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      CVS HEALTH CORPORATION REPORTS THIRD QUARTER 2026 RESULTS AND RAISES FULL-YEAR 2026 GUIDANCE


      News provided by

      CVS Health

      Nov 04, 2026, 06:30 ET

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      • Third quarter total revenues increased to $108.4 billion, up 5.4% year-over-year
      • Third quarter GAAP diluted EPS of $1.68 and Adjusted EPS of $2.09
      • Generated year-to-date cash flow from operations of $15.3 billion
      • Raising full-year 2026 guidance:
        • GAAP diluted EPS guidance to at least $6.98 from a range of $6.84 to $7.04
        • Adjusted EPS guidance to at least $8.20 from a range of $7.90 to $8.10
        • Cash flow from operations guidance to at least $15.5 billion from at least $11.5 billion

      WOONSOCKET, R.I., Nov. 4, 2026 /PRNewswire/ -- CVS Health Corporation (NYSE: CVS) today announced operating results for the three months ended September 30, 2026.

      "Our colleagues build trust every day through delivering quality health care rooted in our purpose - to simplify health care one person, one family and one community at a time. Through their continued dedication, each of our businesses delivered another quarter of strong results. We continue to advance our strategy by improving the consumer experience, lowering health care costs, and connecting care for the people we serve."
                                                                                                 

      Continue Reading
      CVS Health logo (PRNewsFoto/CVS Health)
      CVS Health logo (PRNewsFoto/CVS Health)

      - David Joyner, CVS Health Chairman and CEO


      Three Months Ended

      September 30,


      Year Ending

      December 31,

      In billions, except per share amounts

      2026


      2025


      2026 Projected

      Total revenues 

      $     108.4


      $     102.9


      At least $420.0

      Diluted earnings (loss) per share

      $      1.68


      $     (3.13)


      At least $6.98

      Adjusted EPS (2)

      $      2.09


      $      1.60


      At least $8.20

      Third quarter GAAP diluted earnings per share of $1.68 increased from a loss per share of $3.13 in the prior year, reflecting the absence of a $5.7 billion goodwill impairment charge recorded in the third quarter of 2025. Adjusted EPS of $2.09 increased from $1.60 in the prior year, primarily due to improved adjusted operating income in the Health Care Benefits segment, reflecting continued execution of its margin recovery plan.

      The Company is increasing its full-year 2026 GAAP diluted EPS, Adjusted EPS and cash flow from operations guidance to reflect increases in the Health Care Benefits and Pharmacy & Consumer Wellness segments, while maintaining a cautious view for the remainder of the year in light of continued elevated cost trends and the potential for macro headwinds.

      Consolidated third quarter results


      Three Months Ended

      September 30,


      Nine Months Ended

      September 30,

      In millions, except per share amounts

      2026


      2025


      Change


      2026


      2025


      Change

      Total revenues 

      $ 108,399


      $ 102,871


      $   5,528


      $ 314,921


      $ 296,374


      $  18,547

      Operating income (loss)

      3,566


      (3,207)


      6,773


      12,949


      2,548


      10,401

      Adjusted operating income (1)

      4,194


      3,459


      735


      14,501


      11,846


      2,655

      Net income (loss)

      2,171


      (3,990)


      6,161


      8,123


      (1,195)


      9,318

      Diluted earnings (loss) per share

      $     1.68


      $    (3.13)


      $     4.81


      $     6.29


      $    (0.93)


      $     7.22

      Adjusted EPS (2)

      $     2.09


      $     1.60


      $     0.49


      $     7.24


      $     5.66


      $     1.58

      For the three months ended September 30, 2026 compared to the prior year:

      • Total revenues increased 5.4% primarily driven by growth in the Health Services and Health Care Benefits segments.
      • During the three months ended September 30, 2026, the Company generated operating income of $3.6 billion compared to an operating loss of $3.2 billion in the prior year. The difference was primarily driven by the absence of the $5.7 billion goodwill impairment charge related to the Health Care Delivery reporting unit recorded in the prior year and the increase in adjusted operating income described below.
      • Adjusted operating income increased 21.2% primarily driven by increases across all operating segments. See pages 3 through 5 for additional discussion of the adjusted operating income performance of the Company's segments.

      Operational Updates

      • More than 69 percent of Aetna® Medicare Advantage members are in 2027 plans rated 4 stars or higher (out of 5 stars) by the Centers for Medicare & Medicaid Services. These results position Aetna second among large, publicly traded Medicare Advantage organizations in the Star Ratings program. For the third consecutive year, Aetna's commitment to care has driven strong performance across various clinical quality, preventive care and member experience measures.
      • CVS Health continues to lead the industry through enhancements to its direct-to-consumer weight management offerings to improve access, affordability, care and support for GLP-1 medications. CVS Pharmacy offers all FDA-approved GLP-1s. Through its integrated offerings, CVS Health can combine a MinuteClinic digital weight loss visit with a licensed clinician, same-day medication pickup at 9,000 local CVS Pharmacy locations, and in-person pharmacist support in one connected experience, with no membership or recurring monthly fee.
      • Health100™, a CVS Health subsidiary, earned the CARIN Code of Conduct for Consumer-Facing Applications Accreditation from DirectTrust® for the Health100 mobile app. Health100 provides consumers with cost transparency and the ability to reduce out-of-pocket costs, helps them find and access expanded care, and offers integrated, simpler health care navigation and chronic condition management, including real-time proactive support to stay on track.

