Companies /Healthcare

CVS Health Corp

NYSE: CVS Healthcare Plans
$93.27
▼ $1.05 (−1.12%) today
Markets open · 3:41pm ET

Q4 2025 Earnings

Reported Feb 10, 2026, 6:31am ET · SEC source
$1.09
Beat +9.00%
EPS · est. $1.00
$105.7B
Beat +2.02%
Revenue · est. $103.6B
+4.9%
Beating market
CVS vs S&P since report
6 quarters
Consecutive EPS beats

Market Reaction

% change · around the report
0+3%+6%Feb 10Feb 11report 6:31am ETearnings−0.2%+1.9%
0+3%+6%Feb 10Feb 11earnings−0.2%+1.9%
CVS +1.9%S&P 500 −0.2%
0+3%+6%Feb 10Feb 11report 6:31am ETearnings−0.3%+1.9%
0+3%+6%Feb 10Feb 11earnings−0.3%+1.9%
CVS +1.9%NASDAQ −0.3%
−3%0+3%+6%Feb 9Feb 17report 6:31am ETearnings−1.8%+4.7%
−3%0+3%+6%Feb 9Feb 17earnings−1.8%+4.7%
CVS +4.7%S&P 500 −1.8%
−3%0+3%+6%Feb 9Feb 17report 6:31am ETearnings−2.3%+4.7%
−3%0+3%+6%Feb 9Feb 17earnings−2.3%+4.7%
CVS +4.7%NASDAQ −2.3%
−0.09%
Day of report
+1.74%
Next session
+2.71%
One week
+0.57%
30 days

S&P 500 over the same 30 days: −4.31%.

Did CVS Beat Earnings? Q4 2025 Results

CVS Health delivered a stronger-than-expected fourth quarter, posting adjusted EPS of $1.09 against the $1.00 consensus estimate for a 9% beat, while revenue climbed 8.2% year-over-year to $105.69 billion, topping the $103.60 billion forecast. The headline numbers, however, tell only part of the story; <a href="https://247wallst.com/investing/2026/02/10/the-cvs-earnings-bombshell-that-has-investors-scrambling-right-now/">the quarter's underlying pressures</a> were most visible in the Health Care Benefits segment, which posted an adjusted operating loss of $676 million as Medicare Part D seasonality shifts under the Inflation Reduction Act weighed heavily on margins. Partially offsetting that drag, the Pharmacy and Consumer Wellness segment was a standout, with revenue rising 12.4% to $37.66 billion and same-store prescription volume surging 9.7%. GAAP diluted EPS jumped to $2.30 from $1.30, aided by a roughly $1.90 billion tax benefit tied to the Omnicare bankruptcy. Looking ahead, CVS guided for 2026 adjusted EPS of $7.00 to $7.20, though it trimmed its operating cash flow outlook to at least $9.00 billion from a prior target of at least $10.00 billion, a revision investors will be watching closely.

Key Takeaways
  • Health Care Benefits revenue growth driven by Government business and impact of IRA on Medicare Part D
  • Health Services revenue growth driven by pharmacy drug mix and brand inflation
  • Pharmacy & Consumer Wellness revenue growth driven by pharmacy drug mix, increased prescription volume, and Rite Aid prescription file acquisitions
  • Same store prescription volume increased 9.7% in Q4 on a 30-day equivalent basis
  • Improved purchasing economics in Health Services segment
  • Full-year MBR improved to 91.2% from 92.5% driven by improved Government business performance
  • Prior years' health care costs payable estimates developed favorably by $2.0 billion during 2025

“Our fourth quarter and full-year results demonstrate the progress we are making in transforming the health care experience with our unique collection of businesses. From lowering drug prices, to improving navigation of health care, to being the front door of care across our country, we are well positioned to achieve our ambition to be the most trusted health care company in America.”

CVS Health CEO, on the earnings call

Forward Guidance & Outlook

CVS Health confirmed 2026 full-year guidance with GAAP diluted EPS of $5.94 to $6.14 and Adjusted EPS of $7.00 to $7.20. The company updated its cash flow from operations guidance downward to at least $9.0 billion from at least $10.0 billion. Caremark closes 2025 with significant customer wins and strong retention providing momentum into 2026. CVS Pharmacy completed its transition to cost-based reimbursement across Commercial, Third-Party Discount, Medicare and Medicaid businesses.

CVS YoY Financials

Q4 2025 vs Q4 2024 · SEC filings Q4 2024 Q4 2025
$0$30.0B$60.0B$90.0B$97.7B$105.7BRevenue$2.4B$2.1BOperating Income$1.6B$2.9BNet Income
$0$30.0B$60.0B$90.0BRevenueOperating IncomeNet Income

CVS Revenue by Segment

Health Services$51.2B+9.0%
Pharmacy & Consumer Wellness$37.7B+12.4%
Health Care Benefits$36.3B+10.1%
Pharmacy$31.4B+15.2%
Government Premiums$26.6B+19.8%
Pharmacy Network$27.6B+9.5%
Mail & Specialty$21.3B+13.4%
Commercial Premiums$7.5B−14.7%

Figures from SEC filings and company reports. Not investment advice.