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Exit and disposal activities - Narrative (Details)
$ in Millions
3 Months Ended 6 Months Ended 9 Months Ended
Oct. 12, 2021
USD ($)
store
Dec. 20, 2018
USD ($)
Feb. 29, 2024
USD ($)
clinic
Nov. 30, 2023
USD ($)
Nov. 30, 2022
USD ($)
Feb. 29, 2024
USD ($)
clinic
May 31, 2024
USD ($)
store
Aug. 31, 2023
USD ($)
May 31, 2023
USD ($)
Feb. 28, 2023
USD ($)
Aug. 31, 2022
USD ($)
Sep. 01, 2019
USD ($)
Restructuring Cost and Reserve [Line Items]                        
Cumulative effect adjustment to decrease retained earnings     $ (15,192)     $ (15,192) $ (15,257) $ (28,322) $ (29,359) $ (29,439) $ (29,366)  
Software and Software Development Costs                        
Restructuring Cost and Reserve [Line Items]                        
Asset impairment charges     455                  
Retained Earnings                        
Restructuring Cost and Reserve [Line Items]                        
Cumulative effect adjustment to decrease retained earnings     $ (26,448)     $ (26,448) (26,571) (33,058) $ (33,654) $ (33,952) $ (37,801)  
Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Costs incurred             $ 3,500          
Number of clinics closed | clinic           160            
Transformational Cost Management Program | Retained Earnings | Adoption of New Accounting Standards                        
Restructuring Cost and Reserve [Line Items]                        
Cumulative effect adjustment to decrease retained earnings                       $ 508
Transformational Cost Management Program | United Kingdom                        
Restructuring Cost and Reserve [Line Items]                        
Number of stores expected to close | store 650                      
Number of stores closed | store             581          
Transformational Cost Management Program | UNITED STATES                        
Restructuring Cost and Reserve [Line Items]                        
Number of stores closed | store             673          
Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Number of clinics closed | clinic     90                  
Impairment           $ 303            
Lease Obligations and Other Real Estate Costs | Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Costs incurred             $ 1,300          
Asset Impairments | Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Costs incurred             950          
Employee Severance and Business Transition Costs | Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Costs incurred             959          
Information Technology Transformation and Other Exit Costs | Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Costs incurred             $ 275          
Minimum | Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Expected annual cost savings of restructuring plan $ 3,300 $ 2,000     $ 3,300              
Expected cost               4,100        
Minimum | Transformational Cost Management Program | UNITED STATES                        
Restructuring Cost and Reserve [Line Items]                        
Number of stores expected to close | store 650                      
Minimum | Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Expected annual cost savings of restructuring plan       $ 3,500                
Minimum | Exit and Disposal Costs | Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Expected cost               3,800        
Maximum | Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Expected cost               4,400        
Maximum | Transformational Cost Management Program | UNITED STATES                        
Restructuring Cost and Reserve [Line Items]                        
Number of stores expected to close | store 700                      
Maximum | Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Expected annual cost savings of restructuring plan       $ 4,500 $ 3,500              
Maximum | Exit and Disposal Costs | Transformational Cost Management Program                        
Restructuring Cost and Reserve [Line Items]                        
Expected cost               $ 4,100