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Significant Accounting Policies (Tables)
9 Months Ended
Sep. 30, 2025
Accounting Policies [Abstract]  
Schedule of Reconciliation of Cash and Cash Equivalents
The following is a reconciliation of cash and cash equivalents on the unaudited condensed consolidated balance sheets to total cash, cash equivalents and restricted cash on the unaudited condensed consolidated statements of cash flows:
In millionsSeptember 30,
2025
December 31,
2024
Cash and cash equivalents$9,098 $8,586 
Restricted cash (included in other current assets)57 95 
Restricted cash (included in other assets)197 203 
Total cash, cash equivalents and restricted cash in the statements of cash flows$9,352 $8,884 
Schedule of Accounts Receivable, Net Accounts receivable, net at September 30, 2025 and December 31, 2024 was composed of the following:
In millionsSeptember 30,
2025
December 31,
2024
Trade receivables$11,221 $9,881 
Vendor and manufacturer receivables17,779 13,891 
Premium receivables4,878 4,731 
Other receivables9,979 7,966 
   Total accounts receivable, net$43,857 $36,469 
Rollforward of Deferred Acquisition Costs
The following is a roll forward of deferred acquisition costs for the nine months ended September 30, 2025 and 2024:
Nine Months Ended
September 30,
In millions20252024
Deferred acquisition costs, beginning of the period$1,747$1,502
Capitalization
389405
Amortization expense(255)(217)
Deferred acquisition costs, end of the period$1,881$1,690
Schedule of Disaggregation of Revenue
The following tables disaggregate the Company’s revenue by major source in each segment for the three and nine months ended September 30, 2025 and 2024:
In millionsHealth Care
Benefits
Health
Services
Pharmacy &
Consumer
Wellness
Corporate/
Other
Intersegment
Eliminations
Consolidated
Totals
Three Months Ended September 30, 2025
Major goods/services lines:
Pharmacy$— $46,800 $30,428 $— $(17,680)$59,548 
Front Store— — 5,192 — — 5,192 
Premiums33,739 — — 11 (31)33,719 
Net investment income (loss)513 (1)— 120 — 632 
Other1,741 2,467 594 (1,024)3,780 
Total$35,993 $49,266 $36,214 $133 $(18,735)$102,871 
Health Services distribution channel:
Pharmacy network (1)
$26,408 
Mail & specialty (2)
20,392 
Net investment income (loss)(1)
Other2,467 
Total$49,266 
Three Months Ended September 30, 2024
Major goods/services lines:
Pharmacy$— $41,350 $26,666 $— $(13,357)$54,659 
Front Store— — 5,196 — — 5,196 
Premiums30,914 — — 11 — 30,925 
Net investment income (loss)423 (1)— 128 — 550 
Other1,659 2,780 561 (905)4,098 
Total$32,996 $44,129 $32,423 $142 $(14,262)$95,428 
Health Services distribution channel:
Pharmacy network (1)
$24,136 
Mail & specialty (2)
17,214 
Net investment income (loss)(1)
Other2,780 
Total$44,129 
In millionsHealth Care
Benefits
Health
Services
Pharmacy &
Consumer
Wellness
Corporate/
Other
Intersegment
Eliminations
Consolidated
Totals
Nine Months Ended September 30, 2025
Major goods/services lines:
Pharmacy$— $132,258 $84,135 $— $(48,989)$167,404 
Front Store— — 15,803 — — 15,803 
Premiums100,731 — — 34 (31)100,734 
Net investment income
1,307 10 — 322 — 1,639 
Other5,023 6,913 1,769 (2,917)10,794 
Total$107,061 $139,181 $101,707 $362 $(51,937)$296,374 
Health Services distribution channel:
Pharmacy network (1)
$74,187 
Mail & specialty (2)
58,071 
Net investment income10 
Other6,913 
Total$139,181 
Nine Months Ended September 30, 2024
Major goods/services lines:
Pharmacy$— $118,575 $73,463 $— $(38,002)$154,036 
Front Store— — 15,847 — — 15,847 
Premiums91,947 — — 36 — 91,983 
Net investment income (loss)1,076 (3)— 325 — 1,398 
Other4,684 8,013 1,676 (2,545)11,835 
Total$97,707 $126,585 $90,986 $368 $(40,547)$275,099 
Health Services distribution channel:
Pharmacy network (1)
$66,448 
Mail & specialty (2)
52,127 
Net investment income (loss)
(3)
Other8,013 
Total$126,585 
_____________________________________________
(1)Health Services pharmacy network is defined as claims filled at retail and specialty retail pharmacies, including pharmacies owned by the Company, as well as activity associated with Maintenance Choice®, which permits eligible client plan members to fill their maintenance prescriptions through mail order delivery or at a CVS pharmacy retail store for the same price as mail order.
(2)Health Services mail & specialty is defined as specialty mail claims inclusive of Specialty Connect® claims picked up at a retail pharmacy, as well as mail order and specialty claims fulfilled by the Pharmacy & Consumer Wellness segment.
Schedule of Receivables and Contract Liabilities from Contracts with Customers
The following table provides information about receivables and contract liabilities from contracts with customers:
In millionsSeptember 30,
2025
December 31,
2024
Trade receivables (included in accounts receivable, net)$11,221 $9,881 
Contract liabilities (included in accrued expenses and other current liabilities)
58 144