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CVS Health (CVS) earnings Q2 2026

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CVS Health (CVS) earnings Q2 2026
CVS blows past estimates, hikes guidance as insurance unit continues to improve

CVS Health on Wednesday blew past second-quarter earnings and revenue estimates and raised its 2026 guidance, as its insurance unit Aetna shows signs of recovery. 

CVS, which operates the nation’s largest pharmacy chain, sees full-year adjusted profit coming in between $7.90 and $8.10 per share. That’s up from a previous guidance of $7.30 to $7.50 per share. 

The company also expects revenue of at least $414 billion in 2026, up from its prior outlook of at least $405 billion.

In a release, CVS said the higher profit guidance reflects increases in its insurance and retail pharmacy segment, but noted that the company is maintaining a “cautious view” for the rest of the year amid high medical costs and potential challenges in the broader economy.

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Shares of the healthcare giant rose 1% in premarket trading Wednesday.  

All three of the healthcare giant’s business segments – insurance, pharmacy and health services —surpassed Wall Street’s revenue expectations. But Aetna’s results have been top of mind for investors, who have watched high medical costs in privately run Medicare plans batter several major health insurers for the last two years. 

The results indicated continued progress in CVS’ broader turnaround plan, which has involved cutting $2 billion in costs, closing underperforming stores, shuffling leadership and reducing costs within Medicare Advantage plans. CVS’ report also adds to a solid second quarter for the broader health insurance sector. 

Also on Wednesday, CVS announced a new collaboration with Eli Lilly that will make its obesity injection Zepbound and new weight loss pill Foundayo accessible to eligible patients on the CVS Health app. That offering, which will be available by early in the fourth quarter, will include both patients with insurance coverage and those paying out of pocket.

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Here’s what CVS reported for the second quarter compared with what Wall Street was expecting, based on a survey of analysts by LSEG: 

  • Earnings per share: $2.58 adjusted vs. $1.85 expected
  • Revenue: $106.10 billion vs. $100.11 billion expected

The company posted net income of $2.98 billion, or $2.31 per share, for the second quarter. That compares with net income of $1.02 billion, or 80 cents per share, for the same period a year ago. 

Excluding certain items, such as restructuring charges and capital losses, adjusted earnings were $2.58 per share for the quarter.

CVS booked sales of $106.10 billion for the second quarter, up about 7% from the same period a year ago, as all three of its business segments showed growth. 

Insurance unit improves

Insurers have grappled with higher-than-expected medical costs as more Medicare Advantage patients return to hospitals for procedures they delayed during the pandemic. Medical costs remain high, but Aetna and other insurers appear to be becoming better equipped to manage the trend, as many cut membership and benefits for patients and exit unprofitable markets. 

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Aetna’s medical benefit ratio — a measure of total medical expenses paid relative to premiums collected — decreased from the prior year to 87.4% from 89.9%. A lower ratio typically indicates that a company collected more in premiums than it paid out in benefits, resulting in higher profitability.

Analysts expected a ratio of 89.8%, according to StreetAccount. 

The insurance business brought in $37.54 billion in revenue during the quarter, up around 3.5% from the second quarter of 2025. That came in higher than the $35.66 billion that analysts were expecting, according to StreetAccount. 

In a release, CVS also said the year-over-year improvement in the unit was due to strength in its government plans and the lack of a so-called premium deficiency reserve, which was recorded in the same period in 2025. That refers to a liability that an insurer may need to cover if future premiums are not enough to pay for anticipated claims and expenses.

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The unit’s medical membership of 26 million as of June 30 was about flat compared to March 31, CVS said. 

CVS’ pharmacy and consumer wellness division posted $33.82 billion in sales for the second quarter, only slightly higher from the year-ago period. Analysts expected sales of $33.16 billion, StreetAccount estimates said.

That unit dispenses prescriptions in CVS’ more than 9,000 retail pharmacies and provides other services, such as vaccinations and diagnostic testing.

The company’s health services segment generated $51.8 billion in revenue for the quarter, up 11.5% from the same period a year earlier. That also topped Wall Street estimates of $47.78 billion, according to StreetAccount.

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That unit includes the pharmacy benefits manager Caremark, which negotiates drug discounts with manufacturers on behalf of insurance plans, creates lists of medications, or formularies, that are covered by insurance, and reimburses pharmacies for prescriptions.

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Harvard reveals $2.2B SpaceX stake after Elon Musk company IPO

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Harvard reveals $2.2B SpaceX stake after Elon Musk company IPO

Harvard University’s investment arm disclosed a $2.2 billion stake in SpaceX, revealing a massive payoff from an early investment in Elon Musk’s rocket company following its blockbuster public debut.

Harvard Management Company reported the position in a regulatory filing Friday, making SpaceX the largest individual stock holding disclosed in its $4.3 billion portfolio of U.S. equities.

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The investment highlights how SpaceX’s record-setting June initial public offering delivered significant gains for university endowments that gained exposure to the company through venture capital investments, in some cases more than a decade ago.

SPACEX AND TESLA CHOOSE TEXAS FOR AI CHIP MANUFACTURING PLANT THAT WILL BE WORLD’S LARGEST BUILDING

SpaceX launches Starship on May 27, 2025

SpaceX’s next-generation Starship spacecraft atop its Super Heavy booster is launched on its ninth test at the company’s launch pad in Starbase, Texas, May 27, 2025.  (Joe Skipper/Reuters, File / Reuters)

Harvard Management oversaw about $57 billion as of June 2025, according to the latest publicly available figure.

Harvard is not the only university investor benefiting from SpaceX’s move into the public markets.

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The University of California’s investment arm disclosed a position worth roughly $1 billion in a filing this week, while the University of North Carolina and Washington University in St. Louis also held investments in the company.

Ticker Security Last Change Change %
SPCX NO DATA AVAILABLE

Harvard’s position could include both shares owned directly and stock distributed to the university through private investment funds. 

Harvard Management Company and SpaceX did not immediately respond to FOX Business’ requests for comment.

CATHIE WOOD SAYS BATTERED SPACEX COULD BECOME ‘MOST IMPORTANT COMPANY IN GLOBAL HISTORY’

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Gates entering Harvard Yard

Harvard University’s investment arm disclosed a $2.2 billion stake in SpaceX. (Scott Eisen/Getty Images, File / Getty Images)

SpaceX currently carries a valuation of more than $1.8 trillion. The gains arrive as university finances face pressure from uncertainty over federal research funding, demographic changes that are reducing the pool of college-age students and weaker returns from private equity.

Large university endowments have nevertheless delivered strong recent performance. 

Endowment funds managing more than $500 million returned a median 18.9% before fees in the year ended in June, according to the Wilshire Trust Universe Comparison Service.

SpaceX building

SpaceX currently carries a valuation of more than $1.8 trillion. (Getty Images, File / Getty Images)

SpaceX shares have fluctuated since the company debuted at $135 per share. The stock fell 0.9% Friday to close at $140.

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Investment managers overseeing more than $100 million in U.S. equities generally must submit Form 13F within 45 days after the end of each quarter, providing a snapshot of their holdings in securities traded on U.S. exchanges.

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