CVS Health
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CVS Health (CVS) investor relations material

CVS Health Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary6 May, 2026

Executive summary

  • Q1 2026 revenues reached $100.4 billion, up 6.2% year-over-year, with adjusted EPS of $2.57 and GAAP EPS of $2.30, reflecting strong growth across all segments.

  • Net income rose 65.9% to $2.96 billion, and operating income increased 38.7% due to improved segment performance and absence of prior-year charges.

  • Strategic focus on affordability, seamless healthcare, and technology/AI investments, with initiatives like Health100 and biosimilar adoption.

  • Full-year 2026 guidance raised for adjusted EPS ($7.30–$7.50), GAAP EPS ($6.24–$6.44), and cash flow from operations (at least $9.5 billion).

  • Returned nearly $850 million to shareholders via dividends in Q1.

Financial highlights

  • Q1 2026 total revenues were $100.4 billion, up from $94.6 billion in Q1 2025.

  • Adjusted operating income rose 12.5% to $5.15 billion, driven by Health Care Benefits improvement.

  • Net income for Q1 2026 was $2.96 billion, up from $1.78 billion in Q1 2025.

  • Cash flow from operations was $4.25 billion for the quarter.

  • Health Care Benefits revenue was $36.0 billion (+3.3% YoY); Health Services $48.2 billion (+11% YoY); Pharmacy & Consumer Wellness $32.0 billion (flat YoY).

Outlook and guidance

  • Full-year 2026 adjusted EPS guidance raised to $7.30–$7.50; GAAP diluted EPS to $6.24–$6.44.

  • Full-year revenue expected to be at least $405 billion; cash flow from operations at least $9.5 billion.

  • Health Care Benefits AOI guidance increased to $4.0–$4.34 billion; MBR expected at 90.5% ±50bps.

  • Pharmacy & Consumer Wellness AOI guidance raised to at least $6.18 billion.

  • Guidance reflects strength in Health Care Benefits and Pharmacy & Consumer Wellness, with caution due to elevated cost trends and macro headwinds.

Drivers of the 4.0 day increase in DCP
Impact of individual exchange exit on MBR trends
Drivers of Health Services margin compression
STELARA biosimilar strategy and HUMIRA playbook
Path to Medicare Advantage target margins by 2028
Health100 platform and consumer engagement goals
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