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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Cash flows from operating activities:    
Cash receipts from customers $ 108,324 $ 95,816
Cash paid for inventory and prescriptions dispensed by retail network pharmacies (89,530) (77,067)
Cash paid to other suppliers and employees (11,240) (11,267)
Interest received 15 11
Interest paid (423) (458)
Income taxes paid (2,305) (2,321)
Net cash provided by operating activities 4,841 4,714
Cash flows from investing activities:    
Purchases of property and equipment (1,490) (1,436)
Proceeds from sale-leaseback transactions 34 328
Proceeds from sale of property and equipment and other assets 28 8
Acquisitions (net of cash acquired) and other investments (9,503) (2,392)
Purchase of available-for-sale investments 184 161
Sales/maturities of available-for-sale investments 115 119
Net cash used in investing activities (11,000) (3,534)
Cash flows from financing activities:    
Increase (decrease) in short-term debt (685) 775
Proceeds from issuance of long-term debt 14,808 1,483
Repayments of long-term debt 2,898 3,086
Dividends paid (1,185) (971)
Proceeds from exercise of stock options 277 378
Excess tax benefits from stock-based compensation 132 89
Repurchase of common stock (3,871) (2,801)
Other (2) 0
Net cash provided by (used in) financing activities 6,576 (4,133)
Effect of Exchange Rate on Cash and Cash Equivalents (8) (4)
Net increase (decrease) in cash and cash equivalents 409 (2,957)
Cash and cash equivalents at beginning of period 2,481 4,089
Cash and cash equivalents at end of period 2,890 1,132
Reconciliation of net income to net cash provided by operating activities:    
Net income 3,740 3,323
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 1,510 1,442
Stock-based compensation 175 121
Gains (Losses) on Extinguishment of Debt 0 521
Deferred income taxes and other noncash items (184) (64)
Change in operating assets and liabilities, net of effects from acquisitions:    
Accounts receivable, net (2,530) (1,872)
Inventories (893) (449)
Other current assets 591 (160)
Other assets (13) (19)
Accounts payable and claims and discounts payable 2,038 1,222
Accrued expenses 523 676
Other long-term liabilities (116) (27)
Net cash provided by operating activities $ 4,841 $ 4,714