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CVS HEALTH REPORTS FOURTH QUARTER AND FULL-YEAR 2023 RESULTS | ||||||||
WOONSOCKET, RHODE ISLAND, February 7, 2024 - CVS Health Corporation (NYSE: CVS) today announced operating results for the three months and year ended December 31, 2023. |
FOURTH QUARTER HIGHLIGHTS | KEY FINANCIAL DATA |
FULL-YEAR HIGHLIGHTS |
Three Months Ended December 31, | |||||||||||||||||
In millions, except per share amounts | 2023 | 2022 | Change | ||||||||||||||
Total revenues | $ | 93,813 | $ | 83,846 | $ | 9,967 | |||||||||||
Operating income | 3,373 | 3,659 | (286) | ||||||||||||||
Adjusted operating income (1) | 4,227 | 4,079 | 148 | ||||||||||||||
Diluted earnings per share | $ | 1.58 | $ | 1.77 | $ | (0.19) | |||||||||||
Adjusted EPS (2) | $ | 2.12 | $ | 2.04 | $ | 0.08 |
Note: Financial information as of and for the three months and year ended December 31, 2022 throughout this press release has been revised to conform with certain current period financial statement changes as described on page 16. | |||||
2024 FULL-YEAR GUIDANCE | |||||
Upon finalizing the medical cost trend analysis for the fourth quarter of 2023 and recognizing potential implications for elevated medical cost trends in 2024, the Company has: •Revised GAAP diluted EPS guidance to at least $7.06 from at least $7.26 •Revised Adjusted EPS guidance to at least $8.30 from at least $8.50 •Revised cash flow from operations guidance to at least $12.0 billion from at least $12.5 billion |
CEO Commentary | “With a focus on delivering care and value, we had a strong fourth quarter and full year in 2023 as we build a world of health around every consumer. We will continue to drive affordable access to care when, where, and how people want, while we improve transparency throughout the health care system.” -Karen S. Lynch, CVS Health President and CEO |
IN THE SPOTLIGHT |
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Cvs Health Corp's Definitive Proxy Statement (Form DEF 14A) filed after their 2024 10-K Annual Report includes:
Rating
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Within certain ratio ranges, regulators have increasing authority to take action as the RBC Ratio decreases.
The risks inherent in assessing the impairment of a debt security include the risk that market factors may differ from projections and the risk that facts and circumstances factored into the Company’s assessment may change with the passage of time.
In addition, in connection with the Aetna Acquisition, the Company made certain undertakings that require prior regulatory approval of dividends by certain of its HMOs and insurance companies.
Although management believes there is sufficient current and historical information available to record reasonable estimates for estimated inventory losses, it is possible that actual results could differ.
Under the terms of the ASR, the maximum number of shares that could be delivered to the Company is 73.9 million.
For unrealized losses determined to...Read more
This legislative and regulatory activity...Read more
The decrease was primarily due...Read more
Although the Company currently believes...Read more
The decrease was primarily due...Read more
The increase in adjusted operating...Read more
The decrease was primarily driven...Read more
The net proceeds of these...Read more
The total reserve for estimated...Read more
The main driver of this...Read more
In December 2023, the Board...Read more
The Health Care Benefits segment...Read more
The Company records revenue net...Read more
However, based on historical claim...Read more
During the second quarter of...Read more
•Operating expenses in the Health...Read more
PBM solutions include plan design...Read more
These increases were partially offset...Read more
Effective January 1, 2023, the...Read more
For contracts under which the...Read more
The Company controls prescriptions fulfilled...Read more
At the time they were...Read more
As of December 31, 2023 and...Read more
•The Company’s pharmacy claims processed...Read more
The increase was primarily driven...Read more
•Revenues generated from prescription drugs...Read more
Although intangible assets contribute to...Read more
•Medical membership as of December 31,...Read more
In August 2021, the Company...Read more
•Total revenues increased $14.3 billion,...Read more
The net proceeds of these...Read more
Revenue related to the Company’s...Read more
During 2023, approximately 74% of...Read more
In connection with the development...Read more
Some of the Company’s Government...Read more
Over the long term, the...Read more
Prior to January 1, 2023,...Read more
The RBC framework described above...Read more
•Operating expenses in the Health...Read more
