Goodwill, Other Intangibles and Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2022

Goodwill Other Intangibles And Property And Equipment [Abstract]

Goodwill Activity

Goodwill activity. Goodwill activity was as follows:

(In millions)	Evernorth Health Services		Cigna Healthcare		Other Operations		Total
Balance at January 1, 2021	$	33,806	$	10,577	$	265	$	44,648
Goodwill acquired	1,322		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 adjustments	2		(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.

Other Indefinite-Lived Intangible Assets

Other intangible assets were comprised of the following:

(In millions)	Cost		Accumulated Amortization	Net Carrying Value
December 31, 2022
Customer relationships	$	29,974	6,099	23,875
Trade Name - Express Scripts	8,400			8,400
Other	348		131	217
Other intangible assets	38,722		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 Scripts	8,400			8,400
Other	447		81	366
Other intangible assets	38,844		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.

Other Finite-Lived Intangible Assets

Other intangible assets were comprised of the following:

(In millions)	Cost		Accumulated Amortization	Net Carrying Value
December 31, 2022
Customer relationships	$	29,974	6,099	23,875
Trade Name - Express Scripts	8,400			8,400
Other	348		131	217
Other intangible assets	38,722		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 Scripts	8,400			8,400
Other	447		81	366
Other intangible assets	38,844		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.

Property and Equipment

Property and equipment was comprised of the following:

(In millions)	Cost		Accumulated Amortization		Net Carrying Value
December 31, 2022
Internal-use software	$	8,948	$	6,100	$	2,848
Other property and equipment	2,256		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 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

Components of Depreciation and Amortization Expense

Depreciation and amortization expense was comprised of the following:

	For the Years Ended December 31,
(In millions)	2022		2021		2020
Internal-use software	$	1,068	$	1,097	$	971
Other property and equipment	251		253		276
Value of business acquired (reported in Other assets)	12		25		28
Other intangibles	1,606		1,548		1,527
Total depreciation and amortization	$	2,937	$	2,923	$	2,802

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
2023	$	2,804
2024	$	2,302
2025	$	1,988
2026	$	1,583
2027	$	1,523