CVS Caremark Reports Second Quarter Results

Thursday, August 4, 2011

WOONSOCKET, R.I., Aug. 4, 2011 /PRNewswire via COMTEX/ -- CVS Caremark Corporation (NYSE: CVS), today announced revenues, operating profit, and net income for the three months ended June 30, 2011.

Second Quarter Year-Over-Year Highlights:

  • Net revenues increased 10.9% to a record $26.6 billion
  • Pharmacy Services segment revenues increased 23.2%
  • Retail Pharmacy segment revenues increased 3.6%, with same stores sales up 2.0%
  • Adjusted EPS from continuing operations of $0.65
  • GAAP diluted EPS from continuing operations of $0.60

Year-to-Date Highlights:

  • Generated free cash flow of $2.4 billion
  • Generated cash flow from operations of $3.1 billion

Guidance:

  • Company narrows 2011 EPS guidance range
  • Full-year adjusted EPS from continuing operations revised to $2.75 - $2.81
  • Full-year GAAP diluted EPS from continuing operations revised to $2.55 - $2.61

Revenues

Net revenues for the three months ended June 30, 2011 increased $2.6 billion to $26.6 billion, up from $24.0 billion during the three months ended June 30, 2010.

Revenues in the Pharmacy Services segment increased 23.2% to $14.6 billion in the three months ended June 30, 2011. This increase was primarily associated with the addition of a previously-announced, long-term contract with Aetna, Inc., as well as new activity resulting from our acquisition of the Medicare prescription drug business of Universal American Corp. ("UAM Medicare Part D Business"). Pharmacy network claims processed during the three months ended June 30, 2011 increased 35.6% to 174.0 million, compared to 128.3 million in the prior year period. The increase in pharmacy network claims was primarily due to the Aetna contract, the Company's recent acquisition of the UAM Medicare Part D Business, as well as an increase in covered lives in our existing Medicare Part D Business. Mail Choice claims processed during the three months ended June 30, 2011 increased approximately 11.3% to 17.8 million compared to 16.0 million in the prior year period. The increase in the Mail Choice claim volume was also driven by the Aetna contract.

Revenues in the Retail Pharmacy segment increased 3.6% to $14.8 billion in the three months ended June 30, 2011. Same store sales increased 2.0% over the prior year period. Pharmacy same store sales rose 2.6%, and include a positive impact from Maintenance Choice(TM) of approximately 160 basis points on a net basis (i.e., a positive impact of approximately 190 basis points on a gross basis, net of approximately 30 basis points from the conversion of 30-day prescriptions at retail to 90-day prescriptions under the Maintenance Choice program). Pharmacy same store sales were negatively impacted by approximately 170 basis points due to recent generic introductions. Front store same store sales increased 0.8% in the three months ended June 30, 2011. As expected, front store sales were positively impacted by approximately 45 basis points due to the shift of sales related to the Easter holiday into the second quarter.

Income from Continuing Operations Attributable to CVS Caremark

Income from continuing operations attributable to CVS Caremark for the three months ended June 30, 2011, decreased $5 million to $817 million, compared with $822 million during the three months ended June 30, 2010. The decline in income from continuing operations was driven by lower gross profit in the Pharmacy Services segment. This was primarily the result of pricing compression relating to contract renewals and, in particular, the renewal of a large government contract that took effect during the third quarter of 2010. As expected, this was partially offset by an improvement in the Company's effective income tax rate during the quarter to 39.2% compared to 39.8% in the prior year period. Adjusted earnings per share from continuing operations attributable to CVS Caremark ("Adjusted EPS") for both the three months ended June 30, 2011 and 2010 was $0.65. Adjusted EPS excludes $114 million and $106 million of intangible asset amortization related to acquisition activity in the three months ended June 30, 2011 and 2010, respectively. GAAP earnings per diluted share from continuing operations attributable to CVS Caremark for both the three months ended June 30, 2011 and 2010 was $0.60.

Larry Merlo, President and Chief Executive Officer, stated, "I'm very pleased with our second quarter results, which were at the high end of our guidance. While our Pharmacy Services business performed as expected, the Retail business exceeded our goals due to solid expense control and higher than expected generic utilization. At the same time, we generated more than $800 million in free cash in the quarter, bringing our year-to-date free cash flow to $2.4 billion."

