CVS Health 10-K 2017-12-31
Filed 2018-02-14. 21 sections, 235K characters. Original on sec.gov · Markdown · JSON
Cover and table of contents
10-K 1 cvs-20171231x10k.htm 10-K
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
☒ Annual Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
For the fiscal year ended December 31, 2017
OR
☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
For the transition period from to
Commission file number 001-01011

CVS HEALTH CORPORATION
(Exact name of Registrant as specified in its charter)
| Delaware | 05-0494040 | |
|---|---|---|
| (State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) | |
| One CVS Drive, Woonsocket, Rhode Island | 02895 | |
| (Address of principal executive offices) | (Zip Code) |
(401) 765-1500
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Exchange Act:
| Common Stock, par value $0.01 per share | New York Stock Exchange | |
|---|---|---|
| Title of each class | Name of each exchange on which registered |
Securities registered pursuant to Section 12(g) of the Exchange Act:
None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☒ No ☐
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐ No ☒
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Website, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes ☒ No ☐
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ☒
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b‑2 of the Exchange Act.
| Large accelerated filer ☒ | Accelerated filer ☐ | |
| Non-accelerated filer ☐ (Do not check if a smaller reporting company) | Smaller reporting company ☐ | |
| Emerging growth company ☐ |
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes ☐ No ☒
The aggregate market value of the registrant’s common stock held by non-affiliates was approximately $81,440,458,676 as of June 30, 2017, based on the closing price of the common stock on the New York Stock Exchange. For purposes of this calculation, only executive officers and directors are deemed to be the affiliates of the registrant.
As of February 9, 2018, the registrant had 1,014,532,157 shares of common stock issued and outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Filings made by companies with the Securities and Exchange Commission sometimes “incorporate information by reference.” This means that the company is referring you to information that was previously filed or is to be filed with the SEC, and this information is considered to be part of the filing you are reading. The following materials are incorporated by reference into this Form 10-K:
Portions of our Annual Report to Stockholders for the fiscal year ended December 31, 2017 are incorporated by reference in our response to Items 7, 8 and 9 of Part II.
Information contained in our Proxy Statement for the 2018 Annual Meeting of Stockholders is incorporated by reference in our response to Items 10 through 14 of Part III.
TABLE OF CONTENTS
PART I
Item 1. Business
Overview
CVS Health Corporation, together with its subsidiaries (collectively, “CVS Health,” the “Company,” “we,” “our” or “us”), is a pharmacy innovation company helping people on their path to better health. At the forefront of a changing health care landscape, the Company has an unmatched suite of capabilities and the expertise needed to drive innovations that will help shape the future of health care.
We are currently the only integrated pharmacy health care company with the ability to impact consumers, payors, and providers with innovative, channel-agnostic solutions. We have a deep understanding of their diverse needs through our unique integrated model, and we are bringing them innovative solutions that help increase access to quality care, deliver better health outcomes and lower overall health care costs.
Through more than 9,800 retail locations, more than 1,100 walk-in health care clinics, a leading pharmacy benefits manager with more than 94 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, expanding specialty pharmacy services and a leading stand-alone Medicare Part D prescription drug plan, we enable people, businesses, and communities to manage health in more affordable, effective ways. We are delivering break-through products and services, from advising patients on their medications at our CVS Pharmacy® locations, to introducing unique programs to help control costs for our clients at CVS Caremark®, to innovating how care is delivered to our patients with complex conditions through CVS Specialty®, to improving pharmacy care for the senior community through Omnicare®, or by expanding access to high-quality, low-cost care at CVS MinuteClinic®.
We have three reportable segments: Pharmacy Services, Retail/LTC and Corporate.
Proposed Acquisition of Aetna
On December 3, 2017, we entered into a definitive merger agreement to acquire all of the outstanding shares of Aetna Inc. (“Aetna”) for a combination of cash and stock (the “Aetna Acquisition”). Under the terms of the merger agreement, Aetna shareholders will receive $145.00 per share in cash and 0.8378 CVS Health shares for each Aetna share. The transaction values Aetna at approximately $207 per share or approximately $69 billion based on the Company’s 5-day volume weighted average price ending December 1, 2017 of $74.21 per share. Including the assumption of Aetna’s debt, the total value of the transaction is approximately $77 billion. The final purchase price will be determined based on the Company’s stock price on the date of closing of the transaction.
The proposed acquisition is currently projected to close in the second half of 2018 and remains subject to approval by CVS Health and Aetna shareholders and customary closing conditions, including the expiration of the waiting period under the federal Hart-Scott-Rodino Antitrust Improvements Act of 1976 (“HSR Act”) and approvals of state departments of insurance and U.S. and international regulators.
Pharmacy Services Segment
The Pharmacy Services Segment provides a full range of pharmacy benefit management (“PBM”) solutions, as described more fully below, to clients consisting primarily of employers, insurance companies, unions, government employee groups, health plans, Medicare Part D plans, Managed Medicaid plans, plans offered on the public and private exchanges, other sponsors of health benefit plans and individuals throughout the United States. In addition, through our SilverScript Insurance Company (“SilverScript”) subsidiary, we are a national provider of drug benefits to eligible beneficiaries under the federal government’s Medicare Part D program. The Pharmacy Services Segment operates under the CVS Caremark Pharmacy Services, Caremark®, CVS Specialty®, AccordantCareTM, SilverScript®, Wellpartner®, NovoLogix®, Coram®, Navarro® Health Services and ACS Pharmacy names. As of December 31, 2017, the Pharmacy Services Segment operated 23 retail specialty pharmacy stores, 18 specialty mail order pharmacies and four mail order dispensing pharmacies, and 83 branches for infusion and enteral services, including approximately 73 ambulatory infusion suites and three centers of excellence, located in 42 states, Puerto Rico and the District of Columbia. During the year ended December 31, 2017, our PBM filled or managed approximately 1.8 billion prescriptions on a 30-day equivalent basis.
