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Segment Reporting (Details) (USD $)
3 Months Ended 12 Months Ended
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2013
segment
Dec. 31, 2012
Dec. 31, 2011
Segment Reporting [Abstract]                      
Number of segments                 3    
Segment reporting information                      
Net revenues $ 32,830,000,000 $ 31,932,000,000 $ 31,248,000,000 $ 30,751,000,000 $ 31,397,000,000 $ 30,237,000,000 $ 30,694,000,000 $ 30,792,000,000 $ 126,761,000,000 $ 123,120,000,000 $ 107,080,000,000
Gross profit 6,338,000,000 6,027,000,000 5,841,000,000 5,577,000,000 6,294,000,000 5,645,000,000 5,443,000,000 5,106,000,000 23,783,000,000 22,488,000,000 20,562,000,000
Operating profit 2,217,000,000 2,154,000,000 1,972,000,000 1,694,000,000 2,299,000,000 1,812,000,000 1,702,000,000 1,397,000,000 8,037,000,000 7,210,000,000 6,331,000,000
Depreciation and amortization                 1,870,000,000 1,753,000,000 1,568,000,000
Total assets 71,526,000,000       66,221,000,000       71,526,000,000 66,221,000,000 64,852,000,000
Goodwill 26,542,000,000       26,395,000,000       26,542,000,000 26,395,000,000 26,458,000,000
Additions to property and equipment                 1,984,000,000 2,030,000,000 1,872,000,000
Pharmacy Services Segment
                     
Segment reporting information                      
Net revenues                 76,208,000,000 [1],[2] 73,444,000,000 [1],[2] 58,874,000,000 [1],[2]
Gross profit                 4,237,000,000 [2] 3,808,000,000 [2] 3,279,000,000 [2]
Operating profit                 3,086,000,000 [2] 2,679,000,000 [2] 2,220,000,000 [2]
Depreciation and amortization                 560,000,000 517,000,000 433,000,000
Total assets 38,343,000,000       36,057,000,000       38,343,000,000 36,057,000,000 35,704,000,000
Goodwill 19,658,000,000       19,646,000,000       19,658,000,000 19,646,000,000 19,657,000,000
Additions to property and equipment                 313,000,000 422,000,000 461,000,000
Net revenues, retail co-payments                 7,900,000,000 8,400,000,000 7,900,000,000
Retail Pharmacy Segment
                     
Segment reporting information                      
Net revenues                 65,618,000,000 [2] 63,641,000,000 [2] 59,579,000,000 [2]
Gross profit                 20,112,000,000 [2] 19,091,000,000 [2] 17,469,000,000 [2]
Operating profit                 6,268,000,000 [2] 5,636,000,000 [2] 4,913,000,000 [2]
Depreciation and amortization                 1,217,000,000 1,153,000,000 1,060,000,000
Total assets 30,191,000,000       29,492,000,000       30,191,000,000 29,492,000,000 28,632,000,000
Goodwill 6,884,000,000       6,749,000,000       6,884,000,000 6,749,000,000 6,801,000,000
Additions to property and equipment                 1,610,000,000 1,555,000,000 1,353,000,000
Corporate Segment [Member]
                     
Segment reporting information                      
Net revenues                 0 0 0
Gross profit                 0 0 0
Operating profit                 (751,000,000) (694,000,000) (616,000,000)
Depreciation and amortization                 93,000,000 83,000,000 75,000,000
Total assets 4,420,000,000       1,408,000,000       4,420,000,000 1,408,000,000 1,121,000,000
Goodwill 0       0       0 0 0
Additions to property and equipment                 61,000,000 53,000,000 58,000,000
Intersegment Eliminations [Member]
                     
Segment reporting information                      
Net revenues                 (15,065,000,000) [2] (13,965,000,000) [2] (11,373,000,000) [2]
Gross profit                 (566,000,000) [2] (411,000,000) [2] (186,000,000) [2]
Operating profit                 (566,000,000) [2] (411,000,000) [2] (186,000,000) [2]
Depreciation and amortization                 0 0 0
Total assets (1,428,000,000)       (736,000,000)       (1,428,000,000) (736,000,000) (605,000,000)
Goodwill 0       0       0 0 0
Additions to property and equipment                 0 0 0
Number of type of transactions related to intersegment eliminations                 2    
Intersegment activity, net revenues                 4,300,000,000 3,400,000,000 2,600,000,000
Intersegment activity, gross profit and operating profit                 $ 566,000,000 $ 411,000,000 $ 186,000,000
[1] Net revenues of the Pharmacy Services Segment include approximately $7.9 billion, $8.4 billion and $7.9 billion of Retail co-payments for the years ended December 31, 2013, 2012 and 2011, respectively.
[2] Intersegment eliminations relate to two types of transactions: (i) Intersegment revenues that occur when Pharmacy Services Segment clients 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 clients, through the Company’s intersegment activities (such as the Maintenance Choice 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. Beginning in the fourth quarter of 2011, the Maintenance Choice eliminations reflect all discounts available for the purchase of mail order prescription drugs. The following amounts are eliminated in consolidation in connection with the item (ii) intersegment activity: net revenues of $4.3 billion, $3.4 billion and $2.6 billion for the years ended December 31, 2013, 2012 and 2011, respectively; gross profit and operating profit of $566 million, $411 million and $186 million for the years ended December 31, 2013, 2012 and 2011, respectively.