WOONSOCKET, R.I., Feb. 16, 2021 /PRNewswire/ --
Full Year and Fourth Quarter Highlights:
2021 Full Year Guidance:
CVS Health Corporation (NYSE: CVS) today announced operating results for the three months and year ended December 31, 2020.
CVS Health President and CEO Karen S. Lynch stated, "The COVID-19 pandemic presented unique challenges to our business and to the entire health care industry. We utilized the full depth and breadth of our capabilities and our presence in local communities across the country, to play a leadership role in COVID-19 testing and vaccine administration. Our ability to deliver 2020 full-year results above expectations is a testament to the strength of our strategy and the flexibility of our diversified health services model.
"We are proud to be a trusted health partner to more than 100 million customers through our Pharmacy and Health Care businesses and to be able to support millions of Americans in our local communities, many in underserved and remote areas. We are grateful for the dedication of our nearly 300,000 colleagues, many serving on the frontlines, who demonstrated an unwavering commitment to our fellow Americans.
"Our goal is to make health care more accessible, more affordable and simpler. In order to do this, we will accelerate the pace of our progress through targeted investments in key areas that will drive our consumer-focused strategy. We believe that solving consumer health needs will deliver better health outcomes and lower costs while creating future economic benefit for CVS Health and its shareholders."
A summary of the Company's response to the COVID-19 pandemic is included on page six.
_____________________________________________ |
The Company presents both GAAP and non-GAAP financial measures in this press release to assist in the comparison of the Company's past financial performance with its current financial performance. See "Non-GAAP Financial Information" on pages 12 through 13 and endnotes on page 25 for explanations of non-GAAP financial measures presented in this press release. See pages 14 through 17 and page 24 for reconciliations of each non-GAAP financial measure to the most directly comparable GAAP financial measure. |
Consolidated Fourth Quarter and Full Year Results
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||||||||||
In millions, except per share amounts | 2020 | 2019 | Change | 2020 | 2019 | Change | |||||||||||||||||
Total revenues | $ | 69,554 | $ | 66,889 | $ | 2,665 | $ | 268,706 | $ | 256,776 | $ | 11,930 | |||||||||||
Operating income | 2,524 | 3,037 | (513) | 13,911 | 11,987 | 1,924 | |||||||||||||||||
Adjusted operating income (1) | 2,945 | 3,766 | (821) | 16,008 | 15,339 | 669 | |||||||||||||||||
Net income | 975 | 1,744 | (769) | 7,192 | 6,631 | 561 | |||||||||||||||||
Diluted earnings per share from continuing operations | $ | 0.75 | $ | 1.33 | $ | (0.58) | $ | 5.47 | $ | 5.08 | $ | 0.39 | |||||||||||
Adjusted EPS (2) | $ | 1.30 | $ | 1.73 | $ | (0.43) | $ | 7.50 | $ | 7.08 | $ | 0.42 | |||||||||||
Enterprise prescriptions (3) (4) | 742.1 | 734.0 | 8.1 | 2,906.7 | 2,802.9 | 103.8 |
Pharmacy Services Segment
The Pharmacy Services segment provides a full range of pharmacy benefit management solutions to employers, health plans, government employee groups and government sponsored programs. The segment results for the three months and years ended December 31, 2020 and 2019 were as follows:
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||||||||||
In millions | 2020 | 2019 | Change | 2020 | 2019 | Change | |||||||||||||||||
Total revenues | $ | 36,355 | $ | 37,073 | $ | (718) | $ | 141,938 | $ | 141,491 | $ | 447 | |||||||||||
Operating income | 1,505 | 1,348 | 157 | 5,454 | 4,735 | 719 | |||||||||||||||||
Adjusted operating income (1) | 1,561 | 1,447 | 114 | 5,688 | 5,129 | 559 | |||||||||||||||||
Total pharmacy claims processed (4) (5) | 537.9 | 533.9 | 4.0 | 2,112.9 | 2,014.2 | 98.7 | |||||||||||||||||
Pharmacy network (6) | 456.2 | 454.0 | 2.2 | 1,790.1 | 1,704.0 | 86.1 | |||||||||||||||||
Mail choice (7) | 81.7 | 79.9 | 1.8 | 322.8 | 310.2 | 12.6 |
See the supplemental information on page 19 for additional information regarding the performance of the Pharmacy Services segment.
Retail/LTC Segment
The Retail/LTC segment fulfills prescriptions for medications, provides patient care programs, sells a wide assortment of health and wellness products and general merchandise, provides health care services through walk-in medical clinics, provides medical diagnostic testing and provides services to long-term care facilities. The segment results for the three months and years ended December 31, 2020 and 2019 were as follows:
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||||||||||
In millions | 2020 | 2019 | Change | 2020 | 2019 | Change | |||||||||||||||||
Total revenues | $ | 24,062 | $ | 22,580 | $ | 1,482 | $ | 91,198 | $ | 86,608 | $ | 4,590 | |||||||||||
Operating income | 1,644 | 1,909 | (265) | 5,640 | 5,793 | (153) | |||||||||||||||||
Adjusted operating income (1) | 1,775 | 2,031 | (256) | 6,146 | 6,705 | (559) | |||||||||||||||||
Prescriptions filled (4) (5) | 376.3 | 369.0 | 7.3 | 1,465.2 | 1,417.2 | 48.0 |
See the supplemental information on page 20 for additional information regarding the performance of the Retail/LTC segment.
Health Care Benefits Segment
The Health Care Benefits segment offers a full range of insured and self-insured ("ASC") medical, pharmacy, dental and behavioral health products and services. The segment results for the three months and years ended December 31, 2020 and 2019 were as follows:
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||||||||||
In millions, except percentages | 2020 | 2019 | Change | 2020 | 2019 | Change | |||||||||||||||||
Total revenues | $ | 19,103 | $ | 17,150 | $ | 1,953 | $ | 75,467 | $ | 69,604 | $ | 5,863 | |||||||||||
Operating income | 56 | 386 | (330) | 5,166 | 3,639 | 1,527 | |||||||||||||||||
Adjusted operating income (1) | 153 | 779 | (626) | 6,188 | 5,202 | 986 | |||||||||||||||||
Medical benefit ratio ("MBR") (8) | 86.7 | % | 85.7 | % | 1.0 | % | 80.9 | % | 84.2 | % | (3.3) | % | |||||||||||
Medical membership (9) | 23.4 | 22.9 | 0.5 | ||||||||||||||||||||
See the supplemental information on page 21 for additional information regarding the performance of the Health Care Benefits segment.
COVID-19 Response
CVS Health is uniquely positioned to help the country through the COVID-19 pandemic. The Company has focused its resources on the wellbeing and safety of employees, consumers and the communities it serves. The following are key actions taken to date:
Employees
Consumers and members
Plan Sponsors
Providers
Communities
2021 Full Year Guidance
The Company's full year 2021 GAAP diluted EPS from continuing operations is projected to be in the range of $6.06 to $6.22, and full year 2021 Adjusted EPS is projected to be in the range of $7.39 to $7.55. The Company's full year 2021 cash flow from operations is projected to be in the range of $12.0 billion to $12.5 billion.
The adjustments between GAAP diluted EPS from continuing operations and Adjusted EPS include, as applicable, adding back amortization of intangible assets, as well as integration costs related to the Company's acquisition (the "Aetna Acquisition") of Aetna Inc. ("Aetna").
