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CVSCVS Health

Health care · Pharmacies · NYSE
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The 10-K against last year's

157 changes: 19 added, 52 removed, 84 reworded, 2 quiet changes

10-K Feb 10, 2026 vs Feb 12, 2025
Risk FactorsRedline ↓
19.0%
of the text changed · 19,588 words now
20.8%
of the text changed · 13,017 words now
Legal ProceedingsRedline ↓
32.7%
of the text changed · 4,304 words now
Accounting PoliciesRedline ↓
9.6%
of the text changed · 13,906 words now

10-K 0000064803-26-000010 (2026-02-10) vs 10-K 0000064803-25-000007 (2025-02-12)

The redline

The paragraph that changed most in each section

Marked against last year's 10-K: cut words struck through, new words highlighted and underlined.

Risk Factors 248 words changed in this paragraph; it is 30% similar to last year's version.
•In April 2024, 2025, CMS issued its final notice detailing final 2025 2026 Medicare Advantage payment rates. Based on CMS’ notice, Medicare Advantage rates resulted in an expected average increase in revenue for the Medicare Advantage industry of 3.70%, which includes a risk score trend increase of 3.86%. Risk scores vary among Medicare Advantage plans depending on the specific population served, so this increase does not represent an actual guaranteed payment increase. Without including the risk score trend increase, the 2025 rates result in an expected average decrease in revenue for the Medicare Advantage industry of 0.16%, though the rates may vary widely depending on the provider group and patient demographics. On January 10, 2025, CMS issued an advance notice detailing proposed 2026 Medicare Advantage payment rates. The 2026 Medicare Advantage rates, if finalized as proposed, will result in an expected average increase in revenue for the Medicare Advantage industry of 4.33%, 7.16%, which includes a risk score trend increase of 2.10%. Without including the risk score trend increase, the advance 2026 rates will result in an expected average increase in revenue for the Risk scores vary among Medicare Advantage industry of 2.23%, though the rates may vary widely plans depending on the provider group and patient demographics. CMS intends to publish the final 2026 rate announcement no later than April 7, 2025. The Company faces challenges from the impact of the increasing cost of medical care (including prescription medications), changes to methodologies for determining payments and CMS local and national coverage decisions that require the Company to pay for services and supplies that are not factored into the Company’s bids. We cannot predict how the rates will be finalized, future Medicare funding levels, the impact of future federal budget actions or ensure that such changes or actions will not have a material adverse effect on our Medicare operating results.

Source: Item 1A, 10-K 0000064803-26-000010 vs Item 1A, 10-K 0000064803-25-000007

Legal Proceedings 194 words changed in this paragraph; it is 45% similar to last year's version.
U.S. ex rel. Bassan et al. v. Omnicare, Inc. and CVS Health Corp. (U.S. District Court for the Southern District of New York). In December 2019, the U.S. Attorney’s Office for the Southern District of New York filed a complaint-in-intervention in this previously sealed qui tam case. The complaint alleges that for certain non-skilled nursing facilities, Omnicare improperly filled prescriptions beyond one year where a valid prescription did not exist and that these dispensing events violated the federal False Claims Act. In April 2025, the jury found both Omnicare and CVS Health Corporation liable. The jury awarded approximately $136 million due to Omnicare’s conduct. This amount is automatically required to be tripled by statute to approximately $407 million. Accordingly, a litigation reserve was recorded related to this matter in the three months ended March 31, 2025. The jury found no damages attributable to CVS Health Corporation. In July 2025, the Court awarded penalties against Omnicare for $542 million, for which the Company recorded an incremental litigation reserve in the three months ended June 30, 2025. The Court also found CVS Health Corporation to be jointly and severally liable for $165 million of the $542 million in penalties. The Company is defending itself against these claims. has filed an appeal to the Second Circuit. As discussed in Note 1 ‘‘Significant Accounting Policies’’, on September 22, 2025, Omnicare initiated a voluntary court-supervised Chapter 11 bankruptcy process and was deconsolidated in the three months ended September 30, 2025. The litigation reserve of $165 million that CVS Health Corporation was jointly and severally liable for remained as a liability on the consolidated balance sheet at December 31, 2025.

