Goodwill, Other Intangibles and Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2021

Goodwill Other Intangibles And Property And Equipment [Abstract]

Goodwill Activity

Goodwill activity. Goodwill activity during 2021 and 2020 was as follows:

(In millions)	2021		2020
Balance at January 1,	$	44,648	$	44,602
Goodwill acquired, net	1,428		29
Impact of foreign currency translation	(31)		17
Total	46,045
Goodwill classified as Assets of businesses held for sale	(234)
Goodwill per Consolidated Balance Sheets at December 31,	$	45,811	$	44,648

Other Indefinite-Lived Intangible Assets

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

(In millions)	Cost		Accumulated Amortization	Net Carrying Value
2021
Customer relationships	$	29,997	4,539	25,458
Trade Name - Express Scripts	8,400			8,400
Other	447		81	366
Other intangible assets	38,844		4,620	34,224
Value of business acquired ("VOBA" reported in Deferred policy acquisition costs)	646		171	475
Total (1)	$	39,490	4,791	34,699
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

(1) Includes $386 million of VOBA and $122 million of Other intangible assets classified as Assets of businesses held for sale.

Other Finite-Lived Intangible Assets

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

(In millions)	Cost		Accumulated Amortization	Net Carrying Value
2021
Customer relationships	$	29,997	4,539	25,458
Trade Name - Express Scripts	8,400			8,400
Other	447		81	366
Other intangible assets	38,844		4,620	34,224
Value of business acquired ("VOBA" reported in Deferred policy acquisition costs)	646		171	475
Total (1)	$	39,490	4,791	34,699
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

(1) Includes $386 million of VOBA and $122 million of Other intangible assets classified as Assets of businesses held for sale.

Property and Equipment

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

(In millions)	Cost		Accumulated Amortization		Net Carrying Value
2021
Internal-use software	$	7,869	$	5,060	$	2,809
Other property and equipment	2,839		1,653		1,186
Total	10,708		6,713		3,995
Property and equipment classified as Assets of businesses held for sale	(424)		(121)		(303)
Total Property and equipment per Consolidated Balance Sheets	$	10,284	$	6,592	$	3,692
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

Components of Depreciation and Amortization Expense

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

(In millions)	2021		2020		2019
Internal-use software	$	1,097	$	971	$	850
Other property and equipment	253		276		284
Value of business acquired (reported in Deferred policy acquisition costs)	25		28		34
Other intangibles	1,548		1,527		2,483
Total depreciation and amortization	$	2,923	$	2,802	$	3,651

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
2022	$	2,651
2023	$	2,293
2024	$	1,961
2025	$	1,792
2026	$	1,543