Mr. Merlo continued: "We've made terrific progress on our five-point plan for PBM profit improvement. Our PBM has had an outstanding selling season to date, with excellent retention of existing business as well as a number of significant new business wins. We've seen increased adoption of our differentiated product offerings, such as Maintenance Choice and Pharmacy Advisor, clearly demonstrating that our model is resonating with payors. Furthermore, we have made good progress on the integration of the Universal American Medicare Part D Business, the implementation of the Aetna contract, and the streamlining initiatives to generate significant efficiencies within our PBM. Combined, these efforts should generate healthy performance in our PBM in the years ahead."

Acquisition of Universal American Medicare Part D Business

On April 29, 2011, the Company acquired the UAM Medicare Part D Business for approximately $1.3 billion. The UAM Medicare Part D Business offers prescription drug plan benefits to Medicare beneficiaries throughout the United States through its Community CCRx(SM) prescription drug plan. With the inclusion of this acquisition, the Company now provides Medicare Part D benefits to over 3 million beneficiaries.

Real Estate Program

During the three months ended June 30, 2011, the Company opened 41 new retail drugstores and closed two retail specialty pharmacy stores, five specialty mail order pharmacies, one retail apothecary pharmacy store and one retail drugstore. In addition, the Company relocated 18 retail drugstores. As of June 30, 2011, the Company operated 7,346 locations, included in which were 7,266 retail drugstores, 31 specialty pharmacy stores, 32 apothecary pharmacy stores, 13 specialty mail order pharmacies and four mail order pharmacies in 44 states, the District of Columbia and Puerto Rico.

Guidance

Taking into account the solid results reported year to date, continued confidence in the remainder of the year, and incremental start-up costs for the significant 2012 new business, the Company narrowed its earnings per share guidance range for the full year 2011. The Company now expects adjusted EPS from continuing operations to be in the range of $2.75 to $2.81 and GAAP earnings per share from continuing operations to be in the range of $2.55 to $2.61, compared to its previous guidance range of $2.72 to $2.82, and $2.52 to $2.62, respectively.

Teleconference and Webcast

The Company will be holding a conference call today for the investment community at 8:30 am (EDT) to discuss its quarterly results. An audio webcast of the conference call will be broadcast simultaneously for all interested parties through the Investor Relations section of the CVS Caremark website at http://info.cvscaremark.com/investors. This webcast will be archived and available on the website for a one-year period following the conference call.

About the Company

CVS Caremark is the largest pharmacy health care provider in the United States with integrated offerings across the entire spectrum of pharmacy care. We are uniquely positioned to engage plan members in behaviors that improve their health and to lower overall health care costs for health plans, plan sponsors and their members. CVS Caremark is a market leader in mail order pharmacy, retail pharmacy, specialty pharmacy, and retail clinics, and is a leading provider of Medicare Part D Prescription Drug Plans. As one of the country's largest pharmacy benefits managers (PBMs), we provide access to a network of approximately 65,000 pharmacies, including more than 7,200 CVS/pharmacy® stores that provide unparalleled service and capabilities. Our clinical offerings include our signature Pharmacy Advisor(TM) program as well as innovative generic step therapy and genetic benefit management programs that promote more cost effective and healthier behaviors and improve health care outcomes. General information about CVS Caremark is available through the Company's website at http://info.cvscaremark.com/ .

Forward-Looking Statements

This press release contains certain forward-looking statements that are subject to risks and uncertainties that could cause actual results to differ materially. For these statements, the Company claims the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. The Company strongly recommends that you become familiar with the specific risks and uncertainties outlined under the Risk Factors section in our Annual Report on Form 10-K for the year ended December 31, 2010 and under the section entitled "Cautionary Statement Concerning Forward-Looking Statements" in our most recently filed Quarterly Report on Form 10-Q.

