Strong FY2025 Financial Performance
Full year 2025 revenue exceeded $400 billion, adjusted EPS of $6.75 (approximately 15% above initial expectations), and operating cash flow of $10.6 billion, meaningfully outperforming initial expectations and demonstrating strong cash generation.
Solid Fourth Quarter Results
Q4 revenue topped $105 billion, up over 8% year-over-year; adjusted operating income of ~$2.6 billion and adjusted EPS of $1.09; quarterly cash flow from operations of approximately $3.4 billion.
Aetna Profitability Improvement
Aetna delivered a year-over-year adjusted operating income improvement of over $2.6 billion in 2025, strengthened leadership and culture, maintained a leading Stars position, and received the inaugural Press Ganey Health Plan of the Year award.
Pharmacy & Consumer Wellness Momentum
Pharmacy & Consumer Wellness posted nearly $38 billion in Q4 revenue (+12% YoY), same-store total revenues +16% and same-store pharmacy sales +19%; same-store prescription volumes rose nearly 10%; retail pharmacy script share grew to over 29%. Q4 adjusted operating income for the segment was over $1.9 billion (+~9% YoY) and full-year AOI for the segment exceeded $6 billion (+~4.5% YoY).
Health Services Strength
Health Services generated over $51 billion in Q4 revenue (+9% YoY) and delivered adjusted operating income of approximately $1.9 billion (+~9% YoY). Health Care Delivery revenues (ex-CVS Accountable Care) grew ~21% YoY, driven by patient growth at Oak Street Health.
Operational & Strategic Wins (Retail & PBM)
CVS Pharmacy completed transition to cost‑based reimbursement and established a new trajectory of at least flat earnings annually starting in 2026; Caremark continues to evolve (TrueCost) and the company expects recent PBM legislation to be manageable and potentially accelerate TrueCost adoption.
Material Cost Savings Delivered for Clients & Members
Company reported Aetna network negotiations yielded over $235 billion of savings, Caremark negotiations deliver an incremental $45 billion annually, totaling over $280 billion of annual savings; HUMIRA biosimilar strategy achieved ~96% adoption and $0 out-of-pocket for >80% of members, creating >$1.5 billion of savings for clients and members.
Improved Balance Sheet & Liquidity Actions
Year-end cash at parent and unrestricted subsidiaries totaled approximately $2.8 billion; leverage ratio improved to ~4x (meaningful improvement vs. prior year) and management expects further deleveraging as earnings improve.
Reaffirmed 2026 Guidance
Company reaffirmed full year 2026 revenue target of at least $400 billion and adjusted EPS guidance of $7.00 to $7.20, and updated 2026 operating cash flow outlook to at least $9 billion while noting cumulative cash flow across 2025–2026 has increased by >$1.5 billion.
Signify & In-Home Care Impact
Signify clinicians provide in-home provider-led evaluations for over 3.5 million consumers annually, facilitating over 500,000 connections (including nearly 100,000 urgent escalations), highlighting clinical reach and value in closing gaps in care.