      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 and nine months ended September 30, 2026 and 2025 were as follows:


      Three Months Ended

      September 30,


      Nine Months Ended

      September 30,

      In millions, except percentages

      2026


      2025


      Change


      2026


      2025


      Change

      Total revenues

      $ 36,855


      $ 35,993


      $     862


      $        110,364


      $        107,061


      $   3,303

      Adjusted operating income (1)

      912


      314


      598


      6,379


      3,615


      2,764

      Medical benefit ratio ("MBR") (3)

      91.3 %


      92.8 %


      (1.5) %


      87.8 %


      90.0 %


      (2.2) %

      Medical membership (4)







      26.1


      26.7


      (0.6)

      • Total revenues increased 2.4% for the three months ended September 30, 2026 compared to the prior year primarily driven by an increase in the Government business, partially offset by a decline as a result of the Company's exit of the individual exchange business in 2026.
      • Adjusted operating income increased significantly in the three months ended September 30, 2026 compared to the prior year primarily driven by improved underlying performance in the Government business.
      • The MBR decreased to 91.3% in the three months ended September 30, 2026 compared to 92.8% in the prior year primarily driven by improved underlying performance in the Government business.
      • Medical membership as of September 30, 2026 of 26.1 million remained consistent compared with June 30, 2026.
      • Prior years' health care costs payable estimates developed favorably by $1.3 billion during the nine months ended September 30, 2026.
      • Days claims payable were 41.9 days as of September 30, 2026, an increase of 0.2 days compared to June 30, 2026.

      Health Services segment

      The Health Services segment provides a full range of pharmacy benefit management solutions, delivers health care services in its medical clinics, virtually, and in the home, and offers provider enablement solutions. The segment results for the three and nine months ended September 30, 2026 and 2025 were as follows:


      Three Months Ended

      September 30,


      Nine Months Ended

      September 30,

      In millions

      2026


      2025


      Change


      2026


      2025


      Change

      Total revenues

      $  53,964


      $  49,266


      $   4,698


      $ 153,996


      $ 139,181


      $  14,815

      Adjusted operating income (1)

      2,106


      2,050


      56


      5,328


      5,228


      100

      Pharmacy claims processed (5) (6)

      481.7


      475.6


      6.1


      1,419.4


      1,408.8


      10.6

      • Total revenues increased 9.5% for the three months ended September 30, 2026 compared to the prior year primarily driven by pharmacy drug mix and brand inflation, partially offset by continued pharmacy client price improvements.
      • Adjusted operating income increased 2.7% for the three months ended September 30, 2026 compared to the prior year primarily driven by improved purchasing economics and pharmacy drug mix, partially offset by continued pharmacy client price improvements.
      • Pharmacy claims processed increased 1.3% on a 30-day equivalent basis for the three months ended September 30, 2026 compared to the prior year.

      Pharmacy & Consumer Wellness segment

      The Pharmacy & Consumer Wellness segment dispenses prescriptions in its retail pharmacies and through its infusion operations, provides ancillary pharmacy services including pharmacy patient care programs and vaccination administration, and sells a wide assortment of health and wellness products and general merchandise. The segment also provides pharmacy fulfillment services to support the Health Services segment's specialty and mail order pharmacy offerings. The segment results for the three and nine months ended September 30, 2026 and 2025 were as follows:


      Three Months Ended

      September 30,


      Nine Months Ended

      September 30,

      In millions

      2026


      2025


      Change


      2026


      2025


      Change

      Total revenues

      $  35,498


      $  36,214


      $    (716)


      $ 101,303


      $ 101,707


      $    (404)

      Adjusted operating income (1)

      1,635


      1,478


      157


      4,307


      4,129


      178

      Prescriptions filled (5) (6)

      470.0


      461.4


      8.6


      1,378.2


      1,335.0


      43.2

      • Total revenues decreased 2.0% for the three months ended September 30, 2026 compared to the prior year primarily driven by regulatory-related price reductions on certain drugs, the impact of recent generic drug introductions and pharmacy reimbursement pressure. These decreases were partially offset by pharmacy drug mix, increased prescription volume, including contributions from the Company's Rite Aid asset acquisitions which were completed during the third quarter of 2025, and brand inflation.
      • Adjusted operating income increased 10.6% for the three months ended September 30, 2026 compared to the prior year primarily driven by core pharmacy strength and contributions from the Company's Rite Aid asset acquisitions. These increases were partially offset by continued business investments and the impact of consumer dynamics.
      • Prescriptions filled increased 1.9% on a 30-day equivalent basis for the three months ended September 30, 2026 compared to the prior year primarily driven by increased utilization and incremental volume resulting from the Company's Rite Aid prescription file acquisitions, partially offset by the absence of long-term care pharmacy prescription volume following the deconsolidation of Omnicare, LLC ("Omnicare") in September 2025.

      About CVS Health

      CVS Health is a leading health solutions company simplifying health care one person, one family and one community at a time. As of September 30, 2026, the Company had approximately 9,000 retail pharmacy locations, more than 1,000 walk-in and primary care medical clinics and a leading pharmacy benefits manager with approximately 87 million plan members. The Company also serves an estimated 37 million people through a broad range of health insurance products and related services. The Company's integrated model uses personalized, technology driven services to connect people to simply better health, increasing access to quality care, delivering better outcomes, and lowering overall costs.

      Teleconference and Webcast

      The Company will be holding a conference call today for investors at 8:00 a.m. (Eastern Time) to discuss its third quarter results. 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.

      Non-GAAP Financial Information

      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" beginning on page 10 and endnotes beginning on page 20 for explanations of non-GAAP financial measures presented in this press release. See pages 12 through 14 and page 19 for reconciliations of each non-GAAP financial measure used in this release to the most directly comparable GAAP financial measure.

      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, but are not limited to, the full-year 2026 guidance information, Mr. Joyner's quotation and the information included in the reconciliations and endnotes. 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 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, our Quarterly Reports on Form 10-Q for the quarterly periods ended March 31, 2026, June 30, 2026 and September 30, 2026 and our Current Reports on Form 8-K.

