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Consolidated Statements of Shareholders' Equity - USD ($) shares in Millions, $ in Millions | Total | Cumulative Effect, Period of Adoption, Adjustment | Common Shares | Treasury Shares | Common Stock and Capital Surplus | Retained Earnings | Retained Earnings Cumulative Effect, Period of Adoption, Adjustment | Accumulated Other Comprehensive Income (Loss) | Accumulated Other Comprehensive Income (Loss) Cumulative Effect, Period of Adoption, Adjustment | Total CVS Health Shareholders' Equity | Total CVS Health Shareholders' Equity Cumulative Effect, Period of Adoption, Adjustment | Noncontrolling Interest
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Balance at beginning of period (in shares) at Dec. 31, 2017 |  |  |  |  | 1,712 | (698) | [1] |  |  |  |  |  |  |  |  |  |  |
Beginning of year balance at Dec. 31, 2017 |  | $ 37,695 | $ (13) |  |  | $ (37,796) | [1] | $ 32,096 | [2] | $ 43,556 | $ (6) |  | $ (165) | $ (7) | $ 37,691 | $ (13) |  | $ 4
Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income (loss) |  | (596) |  |  |  |  |  |  |  | (594) |  |  |  |  | (594) |  |  | (2)
Other comprehensive income (Note 13) |  | 274 |  |  |  |  |  |  |  |  |  |  | 274 |  | 274 |  |  |
Common shares issued to acquire Aetna (in shares) |  |  |  |  |  | 274 |  |  |  |  |  |  |  |  |  |  |  |
Common shares issued to acquire Aetna |  | 22,484 |  |  |  | $ 9,561 |  | 12,923 |  |  |  |  |  |  | 22,484 |  |  |
Stock option activity, stock awards and other (in shares) |  |  |  |  | 8 |  |  |  |  |  |  |  |  |  |  |  |  |
Stock option activity, stock awards and other |  | 421 |  |  |  |  |  | 421 | [2] |  |  |  |  |  | 421 |  |  |
Purchase of treasury shares, net of ESPP issuances (in shares) | [1] |  |  |  |  | (1) |  |  |  |  |  |  |  |  |  |  |  |
Purchase of treasury shares, net of ESPP issuances |  | 7 |  |  |  | $ 7 | [1] |  |  |  |  |  |  |  | 7 |  |  |
Common stock dividends |  | (2,045) |  |  |  |  |  |  |  | (2,045) |  |  |  |  | (2,045) |  |  |
Acquisition of noncontrolling interests |  | 329 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 329
Other decreases in noncontrolling interests |  | (13) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (13)
Balance at end of period (in shares) at Dec. 31, 2018 |  |  |  |  | 1,720 | (425) | [1] |  |  |  |  |  |  |  |  |  |  |
End of year balance at Dec. 31, 2018 |  | $ 58,543 | 178 | [3] |  | $ (28,228) | [1] | 45,440 | [2] | 40,911 | 178 | [3] | 102 |  | 58,225 | 178 | [3] | 318
Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounting Standards Update [Extensible List] |  | us-gaap:AccountingStandardsUpdate201602Member |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income (loss) |  | $ 6,631 |  |  |  |  |  |  |  | 6,634 |  |  |  |  | 6,634 |  |  | (3)
Other comprehensive income (Note 13) |  | 917 |  |  |  |  |  |  |  |  |  |  | 917 |  | 917 |  |  |
Stock option activity, stock awards and other (in shares) |  |  |  |  | 7 | 2 |  |  |  |  |  |  |  |  |  |  |  |
Stock option activity, stock awards and other |  | 532 |  |  |  |  |  | 532 | [2] |  |  |  |  |  | 532 |  |  |
Purchase of treasury shares, net of ESPP issuances (in shares) | [1] |  |  |  |  | (2) |  |  |  |  |  |  |  |  |  |  |  |
Purchase of treasury shares, net of ESPP issuances |  | (7) |  |  |  | $ (7) | [1] |  |  |  |  |  |  |  | (7) |  |  |
Common stock dividends |  | (2,615) |  |  |  |  |  |  |  | (2,615) |  |  |  |  | (2,615) |  |  |
Other decreases in noncontrolling interests |  | (9) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (9)
Balance at end of period (in shares) at Dec. 31, 2019 |  |  |  |  | 1,727 | (425) | [1] |  |  |  |  |  |  |  |  |  |  |
End of year balance at Dec. 31, 2019 |  | $ 64,170 | $ (3) |  |  | $ (28,235) | [1] | 45,972 | [2] | 45,108 | $ (3) |  | 1,019 |  | 63,864 | $ (3) |  | 306
Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounting Standards Update [Extensible List] |  | us-gaap:AccountingStandardsUpdate201613Member |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income (loss) |  | $ 7,192 |  |  |  |  |  |  |  | 7,179 |  |  |  |  | 7,179 |  |  | 13
Other comprehensive income (Note 13) |  | 395 |  |  |  |  |  |  |  |  |  |  | 395 |  | 395 |  |  |
Stock option activity, stock awards and other (in shares) |  |  |  |  | 6 | 0 |  |  |  |  |  |  |  |  |  |  |  |
Stock option activity, stock awards and other |  | 541 |  |  |  |  |  | 541 | [2] |  |  |  |  |  | 541 |  |  |
ESPP issuances, net of purchase of treasury shares (in shares) | [1] |  |  |  |  | 2 |  |  |  |  |  |  |  |  |  |  |  |
ESPP issuances, net of purchase of treasury shares |  | 57 |  |  |  | $ 57 | [1] |  |  |  |  |  |  |  | 57 |  |  |
Common stock dividends |  | (2,644) |  |  |  |  |  |  |  | (2,644) |  |  |  |  | (2,644) |  |  |
Other decreases in noncontrolling interests |  | (7) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (7)
Balance at end of period (in shares) at Dec. 31, 2020 |  |  |  |  | 1,733 | (423) | [1] |  |  |  |  |  |  |  |  |  |  |
End of year balance at Dec. 31, 2020 |  | $ 69,701 |  |  |  | $ (28,178) | [1] | $ 46,513 | [2] | $ 49,640 |  |  | $ 1,414 |  | $ 69,389 |  |  | $ 312
[1] | Treasury shares include 1 million shares held in trust for each of the years ended December 31, 2020, 2019 and 2018. Treasury stock includes $29 million related to shares held in trust for each of the years ended December 31, 2020, 2019 and 2018. See Note 1 ‘‘Significant Accounting Policies’’ for additional information.
[2] | Common stock and capital surplus includes the par value of common stock of $17 million as of December 31, 2020, 2019 and 2018.
[3] | Reflects the adoption of Accounting Standards Update (“ASU”) 2014-09, Revenue from Contracts with Customers, which resulted in a reduction to retained earnings of $13 million and the adoption of ASU 2018-02, Income Statement - Reporting Comprehensive Income (Topic 220): Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income, which resulted in a reduction to accumulated other comprehensive income of $7 million and an increase to retained earnings of $7 million, each during the year ended December 31, 2018.(4)Reflects the adoption of ASU 2016-02, Leases (Topic 842), which resulted in an increase to retained earnings of $178 million during the year ended December 31, 2019.

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