•Interest expense increased $371 million,...Read more
The decrease in adjusted operating...Read more
The increase was primarily driven...Read more
These decreases were partially offset...Read more
These covenants do not include...Read more
During the fourth quarter of...Read more
The Company is creating new...Read more
The Pharmacy & Consumer Wellness...Read more
On June 2, 2023, the...Read more
These challenges included lower net...Read more
When this occurred, both the...Read more
In May 2022, the Company...Read more
TotalInsuredASCTotalMedical membership:Commercial4,252 14,087 18,339 3,136 13,896 17,032 Medicare Advantage3,460 — 3,460 3,270 — 3,270 Medicare Supplement1,343 — 1,343 1,363 — 1,363 Medicaid2,073 444 2,517 2,234 497 2,731 Total medical...Read more
•The increased use of generic...Read more
The Company recognizes revenue using...Read more
Goodwill is subject to annual...Read more
The CODM evaluates the performance...Read more
In December 2021, the Company...Read more
The increase was primarily driven...Read more
The Company expects to prudently...Read more
This fair value estimate is...Read more
This segment will also provide...Read more
The increase in operating expenses...Read more
•Prescriptions filled represents the number...Read more
The segment also conducts long-term...Read more
When establishing reserves as of...Read more
•Net cash provided by operating...Read more
The Company had $200 million of...Read more
•The segment’s adjusted operating income...Read more
Indefinite-lived intangible assets are tested...Read more
•During 2022, the Company recorded...Read more
Health Care Benefits revenue is...Read more
The Company operates a group...Read more
•Competitive pressures in the retail...Read more
The Company uses adjusted operating...Read more
(2)The Company’s net realized capital...Read more
•Net cash used in investing...Read more
During 2022, the loss on...Read more
•Medical membership represents the number...Read more
The Health Care Benefits segment...Read more
Such adjustments are reasonably estimable...Read more
The 2025 Medicare Advantage rates,...Read more
The Company has three operating...Read more
During 2023 and 2022, the...Read more
Same-store metrics provide management and...Read more
Effective for the first quarter...Read more
Inventories are valued at the...Read more
Management considers historical health care...Read more
Management uses MBR to assess...Read more
Final 2024 Medicare Advantage rates...Read more
Effective January 1, 2023, same...Read more
Plans must have a star...Read more
Accordingly, the Company believes excluding...Read more
MBR provides management and investors...Read more
Excluding the impact of COVID-19...Read more
This activity includes the share...Read more
These increases were partially offset...Read more
The Health Services segment sells...Read more
(2)Includes an adjustment to convert...Read more
The Health Services segment’s clients...Read more
Each of the share Repurchase...Read more
•Revenues generated from prescription drugs...Read more
Both Signify Health and Oak...Read more
On January 31, 2024, CMS...Read more
Pursuant to the authorization under...Read more
At December 31, 2023, all of...Read more
The indefinite-lived intangible asset impairment...Read more
The Health Services segment provides...Read more
Effective January 1, 2023, pharmacy...Read more
These assumptions and estimates primarily...Read more
In addition, the Company created...Read more
The decrease in adjusted operating...Read more
(4)Includes an adjustment to convert...Read more
The Company maintains capital levels...Read more
As of December 31, 2023, the...Read more
The Company’s debt ratings have...Read more
The store impairment charge is...Read more
The Company’s 2024 star ratings...Read more
The Health Care Benefits segment’s...Read more
(2)Relocated stores are not included...Read more
This metric provides management and...Read more
At the conclusion of the...Read more
These estimates can be affected...Read more
On March 31, 2023, CMS...Read more
If the net book value...Read more
Pursuant to the authorization under...Read more
Goodwill represents the excess of...Read more
(2)Pharmacy network revenues relate to...Read more
•The Pharmacy & Consumer Wellness...Read more
The Company recognizes revenue when...Read more
In February 2022, the Company...Read more
Effective for the 2023 annual...Read more
Same store metrics exclude revenues...Read more
The fair values of the...Read more
•Medical benefit ratio is calculated...Read more
There are four levels of...Read more
There were no impairment losses...Read more
As part of this initiative,...Read more
Definite-lived intangible assets are amortized...Read more