Pharmacy Services Business Strategy - Our pharmacy services business strategy centers on providing innovative tools and strategies, as well as quality client service, in order to help improve clinical outcomes for our clients’ plan members while assisting them with better managing pharmacy and overall health care costs. Our goal is to produce superior results for our clients and their plan members by leveraging our expertise in core PBM services, including: plan design offerings and administration, formulary management, Medicare Part D services, mail order, specialty pharmacy and infusion services, retail pharmacy network management services, prescription management systems, clinical services, disease management services and medical spend management.
In addition, as a fully integrated pharmacy services company that helps clients improve quality and lower their pharmacy costs, we offer our clients and their plan members a variety of programs and tools, including plan design offerings, that benefit from our integrated systems and the ability of our almost 36,000 pharmacists, nurses, nurse practitioners and physician assistants to interact personally with the many plan members we serve. Through our multiple member touch points (retail stores, mail order, infusion, long-term care and specialty pharmacies, retail clinics, digital resources and cost management tools), we seek to engage plan members in behaviors that help lower cost and improve health care outcomes. Examples of these programs and services include: Maintenance Choice®, a program where eligible client plan members can elect to fill their maintenance prescriptions through delivery to their home or business or at our CVS Pharmacy retail stores for the same price as mail order; Pharmacy Advisor®, a program that facilitates face-to-face and telephone counseling by our pharmacists to help participating plan members with certain chronic diseases, such as diabetes and cardiovascular conditions, to identify gaps in care, adhere to their prescribed medications and manage their health conditions; enhanced disease management programs, such as our TransformCareTM offerings, that are targeted at managing chronic disease states; Specialty Connect®, our specialty pharmacy offering that integrates specialty mail and retail capabilities, providing members with disease-state specific counseling from our experienced specialty pharmacists and the convenience of picking up their prescriptions at their local CVS Pharmacy or having them delivered to their home or office and an ExtraCare® Health Card program that offers discounts to eligible plan members on certain over-the-counter health care products sold in our CVS Pharmacy stores. In addition, CVS MinuteClinic (“MinuteClinic”) is an important and differentiated part of the enterprise that offers certain capabilities to PBM clients and their members. For example, we offer plan-sponsored co-pay reductions to encourage use of MinuteClinic, thereby helping to reduce emergency room visits and to lower overall health care costs. We also partner with our health plan clients sponsoring patient-centered medical homes, biometric screenings for plan members, closing gaps in care, and onsite clinics at client corporate headquarters.
PBM Services - Our PBM solutions are described more fully below.
Plan Design Offerings and Administration - We administer pharmacy benefit plans for clients who contract with us to facilitate prescription coverage and claims processing for their eligible plan members. We assis
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Item 1A. Risk Factors
Our business is subject to various industry, economic, regulatory and other risks and uncertainties. Our business, financial condition, results of operations, cash flows and prospects could be materially adversely affected by any one or more of the following risk factors and by additional risks and uncertainties not presently known to us or that we currently deem to be immaterial:
Risks of declining gross margins in the PBM, retail pharmacy and LTC pharmacy industries.
The PBM industry has been experiencing margin pressure as a result of competitive pressures and increased client demands for lower prices, increased revenue sharing, enhanced service offerings and/or higher service levels. In that regard, we maintain contractual relationships with generic pharmaceutical manufacturers and brand name pharmaceutical manufacturers that provide for purchase discounts and/or rebates on drugs dispensed by pharmacies in our retail network and by our specialty and mail order pharmacies (all or a portion of which may be passed on to clients). Manufacturer rebates often depend on a PBM’s ability to meet contractual market share or other requirements, including in some cases the placement of a manufacturer’s products on the PBM’s formularies. If we lose our relationship with one
or more pharmaceutical manufacturers, or if the discounts or rebates provided by pharmaceutical manufacturers decline, our business and financial results could be adversely affected. Further, competitive pressures in the PBM industry have resulted in our clients sharing in a larger portion of rebates and/or discounts received from pharmaceutical manufacturers. Market dynamics and regulatory changes have impacted our ability to offer plan sponsors pricing that includes the use of retail “differential” or “spread”, which could negatively impact our future profitability. Further, changes in existing federal or state laws or regulations or the adoption of new laws or regulations relating to patent term extensions, purchase discount and rebate arrangements with pharmaceutical manufacturers, or to formulary management or other PBM services could also reduce the discounts or rebates we receive. In addition, changes in federal or state laws or regulations or the adoption of new laws or regulations relating to claims processing and billing, including our ability to use MAC lists and collect transmission fees, could adversely impact our profitability.
Our retail pharmacy, specialty pharmacy and LTC pharmacy operations have also been affected by the margin pressures described above, including client demands for lower prices, generic pricing and network reimbursement pressure. In addition, as competition increases in the markets in which we operate, a significant increase in general pricing pressures could occur, and this could require us to reevaluate our pricing structures to remain competitive. A shift in the mix of our pharmacy prescription volume towards programs offering lower reimbursement rates could adversely affect our margins, including the shift in pharmacy mix towards 90-day prescriptions at retail and the shift in pharmacy mix towards Medicare Part D prescriptions. Finally, the margins of our LTC business are further affected by the increased efforts of health care payors to negotiate reduced or capitated pricing arrangements. These actions could also adversely affect the margins of our LTC business.
Efforts to reduce reimbursement levels and alter health care financing practices.
