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Significant Accounting Policies - Narrative (Details)
shares in Millions, people in Millions, member in Millions
3 Months Ended 12 Months Ended
Oct. 22, 2020
USD ($)
Jul. 01, 2019
USD ($)
store
Sep. 30, 2019
USD ($)
Mar. 31, 2019
USD ($)
Dec. 31, 2020
USD ($)
store
people
Segment
member
clinic
patient
state
shares
Dec. 31, 2019
USD ($)
shares
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2014
Jan. 01, 2020
USD ($)
Aug. 31, 2019
USD ($)
Oct. 31, 2014
payment
Significant Accounting Policies [Line Items]                        
Number of plan members | member         105              
Number of patients served per year | patient         1,000,000              
Number of people served | people         34              
Number of reportable segments | Segment         4              
Deferred acquisition costs         $ 546,000,000 $ 271,000,000            
Depreciation         2,100,000,000 1,900,000,000 $ 1,700,000,000          
Store rationalization charges         0 231,000,000 0          
Impairment of long-lived assets         0 0 43,000,000          
Goodwill impairments         0 0 6,149,000,000          
Impairment of intangible assets, indefinite-lived         $ 0 $ 0 0          
Assumed interest rates on long-duration group life and long-term care contracts         5.10% 5.10%            
HSA balances         $ 2,700,000,000 $ 2,200,000,000            
Self insurance liabilities         927,000,000 856,000,000            
Retained earnings         $ (49,640,000,000) (45,108,000,000)            
Pharmacy rebate period         30 days              
Health insurer fee         $ 1,000,000,000.0 0 157,000,000          
Advertising costs         $ 461,000,000 $ 396,000,000 364,000,000          
TCJA tax expense (benefit)               $ 1,500,000,000        
Benefit of revaluation of net DTL due to TCJA             100,000,000          
Common stock, shares held in trust (in shares) | shares         1 1            
VIE, ownership percentage                 50.00%      
Initial contractual term         10 years              
Number of quarterly payments from VIE | payment                       39
Proceeds from VIE         $ 183,000,000 $ 183,000,000 183,000,000          
Expenses from transactions with related party         56,000,000 32,000,000 45,000,000          
Other revenues from transactions with related party         77,000,000 96,000,000 135,000,000          
Charitable contribution to CVS Health Foundation         50,000,000 30,000,000            
Pre-tax income recognized         9,770,000,000 8,997,000,000 1,406,000,000          
U.S. Department of Health and Human Services, ACA Risk Corridor Receivables [Member] | Settled Litigation                        
Significant Accounting Policies [Line Items]                        
Gain contingency, unrecorded amount                     $ 313,000,000  
Amount awarded from other party $ 313,000,000                      
Former gain contingency, recognized in current period, before tax         307,000,000              
Former gain contingency, recognized in current period, net of tax         $ 223,000,000              
Heartland Healthcare Services                        
Significant Accounting Policies [Line Items]                        
Number of states in which entity operates | state         4              
Foreign currency translation adjustments                        
Significant Accounting Policies [Line Items]                        
Cumulative translation adjustment from AOCI eliminated upon divestiture         $ 0 (154,000,000) 0          
Other Insurance Liabilities                        
Significant Accounting Policies [Line Items]                        
Liability for unpaid claims         532,000,000 704,000,000            
Future policy benefits         462,000,000 508,000,000            
Other Long-Term Insurance Liabilities                        
Significant Accounting Policies [Line Items]                        
Liability for unpaid claims         1,500,000,000 1,800,000,000            
Future policy benefits         $ 5,500,000,000 $ 5,600,000,000            
Minimum                        
Significant Accounting Policies [Line Items]                        
Period after date of service a claim is paid         6 months              
Assumed interest rates on limited payment pension contracts on large case pension business (in hundredths)         3.30% 3.50%            
Interest rate for pension and annuity investment contracts         4.10% 3.50%            
Award vesting period         3 years              
Minimum | Building, building improvements and leasehold improvements                        
Significant Accounting Policies [Line Items]                        
Useful life of property plant and equipment         1 year              
Minimum | Fixtures, equipment and internally developed software                        
Significant Accounting Policies [Line Items]                        
Useful life of property plant and equipment         3 years              
Maximum                        
Significant Accounting Policies [Line Items]                        
Lease renewal term         5 years              
Period after date of service a claim is paid         48 months              
Assumed interest rates on limited payment pension contracts on large case pension business (in hundredths)         11.30% 11.30%            
Interest rate for pension and annuity investment contracts         5.10% 5.20%            
Award vesting period         5 years              
Maximum | Building, building improvements and leasehold improvements                        
Significant Accounting Policies [Line Items]                        
Useful life of property plant and equipment         40 years              
Maximum | Fixtures, equipment and internally developed software                        
Significant Accounting Policies [Line Items]                        
Useful life of property plant and equipment         10 years              
ASU 2016-13 | Cumulative Effect, Period of Adoption, Adjustment                        
Significant Accounting Policies [Line Items]                        
Retained earnings                   $ (3,000,000)    
Brazil Subsidiary | Discontinued Operations, Disposed of by Sale | Foreign currency translation adjustments                        
Significant Accounting Policies [Line Items]                        
Cumulative translation adjustment from AOCI eliminated upon divestiture   $ 154,000,000                    
Retail/ LTC                        
Significant Accounting Policies [Line Items]                        
Number of stores | store         9,900              
Number of walk-in medical clinics | clinic         1,100              
Store rationalization charges     $ 96,000,000 $ 135,000,000                
Goodwill impairments             6,149,000,000          
Retail/ LTC | Brazil Subsidiary | Discontinued Operations, Disposed of by Sale                        
Significant Accounting Policies [Line Items]                        
Number of stores | store   50                    
Health Insurance Product Line                        
Significant Accounting Policies [Line Items]                        
Premium deficiency reserve         $ 11,000,000 $ 4,000,000 $ 16,000,000