Tables Follow -









CVS CAREMARK CORPORATION

Condensed Consolidated Statements of Income

(Unaudited)

Three Months Ended

Six Months Ended

June 30,

June 30,

In millions, except per share amounts

2011

2010

2011

2010

Net revenues

$ 26,629

$ 24,007

$ 52,509

$ 47,767

Cost of revenues

21,534

18,987

42,663

38,001

Gross profit

5,095

5,020

9,846

9,766

Operating expenses

3,605

3,519

7,045

6,855

Operating profit

1,490

1,501

2,801

2,911

Interest expense, net

148

135

282

263

Income before income tax provision

1,342

1,366

2,519

2,648

Income tax provision

526

544

990

1,054

Income from continuing operations

816

822

1,529

1,594

Loss from discontinued operations, net of tax

(1)

(1)

(2)

(3)

Net income

815

821

1,527

1,591

Net loss attributable to noncontrolling interest

1

--

2

1

Net income attributable to CVS Caremark

$ 816

$ 821

$ 1,529

$ 1,592

Basic earnings per common share: 

Income from continuing operations attributable to CVS Caremark

$ 0.60

$ 0.61

$ 1.13

$ 1.16

Loss from discontinued operations attributable to CVS Caremark

 

--

--

--

--

Net income attributable to CVS Caremark

$ 0.60

$ 0.61

$ 1.13

$ 1.16

Weighted average basic common shares outstanding

1,355

1,359

1,359

1,372

Diluted earnings per common share: 

Income from continuing operations attributable to CVS Caremark

$ 0.60

$ 0.60

$ 1.12

$ 1.15

Loss from discontinued operations attributable to CVS Caremark

--

--

--

--

Net income attributable to CVS Caremark

$ 0.60

$ 0.60

$ 1.12

$ 1.15

Weighted average diluted common shares outstanding

1,364

1,369

1,368

1,381

Dividends declared per common share

$ 0.1250

$ 0.0875

$ 0.2500

$ 0.1750





CVS CAREMARK CORPORATION

Condensed Consolidated Balance Sheets

(Unaudited)

 

In millions, except per share amounts

June 30,

2011

December 31,

2010

Assets:

Cash and cash equivalents

$ 2,228

$ 1,427

Short-term investments

5

4

Accounts receivable, net

5,892

4,925

Inventories

10,111

10,695

Deferred income taxes

502

511

Other current assets

327

144

Total current assets

19,065

17,706

Property and equipment, net

8,483

8,322

Goodwill

26,697

25,669

Intangible assets, net

10,022

9,784

Other assets

1,220

688

 Total assets

$ 65,487

$ 62,169

Liabilities:

Accounts payable

$ 4,446

$ 4,026

Claims and discounts payable

3,061

2,569

Accrued expenses

3,329

3,070

Short-term debt

--

300

Current portion of long-term debt

916

1,105

Total current liabilities

11,752

11,070

Long-term debt

10,168

8,652

Deferred income taxes

3,948

3,655

Other long-term liabilities

1,343

1,058

Commitments and contingencies

Redeemable noncontrolling interest

32

34

Shareholders' equity:

Preferred stock, par value $0.01: 0.1 shares authorized; none issued or outstanding

--

--

Common stock, par value $0.01: 3,200 shares authorized; 1,633 shares issued and 1,346 shares outstanding at June 30, 2011 and 1,624 shares issued and 1,363 shares outstanding at December 31, 2010

16

16

Treasury stock, at cost: 285 shares at June 30, 2011 and 259 shares at December 31, 2010

(9,956)

(9,030)

Shares held in trust: 2 shares at June 30, 2011

and December 31, 2010

(56)

(56)

Capital surplus

27,902

27,610

Retained earnings

20,491

19,303

Accumulated other comprehensive loss

(153)

(143)

Total shareholders' equity

38,244

37,700

Total liabilities and shareholders' equity

$ 65,487

$ 62,169





CVS CAREMARK CORPORATION

Condensed Consolidated Statements of Cash Flows

(Unaudited)

Six Months Ended

June 30,

In millions

2011

2010

Cash flows from operating activities:

Cash receipts from revenues

$ 47,950

$ 45,745

Cash paid for inventory and prescriptions dispensed by retail network pharmacies

(37,307)

(35,386)

Cash paid to other suppliers and employees

(6,149)

(7,129)

Interest received

2

2

Interest paid

(298)

(284)

Income taxes paid

(1,125)

(1,236)

Net cash provided by operating activities

3,073

1,712

Cash flows from investing activities:

Purchases of property and equipment

(710)

(866)

Proceeds from sale-leaseback transactions

11

--

Proceeds from sale of property and equipment

--

10

Acquisitions (net of cash acquired) and other investments

(1,366)

(25)

Purchase of short-term investments

(2)

--

Maturity of short-term investments

1

1

Net cash used in investing activities

(2,066)

(880)

Cash flows from financing activities:

Increase (decrease) in short-term debt

(300)