The continued efforts of health maintenance organizations, managed care organizations, PBMs, government entities, and other third party payors to reduce prescription drug costs and pharmacy reimbursement rates, as well as litigation and other legal proceedings relating to how drugs are priced, may impact our profitability. In particular, increased utilization of generic pharmaceuticals (which normally yield a higher gross profit rate than equivalent brand named drugs) has resulted in pressure to decrease reimbursement payments to retail, specialty, LTC and mail order pharmacies for generic drugs, causing a reduction in the generic profit rate. Historically, the effect of this trend on generic profitability has been mitigated by our efforts to negotiate reduced acquisition costs of generic pharmaceuticals with manufacturers. However, in recent years, there has been significant consolidation within the generic manufacturing industry, and it is possible that this and other external factors may enhance the ability of manufacturers to sustain or increase pricing of generic pharmaceuticals and diminish our ability to negotiate reduced acquisition costs. Any inability to offset increased costs or to modify our activities to lessen the impact could have a significant adverse effect on our results of operations.
In addition, during the past several years, the United States health care industry has been subject to an increase in governmental regulation and audits at both the federal and state levels. Efforts to control health care costs, including prescription drug costs, are continuing at the federal and state government levels. Changing political, economic and regulatory influences may significantly affect health care financing and reimbursement practices. For example, we anticipate that federal and state governments will continue to review and assess alternative health care delivery systems, payment methodologies and operational requirements for health care providers, including LTC facilities and pharmacies. A change in the composition of pharmacy prescription volume toward programs offering lower reimbursement rates could negatively impact our profitability. Any action taken to repeal or replace all or significant parts of ACA could also impact our profitability, though it is unclear at this time what the full effects will be.
ACA made several significant changes to Medicaid rebates and to reimbursement. One of these changes was to revise the definition of the Average Manufacturer Price, a pricing element common to most payment formulas, and the reimbursement formula for multi-source (i.e., generic) drugs. This change has negatively affected our reimbursement. In addition, ACA made other changes that affect the coverage and plan designs that are or will be provided by many of our health plan clients, including the requirement for health insurers to meet a minimum medical loss ratio to avoid having to pay rebates to enrollees. These ACA changes may not affect our business directly, but they could indirectly impact our services and/or business practices.
A highly competitive business environment.
Each of our retail pharmacy, LTC pharmacy, retail health clinic and pharmacy services operations currently operates in a highly competitive and evolving health care environment.
The competitive success of our retail pharmacy business, as well as our specialty pharmacy operations with non-Caremark payors, is derived by their ability to establish and maintain contractual relationships with PBMs and other payors on acceptable terms in an environment where some PBM clients are considering adopting narrow or restricted retail pharmacy networks. As a pharmacy retail business, we compete with other drugstore chains, supermarkets, on-line and other discount retailers, independent pharmacies, membership clubs, convenience stores and mass merchants, some of which are aggressively expanding into markets we serve. We also face competition from other retail health clinics, as well as other mail order pharmacies and PBMs. Disruptive innovation by existing or new competitors could alter the competitive landscape in the future and require us to accurately identify and assess such changes and make timely and effective changes to our strategies and business model to compete effectively. Competition may also come from other sources in the future. Changes in market dynamics or the actions of competitors or manufacturers, including in
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Item 1B. Unresolved Staff Comments
There are no unresolved SEC Staff Comments.
Item 2. Properties
We lease most of our stores under long-term leases that vary as to rental amounts, expiration dates, renewal options and other rental provisions. For additional information on the amount of our rental obligations for our leases, we refer you to Note 7 “Leases” in our Annual Report to Stockholders for the year ended December 31, 2017, which section is incorporated by reference herein.
As of December 31, 2017, we owned approximately 4% of our 8,108 retail stores. Net selling space for our retail stores was approximately 79.5 million square feet as of December 31, 2017. Approximately 20% of our store base was opened or significantly remodeled within the last five years.
We lease 1,695 retail pharmacies and 79 clinics in Target stores located in 47 states and the District of Columbia.
We own nine distribution centers located in Alabama, California, Hawaii, New York, Rhode Island, South Carolina, Tennessee and Texas and lease 13 additional distribution facilities located in Arizona, Florida, Indiana, Michigan, Missouri, New Jersey, Pennsylvania, Texas, Virginia and Brazil. The 22 distribution centers total approximately 10.4 million square feet as of December 31, 2017.
As of December 31, 2017, we owned six and leased 139 LTC pharmacies in 44 states and owned one LTC repackaging facility in Kentucky.
As of December 31, 2017, we owned one mail service dispensing pharmacy located in Texas and leased three additional mail order dispensing pharmacies located in Hawaii, Illinois and Pennsylvania; we leased call centers located in California, Missouri, Pennsylvania, Tennessee and Texas; we leased 37 onsite pharmacy stores and 23 specialty pharmacy stores, and leased 18 specialty mail order pharmacies; we leased 83 branches for infusion and enteral services, including approximately 73 ambulatory infusion suites and three centers of excellence.
We own our corporate offices located in Woonsocket, Rhode Island, which totals approximately one million square feet. In addition, we lease corporate offices in Scottsdale, Arizona, Northbrook, Illinois, Cincinnati, Ohio, Monroeville, Pennsylvania, Irving, Texas, and Sao Paulo, Brazil.
In connection with certain business dispositions completed between 1991 and 1997, we continue to guarantee lease obligations for approximately 85 former stores. We are indemnified for these guarantee obligations by the respective purchasers. These guarantees generally remain in effect for the initial lease term and any extension thereof pursuant to a renewal option provided for in the lease prior to the time of the disposition. For additional information, we refer you to Note 12 “Commitments and Contingencies” in our Annual Report to Stockholders for the year ended December 31, 2017, which section is incorporated by reference herein.
