenue percentage
- [83] Omnicare Inc. litigation party
- [84] Omnicare Inc. settlement amount
- [85] U.S. Federal Government (Bassan settlement recipient)
- [86] Cash and cash equivalents as of 2025
- [87] As of December 31, 2025 (cash and cash equivalents)
- [88] Cash and cash equivalents as of 2024
- [89] As of December 31, 2024 (cash and cash equivalents)
- [90] Total long-term debt as of 2025
- [91] As of December 31, 2025 (total long-term debt)
- [92] Total long-term debt as of 2024
- [93] As of December 31, 2024 (total long-term debt)
Analysis on 6/3/2026