1,537

Proceeds from issuance of long-term debt

1,463

991

Repayments of long-term debt

(302)

(1,751)

Dividends paid

(341)

(241)

Derivative settlements

(19)

(5)

Proceeds from exercise of stock options

264

145

Excess tax benefits from stock-based compensation

--

13

Repurchase of common stock

(971)

(1,500)

Net cash used in financing activities

(206)

(811)

Net increase in cash and cash equivalents

801

21

Cash and cash equivalents at beginning of period

1,427

1,086

Cash and cash equivalents at end of period

$ 2,228

$ 1,107

Reconciliation of net income to net cash provided by operating activities:

Net income

$ 1,527

$ 1,591

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

Depreciation and amortization

765

726

Stock-based compensation

65

75

Deferred income taxes and other non-cash items

129

(20)

Change in operating assets and liabilities, net of effects of acquisitions:

Accounts receivable, net

(472)

356

Inventories

584

(46)

Other current assets

(164)

(31)

Other assets

(62)

(4)

Accounts payable and claims and discounts payable

722

(286)

Accrued expenses

54

(617)

Other long-term liabilities

(75)

(32)

Net cash provided by operating activities

$ 3,073

$ 1,712









Adjusted Earnings Per Share

(Unaudited)

 

For internal comparisons, management finds it useful to assess year-to-year performance by adjusting diluted earnings per share for amortization, which primarily relates to acquisition activities.

 

The Company defines adjusted earnings per share as income before income tax provision plus amortization, less adjusted income tax provision, plus net loss attributable to noncontrolling interest divided by the weighted average diluted common shares outstanding.

 

The following is a reconciliation of income before income tax provision to adjusted earnings per share:

Three Months Ended

Six Months Ended

June 30,

June 30,

In millions, except per share amounts

2011

2010

2011

2010

Income before income tax provision

$ 1,342

$ 1,366

$ 2,519

$ 2,648

Amortization

114

106

220

211

Adjusted income before income tax provision

1,456

1,472

2,739

2,859

Adjusted income tax provision(1)

571

586

1,076

1,138

Adjusted income from continuing operations

885

886

1,663

1,721

Net loss attributable to noncontrolling interest

1

2

1

Adjusted income from continuing operations attributable to CVS Caremark

$ 886

$ 886

$ 1,665

$ 1,722

Weighted average diluted common shares outstanding

1,364

1,369

1,368

1,381

Adjusted earnings per share from continuing operations attributable to CVS Caremark

$ 0.65

$ 0.65

$ 1.22

$ 1.25

(1) The adjusted income tax provision is computed using the effective income tax rate from the condensed consolidated statement of income.






Free Cash Flow

(Unaudited)

 

The Company defines free cash flow as net cash provided by operating activities less net additions to properties and equipment (i.e., additions to property and equipment plus proceeds from sale-leaseback transactions).

 

The following is a reconciliation of net cash provided by operating activities to free cash flow:

Six Months Ended

June 30,

In millions

2011

2010

Net cash provided by operating activities

$ 3,073

$ 1,712

Subtract: Additions to property and equipment

(710)

(866)

Add: Proceeds from sale-leaseback transactions

11

--

Free cash flow

$ 2,374

$ 846











Supplemental Information

(Unaudited)

 

The Company evaluates its Pharmacy Services and Retail Pharmacy segment performance based on net revenue, gross profit and operating profit before the effect of nonrecurring charges and gains and certain intersegment activities. The Company evaluates the performance of its Corporate segment based on operating expenses before the effect of nonrecurring charges and gains and certain intersegment activities. The following is a reconciliation of the Company's segments to the accompanying consolidated financial statements:

In millions

Pharmacy Services Segment(1)

Retail Pharmacy Segment

Corporate Segment

Intersegment Eliminations(2)

Consolidated

Totals

Three Months Ended

June 30, 2011:

Net revenues

$ 14,589

$ 14,826

$ --

$ (2,786)

$ 26,629

Gross profit

729

4,408

--

(42)

5,095

Operating profit (loss)

454

1,240

(162)

(42)

1,490

June 30, 2010:

Net revenues

$ 11,840

$ 14,311

$ --

$ (2,144)

$ 24,007

Gross profit

821

4,229

--

(30)

5,020

Operating profit (loss)

591

1,096

(156)

(30)

1,501

Six Months Ended

June 30, 2011:

Net revenues

$ 28,603

$ 29,413

$ --

$ (5,507)

$ 52,509

Gross profit

1,368

8,555

--

(77)

9,846

Operating profit (loss)

851

2,336

(309)

(77)

2,801

June 30, 2010:

Net revenues

$ 23,677

$ 28,289

$ --

$ (4,199)

$ 47,767

Gross profit

1,603

8,216

--

(53)

9,766

Operating profit (loss)

1,130

2,125

(291)

(53)

2,911

(1) Net revenues of the Pharmacy Services segment include approximately $1.9 billion and $1.6 billion of retail co-payments for the three months ended June 30, 2011 and 2010, respectively, as well as $4.1 billion and $3.4 billion of retail co-payments for the six months ended June 30, 2011 and 2010, respectively.

(2) Intersegment eliminations relate to two types of transactions: (i) Intersegment revenues that occur when Pharmacy Services segment customers use Retail Pharmacy segment stores to purchase covered products. When this occurs, both the Pharmacy Services and Retail Pharmacy segments record the revenue on a standalone basis, and (ii) Intersegment revenues, gross profit and operating profit that occur when Pharmacy Services segment customers, through the Company's intersegment activities (such as the Maintenance Choice(TM) program), elect to pick-up their maintenance prescriptions at Retail Pharmacy segment stores instead of receiving them through the mail. When this occurs, both the Pharmacy Services and Retail Pharmacy segments record the revenue, gross profit and operating profit on a standalone basis. As a result, both the Pharmacy Services and the Retail Pharmacy segments include the following results associated with this activity: net revenues of $626 million and $430 million for the three months ended June 30, 2011 and 2010, respectively, and $1.2 billion and $770 million for the six months ended June 30, 2011 and 2010, respectively; gross profit and operating profit of $42 million and $30 million for the three months ended June 30, 2011 and 2010, respectively, and $77 million and $53 million for the six months ended June 30, 2011 and 2010, respectively.









Supplemental Information

(Unaudited)

 

Pharmacy Services Segment

 

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

Three Months Ended

Six Months Ended

June 30,

June 30,

In millions

2011

2010

2011

2010

Net revenues

$ 14,589

$ 11,840

$ 28,603

$ 23,677

Gross profit

729

821

1,368

1,603

Gross profit % of net revenues

5.0%

6.9%

4.8%

6.8%

Operating expenses

275

230

517

473

Operating expense % of net revenues

1.9%

1.9%

1.8%

2.0%

Operating profit

454

591

851

1,130

Operating profit % of net revenues

3.1%

5.0%

3.0%

4.8%

Net revenues(1):

Mail choice(2)

$ 4,753

$ 4,111

$ 9,288

$ 8,189

Pharmacy network(3)

9,737

7,630

19,114

15,300

Other

99

99

201

188

Pharmacy claims processed(1):

Total

191.8

144.3

367.0

291.7

Mail choice(2)

17.8

16.0

35.3

31.5

Pharmacy network(3)

174.0

128.3

331.7

260.2

Generic dispensing rate(1):

Total

74.1%

71.0%

73.9%

70.7%

Mail choice(2)

64.6%

61.0%

64.2%

59.9%

Pharmacy network(3)

75.0%

72.2%

74.9%

71.9%

Mail choice penetration rate

22.6%

25.9%

23.3%

25.4%

(1) Pharmacy network net revenues, claims processed and generic dispensing rates do not include Maintenance Choice, which are included within the mail choice category.

(2) Mail choice is defined as claims filled at a Pharmacy Services' mail facility, which include specialty mail claims, as well as 90-day claims filled at retail under the Maintenance Choice program.

(3) Pharmacy network is defined as claims filled at retail pharmacies, including our retail drugstores, but excluding Maintenance Choice activity.









EBITDA and EBITDA per Adjusted Claim

(Unaudited)

 

The Company defines EBITDA as earnings before interest, taxes, depreciation and amortization. We define EBITDA per adjusted claim as EBITDA divided by adjusted pharmacy claims. Adjusted pharmacy claims normalize the claims volume statistic for the difference in average days' supply for mail and retail claims. Adjusted pharmacy claims are calculated by multiplying 90-day claims (the majority of total mail claims) by 3 and adding the 30-day claims. EBITDA can be reconciled to operating profit, which we believe to be the most directly comparable GAAP financial measure.