Management believes that the Company’s owned and leased facilities are suitable and adequate to meet the Company’s anticipated needs. At the end of the existing lease terms, management believes the leases can be renewed or replaced by alternative space.
The following is a breakdown by state, District of Columbia, Puerto Rico and Brazil of our retail stores, pharmacies and clinics in Target stores, LTC hub and spoke pharmacies, onsite pharmacy stores, specialty pharmacy stores, specialty mail order pharmacies, mail order dispensing pharmacies and branches and centers of excellence for infusion and enteral services as of December 31, 2017:
| Infusion & | ||||||||||||||||||
| Pharmacies | LTC Hub & | Onsite | Specialty | Specialty | Mail Order | Enteral | ||||||||||||
| Retail | within | Spoke | Pharmacy | Pharmacy | Mail Order | Dispensing | Services | |||||||||||
| Stores (1) | Target (1) | Pharmacies | Stores | Stores | Pharmacies | Pharmacies | Locations | Total | ||||||||||
| United States: | ||||||||||||||||||
| Alabama | 160 | 22 | 2 | 1 | 1 | — | — | 1 | 187 | |||||||||
| Alaska | 3 | 3 | — | — | — | — | — | — | 6 | |||||||||
| Arizona | 152 | 46 | 2 | — | 1 | 1 | — | 2 | 204 | |||||||||
| Arkansas | 15 | 8 | 1 | — | — | — | — | 1 | 25 | |||||||||
| California | 886 | 260 | 8 | — | 3 | 1 | — | 8 | 1,166 | |||||||||
| Colorado | 3 | 39 | 3 | — | 1 | — | — | 1 | 47 | |||||||||
| Connecticut | 154 | 20 | 1 | 1 | — | — | — | 1 | 177 | |||||||||
| Delaware | 17 | 3 | — | — | — | — | — | — | 20 | |||||||||
| District of Columbia | 58 | 1 | — | — | 1 | — | — | — | 60 | |||||||||
| Florida | 754 | 121 | 5 | 1 | 1 | 2 | — | 7 | 891 | |||||||||
| Georgia | 311 | 41 | 1 | 3 | 1 | — | — | 1 | 358 | |||||||||
| Hawaii | 64 | 7 | — | — | 1 | — | 1 | — | 73 | |||||||||
| Idaho | — | 2 | 1 | — | — | — | — | 1 | 4 | |||||||||
| Illinois | 282 | 90 | 7 | 2 | — | 1 | 1 | 3 | 386 | |||||||||
| Indiana | 309 | 30 | 4 | — | — | — | — | 3 | 346 | |||||||||
| Iowa | 20 | 18 | 2 | — | — | — | — | 1 | 41 | |||||||||
| Kansas | 39 | 14 | 2 | — | — | 1 | — | 2 | 58 | |||||||||
| Kentucky | 70 | 9 | 9 | — | — | 1 | — | — | 89 | |||||||||
| Louisiana | 119 | 14 | 3 | — | — | — | — | 1 | 137 | |||||||||
| Maine | 22 | 5 | 1 | — | — | — | — | 1 | 29 | |||||||||
| Maryland | 185 | 39 | 2 | 5 | — | — | — | 1 | 232 | |||||||||
| Massachusetts | 376 | 40 | 5 | 2 | 2 | 1 | — | 1 | 427 | |||||||||
| Michigan | 248 | 50 | 4 | 1 | — | 1 | — | 2 | 306 | |||||||||
| Minnesota | 61 | 75 | 6 | 1 | — | — | — | 2 | 145 | |||||||||
| Mississippi | 52 | 5 | 1 | 1 | — | — | — | 1 | 60 | |||||||||
| Missouri | 97 | 33 | 5 | — | — | — | — | 1 | 136 | |||||||||
| Montana | 14 | 2 | 1 | — | — | — | — | — | 17 | |||||||||
| Nebraska | 19 | 11 | 1 | — | — | — | — | 1 | 32 | |||||||||
| Nevada | 86 | 15 | 2 | — | — | — | — | 2 | 105 | |||||||||
| New Hampshire | 40 | 9 | 1 | — | — | — | — | — | 50 | |||||||||
| New Jersey | 291 | 45 | 3 | 4 | — | 1 | — | 1 | 345 | |||||||||
| New Mexico | 19 | 6 | 1 | — | — | — | — | 1 | 27 | |||||||||
| New York | 489 | 75 | 5 | — | 1 | — | — | 7 | 577 | |||||||||
| North Carolina | 314 | 51 | 3 | 1 | 1 | 1 | — | 3 | 374 | |||||||||
| North Dakota | 6 | — | — | — | — | — | — | — | 6 | |||||||||
| Ohio | 329 | 59 | 7 | — | — | — | — | 4 | 399 | |||||||||
| Oklahoma | 62 | 15 | 2 | — | — | — | — | 1 | 80 | |||||||||
| Oregon | — | 18 | 2 | — | 1 | 1 | — | 1 | 23 | |||||||||
| Pennsylvania | 410 | 66 | 6 | 2 | 1 | 1 | 1 | 2 | 489 | |||||||||
| Puerto Rico | 25 | — | — | — | — | 1 | — | — | 26 | |||||||||
| Rhode Island | 62 | 4 | 1 | 1 | 1 | — | — | 1 | 70 | |||||||||
| South Carolina | 191 | 19 | 3 | 1 | 1 | — | — | 2 | 217 | |||||||||
| South Dakota | — | 3 | 1 | — | — | — | — | — | 4 | |||||||||
| Tennessee | 136 | 27 | 3 | 1 | 1 | 3 | — | 3 | 174 | |||||||||
| Texas | 695 | 135 | 10 | 3 | 2 | 1 | 1 | 5 | 852 | |||||||||
| Utah | 12 | 13 | 2 | — | — | — | — | 1 | 28 | |||||||||
| Vermont | 10 | — | — | — | — | — | — | — | 10 | |||||||||
| Virginia | 286 | 58 | 6 | 5 | 1 | — | — | 2 | 358 | |||||||||
| Washington | 12 | 30 | 3 | — | 1 | — | — | 2 | 48 | |||||||||
| West Virginia | 51 | 6 | 2 | — | — | — | — | — | 59 | |||||||||
| Wisconsin | 50 | 33 | 5 | 1 | — | — | — | 1 | 90 | |||||||||
| Wyoming | — | — | — | — | — | — | — | 1 | 1 | |||||||||
| Total United States | 8,066 | 1,695 | 145 | 37 | 23 | 18 | 4 | 83 | 10,071 | |||||||||
| Brazil | 42 | — | — | — | — | — | — | — | 42 | |||||||||
| Total | 8,108 | 1,695 | 145 | 37 | 23 | 18 | 4 | 83 | 10,113 |
| (1) | The Retail Stores above include 1,050 in-store MinuteClinic locations and the Target stores with CVS pharmacies also include 79 MinuteClinic locations. |
|---|
Item 3. Legal Proceedings
I. Legal Proceedings
We refer you to the Note 12 “Commitments and Contingencies” contained in the “Notes to the Consolidated Financial Statements” of our Annual Report to Stockholders for the year ended December 31, 2017, which section is incorporated by reference herein.