Teleconference and Webcast
The Company will be holding a conference call today for investors at 8:00 a.m. (Eastern Time) to discuss its fourth quarter and full year results and provide 2021 full year guidance. An audio webcast of the call will be broadcast simultaneously for all interested parties through the Investor Relations section of the CVS Health website at http://investors.cvshealth.com. This webcast will be archived and available on the website for a one-year period following the conference call.
About CVS Health
CVS Health is a different kind of health care company. We are a diversified health services company with nearly 300,000 employees united around a common purpose of helping people on their path to better health. In an increasingly connected and digital world, we are meeting people wherever they are and changing health care to meet their needs. Built on a foundation of unmatched community presence, our diversified model engages one in three Americans each year. From our innovative new services at HealthHUB® locations, to transformative programs that help manage chronic conditions, we are making health care more accessible, more affordable and simply better. Learn more about how we're transforming health at www.cvshealth.com.
Cautionary Statement Concerning Forward-Looking Statements
The Private Securities Litigation Reform Act of 1995 provides a safe harbor for forward-looking statements made by or on behalf of CVS Health Corporation. Statements in this press release that are forward-looking include Ms. Lynch's quotation, the information under the heading "2021 Full Year Guidance" and the information included in the endnotes and reconciliations. By their nature, all forward-looking statements are not guarantees of future performance or results and are subject to risks and uncertainties that are difficult to predict and/or quantify. Actual results may differ materially from those contemplated by the forward-looking statements due to the risks and uncertainties related to the COVID-19 pandemic, the geographies impacted and the severity and duration of the pandemic, the pandemic's impact on the U.S. and global economies and consumer behavior and health care utilization patterns, and the timing, scope and impact of stimulus legislation and other federal, state and local governmental responses to the pandemic, as well as the risks and uncertainties described in our Securities and Exchange Commission ("SEC") filings, including those set forth in the Risk Factors section and under the heading "Cautionary Statement Concerning Forward-Looking Statements" in our most recently filed Annual Report on Form 10-K and in our most recently filed Quarterly Report on Form 10-Q.
You are cautioned not to place undue reliance on CVS Health's forward-looking statements. CVS Health's forward-looking statements are and will be based upon management's then-current views and assumptions regarding future events and operating performance, and are applicable only as of the dates of such statements. CVS Health does not assume any duty to update or revise forward-looking statements, whether as a result of new information, future events, uncertainties or otherwise.
- Tables Follow -
CVS HEALTH CORPORATION | |||||||||||||||
Condensed Consolidated Statements of Operations | |||||||||||||||
(Unaudited) | |||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||
In millions, except per share amounts | 2020 | 2019 | 2020 | 2019 | |||||||||||
Revenues: | |||||||||||||||
Products | $ | 49,592 | $ | 49,213 | $ | 190,688 | $ | 185,236 | |||||||
Premiums | 17,615 | 15,510 | 69,364 | 63,122 | |||||||||||
Services | 2,099 | 1,960 | 7,856 | 7,407 | |||||||||||
Net investment income | 248 | 206 | 798 | 1,011 | |||||||||||
Total revenues | 69,554 | 66,889 | 268,706 | 256,776 | |||||||||||
Operating costs: | |||||||||||||||
Cost of products sold | 42,452 | 42,065 | 163,981 | 158,719 | |||||||||||
Benefit costs | 15,145 | 13,133 | 55,679 | 52,529 | |||||||||||
Operating expenses | 9,433 | 8,654 | 35,135 | 33,541 | |||||||||||
Total operating costs | 67,030 | 63,852 | 254,795 | 244,789 | |||||||||||
Operating income | 2,524 | 3,037 | 13,911 | 11,987 | |||||||||||
Interest expense | 678 | 734 | 2,907 | 3,035 | |||||||||||
Loss on early extinguishment of debt | 674 | — | 1,440 | 79 | |||||||||||
Other income | (53) | (31) | (206) | (124) | |||||||||||
Income before income tax provision | 1,225 | 2,334 | 9,770 | 8,997 | |||||||||||
Income tax provision | 241 | 590 | 2,569 | 2,366 | |||||||||||
Income from continuing operations | 984 | 1,744 | 7,201 | 6,631 | |||||||||||
Loss from discontinued operations, net of tax | (9) | — | (9) | — | |||||||||||
Net income | 975 | 1,744 | 7,192 | 6,631 | |||||||||||
Net (income) loss attributable to noncontrolling interests | (2) | 3 | (13) | 3 | |||||||||||
Net income attributable to CVS Health | $ | 973 | $ | 1,747 | $ | 7,179 | $ | 6,634 | |||||||
Basic earnings per share: | |||||||||||||||
Income from continuing operations attributable to CVS Health | $ | 0.75 | $ | 1.34 | $ | 5.49 | $ | 5.10 | |||||||
Loss from discontinued operations attributable to CVS Health | $ | (0.01) | $ | — | $ | (0.01) | $ | — | |||||||
Net income attributable to CVS Health | $ | 0.74 | $ | 1.34 | $ | 5.48 | $ | 5.10 | |||||||
Weighted average basic shares outstanding | 1,311 | 1,303 | 1,309 | 1,301 | |||||||||||
Diluted earnings per share: | |||||||||||||||
Income from continuing operations attributable to CVS Health | $ | 0.75 | $ | 1.33 | $ | 5.47 | $ | 5.08 | |||||||
Loss from discontinued operations attributable to CVS Health | $ | (0.01) | $ | — | $ | (0.01) | $ | — | |||||||
Net income attributable to CVS Health | $ | 0.74 | $ | 1.33 | $ | 5.46 | $ | 5.08 | |||||||
Weighted average diluted shares outstanding | 1,317 | 1,310 | 1,314 | 1,305 | |||||||||||
Dividends declared per share | $ | 0.50 | $ | 0.50 | $ | 2.00 | $ | 2.00 |
CVS HEALTH CORPORATION | |||||||
Condensed Consolidated Balance Sheets | |||||||
(Unaudited) | |||||||
At December 31, | |||||||
In millions | 2020 | 2019 | |||||
Assets: | |||||||
Cash and cash equivalents | $ | 7,854 | $ | 5,683 | |||
Investments | 3,000 | 2,373 | |||||
Accounts receivable, net | 21,742 | 19,617 | |||||
Inventories | 18,496 | 17,516 | |||||
Other current assets | 5,277 | 5,113 | |||||
Total current assets | 56,369 | 50,302 | |||||
Long-term investments | 20,812 | 17,314 | |||||
Property and equipment, net | 12,606 | 12,044 | |||||
Operating lease right-of-use assets | 20,729 | 20,860 | |||||