      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

      September 30,


      Nine Months Ended

      September 30,

      In millions, except per share amounts

      2026


      2025


      2026


      2025

      Revenues:








      Products

      $     69,225


      $     64,590


      $   197,670


      $   182,866

      Premiums

      34,566


      33,719


      103,474


      100,734

      Services

      3,961


      3,930


      11,915


      11,135

      Net investment income

      647


      632


      1,862


      1,639

      Total revenues

      108,399


      102,871


      314,921


      296,374

      Operating costs:








      Cost of products sold

      61,185


      57,045


      175,491


      162,107

      Health care costs

      32,316


      32,020


      93,159


      92,472

      Operating expenses

      11,332


      11,288


      33,322


      33,522

      Goodwill impairment

      —


      5,725


      —


      5,725

      Total operating costs

      104,833


      106,078


      301,972


      293,826

      Operating income (loss)

      3,566


      (3,207)


      12,949


      2,548

      Gain on deconsolidation of subsidiary

      —


      483


      —


      483

      Interest expense

      (747)


      (784)


      (2,278)


      (2,332)

      Other income

      30


      26


      93


      83

      Income (loss) before income tax provision

      2,849


      (3,482)


      10,764


      782

      Income tax provision

      678


      508


      2,641


      1,977

      Net income (loss)

      2,171


      (3,990)


      8,123


      (1,195)

      Net (income) loss attributable to noncontrolling interests

      1


      15


      (29)


      20

      Net income (loss) attributable to CVS Health

      $      2,172


      $     (3,975)


      $      8,094


      $     (1,175)









      Net income (loss) per share attributable to CVS Health:








      Basic

      $        1.70


      $      (3.13)


      $        6.33


      $      (0.93)

      Diluted

      $        1.68


      $      (3.13)


      $        6.29


      $      (0.93)

      Weighted average shares outstanding:








      Basic

      1,282


      1,269


      1,278


      1,266

      Diluted

      1,291


      1,269


      1,286


      1,266

      CVS HEALTH CORPORATION

      Condensed Consolidated Balance Sheets

      (Unaudited)


      In millions

      September 30,
      2026


      December 31,
      2025

      Assets:




      Cash and cash equivalents

      $         11,738


      $           8,453

      Investments

      3,149


      2,145

      Accounts receivable, net

      42,073


      39,779

      Inventories

      18,240


      19,246

      Other current assets

      4,192


      5,091

        Total current assets

      79,392


      74,714

      Long-term investments

      34,066


      32,669

      Property and equipment, net

      13,322


      13,083

      Operating lease right-of-use assets

      14,226


      14,973

      Goodwill

      85,478


      85,478

      Intangible assets, net

      24,224


      25,508

      Other assets

      7,367


      7,113

      Total assets

      $       258,075


      $       253,538





      Liabilities:




      Accounts payable

      $         17,875


      $         17,641

      Pharmacy claims and discounts payable

      26,296


      26,344

      Health care costs payable

      16,858


      15,399

      Accrued expenses and other current liabilities

      25,787


      22,387

      Other insurance liabilities

      904


      1,116

      Current portion of operating lease liabilities

      1,920


      1,737

      Current portion of long-term debt

      3,457


      4,068

        Total current liabilities

      93,097


      88,692

      Long-term operating lease liabilities

      12,697


      13,643

      Long-term debt

      57,223


      60,502

      Deferred income taxes

      3,866


      3,832

      Other long-term insurance liabilities

      4,231


      4,716

      Other long-term liabilities

      6,272


      6,771

      Total liabilities

      177,386


      178,156





      Shareholders' equity:




      Preferred stock

      —


      —

      Common stock and capital surplus

      51,154


      50,402

      Treasury stock

      (36,769)


      (36,790)

      Retained earnings

      66,707


      61,196

      Accumulated other comprehensive income (loss)

      (595)


      406

        Total CVS Health shareholders' equity

      80,497


      75,214

      Noncontrolling interests

      192


      168

      Total shareholders' equity

      80,689


      75,382

      Total liabilities and shareholders' equity

      $       258,075


      $       253,538

      CVS HEALTH CORPORATION

      Condensed Consolidated Statements of Cash Flows

      (Unaudited)



      Nine Months Ended

      September 30,

      In millions

      2026


      2025

      Cash flows from operating activities:




      Reconciliation of net income (loss) to net cash provided by operating activities:




      Net income (loss)

      $        8,123


      $      (1,195)

      Adjustments required to reconcile net income (loss) to net cash provided by
      operating activities:




        Depreciation and amortization

      3,373


      3,459

        Goodwill impairment

      —


      5,725

        Stock-based compensation

      610


      400

        Loss on sale of subsidiary

      —


      236

        Gain on deconsolidation of subsidiary

      —


      (483)

        Deferred income taxes and other items

      (344)


      (440)

        Change in operating assets and liabilities

      3,556


      (453)

      Net cash provided by operating activities

      15,318


      7,249





      Cash flows from investing activities:




      Proceeds from sales and maturities of investments

      10,382


      9,640

      Purchases of investments

      (13,592)


      (11,045)

      Purchases of property and equipment

      (2,357)


      (2,048)

      Acquisitions

      (15)


      (429)

      Other

      37


      9

      Net cash used in investing activities

      (5,545)


      (3,873)





      Cash flows from financing activities:




      Commercial paper borrowings (repayments), net

      —


      (872)

      Proceeds from issuance of long-term debt

      —


      3,969

      Repayments of long-term debt

      (4,057)


      (3,609)

      Dividends paid

      (2,578)


      (2,552)

      Proceeds from exercise of stock options

      339


      308

      Payments for taxes related to net share settlement of equity awards

      (175)


      (145)

