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Significant Accounting Policies - Adjustments Resulting From Applying New Accounting Standard (Details) - USD ($) $ / shares in Units, $ in Millions | 12 Months Ended |
--- | --- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Condensed Consolidated Statement of Operations: |  |  |  |  |
Health care costs | $ 86,247 | $ 71,073 | $ 64,188 |  |
Operating expenses | 39,832 | 38,212 | 37,021 |  |
Costs and Expenses | 344,033 | 314,513 | 278,801 |  |
Operating income | 13,743 | 7,954 | 13,310 |  |
Income before income tax provision | 11,173 | 5,836 | 10,537 |  |
Income tax provision | 2,805 | 1,509 | 2,548 |  |
Net income | 8,368 | 4,327 | 7,989 |  |
Net income attributable to CVS Health | $ 8,344 | $ 4,311 | $ 8,001 |  |
Net income per share attributable to CVS Health: |  |  |  |  |
Basic (in dollars per share) | $ 6.49 | $ 3.29 | $ 6.07 |  |
Diluted (in dollars per share) | $ 6.47 | $ 3.26 | $ 6.02 |  |
Condensed Consolidated Balance Sheet: |  |  |  |  |
Other current assets | $ 3,151 | $ 2,636 |  |  |
Total current assets | 67,858 | 65,633 |  |  |
Intangible assets, net | 29,234 | 24,803 |  |  |
Total assets | 249,728 | 228,275 |  |  |
Health care costs payable |  | 10,142 |  |  |
Other insurance liabilities | 1,141 | 1,089 |  |  |
Total current liabilities | 79,189 | 69,421 |  |  |
Deferred income taxes | 4,311 | 4,016 |  |  |
Other long-term insurance liabilities | 5,459 | 5,835 |  |  |
Other long-term liabilities | 6,211 | 6,730 |  |  |
Total liabilities | 173,092 | 156,506 |  |  |
Retained earnings | 61,604 | 56,398 |  |  |
Accumulated other comprehensive loss | (297) | (1,264) |  |  |
Total CVS Health shareholders’ equity | 76,461 | 71,469 |  |  |
Total shareholders’ equity | 76,636 | 71,769 | $ 74,841 | $ 69,701 |
Total liabilities and shareholders’ equity | 249,728 | 228,275 |  |  |
Condensed Consolidated Statement of Cash Flows: |  |  |  |  |
Depreciation and amortization | 4,366 | 4,224 | 4,486 |  |
Deferred income taxes | (676) | (2,029) | (402) |  |
Other assets | (510) | (491) | (30) |  |
Health care costs payable and other insurance liabilities | 394 | 992 | 101 |  |
Other liabilities | $ 1,540 | 6,463 | 2,856 |  |
As Reported |  |  |  |  |
Condensed Consolidated Statement of Operations: |  |  |  |  |
Health care costs |  | 71,281 | 64,260 |  |
Operating expenses |  |  | 37,066 |  |
Costs and Expenses |  | 314,721 | 278,918 |  |
Operating income |  | 7,746 | 13,193 |  |
Income before income tax provision |  | 5,628 | 10,420 |  |
Income tax provision |  | 1,463 | 2,522 |  |
Net income |  | 4,165 | 7,898 |  |
Net income attributable to CVS Health |  | $ 4,149 | $ 7,910 |  |
Net income per share attributable to CVS Health: |  |  |  |  |
Basic (in dollars per share) |  | $ 3.16 | $ 6.00 |  |
Diluted (in dollars per share) |  | $ 3.14 | $ 5.95 |  |
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 |  | 4,247 | $ 4,512 |  |
Deferred income taxes |  | (2,075) | (428) |  |
Other assets |  | (566) | (3) |  |
Health care costs payable and other insurance liabilities |  | 1,247 | 169 |  |
Other liabilities |  | 6,468 | 2,852 |  |
Adoption of new accounting standard, adjustment |  |  |  |  |
Condensed Consolidated Statement of Operations: |  |  |  |  |
Health care costs |  | (208) | (72) |  |
Operating expenses |  |  | (45) |  |
Costs and Expenses |  | (208) | (117) |  |
Operating income |  | 208 | 117 |  |
Income before income tax provision |  | 208 | 117 |  |
Income tax provision |  | 46 | 26 |  |
Net income |  | 162 | 91 |  |
Net income attributable to CVS Health |  | $ 162 | $ 91 |  |
Net income per share attributable to CVS Health: |  |  |  |  |
Basic (in dollars per share) |  | $ 0.13 | $ 0.07 |  |
Diluted (in dollars per share) |  | $ 0.12 | $ 0.07 |  |
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 |  | $ (766) | [1]
Total liabilities and shareholders’ equity |  | 0 |  |  |
Condensed Consolidated Statement of Cash Flows: |  |  |  |  |
Depreciation and amortization |  | (23) | $ (26) |  |
Deferred income taxes |  | 46 | 26 |  |
Other assets |  | 75 | (27) |  |
Health care costs payable and other insurance liabilities |  | (255) | (68) |  |
Other liabilities |  | $ (5) | $ 4 |  |
[1] | Reflects the adoption of Accounting Standards Update (“ASU”) 2018-12, Targeted Improvements to the Accounting for Long-Duration Contracts (Topic 944) during the year ended December 31, 2021. See Note 1 ‘‘Significant Accounting Policies’’ for additional information.

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