Source: Item 3, via Note 18 – Commitments and Contingencies, 10-K 0000064803-26-000010 vs Item 3, via Note 18 – Commitments and Contingencies, 10-K 0000064803-25-000007

MD&A 134 words changed in this paragraph; it is 64% similar to last year's version.
Although the Company believes the financial projections used to determine the fair value of the Government Health Care Delivery reporting unit were reasonable and achievable, continued utilization pressure within pressure, insufficient CMS Medicare rate increases relative to underlying medical cost trend or further reductions to the Medicare product line and continued higher acuity in Medicaid number of existing primary care centers or new primary care center openings may affect the Company’s ability to increase operating income results in the Government Health Care Delivery reporting unit at the rate estimated when such goodwill impairment test was performed. Some of the key assumptions included in the Company’s financial projections to determine the estimated fair value of its Government Health Care Delivery reporting unit include future health care costs, changes in medical membership, revenue growth rates, operating margins including the impact of annual new primary care center openings, and operating expense ratios. income. The estimated fair value of the Government Health Care Delivery reporting unit is also dependent on multiples of market participants in the health insurance care delivery industry, as well as the risk-free interest rate environment which impacts the discount rate used in the discounted cash flow method. As If the Company does not achieve its forecasts, given that the fair value and the carrying value of December 31, 2024, the Health Care Delivery reporting unit were the same following the goodwill balance in impairment charge recorded during the Government reporting unit was approximately $21.2 billion. third quarter of 2025, it is reasonably

Source: Item 7, 10-K 0000064803-26-000010 vs Item 7, 10-K 0000064803-25-000007

Accounting Policies 105 words changed in this paragraph; it is 39% similar to last year's version.
During the years ended December 31, 2024, 2023, and 2022, the The Company recorded office real estate optimization charges of $30 million, $46 million, and $117 million, respectively, primarily related to the abandonment of leased real estate and the related right-of-use assets and property and equipment in connection with the planned reduction of continuously evaluates its corporate office real estate space in response to its ongoing flexible work arrangement. arrangement and changes in employee work arrangement requirements to ensure it has the appropriate space to support the business. As a result of its assessment, the Company determined that it would vacate and abandon certain leased corporate office spaces. During the years ended December 31, 2025, 2024 and 2023, the Company recorded $10 million, $30 million, and $46 million, respectively, of office real estate optimization charges primarily related to operating lease right-of-use assets and property and equipment. The office real estate optimization charges were recorded in operating expenses within each segment.

Source: Item 8, Note 1 – Significant Accounting Policies, 10-K 0000064803-26-000010 vs Item 8, Note 1 – Significant Accounting Policies, 10-K 0000064803-25-000007

Every change, by type

Sentences and paragraphs added, removed or reworded

Sentences and paragraphs of CVS's Risk Factors and MD&A, 10-K 2026-02-10 against 10-K 2025-02-12. Each links to the text at sec.gov.

AddedRisk Factors
•We may face increased regulatory risks related to our vertical integration strategy, such as legislation prohibiting state licensure of pharmacies affiliated with a PBM.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedRisk Factors
•Our Health Care Benefits segment’s operating results and competitiveness is heavily impacted, in the case of Medicaid programs, by the sufficiency of the rates the states determine are actuarially sound based on experience from previous years. Such rate levels may not be representative of actual experience, and insufficient rates will negatively impact our revenues and operating results.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedRisk Factors
•Direct-to-consumer (“DTC”) sales of prescription drugs by pharmaceutical companies is a growing trend in the United States. By implementing DTC sales platforms, pharmaceutical companies can advertise, or sell, their own branded drugs directly to patients, bypassing traditional distribution channels and intermediaries, including pharmacies and PBMs. DTC platforms may also increase demand for expensive, brand-name drugs that may not provide significant clinical benefit over more cost-effective alternatives. As a result, the DTC trend may increase overall health care costs for consumers and adversely impact the performance of the Company’s Pharmacy & Consumer Wellness and Health Services segments.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedRisk Factors
•In April 2025, CMS issued its final notice detailing final 2026 Medicare Advantage payment rates. Based on CMS’ notice, Medicare Advantage rates resulted in an expected average increase in revenue for the Medicare Advantage industry of 7.16%, which includes a risk score trend increase of 2.10%. Risk scores vary among Medicare Advantage plans depending

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedRisk Factors
•State Medicaid agencies regularly audit, and state officials regularly investigate, the Company’s performance across all areas of its contractual obligations to the state to determine compliance and quality of services. The Company may be subject to, among other penalties, significant fines, sanctions, corrective actions, and enrollment freezes depending on the findings of these audits and reviews. The Company’s ongoing performance and compliance with program requirements can impact our ability to expand and retain Medicaid business. State Medicaid agencies are also increasingly using the audit process to challenge the legality of PBM practices, such as guaranteed effective rate reconciliations with retail pharmacies and transmission fees.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedRisk Factors
•The “Working Families Tax Cut Act,” formerly the “One Big Beautiful Bill Act,” of 2025 makes changes to Medicaid eligibility rules and financing which will lead to reduced eligibility for Medicaid beneficiaries, particularly expansion populations, and reduced state funding, which will impact Medicaid benefits and payment rates. Given these changes, states that have not already done so are unlikely to consider Medicaid expansion.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedRisk Factors
our control, including general economic conditions, continuing government efforts to contain health care costs and budgetary constraints at the federal or applicable state or local level and general political issues and priorities.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedRisk Factors
There can be no assurance that we have been able to, or will be able to, adequately prevent, detect, and/or remediate such data security incidents.