      Other

      (66)


      (7)

      Net cash used in financing activities

      (6,537)


      (2,908)

      Net increase in cash, cash equivalents and restricted cash

      3,236


      468

      Cash, cash equivalents and restricted cash at the beginning of the period

      8,712


      8,884

      Cash, cash equivalents and restricted cash at the end of the period

      $      11,948


      $        9,352


      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 and expected future performance. These non-GAAP financial measures, which are included in this press release and which may be referred to on the conference call discussing the Company's third quarter financial results, are provided as supplemental information to the financial measures presented in this press release and discussed on the conference call 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 consolidated adjusted operating income, adjusted earnings per share ("EPS") and adjusted income attributable to CVS Health exclude from the relevant GAAP metrics, as applicable: amortization of intangible assets, net realized capital gains or losses 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:

      • The Company's acquisition activities have resulted in the recognition of intangible assets as required under the acquisition method of accounting which consist primarily of trademarks, customer contracts/relationships, covenants not to compete, technology, provider networks and value of business acquired. Definite-lived intangible assets are amortized over their estimated useful lives and are tested for impairment when events indicate that the carrying value may not be recoverable. The amortization of intangible assets is reflected in operating expenses within each segment. Although intangible assets contribute to the Company's revenue generation, the amortization of intangible assets does not directly relate to the underwriting of the Company's insurance products, the services performed for the Company's customers or the sale of the Company's products or services. Additionally, intangible asset amortization expense typically fluctuates based on the size and timing of the Company's acquisition activity. Accordingly, the Company believes excluding the amortization of intangible assets enhances the Company's and investors' ability to compare the Company's past financial performance with its current performance and to analyze underlying business performance and trends. Intangible asset amortization excluded from the related non-GAAP financial measure represents the entire amount recorded within the Company's GAAP financial statements, and the revenue generated by the associated intangible assets has not been excluded from the related non-GAAP financial measure. Intangible asset amortization is excluded from the related non-GAAP financial measure because the amortization, unlike the related revenue, is not affected by operations of any particular period unless an intangible asset becomes impaired or the estimated useful life of an intangible asset is revised.
      • The Company's net realized capital gains and losses arise from various types of transactions, primarily in the course of managing a portfolio of assets that support the payment of insurance liabilities. Net realized capital gains and losses are reflected in net investment income (loss) within each segment. These capital gains and losses are the result of investment decisions, market conditions and other economic developments that are unrelated to the performance of the Company's business, and the amount and timing of these capital gains and losses do not directly relate to the underwriting of the Company's insurance products, the services performed for the Company's customers or the sale of the Company's products or services. Accordingly, the Company believes excluding net realized capital gains and losses enhances the Company's and investors' ability to compare the Company's past financial performance with its current performance and to analyze underlying business performance and trends.
      • During the three and nine months ended September 30, 2026 and 2025, the acquisition-related integration costs relate to the acquisitions of Signify Health, Inc. and Oak Street Health, Inc. The acquisition-related integration costs are reflected in operating expenses within the Corporate/Other segment.
      • During the three and nine months ended September 30, 2026, the Omnicare guarantee relates to an estimated contingent guarantee liability recorded in connection with agreements to resolve certain litigation and Chapter 11 bankruptcy matters involving Omnicare. Following bankruptcy court approval of the agreements in August 2026 and the determination that the sale of Omnicare's assets is probable of occurring in the fourth quarter of 2026, the Company recorded an estimated contingent guarantee liability in the third quarter of 2026. The Omnicare guarantee is reflected in operating expenses within the Corporate/Other Segment.
      • During the three and nine months ended September 30, 2025, the goodwill impairment charge relates to the Health Care Delivery reporting unit within the Health Services segment.
      • During the three and nine months ended September 30, 2025, the Health Care Delivery clinic closure charge primarily relates to the write down of long-lived assets in connection with the closure of certain Oak Street Health clinics in 2026, as well as associated severance and employee-related costs. The Health Care Delivery clinic closure charge was reflected in operating expenses within the Health Services segment.
      • During the three and nine months ended September 30, 2025, the opioid litigation charge relates to a change in the Company's accrual related to ongoing opioid litigation matters.
      • During the nine months ended September 30, 2025, the Company recorded legacy litigation charges related to two court decisions associated with its past business practices. The legacy litigation charges were reflected in operating expenses within the Pharmacy & Consumer Wellness and Health Services segments.
      • During the nine months ended September 30, 2025, the loss on the wind down and sale of Accountable Care assets represents the pre-tax loss on the divestiture of the Company's Medicare Shared Savings Program ("MSSP") operations, as well as costs incurred in connection with the wind down of the Company's ACO REACH operations. The loss on Accountable Care assets was reflected in operating expenses within the Health Services segment.
      • During the nine months ended September 30, 2025, the office real estate optimization charges primarily relate to the abandonment of leased real estate and the related right-of-use assets and property and equipment in connection with the Company's evaluation of corporate office real estate space. The office real estate optimization charges were reflected in operating expenses within each segment.
      • During the three and nine months ended September 30, 2025, the gain on deconsolidation of subsidiary relates to Omnicare, a wholly-owned indirect subsidiary of CVS Health Corporation, and certain of its subsidiary entities (collectively, the "Omnicare Entities"). In September 2025, the Omnicare Entities voluntarily initiated Chapter 11 proceedings under the U.S. Bankruptcy Code, at which time the Company determined that it no longer retained control of the Omnicare Entities and deconsolidated the subsidiaries.
      • The corresponding tax benefit or expense related to the items excluded from adjusted income attributable to CVS Health and Adjusted EPS above. The nature of each non-GAAP adjustment is evaluated to determine whether a discrete adjustment should be made to the adjusted income tax provision.

