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Significant Accounting Policies - Adjustments Resulting From Applying New Accounting Standard (Details) - USD ($) $ / shares in Units, $ in Millions | 3 Months Ended | 9 Months Ended |  |
--- | --- | --- | --- | ---
Sep. 30, 2023 | Jun. 30, 2023 | Mar. 31, 2023 | Sep. 30, 2022 | Jun. 30, 2022 | Mar. 31, 2022 | Sep. 30, 2023 | Sep. 30, 2022 | Dec. 31, 2022 | Dec. 31, 2021
Condensed Consolidated Statement of Operations: |  |  |  |  |  |  |  |  |  |  |
Health care costs | $ 21,499 |  |  | $ 17,401 |  |  | $ 63,729 | $ 52,814 |  |  |
Operating expenses | 9,876 |  |  | 9,612 |  |  | 29,329 | 28,123 |  |  |
Total operating costs | 86,074 |  |  | 85,078 |  |  | 253,593 | 234,326 |  |  |
Operating loss | 3,690 |  |  | (3,919) |  |  | 10,370 | 4,295 |  |  |
Loss before income tax benefit | 3,019 |  |  | (4,444) |  |  | 8,468 | 2,686 |  |  |
Income tax provision (benefit) | 754 |  |  | (1,045) |  |  | 2,147 | 691 |  |  |
Net income (loss) | 2,265 | $ 1,914 | $ 2,142 | (3,399) | $ 3,039 | $ 2,355 | 6,321 | 1,995 |  |  |
Net loss attributable to CVS Health | $ 2,261 |  |  | $ (3,406) |  |  | $ 6,298 | $ 1,977 |  |  |
Net income (loss) per share attributable to CVS Health: |  |  |  |  |  |  |  |  |  |  |
Basic (in dollars per share) | $ 1.76 |  |  | $ (2.59) |  |  | $ 4.90 | $ 1.51 |  |  |
Diluted (in dollars per share) | $ 1.75 |  |  | $ (2.59) |  |  | $ 4.88 | $ 1.49 |  |  |
Condensed Consolidated Balance Sheet: |  |  |  |  |  |  |  |  |  |  |
Other current assets | $ 3,074 |  |  |  |  |  | $ 3,074 |  | $ 2,636 |  |
Total current assets | 70,143 |  |  |  |  |  | 70,143 |  | 65,633 |  |
Intangible assets, net | 29,624 |  |  |  |  |  | 29,624 |  | 24,803 |  |
Total assets | 251,306 |  |  |  |  |  | 251,306 |  | 228,275 |  |
Health care costs payable | 12,550 |  |  |  |  |  | 12,550 |  | 10,142 |  |
Other insurance liabilities | 4,748 |  |  |  |  |  | 4,748 |  | 1,089 |  |
Total current liabilities | 81,553 |  |  |  |  |  | 81,553 |  | 69,421 |  |
Deferred income taxes | 4,250 |  |  |  |  |  | 4,250 |  | 4,016 |  |
Other long-term insurance liabilities | 5,333 |  |  |  |  |  | 5,333 |  | 5,835 |  |
Other long-term liabilities | 6,237 |  |  |  |  |  | 6,237 |  | 6,730 |  |
Total liabilities | 176,796 |  |  |  |  |  | 176,796 |  | 156,506 |  |
Retained earnings | 60,343 |  |  |  |  |  | 60,343 |  | 56,398 |  |
Accumulated other comprehensive loss | (1,004) |  |  |  |  |  | (1,004) |  | (1,264) |  |
Total CVS Health shareholders’ equity | 74,337 |  |  |  |  |  | 74,337 |  | 71,469 |  |
Total shareholders’ equity | 74,510 | $ 73,002 | $ 71,580 | $ 71,487 | $ 75,736 | $ 74,034 | 74,510 | $ 71,487 | 71,769 | $ 75,381 |
Total liabilities and shareholders’ equity | $ 251,306 |  |  |  |  |  | 251,306 |  | 228,275 |  |
Condensed Consolidated Statement of Cash Flows: |  |  |  |  |  |  |  |  |  |  |
Depreciation and amortization |  |  |  |  |  |  | 3,232 | 3,181 |  |  |
Deferred income taxes and other noncash items |  |  |  |  |  |  | (360) | (2,213) |  |  |
Other assets |  |  |  |  |  |  | (518) | (244) |  |  |
Health care costs payable and other insurance liabilities |  |  |  |  |  |  | 4,679 | 4,476 |  |  |
Other liabilities |  |  |  |  |  |  | $ 2,047 | 7,371 |  |  |
As Reported |  |  |  |  |  |  |  |  |  |  |
Condensed Consolidated Statement of Operations: |  |  |  |  |  |  |  |  |  |  |
Health care costs |  |  |  | 17,419 |  |  |  | 52,976 |  |  |
Operating expenses |  |  |  | 9,606 |  |  |  | 28,128 |  |  |
Total operating costs |  |  |  | 85,090 |  |  |  | 234,493 |  |  |
Operating loss |  |  |  | (3,931) |  |  |  | 4,128 |  |  |
Loss before income tax benefit |  |  |  | (4,456) |  |  |  | 2,519 |  |  |
Income tax provision (benefit) |  |  |  | (1,047) |  |  |  | 654 |  |  |
Net income (loss) |  |  |  | (3,409) |  |  |  | 1,865 |  |  |
Net loss attributable to CVS Health |  |  |  | $ (3,416) |  |  |  | $ 1,847 |  |  |
Net income (loss) per share attributable to CVS Health: |  |  |  |  |  |  |  |  |  |  |
Basic (in dollars per share) |  |  |  | $ (2.60) |  |  |  | $ 1.41 |  |  |
Diluted (in dollars per share) |  |  |  | $ (2.60) |  |  |  | $ 1.40 |  |  |
Condensed Consolidated Balance Sheet: |  |  |  |  |  |  |  |  |  |  |
