Goodwill, Other Intangibles and Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2020

Goodwill Other Intangibles And Property And Equipment [Abstract]

Goodwill Activity

Goodwill activity. Goodwill activity during 2020 and 2019 was as follows:

(In millions)	2020		2019
Balance at January 1,	$	44,602	$	44,505
Goodwill acquired, net	29		103
Impact of foreign currency translation	17		(6)
Balance at December 31,	$	44,648	$	44,602

Other Indefinite-Lived Intangible Assets

Other intangible assets were comprised of the following at December 31:

(In millions)	Cost		Accumulated Amortization	Net Carrying Value
2020
Customer relationships	$	29,432	3,024	26,408
Trade Name - Express Scripts	8,400			8,400
Other	475		104	371
Other intangible assets	38,307		3,128	35,179
Value of business acquired (reported in Deferred policy acquisition costs)	670		152	518
Total	$	38,977	3,280	35,697
2019
Customer relationships	$	31,184	3,319	27,865
Trade Name - Express Scripts	8,400			8,400
Other	383		86	297
Other intangible assets	39,967		3,405	36,562
Value of business acquired (reported in Deferred policy acquisition costs)	643		122	521
Total	$	40,610	3,527	37,083

Other Finite-Lived Intangible Assets

Other intangible assets were comprised of the following at December 31:

(In millions)	Cost		Accumulated Amortization	Net Carrying Value
2020
Customer relationships	$	29,432	3,024	26,408
Trade Name - Express Scripts	8,400			8,400
Other	475		104	371
Other intangible assets	38,307		3,128	35,179
Value of business acquired (reported in Deferred policy acquisition costs)	670		152	518
Total	$	38,977	3,280	35,697
2019
Customer relationships	$	31,184	3,319	27,865
Trade Name - Express Scripts	8,400			8,400
Other	383		86	297
Other intangible assets	39,967		3,405	36,562
Value of business acquired (reported in Deferred policy acquisition costs)	643		122	521
Total	$	40,610	3,527	37,083

Property and Equipment

Property and equipment was comprised of the following as of December 31:

(In millions)	Cost		Accumulated Amortization		Net Carrying Value
2020
Internal-use software	$	7,061	$	4,048	$	3,013
Other property and equipment	2,719		1,527		1,192
Total property and equipment	$	9,780	$	5,575	$	4,205
2019
Internal-use software	$	6,578	$	3,282	$	3,296
Other property and equipment	2,569		1,353		1,216
Total property and equipment	9,147		4,635		4,512
Property and equipment classified as Assets held for sale	(226)		(131)		(95)
Total property and equipment per Consolidated Balance Sheet	$	8,921	$	4,504	$	4,417

Components of Depreciation and Amortization Expense

Depreciation and amortization expense was comprised of the following for the years ended December 31:

(In millions)	2020		2019		2018
Internal-use software	$	971	$	850	$	323
Other property and equipment	276		284		146
Value of business acquired (reported in deferred policy acquisition costs)	28		34		16
Other intangibles	1,527		2,483		210
Total depreciation and amortization	$	2,802	$	3,651	$	695

Estimated Annual Pre-Tax Amortization for Intangible Assets

The Company estimates annual pre-tax amortization for intangible assets, including internal-use software, over the next five calendar years to be as follows:

(In millions)	Pre-tax Amortization
2021	$	2,719
2022	$	2,236
2023	$	2,014
2024	$	1,821
2025	$	1,760