      See endnotes (1) and (2) on page 20 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 12 through 14 and page 19.


      Reconciliations of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial
      Measures
       

      Adjusted Operating Income

      (Unaudited)


      The following are reconciliations of consolidated operating income (loss) (GAAP measure) to consolidated adjusted
      operating income, as well as reconciliations of segment GAAP operating income (loss) to segment adjusted operating
      income (loss):



      Three Months Ended September 30, 2026

      In millions

      Health Care

      Benefits


      Health

      Services


      Pharmacy &

      Consumer

      Wellness


      Corporate/

      Other


      Consolidated

      Totals

      Operating income (loss) (GAAP measure)

      $        653


      $    1,980


      $        1,573


      $      (640)


      $        3,566

      Amortization of intangible assets

      236


      126


      62


      1


      425

      Net realized capital (gains) losses

      23


      —


      —


      (26)


      (3)

      Acquisition-related integration costs

      —


      —


      —


      13


      13

      Omnicare guarantee

      —


      —


      —


      193


      193

      Adjusted operating income (loss) (1)

      $        912


      $    2,106


      $        1,635


      $      (459)


      $        4,194


      Three Months Ended September 30, 2025

      In millions

      Health Care

      Benefits


      Health

      Services


      Pharmacy &

      Consumer

      Wellness


      Corporate/

      Other


      Consolidated

      Totals

      Operating income (loss) (GAAP measure)

      $          53


      $   (3,899)


      $        1,414


      $      (775)


      $      (3,207)

      Amortization of intangible assets

      294


      141


      64


      1


      500

      Net realized capital (gains) losses

      (33)


      —


      —


      44


      11

      Acquisition-related integration costs

      —


      —


      —


      27


      27

      Goodwill impairment

      —


      5,725


      —


      —


      5,725

      Health Care Delivery clinic closure charge

      —


      83


      —


      —


      83

      Opioid litigation charge

      —


      —


      —


      320


      320

      Adjusted operating income (loss) (1)

      $        314


      $    2,050


      $        1,478


      $      (383)


      $        3,459


      Nine Months Ended September 30, 2026

      In millions

      Health Care

      Benefits


      Health

      Services


      Pharmacy &

      Consumer

      Wellness


      Corporate/

      Other


      Consolidated

      Totals

      Operating income (loss) (GAAP measure)

      $      5,650


      $    4,930


      $        4,118


      $    (1,749)


      $      12,949

      Amortization of intangible assets

      709


      398


      189


      2


      1,298

      Net realized capital losses

      20


      —


      —


      6


      26

      Acquisition-related integration costs

      —


      —


      —


      35


      35

      Omnicare guarantee

      —


      —


      —


      193


      193

      Adjusted operating income (loss) (1)

      $      6,379


      $    5,328


      $        4,307


      $    (1,513)


      $      14,501


      Nine Months Ended September 30, 2025

      In millions

      Health Care

      Benefits


      Health

      Services


      Pharmacy &

      Consumer

      Wellness


      Corporate/

      Other


      Consolidated

      Totals

      Operating income (loss) (GAAP measure)

      $      2,729


      $   (1,570)


      $        3,014


      $    (1,625)


      $        2,548

      Amortization of intangible assets

      881


      426


      184


      2


      1,493

      Net realized capital (gains) losses

      1


      (15)


      —


      73


      59

      Acquisition-related integration costs

      —


      —


      —


      100


      100

      Goodwill impairment

      —


      5,725


      —


      —


      5,725

      Health Care Delivery clinic closure charge

      —


      83


      —


      —


      83

      Opioid litigation charge

      —


      —


      —


      320


      320

      Legacy litigation charges

      —


      291


      929


      —


      1,220

      Loss on Accountable Care assets

      —


      288


      —


      —


      288

      Office real estate optimization charges

      4


      —


      2


      4


      10

      Adjusted operating income (loss) (1)

      $      3,615


      $    5,228


      $        4,129


      $    (1,126)


      $      11,846

      Adjusted Earnings Per Share

      (Unaudited)


      The following are reconciliations of net income (loss) attributable to CVS Health to adjusted income attributable to
      CVS Health and calculations of GAAP diluted earnings (loss) per share and Adjusted EPS:



      Three Months Ended

      September 30, 2026


      Three Months Ended

      September 30, 2025

      In millions, except per share amounts

      Total
      Company


      Per
      Common
      Share


      Total
      Company


      Per
      Common
      Share

      Net income (loss) attributable to CVS Health (GAAP measure)

      $     2,172


      $      1.68


      $   (3,975)


      $     (3.13)

      Amortization of intangible assets

      425


      0.33


      500


      0.39

      Net realized capital (gains) losses

      (3)


      —


      11


      0.01

      Acquisition-related integration costs

      13


      0.01


      27


      0.02

      Omnicare guarantee

      193


      0.15


      —


      —

      Goodwill impairment

      —


      —


      5,725


      4.50

      Health Care Delivery clinic closure charge

      —


      —


      83


      0.07

      Opioid litigation charge

      —


      —


      320


      0.25

      Gain on deconsolidation of subsidiary

      —


      —


      (483)


      (0.38)

      Tax impact of non-GAAP adjustments

      (103)


      (0.08)


      (171)


      (0.13)

      Adjusted income attributable to CVS Health (2)

      $     2,697


      $      2.09


      $     2,037


      $      1.60









      Weighted average diluted shares outstanding



      1,291




      1,269

      Adjusted weighted average diluted shares outstanding (non-
      GAAP) (2)



      1,291




      1,272


      Nine Months Ended

      September 30, 2026


      Nine Months Ended

      September 30, 2025

      In millions, except per share amounts

      Total
      Company


      Per
      Common
      Share


      Total
      Company


      Per
      Common
      Share

      Net income (loss) attributable to CVS Health (GAAP measure)