II. Environmental Matters
Item 103 of SEC Regulation S-K requires disclosure of certain environmental legal proceedings if management reasonably believes that the proceedings involve potential monetary sanctions of $100,000 or more. The Company is in the process of negotiating with the New York State Department of Environmental Conservation to resolve claims of alleged historical noncompliance with hazardous waste regulations in connection with long-term care pharmacies in the State of New York. These proceedings are not material to the Company's business or financial position.
Item 4. Mine Safety Disclosures
Not applicable.
Executive Officers of the Registrant
Executive Officers of the Registrant
The following sets forth the name, age and biographical information for each of our executive officers as of February 14, 2018. In each case the officer’s term of office extends to the date of the board of directors meeting following the next annual meeting of stockholders of the Company. Previous positions and responsibilities held by each of the executive officers over the past five years are indicated below:
Lisa G. Bisaccia, age 61, Executive Vice President of CVS Health Corporation since March 2016 and Chief Human Resources Officer of CVS Health Corporation since January 2010; Senior Vice President of CVS Health Corporation from January 2010 through February 2016; Vice President, Human Resources of CVS Pharmacy, Inc. from September 2004 through December 2009. Ms. Bisaccia is also a member of the Board of Directors of Aramark, a leading global provider of food, facilities and uniform services.
Eva C. Boratto, age 51, Executive Vice President - Controller and Chief Accounting Officer of CVS Health Corporation since March 2017; Senior Vice President - Controller and Chief Accounting Officer of CVS Health Corporation from July 2013 through February 2017; Senior Vice President of PBM Finance from July 2010 through June 2013; Vice President, U.S. Market Finance Leader of Merck & Co., Inc. from June 2009 through June 2010.
Troyen A. Brennan, M.D., age 63, Executive Vice President and Chief Medical Officer of CVS Health Corporation since November 2008; Executive Vice President and Chief Medical Officer of Aetna, Inc. from February 2006 through November 2008.
David M. Denton, age 52, Executive Vice President and Chief Financial Officer of CVS Health Corporation since January 2010; Senior Vice President and Controller and Chief Accounting Officer of CVS Health Corporation from March 2008 until December 2009; Senior Vice President, Financial Administration of CVS Health Corporation and CVS Pharmacy, Inc. from April 2007 to March 2008. Mr. Denton is also a member of the Board of Directors of Tapestry, Inc. (formerly known as Coach, Inc.), a leading retailer of premium bags and luxury accessories.
Larry J. Merlo, age 62, President and Chief Executive Officer of CVS Health Corporation since March 2011; President and Chief Operating Officer of CVS Health Corporation from May 2010 through March 2011; President of CVS Pharmacy from January 2007 through August 2011; Executive Vice President of CVS Health Corporation from January 2007 through May 2010; also a director of CVS Health Corporation since May 2010.
Thomas M. Moriarty, age 54, Executive Vice President and General Counsel of CVS Health Corporation since October 2012 and Chief Policy and External Affairs Officer since March 2017; Chief Strategy Officer from March 2014 through February 2017; General Counsel of Celgene Corporation, a global biopharmaceutical company, from May 2012 through September 2012; General Counsel and Corporate Secretary of Medco Health Solutions, Inc. (“Medco”), a pharmacy benefit management company, from March 2008 through April 2012; also President of Global Pharmaceutical Strategies of Medco from March 2011 through April 2012.
Jonathan C. Roberts, age 62, Executive Vice President and Chief Operating Officer of CVS Health Corporation since March 2017; Executive Vice President of CVS Health Corporation and President of CVS Caremark from September 2012 through February 2017; Executive Vice President of CVS Health Corporation and Chief Operating Officer of CVS Caremark from October 2010 through August 2011; Executive Vice President, Rx Purchasing, Pricing and Network Relations of CVS Health Corporation from January 2009 through October 2010.
PART II
Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities.