Goodwill | 79,552 | 79,749 | |||||
Intangible assets, net | 31,142 | 33,121 | |||||
Separate accounts assets | 4,881 | 4,459 | |||||
Other assets | 4,624 | 4,600 | |||||
Total assets | $ | 230,715 | $ | 222,449 | |||
Liabilities: | |||||||
Accounts payable | $ | 11,138 | $ | 10,492 | |||
Pharmacy claims and discounts payable | 15,795 | 13,601 | |||||
Health care costs payable | 7,936 | 6,879 | |||||
Policyholders' funds | 4,270 | 2,991 | |||||
Accrued expenses | 14,243 | 12,133 | |||||
Other insurance liabilities | 1,557 | 1,830 | |||||
Current portion of operating lease liabilities | 1,638 | 1,596 | |||||
Current portion of long-term debt | 5,440 | 3,781 | |||||
Total current liabilities | 62,017 | 53,303 | |||||
Long-term operating lease liabilities | 18,757 | 18,926 | |||||
Long-term debt | 59,207 | 64,699 | |||||
Deferred income taxes | 6,794 | 7,294 | |||||
Separate accounts liabilities | 4,881 | 4,459 | |||||
Other long-term insurance liabilities | 7,007 | 7,436 | |||||
Other long-term liabilities | 2,351 | 2,162 | |||||
Total liabilities | 161,014 | 158,279 | |||||
Shareholders' equity: | |||||||
Preferred stock | — | — | |||||
Common stock and capital surplus | 46,513 | 45,972 | |||||
Treasury stock | (28,178) | (28,235) | |||||
Retained earnings | 49,640 | 45,108 | |||||
Accumulated other comprehensive income | 1,414 | 1,019 | |||||
Total CVS Health shareholders' equity | 69,389 | 63,864 | |||||
Noncontrolling interests | 312 | 306 | |||||
Total shareholders' equity | 69,701 | 64,170 | |||||
Total liabilities and shareholders' equity | $ | 230,715 | $ | 222,449 |
CVS HEALTH CORPORATION | |||||||
Condensed Consolidated Statements of Cash Flows | |||||||
(Unaudited) | |||||||
Year Ended December 31, | |||||||
In millions | 2020 | 2019 | |||||
Cash flows from operating activities: | |||||||
Cash receipts from customers | $ | 264,327 | $ | 248,393 | |||
Cash paid for inventory and prescriptions dispensed by retail network pharmacies | (158,636) | (149,655) | |||||
Insurance benefits paid | (55,124) | (52,242) | |||||
Cash paid to other suppliers and employees | (29,763) | (28,932) | |||||
Interest and investment income received | 894 | 955 | |||||
Interest paid | (2,904) | (2,954) | |||||
Income taxes paid | (2,929) | (2,717) | |||||
Net cash provided by operating activities | 15,865 | 12,848 | |||||
Cash flows from investing activities: | |||||||
Proceeds from sales and maturities of investments | 6,467 | 7,049 | |||||
Purchases of investments | (9,639) | (7,534) | |||||
Purchases of property and equipment | (2,437) | (2,457) | |||||
Proceeds from sale-leaseback transactions | 101 | 5 | |||||
Acquisitions (net of cash acquired) | (866) | (444) | |||||
Proceeds from sale of subsidiary | 840 | — | |||||
Other | — | 42 | |||||
Net cash used in investing activities | (5,534) | (3,339) | |||||
Cash flows from financing activities: | |||||||
Net repayments of short-term debt | — | (720) | |||||
Proceeds from issuance of long-term debt | 9,958 | 3,736 | |||||
Repayments of long-term debt | (15,631) | (8,336) | |||||
Derivative settlements | (7) | (25) | |||||
Dividends paid | (2,624) | (2,603) | |||||
Proceeds from exercise of stock options | 264 | 210 | |||||
Payments for taxes related to net share settlement of equity awards | (88) | (112) | |||||
Other | (27) | — | |||||
Net cash used in financing activities | (8,155) | (7,850) | |||||
Net increase in cash, cash equivalents and restricted cash | 2,176 | 1,659 | |||||
Cash, cash equivalents and restricted cash at the beginning of the period | 5,954 | 4,295 | |||||
Cash, cash equivalents and restricted cash at the end of the period | $ | 8,130 | $ | 5,954 |
CVS HEALTH CORPORATION | |||||||
Condensed Consolidated Statements of Cash Flows | |||||||
(Unaudited) | |||||||
Year Ended December 31, | |||||||
In millions | 2020 | 2019 | |||||
Reconciliation of net income to net cash provided by operating activities: | |||||||
Net income | $ | 7,192 | $ | 6,631 | |||
Adjustments required to reconcile net income to net cash provided by operating activities: | |||||||
Depreciation and amortization | 4,441 | 4,371 | |||||
Stock-based compensation | 400 | 453 | |||||
(Gain) loss on sale of subsidiaries | (269) | 205 | |||||
Loss on early extinguishment of debt | 1,440 | 79 | |||||
Deferred income taxes | (570) | (654) | |||||
Other noncash items | 72 | 264 | |||||
Change in operating assets and liabilities, net of effects from acquisitions: | |||||||
Accounts receivable, net | (1,510) | (2,158) | |||||
Inventories | (973) | (1,075) | |||||
Other assets | 364 | (614) | |||||
Accounts payable and pharmacy claims and discounts payable | 2,769 | 3,550 | |||||
Health care costs payable and other insurance liabilities | (231) | 320 | |||||
Other liabilities | 2,740 | 1,476 | |||||
Net cash provided by operating activities | $ | 15,865 | $ | 12,848 |
Non-GAAP Financial Information
The Company uses non-GAAP financial measures to analyze underlying business performance and trends. The Company believes that providing these non-GAAP financial measures enhances the Company's and investors' ability to compare the Company's past financial performance with its current performance. These non-GAAP financial measures are provided as supplemental information to the financial measures presented in this press release that are calculated and presented in accordance with GAAP. Non-GAAP financial measures should not be considered a substitute for, or superior to, financial measures determined or calculated in accordance with GAAP. The Company's definitions of its non-GAAP financial measures may not be comparable to similarly titled measures reported by other companies.
Non-GAAP financial measures such as adjusted operating income, adjusted earnings per share ("EPS") and adjusted income from continuing operations attributable to CVS Health exclude from the relevant GAAP metrics, as applicable: amortization of intangible assets and other items, if any, that neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance.
For the periods covered in this press release, the following items are excluded from the non-GAAP financial measures described above, as applicable, because the Company believes they neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance:
See endnotes (1) and (2) on page 25 for definitions of non-GAAP financial measures. Reconciliations of each non-GAAP financial measure to the most directly comparable GAAP financial measure are presented on pages 14 through 17 and page 24.