      $     8,094


      $      6.29


      $   (1,175)


      $     (0.93)

      Amortization of intangible assets

      1,298


      1.01


      1,493


      1.18

      Net realized capital losses

      26


      0.02


      59


      0.05

      Acquisition-related integration costs

      35


      0.03


      100


      0.08

      Omnicare guarantee

      193


      0.15


      —


      —

      Goodwill impairment

      —


      —


      5,725


      4.50

      Health Care Delivery clinic closure charge

      —


      —


      83


      0.07

      Opioid litigation charge

      —


      —


      320


      0.25

      Legacy litigation charges

      —


      —


      1,220


      0.96

      Loss on Accountable Care assets

      —


      —


      288


      0.23

      Office real estate optimization charges

      —


      —


      10


      0.01

      Gain on deconsolidation of subsidiary

      —


      —


      (483)


      (0.38)

      Tax impact of non-GAAP adjustments

      (333)


      (0.26)


      (455)


      (0.36)

      Adjusted income attributable to CVS Health (2)

      $     9,313


      $      7.24


      $     7,185


      $      5.66









      Weighted average diluted shares outstanding



      1,286




      1,266

      Adjusted weighted average diluted shares outstanding (non-
      GAAP) (2)



      1,286




      1,269

      Supplemental Information

      (Unaudited)


      The following are reconciliations of financial measures of the Company's segments to the consolidated totals:


      In millions

      Health Care

      Benefits


      Health

      Services


      Pharmacy &

      Consumer

      Wellness


      Corporate/

      Other


      Intersegment

      Eliminations (a)


      Consolidated

      Totals

      Three Months Ended












      September 30, 2026












      Total revenues

      $    36,855


      $  53,964


      $        35,498


      $       205


      $      (18,123)


      $    108,399

      Adjusted operating
      income (loss) (1)

      912


      2,106


      1,635


      (459)


      —


      4,194

      September 30, 2025












      Total revenues

      $    35,993


      $  49,266


      $        36,214


      $       133


      $      (18,735)


      $    102,871

      Adjusted operating
      income (loss) (1)

      314


      2,050


      1,478


      (383)


      —


      3,459













      Nine Months Ended












      September 30, 2026












      Total revenues

      $  110,364


      $ 153,996


      $      101,303


      $       478


      $      (51,220)


      $    314,921

      Adjusted operating
      income (loss) (1)

      6,379


      5,328


      4,307


      (1,513)


      —


      14,501

      September 30, 2025












      Total revenues

      $  107,061


      $ 139,181


      $      101,707


      $       362


      $      (51,937)


      $    296,374

      Adjusted operating
      income (loss) (1)

      3,615


      5,228


      4,129


      (1,126)


      —


      11,846








      (a)

      Intersegment revenue eliminations relate to intersegment revenue generating activities that occur between the Health Care Benefits segment, the Health Services segment, and/or the Pharmacy & Consumer Wellness segment.

      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

      September 30,


      Nine Months Ended

      September 30,


      Three Months Ended

      September 30,

      2026 vs 2025


      Nine Months Ended

      September 30,

      2026 vs 2025

      In millions, except percentages and
      basis points ("bps")

      2026


      2025


      2026


      2025


      $


      %


      $


      %

      Revenues:
















      Premiums

      $  34,569


      $  33,739


      $ 103,480


      $ 100,731


      $     830


      2.5 %


      $  2,749


      2.7 %

      Services

      1,831


      1,741


      5,459


      5,023


      90


      5.2 %


      436


      8.7 %

      Net investment income

      455


      513


      1,425


      1,307


      (58)


      (11.3) %


      118


      9.0 %

        Total revenues

      36,855


      35,993


      110,364


      107,061


      862


      2.4 %


      3,303


      3.1 %

      Health care costs

      31,556


      31,319


      90,827


      90,696


      237


      0.8 %


      131


      0.1 %

      MBR (Health care costs as a %
      of premium revenues) (3)

      91.3 %


      92.8 %


      87.8 %


      90.0 %


      (150)

      bps


      (220)

      bps

      Operating expenses

      $ 4,646


      $ 4,621


      $ 13,887


      $  13,636


      $      25


      0.5 %


      $     251


      1.8 %

      Operating expenses as a % of
      total revenues

      12.6 %


      12.8 %


      12.6 %


      12.7 %









      Operating income

      $   653


      $     53


      $   5,650


      $ 2,729


      $     600


      1,132.1 %


      $  2,921


      107.0 %

      Operating income as a % of
      total revenues

      1.8 %


      0.1 %


      5.1 %


      2.5 %









      Adjusted operating income (1)

      $   912


      $   314


      $   6,379


      $ 3,615


      $     598


      190.4 %


      $  2,764


      76.5 %

      Adjusted operating income as a
      % of total revenues

      2.5 %


      0.9 %


      5.8 %


      3.4 %









      Premium revenues (by business):
















      Government

      $  28,108


      $  25,968


      $ 84,385


      $  76,800


      $  2,140


      8.2 %


      $  7,585


      9.9 %

      Commercial

      6,461


      7,771


      19,095


      23,931


      (1,310)


      (16.9) %


      (4,836)


      (20.2) %

      The following table summarizes the Health Care Benefits segment's medical membership for the respective periods:



      September 30, 2026


      June 30, 2026


      December 31, 2025


      September 30, 2025

      In thousands

      Insured


      ASC


      Total


      Insured


      ASC


      Total


      Insured


      ASC


      Total


      Insured


      ASC


      Total

      Medical membership: (4)
