Other current assets |  |  |  |  |  |  |  |  | 2,685 |  |
Total current assets |  |  |  |  |  |  |  |  | 65,682 |  |
Intangible assets, net |  |  |  |  |  |  |  |  | 24,754 |  |
Total assets |  |  |  |  |  |  |  |  | 228,275 |  |
Health care costs payable |  |  |  |  |  |  |  |  | 10,406 |  |
Other insurance liabilities |  |  |  |  |  |  |  |  | 1,140 |  |
Total current liabilities |  |  |  |  |  |  |  |  | 69,736 |  |
Deferred income taxes |  |  |  |  |  |  |  |  | 3,880 |  |
Other long-term insurance liabilities |  |  |  |  |  |  |  |  | 6,108 |  |
Other long-term liabilities |  |  |  |  |  |  |  |  | 6,732 |  |
Total liabilities |  |  |  |  |  |  |  |  | 156,960 |  |
Retained earnings |  |  |  |  |  |  |  |  | 56,145 |  |
Accumulated other comprehensive loss |  |  |  |  |  |  |  |  | (1,465) |  |
Total CVS Health shareholders’ equity |  |  |  |  |  |  |  |  | 71,015 |  |
Total shareholders’ equity |  |  |  |  |  |  |  |  | 71,315 |  |
Total liabilities and shareholders’ equity |  |  |  |  |  |  |  |  | 228,275 |  |
Condensed Consolidated Statement of Cash Flows: |  |  |  |  |  |  |  |  |  |  |
Depreciation and amortization |  |  |  |  |  |  |  | $ 3,198 |  |  |
Deferred income taxes and other noncash items |  |  |  |  |  |  |  | (2,250) |  |  |
Other assets |  |  |  |  |  |  |  | (311) |  |  |
Health care costs payable and other insurance liabilities |  |  |  |  |  |  |  | 4,687 |  |  |
Other liabilities |  |  |  |  |  |  |  | 7,377 |  |  |
Adoption of new accounting standard, adjustment |  |  |  |  |  |  |  |  |  |  |
Condensed Consolidated Statement of Operations: |  |  |  |  |  |  |  |  |  |  |
Health care costs |  |  |  | $ (18) |  |  |  | (162) |  |  |
Operating expenses |  |  |  | 6 |  |  |  | (5) |  |  |
Total operating costs |  |  |  | (12) |  |  |  | (167) |  |  |
Operating loss |  |  |  | 12 |  |  |  | 167 |  |  |
Loss before income tax benefit |  |  |  | 12 |  |  |  | 167 |  |  |
Income tax provision (benefit) |  |  |  | 2 |  |  |  | 37 |  |  |
Net income (loss) |  |  |  | 10 |  |  |  | 130 |  |  |
Net loss attributable to CVS Health |  |  |  | $ 10 |  |  |  | $ 130 |  |  |
Net income (loss) per share attributable to CVS Health: |  |  |  |  |  |  |  |  |  |  |
Basic (in dollars per share) |  |  |  | $ 0.01 |  |  |  | $ 0.10 |  |  |
Diluted (in dollars per share) |  |  |  | $ 0.01 |  |  |  | $ 0.09 |  |  |
Condensed Consolidated Balance Sheet: |  |  |  |  |  |  |  |  |  |  |
Other current assets |  |  |  |  |  |  |  |  | (49) |  |
Total current assets |  |  |  |  |  |  |  |  | (49) |  |
Intangible assets, net |  |  |  |  |  |  |  |  | 49 |  |
Total assets |  |  |  |  |  |  |  |  | 0 |  |
Health care costs payable |  |  |  |  |  |  |  |  | (264) |  |
Other insurance liabilities |  |  |  |  |  |  |  |  | (51) |  |
Total current liabilities |  |  |  |  |  |  |  |  | (315) |  |
Deferred income taxes |  |  |  |  |  |  |  |  | 136 |  |
Other long-term insurance liabilities |  |  |  |  |  |  |  |  | (273) |  |
Other long-term liabilities |  |  |  |  |  |  |  |  | (2) |  |
Total liabilities |  |  |  |  |  |  |  |  | (454) |  |
Retained earnings |  |  |  |  |  |  |  |  | 253 |  |
Accumulated other comprehensive loss |  |  |  |  |  |  |  |  | 201 |  |
Total CVS Health shareholders’ equity |  |  |  |  |  |  |  |  | 454 |  |
Total shareholders’ equity |  |  |  |  |  |  |  |  | 454 | $ (540) | [1]
Total liabilities and shareholders’ equity |  |  |  |  |  |  |  |  | $ 0 |  |
Condensed Consolidated Statement of Cash Flows: |  |  |  |  |  |  |  |  |  |  |
Depreciation and amortization |  |  |  |  |  |  |  | $ (17) |  |  |
Deferred income taxes and other noncash items |  |  |  |  |  |  |  | 37 |  |  |
Other assets |  |  |  |  |  |  |  | 67 |  |  |
Health care costs payable and other insurance liabilities |  |  |  |  |  |  |  | (211) |  |  |
Other liabilities |  |  |  |  |  |  |  | $ (6) |  |  |
[1] | Reflects the adoption of Accounting Standards Update (“ASU”) 2018-12, Targeted Improvements to the Accounting for Long-Duration Contracts (Topic 944) during the three months ended March 31, 2023. See Note 1 ‘‘Significant Accounting Policies’’ for additional information.

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