Reconciliations of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures | |||||||||||||||||||||||
Adjusted Operating Income | |||||||||||||||||||||||
(Unaudited) | |||||||||||||||||||||||
The following are reconciliations of operating income to adjusted operating income: | |||||||||||||||||||||||
Three Months Ended December 31, 2020 | |||||||||||||||||||||||
In millions | Pharmacy Services | Retail/ LTC | Health Care Benefits | Corporate/ Other | Intersegment Eliminations | Consolidated Totals | |||||||||||||||||
Operating income (loss) (GAAP measure) | $ | 1,505 | $ | 1,644 | $ | 56 | $ | (512) | $ | (169) | $ | 2,524 | |||||||||||
Non-GAAP adjustments: | |||||||||||||||||||||||
Amortization of intangible assets | 56 | 131 | 402 | 1 | — | 590 | |||||||||||||||||
Acquisition-related integration costs | — | — | — | 136 | — | 136 | |||||||||||||||||
Adjustment to gain on divestiture of subsidiary | — | — | 2 | — | — | 2 | |||||||||||||||||
Receipt of fully reserved ACA risk corridor receivable | — | — | (307) | — | — | (307) | |||||||||||||||||
Adjusted operating income (loss) (1) | $ | 1,561 | $ | 1,775 | $ | 153 | $ | (375) | $ | (169) | $ | 2,945 | |||||||||||
Three Months Ended December 31, 2019 | |||||||||||||||||||||||
In millions | Pharmacy Services | Retail/ LTC | Health Care Benefits | Corporate/ Other | Intersegment Eliminations | Consolidated Totals | |||||||||||||||||
Operating income (loss) (GAAP measure) | $ | 1,348 | $ | 1,909 | $ | 386 | $ | (430) | $ | (176) | $ | 3,037 | |||||||||||
Non-GAAP adjustments: | |||||||||||||||||||||||
Amortization of intangible assets | 99 | 122 | 393 | — | — | 614 | |||||||||||||||||
Acquisition-related integration costs | — | — | — | 115 | — | 115 | |||||||||||||||||
Adjusted operating income (loss) (1) | $ | 1,447 | $ | 2,031 | $ | 779 | $ | (315) | $ | (176) | $ | 3,766 | |||||||||||
Year Ended December 31, 2020 | |||||||||||||||||||||||
In millions | Pharmacy Services | Retail/ LTC | Health Care Benefits | Corporate/ Other | Intersegment Eliminations | Consolidated Totals | |||||||||||||||||
Operating income (loss) (GAAP measure) | $ | 5,454 | $ | 5,640 | $ | 5,166 | $ | (1,641) | $ | (708) | $ | 13,911 | |||||||||||
Non-GAAP adjustments: | |||||||||||||||||||||||
Amortization of intangible assets | 234 | 506 | 1,598 | 3 | — | 2,341 | |||||||||||||||||
Acquisition-related integration costs | — | — | — | 332 | — | 332 | |||||||||||||||||
Gain on divestiture of subsidiary | — | — | (269) | — | — | (269) | |||||||||||||||||
Receipt of fully reserved ACA risk corridor receivable | — | — | (307) | — | — | (307) | |||||||||||||||||
Adjusted operating income (loss) (1) | $ | 5,688 | $ | 6,146 | $ | 6,188 | $ | (1,306) | $ | (708) | $ | 16,008 | |||||||||||
Year Ended December 31, 2019 | |||||||||||||||||||||||
In millions | Pharmacy Services | Retail/ LTC | Health Care Benefits | Corporate/ Other | Intersegment Eliminations | Consolidated Totals | |||||||||||||||||
Operating income (loss) (GAAP measure) | $ | 4,735 | $ | 5,793 | $ | 3,639 | $ | (1,483) | $ | (697) | $ | 11,987 | |||||||||||
Non-GAAP adjustments: | |||||||||||||||||||||||
Amortization of intangible assets | 394 | 476 | 1,563 | 3 | — | 2,436 | |||||||||||||||||
Acquisition-related integration costs | — | — | — | 480 | — | 480 | |||||||||||||||||
Loss on divestiture of subsidiary | — | 205 | — | — | — | 205 | |||||||||||||||||
Store rationalization charges | — | 231 | — | — | — | 231 | |||||||||||||||||
Adjusted operating income (loss) (1) | $ | 5,129 | $ | 6,705 | $ | 5,202 | $ | (1,000) | $ | (697) | $ | 15,339 |
Adjusted Earnings Per Share | |||||||||||||||
(Unaudited) | |||||||||||||||
The following are reconciliations of income from continuing operations attributable to CVS Health to adjusted income from continuing operations attributable to CVS Health and calculations of GAAP diluted EPS from continuing operations and Adjusted EPS: | |||||||||||||||
Three Months Ended December 31, 2020 | Three Months Ended December 31, 2019 | ||||||||||||||
In millions, except per share amounts | Total Company | Per Common Share | Total Company | Per Common Share | |||||||||||
Income from continuing operations (GAAP measure) | $ | 984 | $ | 1,744 | |||||||||||
Net (income) loss attributable to noncontrolling interests (GAAP measure) | (2) | 3 | |||||||||||||
Income allocable to participating securities (GAAP measure) | — | (1) | |||||||||||||
Income from continuing operations attributable to CVS Health (GAAP measure) | 982 | $ | 0.75 | 1,746 | $ | 1.33 | |||||||||
Non-GAAP adjustments: | |||||||||||||||
Amortization of intangible assets | 590 | 0.45 | 614 | 0.47 | |||||||||||
Acquisition-related integration costs | 136 | 0.10 | 115 | 0.09 | |||||||||||
Adjustment to gain on divestiture of subsidiary | 2 | — | — | — | |||||||||||
Receipt of fully reserved ACA risk corridor receivable | (307) | (0.23) | — | — | |||||||||||
Loss on early extinguishment of debt | 674 | 0.51 | — | — | |||||||||||
Tax impact of non-GAAP adjustments | (380) | (0.29) | (204) | (0.16) | |||||||||||
Receipt of fully reserved ACA risk corridor receivable attributable to noncontrolling interest, net of tax | 12 | 0.01 | — | — | |||||||||||
Income allocable to participating securities, net of tax (a) | — | — | (1) | — | |||||||||||
Adjusted income from continuing operations attributable to CVS Health (2) | $ | 1,709 | $ | 1.30 | $ | 2,270 | $ | 1.73 | |||||||
Weighted average diluted shares outstanding | 1,317 | 1,310 |
_____________________________________________ | |
(a) | Represents the corresponding impact to income allocable to participating securities, net of tax, related to the items above excluded from income from continuing operations attributable to CVS Health in determining adjusted income from continuing operations attributable to CVS Health and calculating Adjusted EPS above. |
Year Ended December 31, 2020 | Year Ended December 31, 2019 | ||||||||||||||
In millions, except per share amounts | Total Company | Per Common Share | Total Company | Per Common Share | |||||||||||
Income from continuing operations (GAAP measure) | $ | 7,201 | $ | 6,631 | |||||||||||
Net (income) loss attributable to noncontrolling interests (GAAP measure) | (13) | 3 | |||||||||||||
Income allocable to participating securities (GAAP measure) | — | (5) | |||||||||||||
Income from continuing operations attributable to CVS Health (GAAP measure) | 7,188 | $ | 5.47 | 6,629 | $ | 5.08 | |||||||||
Non-GAAP adjustments: | |||||||||||||||
Amortization of intangible assets | 2,341 | 1.78 | 2,436 | 1.87 | |||||||||||