      Commercial

      2,565


      15,839


      18,404


      2,487


      15,833


      18,320


      3,447


      15,350


      18,797


      3,536


      15,314


      18,850

      Medicare Advantage

      4,229


      —


      4,229


      4,202


      —


      4,202


      4,267


      —


      4,267


      4,266


      —


      4,266

      Medicare Supplement

      1,164


      —


      1,164


      1,176


      —


      1,176


      1,202


      —


      1,202


      1,221


      —


      1,221

      Medicaid

      1,961


      362


      2,323


      1,964


      361


      2,325


      1,952


      373


      2,325


      1,978


      388


      2,366

      Total medical membership

      9,919


      16,201


      26,120


      9,829


      16,194


      26,023


      10,868


      15,723


      26,591


      11,001


      15,702


      26,703

























      Supplemental membership information:





















      Medicare Prescription Drug Plan (stand-alone)

      3,858






      3,870






      4,041






      4,056

      The following table summarizes the Health Care Benefits segment's days claims payable for the respective periods:



      September 30, 2026


      June 30, 2026


      December 31, 2025


      September 30, 2025

      Days Claims Payable (7)

      41.9


      41.7


      38.9


      42.5

      Supplemental Information

      (Unaudited)


      Health Services segment

      The following table summarizes the Health Services segment's performance for the respective periods:









      Change


      Three Months Ended

      September 30,


      Nine Months Ended

      September 30,


      Three Months Ended

      September 30,

      2026 vs 2025


      Nine Months Ended

      September 30,

      2026 vs 2025

      In millions, except percentages

      2026


      2025


      2026


      2025


      $


      %


      $


      %

      Revenues:
















      Products

      $ 51,491


      $ 46,767


      $  146,433


      $  132,125


      $  4,724


      10.1 %


      $  14,308


      10.8 %

      Services

      2,473


      2,500


      7,564


      7,046


      (27)


      (1.1) %


      518


      7.4 %

      Net investment income (loss)

      —


      (1)


      (1)


      10


      1


      100.0 %


      (11)


      (110.0) %

        Total revenues

      53,964


      49,266


      153,996


      139,181


      4,698


      9.5 %


      14,815


      10.6 %

      Cost of products sold

      49,711


      45,230


      142,338


      128,425


      4,481


      9.9 %


      13,913


      10.8 %

      Health care costs

      1,346


      1,291


      3,998


      3,439


      55


      4.3 %


      559


      16.3 %

      Gross profit (8)

      2,907


      2,745


      7,660


      7,317


      162


      5.9 %


      343


      4.7 %

      Gross margin (Gross profit as a
      % of total revenues) (8)

      5.4 %


      5.6 %


      5.0 %


      5.3 %









      Operating expenses

      $    927


      $    919


      $  2,730


      $  3,162


      $       8


      0.9 %


      $    (432)


      (13.7) %

      Operating expenses as a %
      of total revenues

      1.7 %


      1.9 %


      1.8 %


      2.3 %









      Goodwill impairment

      $     —


      $  5,725


      $     —


      $  5,725


      $ (5,725)


      (100.0) %


      $ (5,725)


      (100.0) %

      Operating income (loss)

      1,980


      (3,899)


      4,930


      (1,570)


      5,879


      150.8 %


      6,500


      414.0 %

      Operating income (loss) as a %
      of total revenues

      3.7 %


      (7.9) %


      3.2 %


      (1.1) %









      Adjusted operating income (1)

      $  2,106


      $  2,050


      $  5,328


      $  5,228


      $      56


      2.7 %


      $     100


      1.9 %

      Adjusted operating income as a
      % of total revenues

      3.9 %


      4.2 %


      3.5 %


      3.8 %









      Pharmacy claims processed (5) (6)

      481.7


      475.6


      1,419.4


      1,408.8


      6.1


      1.3 %


      10.6


      0.8 %

      Supplemental Information

      (Unaudited)


      Pharmacy & Consumer Wellness segment

      The following table summarizes the Pharmacy & Consumer Wellness segment's performance for the respective periods:









      Change


      Three Months Ended

      September 30,


      Nine Months Ended

      September 30,


      Three Months Ended

      September 30,

      2026 vs 2025


      Nine Months Ended

      September 30,

      2026 vs 2025

      In millions, except percentages

      2026


      2025


      2026


      2025


      $


      %


      $


      %

      Revenues:
















      Products

      $ 34,807


      $ 35,503


      $ 99,298


      $ 99,730


      $   (696)


      (2.0) %


      $   (432)


      (0.4) %

      Services

      691


      711


      2,005


      1,977


      (20)


      (2.8) %


      28


      1.4 %

      Total revenues

      35,498


      36,214


      101,303


      101,707


      (716)


      (2.0) %


      (404)


      (0.4) %

      Cost of products sold

      28,700


      29,647


      81,772


      83,005


      (947)


      (3.2) %


      (1,233)


      (1.5) %

      Gross profit (8)

      6,798


      6,567


      19,531


      18,702


      231


      3.5 %


      829


      4.4 %

      Gross margin (Gross profit as a
      % of total revenues) (8)

      19.2 %


      18.1 %


      19.3 %


      18.4 %









      Operating expenses

      $ 5,225


      $  5,153


      $ 15,413


      $ 15,688


      $      72


      1.4 %


      $   (275)


      (1.8) %

      Operating expenses as a % of
      total revenues

      14.7 %


      14.2 %


      15.2 %


      15.4 %









      Operating income

      $ 1,573


      $  1,414


      $  4,118


      $  3,014


      $     159


      11.2 %


      $  1,104


      36.6 %

      Operating income as a % of
      total revenues

      4.4 %


      3.9 %


      4.1 %


      3.0 %









      Adjusted operating income (1)