Read it in 10-K 2026-02-10 at sec.gov ↗

Show the other 11
AddedRisk Factors
The use of AI and related technology may also increase exposure to reputational, cybersecurity, data privacy, legal, regulatory and operational risks as AI technology rapidly evolves along with public opinion concerning the use of AI and the associated legal and regulatory framework. These risks include, but are not limited to, heightened exposure to cybersecurity incidents or the misuse of data during the integration of AI models and large data sets; increased potential liability and costs associated with complying with rapidly emerging regulatory frameworks; costs and competitive disadvantages associated with the failure to properly integrate AI into existing operations; and reputational harm caused by actual or perceived failures in the performance of AI or AI-related technology.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedMD&A
•Operating expenses increased $3.3 billion, or 7.8%, in 2025 compared to 2024. The increase in operating expenses was primarily due to approximately $1.2 billion of legacy litigation charges related to two court decisions associated with the Company’s past business practices, a $320 million opioid litigation charge related to a change in the Company’s accrual for ongoing opioid litigation matters and $288 million of pre-tax losses on Accountable Care assets, all recorded in 2025, as well as increased investments in colleagues and capabilities in 2025.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedMD&A
•The Company’s effective income tax rate decreased to 19.1% in 2025 compared to 25.4% in the prior year due to a worthless stock deduction associated with a subsidiary that filed for bankruptcy in 2025, partially offset by the impact of the goodwill impairment charge and the legacy litigation charges recorded during 2025 described above, both of which were not deductible for income tax purposes.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedMD&A
(5)In 2025, the Health Care Delivery clinic closure charge primarily relates to the write down of long-lived assets in connection with the planned closure of certain existing Oak Street Health clinics in 2026, as well as associated severance and employee-related costs expected to be incurred. The Health Care Delivery clinic closure charge is reflected in operating expenses within the Health Services segment.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedMD&A
In April 2025, a jury found Omnicare and CVS Health Corporation liable in connection with alleged violations of the federal False Claims Act related to dispensing practices by Omnicare from 2010, prior to its acquisition by the Company in 2015, through 2018. Damages were found only with respect to Omnicare. Accordingly, the Company recorded a litigation charge of $387 million during the first quarter of 2025. During the second quarter of 2025, the Company recorded a charge of $542 million, reflecting penalties assessed under the False Claims Act. These litigation charges are reflected in operating expenses within the Pharmacy & Consumer Wellness segment.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedMD&A
In June 2025, a court found certain subsidiaries of CVS Health Corporation liable for damages in connection with a complaint filed in February 2014, in which the government declined to intervene, related to PBM direct and indirect remuneration reporting practices for two clients from 2010 through 2016, which the Company has since modified. In connection with this court decision, the Company recorded a litigation charge of $291 million during the second quarter of 2025. This litigation charge is reflected in operating expenses within the Health Services segment.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedMD&A
•Adjusted operating income increased $2.6 billion in 2025 compared to 2024 primarily driven by improved underlying performance in the Government business and higher favorable prior year development.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedMD&A
During 2025, the Health Care Delivery reporting unit continued to experience challenges, including the impact of persistent elevated utilization levels. In order to best respond to these challenges, the Company made a number of changes to its Health Care Delivery management team during 2025. During the third quarter of 2025, this new management team finalized certain strategic changes, including the determination that it would reduce the number of new primary care clinics it would open in 2026 and annually thereafter. The Company also determined that it would close certain existing Oak Street Health clinics in 2026. The strategy changes were presented to CVS Health Corporation’s Board of Directors in September 2025.

Read it in 10-K 2026-02-10 at sec.gov ↗

AddedMD&A
possible in the near term that the goodwill of the Health Care Delivery reporting unit could be deemed to be impaired again by a material amount. As of December 31, 2025, the remaining goodwill balance in the Health Care Delivery reporting unit was approximately $4.2 billion.

Read it in 10-K 2026-02-10 at sec.gov ↗

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