Acquisition-related integration costs | 332 | 0.25 | 480 | 0.37 | |||||||||||
(Gain) loss on divestiture of subsidiary | (269) | (0.20) | 205 | 0.16 | |||||||||||
Receipt of fully reserved ACA risk corridor receivable | (307) | (0.23) | — | — | |||||||||||
Store rationalization charges | — | — | 231 | 0.17 | |||||||||||
Loss on early extinguishment of debt | 1,440 | 1.09 | 79 | 0.06 | |||||||||||
Tax impact of non-GAAP adjustments | (877) | (0.67) | (815) | (0.63) | |||||||||||
Receipt of fully reserved ACA risk corridor receivable attributable to noncontrolling interest, net of tax | 12 | 0.01 | — | — | |||||||||||
Income allocable to participating securities, net of tax (a) | — | — | (1) | — | |||||||||||
Adjusted income from continuing operations attributable to CVS Health (2) | $ | 9,860 | $ | 7.50 | $ | 9,244 | $ | 7.08 | |||||||
Weighted average diluted shares outstanding | 1,314 | 1,305 |
_____________________________________________ | |
(a) | Represents the corresponding impact to income allocable to participating securities, net of tax, related to the items above excluded from income from continuing operations attributable to CVS Health in determining adjusted income from continuing operations attributable to CVS Health and calculating Adjusted EPS above. |
Supplemental Information | |||||||||||||||||||||||
(Unaudited) | |||||||||||||||||||||||
The Company's segments maintain separate financial information, and the Company's chief operating decision maker (the "CODM") evaluates the segments' operating results on a regular basis in deciding how to allocate resources among the segments and in assessing segment performance. The CODM evaluates the performance of the Company's segments based on adjusted operating income, which is defined as operating income (GAAP measure) excluding the impact of amortization of intangible assets and other items, if any, that neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance as further described in endnote (1). The Company uses adjusted operating income as its principal measure of segment performance as it enhances the Company's ability to compare past financial performance with current performance and analyze underlying business performance and trends. | |||||||||||||||||||||||
The following is a reconciliation of financial measures of the Company's segments to the consolidated totals: | |||||||||||||||||||||||
In millions | Pharmacy Services (a) | Retail/ LTC | Health Care Benefits | Corporate/ Other | Intersegment Eliminations (b) | Consolidated Totals | |||||||||||||||||
Three Months Ended | |||||||||||||||||||||||
December 31, 2020 | |||||||||||||||||||||||
Total revenues | $ | 36,355 | $ | 24,062 | $ | 19,103 | $ | 134 | $ | (10,100) | $ | 69,554 | |||||||||||
Operating income (loss) | 1,505 | 1,644 | 56 | (512) | (169) | 2,524 | |||||||||||||||||
Adjusted operating income (loss) (1) | 1,561 | 1,775 | 153 | (375) | (169) | 2,945 | |||||||||||||||||
December 31, 2019 | |||||||||||||||||||||||
Total revenues | 37,073 | 22,580 | 17,150 | 89 | (10,003) | 66,889 | |||||||||||||||||
Operating income (loss) | 1,348 | 1,909 | 386 | (430) | (176) | 3,037 | |||||||||||||||||
Adjusted operating income (loss) (1) | 1,447 | 2,031 | 779 | (315) | (176) | 3,766 | |||||||||||||||||
Year Ended | |||||||||||||||||||||||
December 31, 2020 | |||||||||||||||||||||||
Total revenues | $ | 141,938 | $ | 91,198 | $ | 75,467 | $ | 426 | $ | (40,323) | $ | 268,706 | |||||||||||
Operating income (loss) | 5,454 | 5,640 | 5,166 | (1,641) | (708) | 13,911 | |||||||||||||||||
Adjusted operating income (loss) (1) | 5,688 | 6,146 | 6,188 | (1,306) | (708) | 16,008 | |||||||||||||||||
December 31, 2019 | |||||||||||||||||||||||
Total revenues | 141,491 | 86,608 | 69,604 | 512 | (41,439) | 256,776 | |||||||||||||||||
Operating income (loss) | 4,735 | 5,793 | 3,639 | (1,483) | (697) | 11,987 | |||||||||||||||||
Adjusted operating income (loss) (1) | 5,129 | 6,705 | 5,202 | (1,000) | (697) | 15,339 |
_____________________________________________ | |
(a) | Total revenues of the Pharmacy Services segment include approximately $2.4 billion and $2.6 billion of retail co-payments for the three months ended December 31, 2020 and 2019, respectively, and $10.9 billion and $11.5 billion of retail co-payments for the years ended December 31, 2020 and 2019, respectively. |
(b) | Intersegment eliminations relate to intersegment revenue generating activities that occur between the Pharmacy Services segment, the Retail/LTC segment and/or the Health Care Benefits segment. |
Supplemental Information | ||||||||||||||||||||||||||||||
(Unaudited) | ||||||||||||||||||||||||||||||
Pharmacy Services Segment | ||||||||||||||||||||||||||||||
The following table summarizes the Pharmacy Services segment's performance for the respective periods: | ||||||||||||||||||||||||||||||
Change | ||||||||||||||||||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | Three Months Ended December 31, 2020 vs 2019 | Year Ended December 31, 2020 vs 2019 | |||||||||||||||||||||||||||
In millions, except percentages | 2020 | 2019 | 2020 | 2019 | $ | % | $ | % | ||||||||||||||||||||||
Revenues: | ||||||||||||||||||||||||||||||
Products | $ | 36,148 | $ | 36,890 | $ | 140,950 | $ | 140,946 | $ | (742) | (2.0) | % | $ | 4 | — | % | ||||||||||||||
Services | 207 | 183 | 988 | 545 | 24 | 13.1 | % | 443 | 81.3 | % | ||||||||||||||||||||
Total revenues | 36,355 | 37,073 | 141,938 | 141,491 | (718) | (1.9) | % | 447 | 0.3 | % | ||||||||||||||||||||
Cost of products sold | 34,462 | 35,327 | 135,045 | 135,245 | (865) | (2.4) | % | (200) | (0.1) | % | ||||||||||||||||||||
Gross profit (10) | 1,893 | 1,746 | 6,893 | 6,246 | 147 | 8.4 | % | 647 | 10.4 | % | ||||||||||||||||||||
Gross margin (Gross profit as a % of total revenues) (10) | 5.2 | % | 4.7 | % | 4.9 | % | 4.4 | % | ||||||||||||||||||||||
Operating expenses | $ | 388 | $ | 398 | $ | 1,439 | $ | 1,511 | $ | (10) | (2.5) | % | $ | (72) | (4.8) | % | ||||||||||||||
Operating expenses as a % of total revenues | 1.1 | % | 1.1 | % | 1.0 | % | 1.1 | % | ||||||||||||||||||||||
Operating income | $ | 1,505 | $ | 1,348 | $ | 5,454 | $ | 4,735 | $ | 157 | 11.6 | % | $ | 719 | 15.2 | % | ||||||||||||||
Operating income as a % of total revenues | 4.1 | % | 3.6 | % | 3.8 | % | 3.3 | % | ||||||||||||||||||||||
Adjusted operating income (1) | $ | 1,561 | $ | 1,447 | $ | 5,688 | $ | 5,129 | $ | 114 | 7.9 | % | $ | 559 | 10.9 | % | ||||||||||||||