 

The following is a reconciliation of operating profit to EBITDA for the Pharmacy Services segment:

Three Months Ended

Six Months Ended

June 30,

June 30,

In millions, except per adjusted claim amounts

2011

2010

2011

2010

Operating profit

$ 454

$ 591

$ 851

$ 1,130

Depreciation and amortization

107

96

205

194

EBITDA

561

687

1,056

1,324

Adjusted claims

225.0

173.2

432.6

348.7

EBITDA per adjusted claim

$ 2.49

$ 3.96

$ 2.44

$ 3.79









Supplemental Information

(Unaudited)

 

Retail Pharmacy Segment

 

The following table summarizes the Retail Pharmacy segment's performance for the respective periods:

Three Months Ended

Six Months Ended

June 30,

June 30,

In millions

2011

2010

2011

2010

Net revenues

$14,826

$14,311

$29,413

$28,289

Gross profit

4,408

4,229

8,555

8,216

Gross profit % of net revenues

29.7%

29.6%

29.1%

29.0%

Operating expenses

3,168

3,133

6,219

6,091

Operating expense % of net revenues

21.4%

21.9%

21.1%

21.5%

Operating profit

1,240

1,096

2,336

2,125

Operating profit % of net revenues

8.4%

7.7%

7.9%

7.5%

Net revenue increase:

Total

3.6%

3.7%

4.0%

3.6%

Pharmacy

3.9%

4.2%

4.5%

4.4%

Front store

3.0%

2.8%

2.9%

2.0%

Same store sales increase (decrease):

Total

2.0%

2.1%

2.3%

2.2%

Pharmacy

2.6%

2.9%

3.1%

3.3%

Front store

0.8%

0.4%

0.6%

(0.2)%

Generic dispensing rate

75.6%

72.7%

75.4%

72.4%

Pharmacy % of total revenues

67.9%

67.6%

68.5%

68.0%

Third party % of pharmacy revenue

97.7%

97.2%

97.6%

97.2%

Retail prescriptions filled

162.4

157.5

328.0

314.8





Adjusted Earnings Per Share Guidance

(Unaudited)

 

The following reconciliation of estimated income before income tax provision to estimated adjusted earnings per share contains forward-looking information that is subject to risks and uncertainties that could cause actual results to differ materially. The Company claims the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. The Company strongly recommends that you become familiar with the specific risks and uncertainties outlined under the Risk Factors section in our Annual Report on Form 10-K for the year ended December 31, 2010 and under the section entitled "Cautionary Statement Concerning Forward-Looking Statements" in our most recently filed Quarterly Report on Form 10-Q. For internal comparisons, management finds it useful to assess year-to-year performance by adjusting diluted earnings per share for amortization, which primarily relates to acquisition activities.

Year Ending

In millions, except per share amounts

December 31, 2011

Income before income tax provision

$ 5,671

$ 5,798

Amortization

460

460

Adjusted income before income tax provision

6,131

6,258

Adjusted income tax provision

2,403

2,453

Adjusted income from continuing operations

3,728

3,805

Net loss attributable to noncontrolling interest

4

4

Adjusted income from continuing operations attributable to CVS Caremark

$ 3,732

$ 3,809

Weighted average diluted common shares outstanding

1,355

1,355

Adjusted earnings per share from continuing operations attributable to CVS Caremark

$ 2.75

$ 2.81





Free Cash Flow Guidance

(Unaudited)

 

The following reconciliation of net cash provided by operating activities to free cash flow contains forward-looking information that is subject to risks and uncertainties that could cause actual results to differ materially. The Company claims the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. The Company strongly recommends that you become familiar with the specific risks and uncertainties outlined under the Risk Factors section in our Annual Report on Form 10-K for the year ended December 31, 2010 and under the section entitled "Cautionary Statement Concerning Forward-Looking Statements" in our most recently filed Quarterly Report on Form 10-Q. For internal comparisons, management finds it useful to assess year-to-year cash flow performance by adjusting cash provided by operating activities, by capital expenditures and proceeds from sale-leaseback transactions.

Year Ending

In millions

December 31, 2011

Net cash provided by operating activities

$ 5,500

$ 5,600

Subtract: Additions to property and equipment

(2,100)

(2,000)

Add: Proceeds from sale-leaseback transactions

600

550

Free cash flow

$ 4,000

$ 4,150

SOURCE CVS Caremark Corporation