Our common stock is listed on the New York Stock Exchange under the symbol “CVS.” The table below sets forth the high and low closing prices of our common stock on the New York Stock Exchange Composite Tape and the quarterly cash dividends declared per share of common stock during the periods indicated.
| First Quarter | Second Quarter | Third Quarter | Fourth Quarter | Year | |||||||||||
| 2017 High | $ | 83.92 | $ | 82.79 | $ | 83.31 | $ | 80.91 | $ | 83.92 | |||||
| Low | $ | 74.80 | $ | 75.95 | $ | 75.35 | $ | 66.80 | $ | 66.80 | |||||
| Cash dividends per common share | $ | 0.50 | $ | 0.50 | $ | 0.50 | $ | 0.50 | $ | 2.00 | |||||
| 2016 High | $ | 104.05 | $ | 106.10 | $ | 98.06 | $ | 88.80 | $ | 106.10 | |||||
| Low | $ | 89.65 | $ | 93.21 | $ | 88.99 | $ | 73.53 | $ | 73.53 | |||||
| Cash dividends per common share | $ | 0.425 | $ | 0.425 | $ | 0.425 | $ | 0.425 | $ | 1.70 |
CVS Health has paid cash dividends every quarter since becoming a public company. Future dividend payments will depend on the Company’s earnings, capital requirements, financial condition and other factors considered relevant by the Company’s Board of Directors. As of February 9, 2018, there were 21,453 registered shareholders according to the records maintained by our transfer agent.
The following share repurchase programs were authorized by the Company’s Board of Directors:
| In billions | Remaining as of | |||||
| Authorization Date | Authorized | December 31, 2017 | ||||
| November 2, 2016 (“2016 Repurchase Program”) | $ | 15.0 | $ | 13.9 | ||
| December 15, 2014 (“2014 Repurchase Program”) | 10.0 | — | ||||
| December 17, 2013 (“2013 Repurchase Program”) | 6.0 | — |
The share Repurchase Programs, each of which was effective immediately, permit the Company to effect repurchases from time to time through a combination of open market repurchases, privately negotiated transactions, accelerated share repurchase (“ASR”) transactions, and/or other derivative transactions. The 2016 Repurchase Program can be modified or terminated by the Board of Directors at any time.
Pursuant to the authorization under the 2014 Repurchase Program, in August 2016, the Company entered into two fixed dollar ASRs with Barclays Bank PLC (“Barclays”) for a total of $3.6 billion. Upon payment of the $3.6 billion purchase price in January 2017, the Company received a number of shares of its common stock equal to 80% of the $3.6 billion notional amount of the ASRs or approximately 36.1 million shares, which were placed into treasury stock in January 2017. The ASRs were accounted for as an initial treasury stock transaction for $2.9 billion and a forward contract for $0.7 billion. In April 2017, the Company received 9.9 million shares of common stock, representing the remaining 20% of the $3.6 billion notional amount of the ASRs, thereby concluding the ASRs. The remaining 9.9 million shares of common stock delivered to the Company by Barclays were placed into treasury stock and the forward contract was reclassified from capital surplus to treasury stock in April 2017.
In the ASR transactions described above, the initial repurchase of the shares and delivery of the remainder of the shares to conclude the ASR, resulted in an immediate reduction of the outstanding shares used to calculate the weighted average common shares outstanding for basic and diluted earnings per share.
During the year ended December 31, 2017, the Company repurchased an aggregate of 55.4 million shares of common stock for approximately $4.4 billion under the 2014 and 2016 Repurchase Programs. As of December 31, 2017, there remained an aggregate of approximately $13.9 billion available for future repurchases under the 2016 Repurchase Program and the 2014 Repurchase Program was complete. During the fourth quarter of 2017, the Company suspended share repurchase activity in connection with the Aetna Acquisition.
| Approximate Dollar | ||||||||||
| Total Number of Shares | Value of Shares that | |||||||||
| Total Number | Average | Purchased as Part of | May Yet Be | |||||||
| of Shares | Price Paid per | Publicly Announced | Purchased Under the | |||||||
| Fiscal Period | Purchased | Share | Plans or Programs | Plans or Programs | ||||||
| October 1, 2017 through October 31, 2017 | — | $ | — | — | $ | 13,869,392,446 | ||||
| November 1, 2017 through November 30, 2017 | — | $ | — | — | $ | 13,869,392,446 | ||||
| December 1, 2017 through December 31, 2017 | — | $ | — | — | $ | 13,869,392,446 | ||||
| — | — |
Item 6. Selected Financial Data
The selected consolidated financial data of CVS Health Corporation as of and for the periods indicated in the five-year period ended December 31, 2017, have been derived from the consolidated financial statements of CVS Health Corporation. The selected consolidated financial data should be read in conjunction with the consolidated financial statements and the audit reports of Ernst & Young LLP, which are incorporated elsewhere herein.
