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Subsequent events (Details)
$ in Millions
12 Months Ended 63 Months Ended
Oct. 14, 2021
USD ($)
Oct. 13, 2021
co-locatedClinic
Sep. 17, 2021
USD ($)
Sep. 04, 2021
USD ($)
Aug. 31, 2021
USD ($)
Dec. 31, 2026
co-locatedClinic
VillageMD            
Subsequent Event [Line Items]            
Consideration transferred to acquire equity method investments         $ 750  
Payments to acquire equity method investments         $ 250  
VillageMD | Forecast            
Subsequent Event [Line Items]            
Number of co-located clinics | co-locatedClinic           1,000
Subsequent event | VillageMD            
Subsequent Event [Line Items]            
Consideration transferred to acquire equity method investments $ 5,200          
Ownership percentage 63.00% 30.00%        
Number of co-located clinics | co-locatedClinic   600        
Payments to acquire equity method investments $ 4,000          
Subsequent event | VillageMD | Promissory Notes            
Subsequent Event [Line Items]            
Face amount $ 1,200          
CareCentrix, Inc. | Subsequent event            
Subsequent Event [Line Items]            
Payments to acquire business       $ 330    
Controlling interest percentage       55.00%    
Shields Health Solutions | Subsequent event            
Subsequent Event [Line Items]            
Payments to acquire business     $ 970      
Controlling interest percentage     71.00%