During the year ended December 31,...Read more
In February 2023, the Company...Read more
The impairment test is performed...Read more
In addition, the Company provides...Read more
•Operating expenses as a percentage...Read more
As a result of this...Read more
A long-lived asset impairment test...Read more
The Company also announced the...Read more
Additionally, intangible asset amortization expense...Read more
Both the 2022 and 2021...Read more
This metric provides management and...Read more
This metric provides management and...Read more
The increase in the segment’s...Read more
On October 13, 2023, CMS...Read more
During the years ended December 31,...Read more
These increases in operating income...Read more
PBM services performed in connection...Read more
(2)Intersegment revenue eliminations relate to...Read more
This metric provides management and...Read more
In connection with this initiative,...Read more
•Gross capital expenditures remained relatively...Read more
Unexpected changes to market factors...Read more
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•Generic dispensing rate is calculated...Read more
Adjustments generally result from contract...Read more
These increases were partially offset...Read more
The Patient Protection and Affordable...Read more
The increase in the segment’s...Read more
•The Company is exposed to...Read more
(10)In 2021, the goodwill impairment...Read more
The increase in operating expenses...Read more
This adjustment reflects the fact...Read more
On May 2, 2023, the...Read more
•Net cash provided by financing...Read more
Although not all states had...Read more
If the carrying value of...Read more
This adjustment reflects the fact...Read more
During the year ended December...Read more
(5)In 2023 and 2022, the...Read more
The Company maintains a level...Read more
(6)In 2023 and 2022, the...Read more
•Products for which the Company...Read more
(8)In 2022, the gain on...Read more
The fair values of the...Read more
•Revenues primarily relate to products...Read more
The amount of the credit-related...Read more
•The Health Services segment’s generic...Read more
The effect of adjustments between...Read more
The ultimate number of shares...Read more
(9)In 2021, the store impairment...Read more
As of December 31, 2023, the...Read more
The Company believes its operating...Read more
This metric provides management and...Read more
The Health Care Benefits segment...Read more
In connection with its new...Read more
We evaluate and adjust our...Read more
•Adjusted operating loss decreased $295...Read more
Effective January 1, 2023, mail...Read more
(3)Mail & specialty revenues relate...Read more
•The exclusion of the impact...Read more
The Company estimates these rebates...Read more
(3)In 2023, the acquisition-related transaction...Read more
Given the close proximity of...Read more
Among the factors considered in...Read more
Based on historical claim experience,...Read more
CVS Health Corporation has paid...Read more
This trend, which the Company...Read more
The Company sold Insured plans...Read more
The fair values of the...Read more
On May 2, 2023, the...Read more
CVS Health Corporation, together with...Read more
The Health Care Delivery reporting...Read more
Management uses these metrics to...Read more
•Please see “Segment Analysis” later...Read more
The increase was primarily driven...Read more
The Company continuously assesses its...Read more
The additional regulations and undertakings...Read more
(7)In 2022, the opioid litigation...Read more
During the third quarter of...Read more
•Front store same store sales...Read more
When estimating these losses, a...Read more
As a result of this...Read more
The estimates are based on...Read more
The Company’s estimates can be...Read more
Future dividend payments will depend...Read more
(1)The Company’s acquisition activities have...Read more
The long-lived asset impairment loss...Read more
Excluding the impact of COVID-19...Read more
Subsequent to the impairment charge...Read more
•Please see “Segment Analysis” later...Read more
If either case is true,...Read more
The value of ending inventory...Read more
During the third quarter of...Read more
•The Company expects growth in...Read more
In connection with its new...Read more
The coronavirus disease 2019 (“COVID-19”)...Read more
In evaluating whether a credit...Read more
The determination of the fair...Read more
As of December 31, 2023, the Company...Read more
After considering the claims paid...Read more
The Company’s pharmacy benefit arrangements...Read more
The maximum borrowing capacity available...Read more
The Company utilized these updated...Read more
Based on the increase in...Read more
•Legislation and/or regulations seeking to...Read more