| In millions, except per share amounts | 2017 | 2016 | 2015 | 2014 | 2013 | ||||||||||
| Statement of operations data: | |||||||||||||||
| Net revenues | $ | 184,765 | $ | 177,526 | $ | 153,290 | $ | 139,367 | $ | 126,761 | |||||
| Gross profit | 28,545 | 28,857 | 26,528 | 25,367 | 23,783 | ||||||||||
| Operating expenses (1) | 19,028 | 18,491 | 17,053 | 16,545 | 15,713 | ||||||||||
| Operating profit | 9,517 | 10,366 | 9,475 | 8,822 | 8,070 | ||||||||||
| Interest expense, net | 1,041 | 1,058 | 838 | 600 | 509 | ||||||||||
| Loss on early extinguishment of debt | — | 643 | — | 521 | — | ||||||||||
| Other expense (1) | 208 | 28 | 21 | 23 | 33 | ||||||||||
| Income tax provision | 1,637 | 3,317 | 3,386 | 3,033 | 2,928 | ||||||||||
| Income from continuing operations | 6,631 | 5,320 | 5,230 | 4,645 | 4,600 | ||||||||||
| Income (loss) from discontinued operations, net of tax | (8) | (1) | 9 | (1) | (8) | ||||||||||
| Net income | 6,623 | 5,319 | 5,239 | 4,644 | 4,592 | ||||||||||
| Net income attributable to noncontrolling interest | (1) | (2) | (2) | — | — | ||||||||||
| Net income attributable to CVS Health | $ | 6,622 | $ | 5,317 | $ | 5,237 | $ | 4,644 | $ | 4,592 | |||||
| Per common share data: | |||||||||||||||
| Basic earnings per common share: | |||||||||||||||
| Income from continuing operations attributable to CVS Health | $ | 6.48 | $ | 4.93 | $ | 4.65 | $ | 3.98 | $ | 3.78 | |||||
| Income (loss) from discontinued operations attributable to CVS Health | $ | (0.01) | $ | — | $ | 0.01 | $ | — | $ | (0.01) | |||||
| Net income attributable to CVS Health | $ | 6.47 | $ | 4.93 | $ | 4.66 | $ | 3.98 | $ | 3.77 | |||||
| Diluted earnings per common share: | |||||||||||||||
| Income from continuing operations attributable to CVS Health | $ | 6.45 | $ | 4.91 | $ | 4.62 | $ | 3.96 | $ | 3.75 | |||||
| Income (loss) from discontinued operations attributable to CVS Health | $ | (0.01) | $ | — | $ | 0.01 | $ | — | $ | (0.01) | |||||
| Net income attributable to CVS Health | $ | 6.44 | $ | 4.90 | $ | 4.63 | $ | 3.96 | $ | 3.74 | |||||
| Cash dividends per common share | $ | 2.00 | $ | 1.70 | $ | 1.40 | $ | 1.10 | $ | 0.90 | |||||
| Balance sheet and other data: | |||||||||||||||
| Total assets | $ | 95,131 | $ | 94,462 | $ | 92,437 | $ | 73,202 | $ | 70,550 | |||||
| Long-term debt | $ | 22,181 | $ | 25,615 | $ | 26,267 | $ | 11,630 | $ | 12,767 | |||||
| Total shareholders’ equity | $ | 37,695 | $ | 36,834 | $ | 37,203 | $ | 37,963 | $ | 37,938 | |||||
| Number of stores (at end of year) | 9,846 | 9,750 | 9,681 | 7,866 | 7,702 |
| (1) | As of January 1, 2017, the Company adopted Accounting Standards Update (“ASU”) 2017-07, Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost, which resulted in a retrospective reclassification of $28 million, $21 million, $23 million and $33 million of net benefit costs from operating expenses to other expense in the years ended December 31, 2016, 2015, 2014, and 2013, respectively. |
|---|
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
We refer you to “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” which includes our “Cautionary Statement Concerning Forward-Looking Statements” at the end of such section of our Annual Report to Stockholders for the year ended December 31, 2017, which section is incorporated by reference herein.
Item 7A. Quantitative and Qualitative Disclosures about Market Risk
As of December 31, 2017, the Company had outstanding interest rate derivative instruments and believes that as of December 31, 2017, its exposure to interest rate risk (inherent in the Company's debt portfolio) is not material. We refer you to Note 1 “Significant Accounting Policies” contained in the “Notes to the Consolidated Financial Statements” of our Annual Report to Stockholders for the year ended December 31, 2017, which section is incorporated by reference herein.
As of December 31, 2017, the Company did not have any foreign currency exchange rate or commodity derivative instruments in place and believes that as of December 31, 2017, its exposure to foreign currency exchange rate risk and commodity price risk is not material
Item 8. Financial Statements and Supplementary Data
We refer you to the “Consolidated Statements of Income,” “Consolidated Statements of Comprehensive Income,” “Consolidated Balance Sheets,” “Consolidated Statements of Shareholders’ Equity,” “Consolidated Statements of Cash Flows,” “Notes to Consolidated Financial Statements,” and “Report of Independent Registered Public Accounting Firm” of our Annual Report to Stockholders for the year ended December 31, 2017, which sections are incorporated by reference herein.
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
None.
Item 9A. Controls and Procedures
Evaluation of disclosure controls and procedures: The Company’s Chief Executive Officer and Chief Financial Officer, after evaluating the effectiveness of the design and operation of the Company’s disclosure controls and procedures (as defined in Rules 13a-15 (f) and 15d-15(f) under the Securities Exchange Act of 1934) as of December 31, 2017, have concluded that as of such date the Company’s disclosure controls and procedures were adequate and effective at a reasonable assurance level and designed to ensure that material information relating to the Company and its subsidiaries would be made known to such officers on a timely basis.
Internal control over financial reporting: We refer you to “Management’s Report on Internal Control Over Financial Reporting” and “Report of Independent Registered Public Accounting Firm” of our Annual Report to Stockholders for the fiscal year ended December 31, 2017, which are incorporated by reference herein, for management’s report on the Company’s internal control over financial reporting and the Independent Registered Public Accounting Firm’s report with respect to the effectiveness of internal control over financial reporting.
Changes in internal control over financial reporting: There have been no changes in our internal controls over financial reporting identified in connection with the evaluation required by paragraph (d) of Rule 13a-15 or Rule 15d-15 that occurred during the fourth quarter ended December 31, 2017 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
Item 9B. Other Information
No events have occurred during the fourth quarter that would require disclosure under this item.
PART III
Item 10. Directors, Executive Officers and Corporate Governance
We refer you to our Proxy Statement for the 2018 Annual Meeting of Stockholders under the captions “Committees of the Board,” “Code of Conduct,” “Director Nominations,” “Audit Committee Report,” “Biographies of our Board Nominees,” and “Section 16(a) Beneficial Ownership Reporting Compliance,” which sections are incorporated by reference herein. Biographical information on our executive officers is contained in Part I of this Annual Report on Form 10-K.