      $ 1,635


      $  1,478


      $  4,307


      $  4,129


      $     157


      10.6 %


      $     178


      4.3 %

      Adjusted operating income as a
      % of total revenues

      4.6 %


      4.1 %


      4.3 %


      4.1 %









      Revenues (by major
      goods/service lines):
















      Pharmacy

      $ 29,725


      $ 30,428


      $ 83,629


      $ 84,135


      $   (703)


      (2.3) %


      $   (506)


      (0.6) %

      Front Store

      5,164


      5,192


      15,830


      15,803


      (28)


      (0.5) %


      27


      0.2 %

      Other

      609


      594


      1,844


      1,769


      15


      2.5 %


      75


      4.2 %

      Prescriptions filled (5) (6)

      470.0


      461.4


      1,378.2


      1,335.0


      8.6


      1.9 %


      43.2


      3.2 %

      Same store sales increase
      (decrease): (9)
















      Total

      (0.6) %


      14.3 %


      1.5 %


      14.6 %









      Pharmacy

      (0.6) %


      16.8 %


      1.7 %


      17.5 %









      Front Store

      (0.6) %


      1.5 %


      0.5 %


      1.5 %









      Prescription volume (6)

      3.9 %


      8.9 %


      5.8 %


      7.3 %









      Adjusted Earnings Per Share Guidance

      (Unaudited)


      The following reconciliations of projected net income attributable to CVS Health to projected adjusted income
      attributable to CVS Health and calculations of projected GAAP diluted EPS 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 for a number of reasons as 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 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, 2026


      At Least

      In millions, except per share amounts

      Total
      Company


      Per
      Common
      Share

      Net income attributable to CVS Health (GAAP measure)

      $     9,002


      $       6.98

      Non-GAAP adjustments:




      Amortization of intangible assets

      1,730


      1.34

      Net realized capital losses

      26


      0.02

      Acquisition-related integration costs

      80


      0.06

      Omnicare guarantee

      193


      0.15

      Tax impact of non-GAAP adjustments

      (460)


      (0.35)

      Adjusted income attributable to CVS Health (2)

      $   10,571


      $       8.20





      Weighted average diluted shares outstanding



      1,289

      Endnotes

      (1)  The Company defines adjusted operating income as operating income (loss) (GAAP measure) excluding the impact of amortization of intangible assets, net realized capital gains or losses 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, the Omnicare guarantee, goodwill impairment charges, Health Care Delivery clinic closure charges, opioid litigation charges, certain legacy litigation charges, losses on Accountable Care assets and office real estate optimization charges. The chief operating decision maker (the "CODM") uses adjusted operating income as its principal measure of segment performance as it enhances the CODM's ability to compare past financial performance with current performance and analyze underlying business performance and trends. The consolidated measure is not determined in accordance with GAAP and should not be considered a substitute for, or superior to, the most directly comparable GAAP measure, consolidated operating income (loss). See "Non-GAAP Financial Information" earlier in this press release for additional information regarding the items excluded from consolidated operating income (loss) in determining consolidated adjusted operating income.

      (2)  GAAP diluted earnings (loss) per share and Adjusted EPS, respectively, are calculated by dividing net income (loss) attributable to CVS Health and adjusted income attributable to CVS Health by the Company's weighted average diluted shares outstanding. The Company defines adjusted income attributable to CVS Health as net income (loss) attributable to CVS Health (GAAP measure) excluding the impact of amortization of intangible assets, net realized capital gains or losses 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, the Omnicare guarantee, goodwill impairment charges, Health Care Delivery clinic closure charges, opioid litigation charges, certain legacy litigation charges, losses on Accountable Care assets, office real estate optimization charges, the gain on deconsolidation of subsidiary, as well as the corresponding income tax benefit or expense related to the items excluded from adjusted income attributable to CVS Health. Adjusted EPS for the three and nine months ended September 30, 2025 is calculated utilizing weighted average diluted shares outstanding, which include potential common shares in each period, as the impact of the potential common shares was dilutive. The potential common shares were excluded from the calculations of GAAP loss per share for the three and nine months ended September 30, 2025, as the shares would have had an anti-dilutive effect as a result of the GAAP net loss in each period. See "Non-GAAP Financial Information" earlier in this press release for additional information regarding the items excluded from net income (loss) attributable to CVS Health in determining adjusted income attributable to CVS Health.

      (3)  Medical benefit ratio is calculated by dividing the Health Care Benefits segment's health care costs by premium revenues and represents the percentage of premium revenues spent on medical benefits for the segment'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 Health Care Benefits segment's insured products.

      (4)  Medical membership represents the number of members covered by the Health Care Benefits segment'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 the Health Care Benefits segment's total revenues and operating results.

      (5)  Pharmacy claims processed represents the number of prescription claims processed through the Company's pharmacy benefits manager and dispensed by either its retail network pharmacies or the Company's mail and specialty pharmacies. Prescriptions filled represents the number of prescriptions dispensed through the Pharmacy & Consumer Wellness segment's retail pharmacies and infusion services operations, as well as through the Omnicare long-term care pharmacies prior to their deconsolidation in September 2025. 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)  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. 

      (7)  Days claims payable is calculated by dividing the Health Care Benefits segment's health care costs payable at the end of each quarter by its average health care costs per day during such quarter. Management and investors use this metric as one of the indicators of the adequacy of the health care costs payable liability at the end of each quarter.

      (8)  Gross profit is calculated as the segment's total revenues less its cost of products sold, and, for the Health Services segment, health care costs. 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 Health Services and Pharmacy & Consumer Wellness segments.

      (9)  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 and digital sales initiated online or through mobile applications and fulfilled through the Company's distribution centers, expressed as a percentage that indicates the increase or decrease relative to the comparable prior period. Same store metrics exclude revenues and prescriptions from infusion services operations and long-term care pharmacies. 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.

      SOURCE CVS Health

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