Mar 31

CVS Health Q1 2025 Earnings Report

CVS Health reported strong growth in Q1 2025, driven by higher revenue across all segments and improved performance in Medicare Advantage.

Key Takeaways

CVS Health saw solid financial and operational performance in Q1 2025, with notable gains in adjusted EPS and net income, boosted by improvements in its Health Care Benefits segment and expanded access initiatives across the enterprise.

Total Revenue
$94.6B
Previous year: $88.5B
+6.9%
EPS
$2.25
Previous year: $1.31
+71.8%
Total Medical Membership
27.08M
Previous year: 26.77M
+1.2%
Medical Benefit Ratio
87.3%
Previous year: 90.4%
-3.4%
Operating Cash Flow
$4.56B
Previous year: $4.9B
-7.1%
Gross Profit
$14.4B
Previous year: $12.6B
+14.8%
Cash and Equivalents
$10.1B
Previous year: $13.1B
-23.3%
Free Cash Flow
$3.81B
Previous year: $4.2B
-9.2%
Total Assets
$256B
Previous year: $250B
+2.3%

CVS Health

CVS Health

CVS Health Revenue by Segment

CVS Health Revenue by Geographic Location

Forward Guidance

CVS revised its full-year 2025 outlook, increasing its adjusted EPS and cash flow guidance while lowering GAAP EPS expectations due to anticipated cost pressures.

Positive Outlook

  • Raised adjusted EPS guidance to $6.00–$6.20 from $5.75–$6.00
  • Increased cash flow from operations outlook to ~$7.0B from ~$6.5B
  • Solid Medicare Advantage performance supports revenue growth
  • Continued improvements in adjusted operating income across segments
  • Formulary updates to improve access to GLP-1 drugs

Challenges Ahead

  • Lowered GAAP EPS guidance due to litigation and wind-down costs
  • Ongoing cost pressure trends expected to persist
  • Litigation charge from Omnicare case impacted Q1 GAAP results
  • Premium deficiency reserve recorded for individual exchange business
  • Winding down Accountable Care assets incurred losses

Revenue & Expenses

Visualization of income flow from segment revenue to net income