CVS Health(CVS) - 2025 Q2 - Quarterly Report

Revenue Performance - Total revenues increased by $7.7 billion, or 8.4%, in the three months ended June 30, 2025, compared to the prior year, driven by revenue growth across all operating segments [178]. - Total revenues increased by $13.8 billion, or 7.7%, in the six months ended June 30, 2025, driven by revenue growth across all operating segments [184]. - Total revenues for the Health Care Benefits segment reached $36,258 million for the three months ended June 30, 2025, compared to $32,475 million for the same period in 2024 [192]. - The Company recorded total revenues of $193,503 million for the six months ended June 30, 2025, compared to $179,671 million for the same period in 2024 [192]. - Total revenues increased by $3.8 billion, or 11.6%, in the three months ended June 30, 2025, primarily driven by increases in the Government business due to the Inflation Reduction Act's impact on the Medicare Part D program [198]. - Premium revenues for the Health Care Benefits segment reached $34.2 billion in Q2 2025, an increase of 11.5% compared to $30.7 billion in Q2 2024 [197]. - Total revenues increased by $6.4 billion, or 9.8%, in the six months ended June 30, 2025, primarily driven by the Government business [203]. - Total revenues for the three months ended June 30, 2025, increased by $4.3 billion, or 10.2%, compared to the prior year, primarily driven by pharmacy drug mix and brand inflation [217]. - Total revenues increased by $3.7 billion, or 12.5%, in 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 [230]. - Total revenues increased by $6.9 billion, or 11.8%, in the six months ended June 30, 2025, primarily driven by pharmacy drug mix and increased prescription volume [235]. Operating Income and Expenses - Operating expenses rose by $874 million, or 8.5%, in the three months ended June 30, 2025, primarily due to $833 million in litigation charges related to past business practices [178]. - Operating expenses increased by $1.6 billion, or 7.8%, in the six months ended June 30, 2025, primarily due to $1.2 billion in litigation charges and $288 million in pre-tax losses on Accountable Care assets [184]. - Operating income decreased by $664 million, or 21.8%, in the three months ended June 30, 2025, primarily due to declines in the Health Services and Pharmacy & Consumer Wellness segments [183]. - Adjusted operating income for the consolidated totals was $3,808 million for the three months ended June 30, 2025, up from $3,744 million in the same period of 2024 [194]. - Adjusted operating income increased by $1.6 billion, or 97.7%, in the six months ended June 30, 2025, driven by improved performance in the Government business [207]. - Adjusted operating income decreased by $100 million, or 3.1%, in the six months ended June 30, 2025, primarily driven by continued pharmacy client price improvements [224]. - Adjusted operating income decreased by $340 million, or 17.8%, in the three months ended June 30, 2025, primarily due to continued pharmacy client price improvements [226]. Net Income and Tax Rate - Net income attributable to CVS Health was $1,021 million for the three months ended June 30, 2025, a decrease of $749 million, or 42.3%, compared to the prior year [177]. - The effective income tax rate was 38.5% for the three months ended June 30, 2025, compared to 24.3% for the same period in 2024, primarily due to non-deductible litigation charges [180]. Membership and Utilization - As of June 30, 2025, medical membership decreased by 358,000 members compared to March 31, 2025, totaling 26.7 million members [213]. - The Company's medical membership in Medicare and individual exchange products is set to decline, with plans to exit certain states by January 2026 [187]. - Utilization levels remain elevated, which is expected to pressure the Health Care Benefits segment and health care delivery assets for the remainder of 2025 [187]. - The Medicaid business is facing medical cost pressures due to higher acuity following member redeterminations, with uncertainty on when these pressures will be offset by state rate updates [187]. Cash Flow and Financing - Net cash provided by operating activities decreased by $1.5 billion to $6.5 billion for the six months ended June 30, 2025, a decline of 19.3% compared to the prior year [242]. - Net cash used in investing activities decreased by $1.9 billion to $1.8 billion for the six months ended June 30, 2025, a reduction of 52.0% compared to the prior year [242]. - Net cash used in financing activities was $1.5 billion for the six months ended June 30, 2025, compared to net cash provided of $22 million in the prior year, marking a significant change of 7036.4% [246]. - The Company had $3.0 billion of commercial paper outstanding at a weighted average interest rate of 5.02% as of June 30, 2025 [244]. - The maximum borrowing capacity from the Federal Home Loan Bank of Boston was approximately $1.2 billion as of June 30, 2025, with no outstanding advances [245]. - The Company did not repurchase any shares during the six months ended June 30, 2025, while it repurchased 39.7 million shares for approximately $3.0 billion in the prior year [250]. - The Company has authorized share repurchase programs totaling $20 billion, with $10 billion remaining under the 2022 program as of June 30, 2025 [249]. - The Company was in compliance with all its debt covenants as of June 30, 2025 [247]. Segment Performance - The Health Services segment includes CVS Caremark operations and provides a full range of pharmacy benefit management solutions [172]. - The Pharmacy & Consumer Wellness segment is anticipated to benefit from increased volume due to disruptions in the retail pharmacy market, including acquisitions from Rite Aid [187]. - Operating expenses in the Health Services segment increased by $321 million, or 37.8%, in the three months ended June 30, 2025, mainly due to a $291 million litigation charge [219]. - Operating expenses in the Health Care Benefits segment remained consistent in the six months ended June 30, 2025, compared to the prior year [206]. - Pharmacy claims processed remained relatively consistent on a 30-day equivalent basis in the six months ended June 30, 2025, compared to the prior year [225]. - Pharmacy same store sales increased by 18.1% in the three months ended June 30, 2025, primarily due to pharmacy drug mix and a 6.4% increase in pharmacy same store prescription volume [230]. - Pharmacy same store sales increased by 17.9% in the six months ended June 30, 2025, driven by pharmacy drug mix and a 6.5% increase in pharmacy same store prescription volume [235]. - Front store same store sales increased by 1.5% in the six months ended June 30, 2025, compared to the prior year [235]. Future Outlook - The Company expects to achieve over $500 million in cost savings in 2025 from an enterprise-wide restructuring plan finalized in Q3 2024 [187]. - Future financial performance will be influenced by competitive demand, legislative and regulatory considerations, and inflation [187]. - Regulatory changes and consumer sentiment shifts regarding immunizations may negatively impact national demand and financial results [187]. - The Company intends to appeal the verdict related to legacy litigation charges amounting to $387 million recorded in Q1 2025 [196].