Adjusted operating income as a % of total revenues | 4.3 | % | 3.9 | % | 4.0 | % | 3.6 | % | ||||||||||||||||||||||
Revenues (by distribution channel): | ||||||||||||||||||||||||||||||
Pharmacy network (6) | $ | 21,936 | $ | 22,838 | $ | 85,045 | $ | 88,755 | $ | (902) | (3.9) | % | $ | (3,710) | (4.2) | % | ||||||||||||||
Mail choice (7) | 14,256 | 14,075 | 56,071 | 52,141 | 181 | 1.3 | % | 3,930 | 7.5 | % | ||||||||||||||||||||
Other | 163 | 160 | 822 | 595 | 3 | 1.9 | % | 227 | 38.2 | % | ||||||||||||||||||||
Pharmacy claims processed: (4) (5) | ||||||||||||||||||||||||||||||
Total | 537.9 | 533.9 | 2,112.9 | 2,014.2 | 4.0 | 0.7 | % | 98.7 | 4.9 | % | ||||||||||||||||||||
Pharmacy network (6) | 456.2 | 454.0 | 1,790.1 | 1,704.0 | 2.2 | 0.5 | % | 86.1 | 5.1 | % | ||||||||||||||||||||
Mail choice (7) | 81.7 | 79.9 | 322.8 | 310.2 | 1.8 | 2.3 | % | 12.6 | 4.1 | % | ||||||||||||||||||||
Generic dispensing rate: (4) (11) | ||||||||||||||||||||||||||||||
Total | 87.5 | % | 87.8 | % | 88.2 | % | 88.2 | % | ||||||||||||||||||||||
Pharmacy network (6) | 87.9 | % | 88.3 | % | 88.7 | % | 88.7 | % | ||||||||||||||||||||||
Mail choice (7) | 85.2 | % | 85.2 | % | 85.3 | % | 85.1 | % | ||||||||||||||||||||||
Supplemental Information | |||||||||||||||||||||||||||||
(Unaudited) | |||||||||||||||||||||||||||||
Retail/LTC Segment | |||||||||||||||||||||||||||||
The following table summarizes the Retail/LTC segment's performance for the respective periods: | |||||||||||||||||||||||||||||
Change | |||||||||||||||||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | Three Months Ended December 31, 2020 vs 2019 | Year Ended December 31, 2020 vs 2019 | ||||||||||||||||||||||||||
In millions, except percentages | 2020 | 2019 | 2020 | 2019 | $ | % | $ | % | |||||||||||||||||||||
Revenues: | |||||||||||||||||||||||||||||
Products | $ | 23,522 | $ | 22,326 | $ | 89,944 | $ | 85,729 | $ | 1,196 | 5.4 | % | $ | 4,215 | 4.9 | % | |||||||||||||
Services | 540 | 254 | 1,254 | 879 | 286 | 112.6 | % | 375 | 42.7 | % | |||||||||||||||||||
Total revenues | 24,062 | 22,580 | 91,198 | 86,608 | 1,482 | 6.6 | % | 4,590 | 5.3 | % | |||||||||||||||||||
Cost of products sold | 17,587 | 16,184 | 67,284 | 62,688 | 1,403 | 8.7 | % | 4,596 | 7.3 | % | |||||||||||||||||||
Gross profit (10) | 6,475 | 6,396 | 23,914 | 23,920 | 79 | 1.2 | % | (6) | — | % | |||||||||||||||||||
Gross margin (Gross profit as a % of total revenues) (10) | 26.9 | % | 28.3 | % | 26.2 | % | 27.6 | % | |||||||||||||||||||||
Operating expenses | $ | 4,831 | $ | 4,487 | $ | 18,274 | $ | 18,127 | $ | 344 | 7.7 | % | $ | 147 | 0.8 | % | |||||||||||||
Operating expenses as a % of total revenues | 20.1 | % | 19.9 | % | 20.0 | % | 20.9 | % | |||||||||||||||||||||
Operating income | $ | 1,644 | $ | 1,909 | $ | 5,640 | $ | 5,793 | $ | (265) | (13.9) | % | $ | (153) | (2.6) | % | |||||||||||||
Operating income as a % of total revenues | 6.8 | % | 8.5 | % | 6.2 | % | 6.7 | % | |||||||||||||||||||||
Adjusted operating income (1) | $ | 1,775 | $ | 2,031 | $ | 6,146 | $ | 6,705 | $ | (256) | (12.6) | % | $ | (559) | (8.3) | % | |||||||||||||
Adjusted operating income as a % of total revenues | 7.4 | % | 9.0 | % | 6.7 | % | 7.7 | % | |||||||||||||||||||||
Revenues (by major goods/service lines): | |||||||||||||||||||||||||||||
Pharmacy | $ | 18,343 | $ | 17,245 | $ | 70,176 | $ | 66,442 | $ | 1,098 | 6.4 | % | $ | 3,734 | 5.6 | % | |||||||||||||
Front Store | 5,054 | 5,134 | 19,655 | 19,422 | (80) | (1.6) | % | 233 | 1.2 | % | |||||||||||||||||||
Other | 665 | 201 | 1,367 | 744 | 464 | 230.8 | % | 623 | 83.7 | % | |||||||||||||||||||
Prescriptions filled (4) (5) | 376.3 | 369.0 | 1,465.2 | 1,417.2 | 7.3 | 2.0 | % | 48.0 | 3.4 | % | |||||||||||||||||||
Same store sales increase (decrease): (12) | |||||||||||||||||||||||||||||
Total | 5.3 | % | 3.2 | % | 5.6 | % | 3.7 | % | |||||||||||||||||||||
Pharmacy | 7.5 | % | 4.1 | % | 7.0 | % | 4.5 | % | |||||||||||||||||||||
Front Store | (1.8) | % | 0.7 | % | 0.9 | % | 1.1 | % | |||||||||||||||||||||
Prescription volume (4) | 2.9 | % | 6.9 | % | 4.7 | % | 7.2 | % | |||||||||||||||||||||
Generic dispensing rate (4) (11) | 87.0 | % | 87.5 | % | 88.3 | % | 88.3 | % | |||||||||||||||||||||
Supplemental Information | |||||||||||||||||||||||||||||
(Unaudited) | |||||||||||||||||||||||||||||
Health Care Benefits Segment | |||||||||||||||||||||||||||||
The following table summarizes the Health Care Benefits segment's performance for the respective periods: | |||||||||||||||||||||||||||||
Change | |||||||||||||||||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | Three Months Ended December 31, 2020 vs 2019 | Year Ended December 31, 2020 vs 2019 | ||||||||||||||||||||||||||
In millions, except percentages and basis points ("bps") | 2020 | 2019 | 2020 | 2019 | $ | % | $ | % | |||||||||||||||||||||
Revenues: | |||||||||||||||||||||||||||||
Premiums | $ | 17,602 | $ | 15,488 | $ | 69,301 | $ | 63,031 | $ | 2,114 | 13.6 | % | $ | 6,270 | 9.9 | % | |||||||||||||
Services | 1,359 | 1,521 | 5,683 | 5,974 | (162) | (10.7) | % | (291) | (4.9) | % | |||||||||||||||||||
Net investment income | 142 | 141 | 483 | 599 | 1 | 0.7 | % | (116) | (19.4) | % | |||||||||||||||||||
Total revenues | 19,103 | 17,150 | 75,467 | 69,604 | 1,953 | 11.4 | % | 5,863 | 8.4 | % | |||||||||||||||||||
Benefit costs | 15,267 | 13,277 | 56,083 | 53,092 | 1,990 | 15.0 | % | 2,991 | 5.6 | % | |||||||||||||||||||
MBR (Benefit costs as a % of premium revenues) (8) | 86.7 | % | 85.7 | % | 80.9 | % | 84.2 | % | 100 | bps | (330) | bps | |||||||||||||||||
Operating expenses | $ | 3,780 | $ | 3,487 | $ | 14,218 | $ | 12,873 | $ | 293 | 8.4 | % | $ | 1,345 | 10.4 | % | |||||||||||||
Operating expenses as a % of total revenues | 19.8 | % | 20.3 | % | 18.8 | % | 18.5 | % | |||||||||||||||||||||
Operating income | $ | 56 | $ | 386 | $ | 5,166 | $ | 3,639 | $ | (330) | (85.5) | % | $ | 1,527 | 42.0 | % | |||||||||||||
Operating income as a % of total revenues | 0.3 | % | 2.3 | % | 6.8 | % | 5.2 | % | |||||||||||||||||||||
Adjusted operating income (1) | $ | 153 | $ | 779 | $ | 6,188 | $ | 5,202 | $ | (626) | (80.4) | % | $ | 986 | 19.0 | % | |||||||||||||
Adjusted operating income as a % of total revenues | 0.8 | % | 4.5 | % | 8.2 | % | 7.5 | % | |||||||||||||||||||||
Premium revenues (by business): | |||||||||||||||||||||||||||||
Government | $ | 12,302 | $ | 10,220 | $ | 48,928 | $ | 41,818 | $ | 2,082 | 20.4 | % | $ | 7,110 | 17.0 | % | |||||||||||||
Commercial | 5,300 | 5,268 | 20,373 | 21,213 | 32 | 0.6 | % | (840) | (4.0) | % | |||||||||||||||||||
