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Segment Reporting (Tables)
12 Months Ended
Dec. 31, 2018
Segment Reporting [Abstract]  
Summarized financial information of segments
 
Pharmacy 
 
Retail/
 
Health Care
 
Corporate/
 
Intersegment
 
Consolidated
In millions
Services (1)(2)
 
LTC (2)
 
Benefits (2)
 
Other
 
Eliminations (2)
 
Totals
2018:
 
 
 
 
 
 
 
 
 
 
 
Revenues from customers
$
134,115

 
$
83,989

 
$
5,504

 
$
4

 
$
(29,693
)
 
$
193,919

Net investment income (3)
13

 

 
45

 
602

 

 
660

Total revenues
134,128

 
83,989

 
5,549

 
606

 
(29,693
)
 
194,579

  Operating income (loss) (4)(5)
4,699

 
620

 
276

 
(805
)
 
(769
)
 
4,021

Depreciation and amortization
712

 
1,698

 
170

 
138

 

 
2,718

Additions to property and equipment
326

 
1,350

 
46

 
401

 

 
2,123

2017:
 
 
 
 
 
 
 
 
 
 
 
Revenues from customers
130,596

 
79,398

 

 

 
(25,229
)
 
184,765

Net investment income
5

 

 

 
16

 

 
21

Total revenues(7)
130,601

 
79,398

 

 
16

 
(25,229
)
 
184,786

  Operating income (loss) (4)(5)(7)
4,657

 
6,558

 

 
(936
)
 
(741
)
 
9,538

Depreciation and amortization
712

 
1,651

 

 
116

 

 
2,479

Additions to property and equipment
311

 
1,398

 

 
340

 

 
2,049

2016:
 
 
 
 
 
 
 
 
 
 
 
Revenues from customers
119,963

 
81,100

 

 

 
(23,537
)
 
177,526

Net investment income
2

 

 

 
18

 

 
20

Total revenues(7)
119,965

 
81,100

 

 
18

 
(23,537
)
 
177,546

  Operating income (loss) (4)(5)(6)(7)
4,570

 
7,437

 

 
(900
)
 
(721
)
 
10,386

Depreciation and amortization
714

 
1,642

 

 
119

 

 
2,475

Additions to property and equipment
295

 
1,732

 

 
252

 

 
2,279

 
 
 
 
 
 
 
 
 
 
 
 
_____________________________________________ 
(1)
Total revenues of PSS include approximately $11.4 billion, $10.8 billion and $10.5 billion of Retail Co-Payments for 2018, 2017 and 2016, respectively. See Note 1 ‘‘Significant Accounting Policies’’ for additional information about Retail Co-Payments.
(2)
Intersegment eliminations relate to intersegment revenue generating activities that occur between PSS and RLS for 2018, 2017 and 2016. Effective November 28, 2018, intersegment eliminations also relate to intersegment revenue generating activities that occur between HCBS, PSS and/or RLS.
(3)
Corporate/Other segment net investment income for 2018 includes interest income of $536 million related to the proceeds of the $40 billion 2018 Notes. This amount is for the period prior to the close of the Aetna Acquisition, which occurred on November 28, 2018.
(4)
RLS operating income for 2018, 2017 and 2016 includes $7 million, $34 million and $281 million, respectively, of acquisition-related integration costs. The integration costs in 2018 and 2017 are related to the acquisition of Omnicare. The integration costs in 2016 are related to the acquisitions of Omnicare and the pharmacy and clinic businesses of Target. RLS operating income for 2018 and 2017 also includes goodwill impairment charges of $6.1 billion related to the LTC reporting unit and $181 million related to the RxCrossroads reporting unit, respectively. In addition, RLS operating income for 2017 and 2016 includes $215 million and $34 million, respectively, of charges associated with store rationalization and asset impairment charges in connection with planned store closures related to the Company’s enterprise streamlining initiative. RLS operating income for 2018 also includes a $43 million loss on impairment of long-lived assets primarily related to the impairment of property and equipment and an $86 million loss on the divestiture of the Company’s RxCrossroads subsidiary.
(5)
Corporate/Other segment operating loss for 2018, 2017 and 2016 includes $485 million, $40 million and $10 million, respectively, of divestiture and acquisition-related transaction and integration costs included in operating expenses in the consolidated statements of operations. The transaction and integration costs in 2018 are related to the acquisitions of Aetna and Omnicare. The transaction and integration costs in 2017 are related to the acquisitions of Aetna and Omnicare and the divestiture of RxCrossroads. The integration costs in 2016 are related to the acquisitions of Omnicare and the pharmacy and clinic businesses of Target.
(6)
PSS operating income for 2016 includes the reversal of an accrual of $88 million in connection with a legal settlement.
(7)
Amounts revised to reflect the reclassification of interest income from interest expense, net to net investment income within total revenues to conform with insurance company presentation which increased total revenues and operating income by $21 million and $20 million in 2017 and 2016, respectively.