The sale of the Thailand...Read more
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The carrying value of the...Read more
As part of this review,...Read more
External rating agencies use their...Read more
The Company regularly reviews its...Read more
If a debt security is...Read more
The fair value of the...Read more
The Company’s accounting for inventory...Read more
Health care cost trend rates...Read more
Any cumulative effect of these...Read more
During the year ended December 31,...Read more
During the first quarter of...Read more
These estimates can be affected...Read more
The Company evaluates the recoverability...Read more
The term loan agreement allows...Read more
Management uses this metric to...Read more
Management uses this metric to...Read more
These decreases were partially offset...Read more
During 2023, the Company completed...Read more
Fair value is estimated by...Read more
The decrease was primarily due...Read more
The Company’s segments maintain separate...Read more
Excluding the impact of COVID-19...Read more
The fair value of the...Read more
If the pharmacy reimbursement pressure...Read more
The decrease in operating expenses...Read more
Under applicable regulatory requirements and...Read more
During the third quarter of...Read more
In addition, marketplace dynamics and...Read more
The Company does not believe...Read more
On March 29, 2023, the...Read more
As a result, management determined...Read more
If required, an impairment loss...Read more
Interest payments on long-term debt...Read more
Prior period segment financial information...Read more
During the fourth quarter of...Read more
Also, during 2023 and 2022,...Read more
•Pharmacy claims processed represents the...Read more
The Company adjusts its rebates...Read more
In addition, marketplace dynamics and...Read more
•Generic dispensing rate is calculated...Read more
The segment has considered the...Read more
The impact has not been...Read more
During 2022, the Company determined...Read more
If a debt security is...Read more
These transactions were accounted for...Read more
During the fourth quarter of...Read more
•Operating expenses in the Pharmacy...Read more
Indefinite-lived intangible assets are subject...Read more
IBNR estimates are developed using...Read more
(3)Same store sales and prescription...Read more
•Please see “Segment Analysis” later...Read more
The office real estate optimization...Read more
In addition, at the Company’s...Read more
If the estimated future cash...Read more
The Company analyzes all facts...Read more
•Management and administrative expenses to...Read more
As a member, the subsidiary...Read more
The credit facilities allow for...Read more
•Operating expenses as a percentage...Read more
Health care costs payable also...Read more
The impairment loss calculation compares...Read more
•Future costs are influenced by...Read more
Management uses this metric to...Read more
Based on the 2024 star...Read more
These decreases were partially offset...Read more
In particular, competitive pressures in...Read more
During the years ended December 31,...Read more
As of September 30, 2023,...Read more
•Operating expenses as a percentage of...Read more
The results of the impairment...Read more
•Prescriptions filled increased 1.5% on...Read more
If indicators of impairment are...Read more
At December 31, 2023 and 2022,...Read more
•Operating expenses as a percentage...Read more
Accordingly, the Company believes excluding...Read more
The results of the impairment...Read more
•The Company’s effective income tax...Read more
At the time of delivery,...Read more
•Competitive pressures in the PBM...Read more
The decrease in operating expenses...Read more
It is also possible, depending...Read more
•During 2023 and 2022, the...Read more
The results of the impairment...Read more
The results of the impairment...Read more
The decrease in operating expenses...Read more
Management uses this metric to...Read more
Management uses this metric to...Read more
These regulations are not directly...Read more
(4)In 2023, the restructuring charges...Read more
These capital gains and losses...Read more
The Company groups and evaluates...Read more
These increases were largely offset...Read more
Financial Statements, Disclosures and Schedules
Inside this 10-K Annual Report
Material Contracts, Statements, Certifications & more
Cvs Health Corp provided additional information to their SEC Filing as exhibits
Ticker: CVS
CIK: 64803
Form Type: 10-K Annual Report
Accession Number: 0000064803-24-000007
Submitted to the SEC: Wed Feb 07 2024 6:52:35 AM EST
Accepted by the SEC: Wed Feb 07 2024
Period: Sunday, December 31, 2023
Industry: Retail Drug Stores And Proprietary Stores