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Condensed Consolidated Statements of Cash Flows (USD $)
In Millions
9 Months Ended
Sep. 30, 2011
Sep. 30, 2010
Cash flows from operating activities:  
Cash receipts from customers$ 72,875$ 68,524
Cash paid for inventory and prescriptions dispensed by retail network pharmacies(55,625)(52,953)
Cash paid to other suppliers and employees(10,092)(10,346)
Interest received33
Interest paid(454)(439)
Income taxes paid(1,672)(1,785)
Net cash provided by operating activities5,0353,004
Cash flows from investing activities:  
Purchases of property and equipment(1,168)(1,379)
Proceeds from sale-leaseback transactions11124
Proceeds from sale of property and equipment124
Acquisitions (net of cash acquired) and other investments(1,406)(158)
Purchase of short-term investments(3) 
Maturity of short-term investments21
Net cash used in investing activities(2,563)(1,388)
Cash flows from financing activities:  
Increase in short-term debt2301,069
Proceeds from issuance of long-term debt1,463991
Repayments of long-term debt(1,149)(2,102)
Dividends paid(508)(360)
Derivative settlements(19)(5)
Proceeds from exercise of stock options341171
Excess tax benefits from stock-based compensation1213
Repurchase of common stock(2,553)(1,500)
Other(9) 
Net cash used in financing activities(2,192)(1,723)
Net increase (decrease) in cash and cash equivalents280(107)
Cash and cash equivalents at beginning of period1,4271,086
Cash and cash equivalents at end of period1,707979
Reconciliation of net income to net cash provided by operating activities:  
Net income2,3942,399
Adjustments required to reconcile net income to net cash provided by operating activities:  
Depreciation and amortization1,1721,096
Stock-based compensation100112
Deferred income taxes and other non-cash items13443
Change in operating assets and liabilities, net of effects of acquisitions:  
Accounts receivable, net(479)346
Inventories316(242)
Other current assets(173)(41)
Other assets(52)11
Accounts payable and claims and discounts payable716(112)
Accrued expenses980(567)
Other long-term liabilities(73)(41)
Net cash provided by operating activities$ 5,035$ 3,004