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Goodwill, Other Intangibles and Property and Equipment
12 Months Ended
Dec. 31, 2022
Goodwill Other Intangibles And Property And Equipment [Abstract]  
Goodwill, Other Intangibles, and Property and Equipment
Note 19 – Goodwill, Other Intangibles and Property and Equipment
A.Goodwill
Accounting policy. Goodwill represents the excess of the cost of businesses acquired over the fair value of their net assets. The resulting goodwill is assigned to those reporting units expected to realize cash flows from the acquisition, based on those reporting units' relative fair values. The Company's reporting units are aligned with its operating segments as described in Note 1.
The Company conducts its annual quantitative evaluation for goodwill impairment during the third quarter at the reporting unit level and writes it down through shareholders' net income if impaired. On a quarterly basis, the Company performs a qualitative impairment assessment to determine if events or changes in circumstances indicate that it is more likely than not that the carrying value of a reporting unit exceeds its estimated fair value. Fair value of a reporting unit is generally estimated based on discounted cash flow analysis and market approach models using assumptions that the Company believes a hypothetical market participant would use to determine a current transaction price. The significant assumptions and estimates used in determining fair value primarily include the discount rate and future cash flows. A discount rate is selected to correspond with each reporting unit's weighted average cost of capital, consistent with that used for investment decisions considering the specific and detailed operating plans and strategies within each reporting unit. Projections of future cash flows differ by reporting unit and are consistent with our ongoing strategic projections. Future cash flows for Evernorth Health Services are primarily driven by the forecasted gross margins of the business, as well as operating expenses and long-term growth rates. Future cash flows for our other reporting units are primarily driven by forecasted revenues, benefit expenses, operating expenses and long-term growth rates.
Goodwill activity. Goodwill activity was as follows:
(In millions)Evernorth Health ServicesCigna HealthcareOther OperationsTotal
Balance at January 1, 2021
$33,806 $10,577 $265 $44,648 
Goodwill acquired1,322 116 — 1,438 
Goodwill disposed— (10)— (10)
Impact of foreign currency translation and other adjustments— — (31)(31)
Goodwill at December 31, 2021 (1)
35,128 10,683 234 46,045 
Goodwill disposed  (234)(234)
Impact of foreign currency translation and other adjustments2 (2)  
Goodwill at December 31, 2022
$35,130 $10,681 $ $45,811 
(1) Includes $234 million classified as Assets of businesses held for sale, all reported within Other Operations.
B.Other Intangible Assets
Accounting policy. The Company's Other intangible assets primarily include purchased customer and producer relationships, provider networks and trademarks. The fair value of purchased customer relationships and the amortization method were determined as of the dates of purchase using an income approach that relies on projected future net cash flows including key assumptions for customer attrition and discount rates. The Company's definite-lived intangible assets are amortized on an accelerated or straight-line basis, reflecting their pattern of economic benefits, over periods from three to 30 years. Management revises amortization periods if it believes there has been a change in the length of time that an intangible asset will continue to have value. Costs incurred to renew or extend the terms of these intangible assets are generally expensed as incurred.
The Company's amortized intangible assets are tested for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. If the total of the expected future undiscounted cash flows generated by the underlying asset group is less than the carrying amount of the asset group, the Company recognizes an impairment charge equal to the difference between the carrying value of the asset group and its estimated fair value. The Company's indefinite-lived intangible assets are reviewed for impairment at least annually by comparing their fair value with their carrying value. If the carrying value exceeds fair value, that excess is recognized as an impairment loss.
There were no material impairments in the years ended December 31, 2022, 2021 or 2020.
Components of other assets, including other intangibles. Other intangible assets were comprised of the following:
(In millions)CostAccumulated AmortizationNet Carrying Value
December 31, 2022   
Customer relationships$29,974 6,099 23,875 
Trade Name - Express Scripts8,400 8,400 
Other348 131 217 
Other intangible assets38,722 6,230 32,492 
Value of business acquired ("VOBA" reported in Other assets)
210 133 77 
Total $38,932 6,363 32,569 
December 31, 2021
Customer relationships$29,997 4,539 25,458 
Trade Name - Express Scripts8,400 8,400 
Other447 81 366 
Other intangible assets38,844 4,620 34,224 
Value of business acquired (reported in Other assets)
646 171 475 
Total (1)
$39,490 4,791 34,699 
(1) Includes $386 million of VOBA and $122 million of Other intangible assets intangible assets classified as Assets of businesses held for sale.
The Company has indefinite-lived intangible assets totaling $8.5 billion at December 31, 2022 and December 31, 2021, largely consisting of trade names and licenses.
C.Property and Equipment
Accounting policy. Property and equipment is carried at cost less accumulated depreciation. Cost includes interest, real estate taxes and other costs incurred during construction when applicable. Internal-use software that is acquired, developed or modified solely to
meet the Company's internal needs, with no plan to market externally, is also included in this category. Costs directly related to acquiring, developing or modifying internal-use software are capitalized.
The Company calculates depreciation and amortization principally using the straight-line method generally based on the estimated useful life of each asset as follows: buildings and improvements, 10 to 40 years; purchased software, three to five years; internally developed software, three to seven years and furniture and equipment (including computer equipment), three to 10 years. Improvements to leased facilities are depreciated over the lesser of the remaining lease term or the estimated life of the improvement. The Company considers events and circumstances that would indicate the carrying value of property, equipment or capitalized software might not be recoverable. An impairment charge is recorded if the Company determines the carrying value of any of these assets is not recoverable. The Company also reviews and shortens the estimated useful lives of these assets, if necessary.
Components of property and equipment. Property and equipment was comprised of the following:
(In millions)CostAccumulated AmortizationNet Carrying Value
December 31, 2022   
Internal-use software$8,948 $6,100 $2,848 
Other property and equipment2,256 1,330 926 
Total property and equipment$11,204 $7,430 $3,774 
December 31, 2021
Internal-use software$7,869 $5,060 $2,809 
Other property and equipment2,839 1,653 1,186 
Total10,708 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 
Components of depreciation and amortization. Depreciation and amortization expense was comprised of the following:
For the Years Ended December 31,
(In millions)202220212020
Internal-use software$1,068 $1,097 $971 
Other property and equipment251 253 276 
Value of business acquired (reported in Other assets)
12 25 28 
Other intangibles1,606 1,548 1,527 
Total depreciation and amortization$2,937 $2,923 $2,802 
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
2023$2,804 
2024$2,302 
2025$1,988 
2026$1,583 
2027$1,523