Schedule of segment financial information adjusted
Segment financial information for the years ended December 31, 2017 and 2016, have been retrospectively adjusted to reflect this change to the Company’s cost allocation methodology and net investment income presentation as shown below: 
 
Year Ended December 31, 2017
 
Pharmacy 
 
Retail/
 
Corporate/
 
Intersegment
 
Consolidated
In millions
Services
 
LTC
 
Other
 
Eliminations
 
Totals
Revenues, as previously reported
$
130,596

 
$
79,398

 
$

 
$
(25,229
)
 
$
184,765

Adjustments
5

 

 
16

 

 
21

Revenues, as adjusted
$
130,601

 
$
79,398

 
$
16

 
$
(25,229
)
 
$
184,786

 
 
 
 
 
 
 
 
 
 
Cost of products sold (1)
$
121,746

 
$
56,081

 
$

 
$
(24,417
)
 
$
153,410

Adjustments
53

 
(15
)
 

 

 
38

Cost of products sold
$
121,799

 
$
56,066

 
$

 
$
(24,417
)
 
$
153,448

 
 
 
 
 
 
 
 
 
 
Benefit costs (1)
$
2,810

 
$

 
$

 
$

 
$
2,810

Adjustments

 

 

 

 

Benefit costs
$
2,810

 
$

 
$

 
$

 
$
2,810

 
 
 
 
 
 
 
 
 
 
Operating expenses, as previously reported
$
1,285

 
$
16,848

 
$
966

 
$
(71
)
 
$
19,028

Adjustments
50

 
(74
)
 
(14
)
 

 
(38
)
Operating expenses, as adjusted
$
1,335

 
$
16,774

 
$
952

 
$
(71
)
 
$
18,990

 
 
 
 
 
 
 
 
 
 
Operating income (loss), as previously reported
$
4,755

 
$
6,469

 
$
(966
)
 
$
(741
)
 
$
9,517

Adjustments
(98
)
 
89

 
30

 

 
21

Operating income (loss), as adjusted
$
4,657

 
$
6,558

 
$
(936
)
 
$
(741
)
 
$
9,538

 
 
 
 
 
 
 
 
 
 
_____________________________________________ 
(1) The total of cost of products sold and benefit costs previously was reported as cost of revenues.

 
Year Ended December 31, 2016
 
Pharmacy 
 
Retail/
 
Corporate/
 
Intersegment
 
Consolidated
In millions
Services
 
LTC
 
Other
 
Eliminations
 
Totals
Revenues, as previously reported
$
119,963

 
$
81,100

 
$

 
$
(23,537
)
 
$
177,526

Adjustments
2

 

 
18

 

 
20

Revenues, as adjusted
$
119,965

 
$
81,100

 
$
18

 
$
(23,537
)
 
$
177,546

 
 
 
 
 
 
 
 
 
 
Cost of products sold (1)
$
111,883

 
$
57,362

 
$

 
$
(22,755
)
 
$
146,490

Adjustments
66

 
(23
)
 

 

 
43

Cost of products sold
$
111,949

 
$
57,339

 
$

 
$
(22,755
)
 
$
146,533

 
 
 
 
 
 
 
 
 
 
Benefit costs  (1)
$
2,179

 
$

 
$

 
$

 
$
2,179

Adjustments

 

 

 

 

Benefit costs
$
2,179

 
$

 
$

 
$

 
$
2,179

 
 
 
 
 
 
 
 
 
 
Operating expenses, as previously reported
$
1,225

 
$
16,436

 
$
891

 
$
(61
)
 
$
18,491

Adjustments
42

 
(112
)
 
27

 

 
(43
)
Operating expenses, as adjusted
$
1,267

 
$
16,324

 
$
918

 
$
(61
)
 
$
18,448

 
 
 
 
 
 
 
 
 
 
Operating income (loss), as previously reported
$
4,676

 
$
7,302

 
$
(891
)
 
$
(721
)
 
$
10,366

Adjustments
(106
)
 
135

 
(9
)
 

 
20

Operating income (loss), as adjusted
$
4,570

 
$
7,437

 
$
(900
)
 
$
(721
)
 
$
10,386

 
 
 
 
 
 
 
 
 
 
_____________________________________________ 
(1) The total of cost of products sold and benefit costs previously was reported as cost of revenues.