Item 11. Executive Compensation
We refer you to our Proxy Statement for the 2018 Annual Meeting of Stockholders under the captions “Executive Compensation and Related Matters,” including “Compensation Discussion & Analysis” and “Management Planning and Development Committee Report,” which sections are incorporated by reference herein.
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
We refer you to our Proxy Statement for the 2018 Annual Meeting of Stockholders under the captions “Share Ownership of Directors and Certain Executive Officers,” and “Share Ownership of Principal Stockholders” which sections are incorporated by reference herein, for information concerning security ownership of certain beneficial owners and management and related stockholder matters.
The following table summarizes information about the Company’s common stock that may be issued upon the exercise of options, warrants and rights under all of our equity compensation plans as of December 31, 2017.
| Number of | Number of securities | ||||||
| securities to be | Weighted | remaining available for | |||||
| issued upon | average exercise | future issuance under | |||||
| exercise of | price of | equity compensation | |||||
| outstanding | outstanding | plans (excluding | |||||
| options, warrants | options, warrants | securities reflected in | |||||
| and rights(1) | and rights | first column) (1) | |||||
| Equity compensation plans approved by stockholders | 32,219 | $ | 75.32 | 20,530 | |||
| Equity compensation plans not approved by stockholders | — | — | — | ||||
| Total | 32,219 | $ | 75.32 | 20,530 |
| (1) | Shares in thousands. |
|---|
Item 13. Certain Relationships and Related Transactions and Director Independence
We refer you to our Proxy Statement for the 2018 Annual Meeting of Stockholders under the caption “Independence Determinations for Directors” and “Certain Transactions with Directors and Officers,” which sections are incorporated by reference herein.
Item 14. Principal Accountant Fees and Services
We refer you to our Proxy Statement for the 2018 Annual Meeting of Stockholders under the caption “Item 2: Ratification of Appointment of Independent Registered Public Accounting Firm,” which section is incorporated by reference herein.
PART IV
Item 15. Exhibits and Financial Statement Schedules
A. Documents filed as part of this report:
- Financial Statements:
The following financial statements are incorporated by reference from our Annual Report to Stockholders for the fiscal year ended December 31, 2017, as provided in Item 8 hereof:
| Consolidated Statements of Income for the Years Ended December 31, 2017, 2016 and 2015 | |
|---|---|
| Consolidated Statements of Comprehensive Income for the Years Ended December 31, 2017, 2016 and 2015 | |
| Consolidated Balance Sheets as of December 31, 2017 and 2016 | |
| Consolidated Statements of Cash Flows for the Years Ended December 31, 2017, 2016 and 2015 | |
| Consolidated Statements of Shareholders’ Equity for the Years Ended December 31, 2017, 2016 and 2015 | |
| Notes to Consolidated Financial Statements | |
| Report of Independent Registered Public Accounting Firm |
- Financial Statement Schedules
All financial statement schedules are omitted because they are not applicable, not required under the instructions, or the information is included in the consolidated financial statements or related notes.
B. Exhibits
Exhibits marked with an asterisk (*) are hereby incorporated by reference to exhibits or appendices previously filed by the Registrant as indicated in brackets following the description of the exhibit.
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Annual Report on Form 10-K to be signed on its behalf by the undersigned, thereunto duly authorized.
| CVS HEALTH CORPORATION | ||
|---|---|---|
| Date: February 14, 2018 | By: | /s/ DAVID M. DENTON |
| David M. Denton | ||
| Executive Vice President and Chief Financial Officer |
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.
| Signature | Title(s) | Date | ||
| /s/ RICHARD M. BRACKEN | Director | February 14, 2018 | ||
| Richard M. Bracken | ||||
| /s/ C. DAVID BROWN II | Director | February 14, 2018 | ||
| C. David Brown II | ||||
| /s/ EVA C. BORATTO | Executive Vice President - Controller and | February 14, 2018 | ||
| Eva C. Boratto | Chief Accounting Officer | |||
| (Principal Accounting Officer) | ||||
| /s/ ALECIA A. DECOUDREAUX | Director | February 14, 2018 | ||
| Alecia A. DeCoudreaux | ||||
| /s/ DAVID M. DENTON | Executive Vice President and Chief | February 14, 2018 | ||
| David M. Denton | Financial Officer (Principal Financial | |||
| Officer) | ||||
| /s/ NANCY-ANN M. DEPARLE | Director | February 14, 2018 | ||
| Nancy-Ann M. DeParle | ||||
| /s/ DAVID W. DORMAN | Chairman of the Board and Director | February 14, 2018 | ||
| David W. Dorman | ||||
| /s/ ANNE M. FINUCANE | Director | February 14, 2018 | ||
| Anne M. Finucane | ||||
| /s/ LARRY J. MERLO | President and Chief Executive Officer | February 14, 2018 | ||
| Larry J. Merlo | (Principal Executive Officer) and | |||
| Director | ||||
| /s/ JEAN-PIERRE MILLON | Director | February 14, 2018 | ||
| Jean-Pierre Millon | ||||
| /s/ MARY L. SCHAPIRO | Director | February 14, 2018 | ||
| Mary L. Schapiro | ||||
| /s/ RICHARD J. SWIFT | Director | February 14, 2018 | ||
| Richard J. Swift | ||||
| /s/ WILLIAM C. WELDON | Director | February 14, 2018 | ||
| William C. Weldon | ||||
| /s/ TONY L. WHITE | Director | February 14, 2018 | ||
| Tony L. White |