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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Cash flows from operating activities:    
Cash receipts from customers $ 43,369 $ 43,913
Cash paid for inventory and prescriptions dispensed by retail network pharmacies (36,195) (36,178)
Cash paid to other suppliers and employees (4,271) (3,823)
Interest received 50 6
Interest paid (545) (328)
Income taxes paid (53) (57)
Net cash provided by operating activities 2,355 3,533
Cash flows from investing activities:    
Purchases of property and equipment (482) (457)
Proceeds from sale of property and equipment and other assets 2 5
Acquisitions (net of cash acquired) and other investments (368) (93)
Purchase of available-for-sale investments (18)  
Maturity of available-for-sale investments 10 8
Proceeds from sale of subsidiary 725  
Net cash used in investing activities (131) (537)
Cash flows from financing activities:    
Decrease in short-term debt (1,276) (106)
Proceeds from issuance of long-term debt 39,376  
Repayments of long-term debt (1)  
Derivative settlements 446  
Repurchase of common stock   (3,621)
Dividends paid (508) (516)
Proceeds from exercise of stock options 107 121
Payments for taxes related to net share settlement of equity awards (4) (11)
Net cash provided by (used in) financing activities 38,140 (4,133)
Net increase (decrease) in cash, cash equivalents and restricted cash 40,364 (1,137)
Cash, cash equivalents and restricted cash at the beginning of the period 1,900 3,520
Cash, cash equivalents and restricted cash at the end of the period 42,264 2,383
Reconciliation of net income to net cash provided by operating activities:    
Net income 998 953
Adjustments required to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 644 619
Stock-based compensation 55 55
Deferred income taxes and other noncash items 62 14
Change in operating assets and liabilities, net of effects from acquisitions:    
Accounts receivable, net (857) 48
Inventories 464 456
Other current assets 56 (74)
Other assets (113) (1)
Accounts payable and claims and discounts payable (178) (539)
Accrued expenses 1,231 1,848
Other long-term liabilities (7) 154
Net cash provided by operating activities $ 2,355 $ 3,533