The following table summarizes the Health Care Benefits segment's medical membership for the respective periods: | ||||||||||||||||||||||||||
December 31, 2020 | September 30, 2020 | December 31, 2019 | ||||||||||||||||||||||||
In thousands | Insured | ASC | Total | Insured | ASC | Total | Insured | ASC | Total | |||||||||||||||||
Medical membership: (9) | ||||||||||||||||||||||||||
Commercial | 3,258 | 13,644 | 16,902 | 3,268 | 13,671 | 16,939 | 3,591 | 14,159 | 17,750 | |||||||||||||||||
Medicare Advantage | 2,705 | — | 2,705 | 2,689 | — | 2,689 | 2,321 | — | 2,321 | |||||||||||||||||
Medicare Supplement | 1,082 | — | 1,082 | 1,009 | — | 1,009 | 881 | — | 881 | |||||||||||||||||
Medicaid | 2,100 | 623 | 2,723 | 2,028 | 605 | 2,633 | 1,398 | 558 | 1,956 | |||||||||||||||||
Total medical membership | 9,145 | 14,267 | 23,412 | 8,994 | 14,276 | 23,270 | 8,191 | 14,717 | 22,908 | |||||||||||||||||
Supplemental membership information: | ||||||||||||||||||||||||||
Medicare Prescription Drug Plan (standalone) (a) | 5,490 | 5,540 | 5,994 |
_____________________________________________ | |
(a) | Represents the Company's SilverScript® PDP membership only. Excludes 2.5 million members as of December 31, 2019 related to Aetna's standalone PDPs that were sold effective December 31, 2018. The Company retained the financial results of the divested plans through 2019 through a reinsurance agreement. Subsequent to 2019, the Company no longer retains the financial results of the divested plans. |
Supplemental Information | |||||||
(Unaudited) | |||||||
The following table shows the components of the change in health care costs payable during the years ended December 31, 2020 and 2019: | |||||||
Year Ended December 31, | |||||||
In millions | 2020 | 2019 | |||||
Health care costs payable, beginning of period | $ | 6,879 | $ | 6,147 | |||
Less: Reinsurance recoverables | 5 | 4 | |||||
Health care costs payable, beginning of period, net | 6,874 | 6,143 | |||||
Acquisition | 414 | — | |||||
Add: Components of incurred health care costs | |||||||
Current year | 55,835 | 52,723 | |||||
Prior years (a) | (429) | (524) | |||||
Total incurred health care costs (b) | 55,406 | 52,199 | |||||
Less: Claims paid | |||||||
Current year | 48,770 | 46,158 | |||||
Prior years | 6,009 | 5,314 | |||||
Total claims paid | 54,779 | 51,472 | |||||
Add: Premium deficiency reserve | 11 | 4 | |||||
Health care costs payable, end of period, net | 7,926 | 6,874 | |||||
Add: Reinsurance recoverables | 10 | 5 | |||||
Health care costs payable, end of period | $ | 7,936 | $ | 6,879 |
_____________________________________________ | |
(a) | Negative amounts reported for incurred health care costs related to prior years result from claims being settled for amounts less than originally estimated. |
(b) | Total incurred health care costs for the years ended December 31, 2020 and 2019 in the table above exclude (i) $11 million and $4 million, respectively, for a premium deficiency reserve related to the Company's Medicaid products, (ii) $41 million of benefit costs in each period recorded in the Health Care Benefits segment that are included in other insurance liabilities on the Company's condensed consolidated balance sheets and (iii) $221 million and $285 million, respectively, of benefit costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the Company's condensed consolidated balance sheets. |
The following table summarizes the Health Care Benefits segment's days claims payable for the respective periods: | ||||||||||||||
December 31, 2020 | September 30, 2020 | June 30, 2020 | March 31, 2020 | December 31, 2019 | ||||||||||
Days Claims Payable (13) | 48 | 49 | 57 | 48 | 48 | |||||||||
Supplemental Information | |||||||||||||||||||||||||||||
(Unaudited) | |||||||||||||||||||||||||||||
Corporate/Other Segment | |||||||||||||||||||||||||||||
The following table summarizes the Corporate/Other segment's performance for the respective periods: | |||||||||||||||||||||||||||||
Change | |||||||||||||||||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | Three Months Ended December 31, 2020 vs 2019 | Year Ended December 31, 2020 vs 2019 | ||||||||||||||||||||||||||
In millions, except percentages | 2020 | 2019 | 2020 | 2019 | $ | % | $ | % | |||||||||||||||||||||
Revenues: | |||||||||||||||||||||||||||||
Premiums | $ | 13 | $ | 22 | $ | 63 | $ | 91 | $ | (9) | (40.9) | % | $ | (28) | (30.8) | % | |||||||||||||
Services | 15 | 2 | 48 | 9 | 13 | 650.0 | % | 39 | 433.3 | % | |||||||||||||||||||
Net investment income | 106 | 65 | 315 | 412 | 41 | 63.1 | % | (97) | (23.5) | % | |||||||||||||||||||
Total revenues | 134 | 89 | 426 | 512 | 45 | 50.6 | % | (86) | (16.8) | % | |||||||||||||||||||
Benefit costs | 48 | 72 | 221 | 285 | (24) | (33.3) | % | (64) | (22.5) | % | |||||||||||||||||||
Operating expenses | 598 | 447 | 1,846 | 1,710 | 151 | 33.8 | % | 136 | 8.0 | % | |||||||||||||||||||
Operating loss | (512) | (430) | (1,641) | (1,483) | (82) | (19.1) | % | (158) | (10.7) | % | |||||||||||||||||||
Adjusted operating loss (1) | (375) | (315) | (1,306) | (1,000) | (60) | (19.0) | % | (306) | (30.6) | % |
Adjusted Earnings Per Share Guidance | |||||||||||||||
(Unaudited) | |||||||||||||||
The following reconciliations of projected income from continuing operations to projected adjusted income from continuing operations attributable to CVS Health and calculations of projected GAAP diluted EPS from continuing operations and projected Adjusted EPS contain forward-looking information. All forward-looking information involves risks and uncertainties. Actual results may differ materially from those contemplated by the forward-looking information due to the risks and uncertainties related to the COVID-19 pandemic, the geographies impacted and the severity and duration of the pandemic, the pandemic's impact on the U.S. and global economies and consumer behavior and health care utilization patterns, and the timing, scope and impact of stimulus legislation and other federal, state and local governmental responses to the pandemic, as well as the risks and uncertainties described in our SEC filings, including those set forth in the Risk Factors section and under the heading "Cautionary Statement Concerning Forward-Looking Statements" in our most recently filed Annual Report on Form 10-K and in our most recently filed Quarterly Report on Form 10-Q. See "Non-GAAP Financial Information" earlier in this press release and endnote (2) later in this press release for more information on how we calculate Adjusted EPS.
| |||||||||||||||
Year Ending December 31, 2021 | |||||||||||||||
Low | High | ||||||||||||||
In millions, except per share amounts | Total Company | Per Common Share | Total Company | Per Common Share | |||||||||||
Income from continuing operations (GAAP measure) | $ | 8,035 | $ | 8,245 | |||||||||||
Net income attributable to noncontrolling interests (GAAP measure) | (5) | (5) | |||||||||||||
Income from continuing operations attributable to CVS Health (GAAP measure) | 8,030 | $ | 6.06 | 8,240 | $ | 6.22 | |||||||||
Non-GAAP adjustments: | |||||||||||||||
Amortization of intangible assets | 2,300 | 1.74 | 2,300 | 1.74 | |||||||||||
Acquisition-related integration costs | 130 | 0.10 | 130 | 0.10 | |||||||||||
Tax impact of non-GAAP adjustments | (670) | (0.51) | (670) | (0.51) | |||||||||||
Adjusted income from continuing operations attributable to CVS Health (2) | $ | 9,790 | $ | 7.39 | $ | 10,000 | $ | 7.55 | |||||||
Weighted average diluted shares outstanding | 1,325 | 1,325 |
Endnotes |
(1) The Company defines adjusted operating income as operating income (GAAP measure) excluding the impact of amortization of intangible assets and other items, if any, that neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance, such as acquisition-related integration costs, gains/losses on divestitures, income associated with the receipt of fully reserved amounts owed to the Company under the ACA risk corridor program, store rationalization charges and any other items specifically identified herein. See "Non-GAAP Financial Information" earlier in this press release for additional information regarding the items excluded from operating income. |
(2) The Company defines adjusted income from continuing operations attributable to CVS Health as income from continuing operations attributable to CVS Health (GAAP measure) excluding the impact of amortization of intangible assets and other items, if any, that neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance, such as acquisition-related integration costs, gains/losses on divestitures, income associated with the receipt of fully reserved amounts owed to the Company under the ACA risk corridor program, store rationalization charges, losses on early extinguishment of debt, the corresponding income tax benefit or expense related to the items excluded from adjusted income from continuing operations attributable to CVS Health, the corresponding impact to income allocable to participating securities, net of tax, related to the items excluded from income from continuing operations attributable to CVS Health in determining adjusted income from continuing operations attributable to CVS Health, and any other items specifically identified herein. GAAP diluted EPS from continuing operations and Adjusted EPS, respectively, are calculated by dividing income from continuing operations attributable to CVS Health and adjusted income from continuing operations attributable to CVS Health by the Company's weighted average diluted shares outstanding. See "Non-GAAP Financial Information" earlier in this press release for additional information regarding the items excluded from income from continuing operations attributable to CVS Health and GAAP diluted EPS from continuing operations. |
(3) Enterprise prescriptions include prescriptions dispensed through the Company's retail pharmacies, long-term care pharmacies, and mail order pharmacies as well as prescription claims managed through our pharmacy benefits manager, with an elimination for managed prescription claims filled through CVS Health dispensing channels. Management uses this metric to analyze the total prescription volume across the Company including variances between actual prescriptions and expected amounts as well as trends in period-over-period results. This metric provides management and investors with information useful in understanding the impact of prescription volume on total revenues and operating results. |
(4) Includes an adjustment to convert 90-day prescriptions to the equivalent of three 30-day prescriptions. This adjustment reflects the fact that these prescriptions include approximately three times the amount of product days supplied compared to a normal prescription. |
(5) Total pharmacy claims processed represents the number of prescription claims processed through our pharmacy benefits manager and dispensed by either our retail network pharmacies or our own mail and specialty pharmacies. Prescriptions filled represents the number of prescriptions dispensed through the Retail/LTC segment's pharmacies. Management uses these metrics to understand variances between actual claims processed and prescriptions dispensed, respectively, and expected amounts as well as trends in period-over-period results. These metrics provide management and investors with information useful in understanding the impact of pharmacy claim volume and prescription volume, respectively, on segment total revenues and operating results. |
(6) Pharmacy network is defined as claims filled at retail and specialty retail pharmacies, including the Company's retail pharmacies and long-term care pharmacies, but excluding Maintenance Choice activity, which is included within the mail choice category. Maintenance Choice permits eligible client plan members to fill their maintenance prescriptions through mail order delivery or at a CVS Pharmacy retail store for the same price as mail order. |
(7) Mail choice is defined as claims filled at a Pharmacy Services mail order facility, which includes specialty mail claims inclusive of Specialty Connect® claims picked up at a retail pharmacy, as well as prescriptions filled at the Company's retail pharmacies under the Maintenance Choice program. |
(8) Medical benefit ratio is calculated as benefit costs divided by premium revenues and represents the percentage of premium revenues spent on medical benefits for the Company's insured members. Management uses MBR to assess the underlying business performance and underwriting of its insurance products, understand variances between actual results and expected results and identify trends in period-over-period results. MBR provides management and investors with information useful in assessing the operating results of the Company's insured Health Care Benefits products. |
(9) Medical membership represents the number of members covered by the Company's insured and ASC medical products and related services at a specified point in time. Management uses this metric to understand variances between actual medical membership and expected amounts as well as trends in period-over-period results. This metric provides management and investors with information useful in understanding the impact of medical membership on segment total revenues and operating results. |
(10) Gross profit is calculated as the segment's total revenues less its cost of products sold. Gross margin is calculated by dividing the segment's gross profit by its total revenues and represents the percentage of total revenues that remains after incurring direct costs associated with the segment's products sold and services provided. Gross margin provides investors with information that may be useful in assessing the operating results of the Company's Pharmacy Services and Retail/LTC segments. |
(11) Generic dispensing rate is calculated by dividing the segment's generic drug prescriptions processed or filled by its total prescriptions processed or filled. Management uses this metric to evaluate the effectiveness of the business at encouraging the use of generic drugs when they are available and clinically appropriate, which aids in decreasing costs for client members and retail customers. This metric provides management and investors with information useful in understanding trends in segment total revenues and operating results. |
(12) Same store sales and prescription volume represent the change in revenues and prescriptions filled in the Company's retail pharmacy stores that have been operating for greater than one year, expressed as a percentage that indicates the increase or decrease relative to the comparable prior period. Same store metrics exclude revenues from MinuteClinic, revenues and prescriptions from LTC operations and, in 2019, revenues and prescriptions from stores in Brazil. Management uses these metrics to evaluate the performance of existing stores on a comparable basis and to inform future decisions regarding existing stores and new locations. Same-store metrics provide management and investors with information useful in understanding the portion of current revenues and prescriptions resulting from organic growth in existing locations versus the portion resulting from opening new stores. |
(13) Days claims payable is calculated by dividing the health care costs payable at the end of each quarter by the average health care costs per day during such quarter. Management and investors use this metric as an indicator of the adequacy of the Company's health care costs payable liability at the end of each quarter and as an indicator of changes in such adequacy over time. |
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SOURCE CVS Health Corporation