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Goodwill, Other Intangibles and Property and Equipment (Tables)
 12 Months Ended
Dec. 31, 2024
Goodwill Other Intangibles And Property And Equipment [Abstract]  
Goodwill Activity
Goodwill Activity. Goodwill activity was as follows:
(In millions)Evernorth Health ServicesCigna HealthcareTotal
Balance at January 1, 2023
$35,130 $10,681 $45,811 
Goodwill transferred to assets of businesses held for sale(1)
— (1,553)(1,553)
Impact of foreign currency translation and other adjustments— 1 1 
Goodwill at December 31, 2023
35,130 9,129 44,259 
Goodwill acquired114 — 114 
Impact of foreign currency translation and other adjustments190 (193)(3)
Goodwill at December 31, 2024
$35,434 $8,936 $44,370 
(1) See Note 5 to the Consolidated Financial Statements for further discussion of 2024 and 2023 goodwill impairments.
Other Indefinite-Lived Intangible Assets Other intangible assets were comprised of the following:
(In millions)CostAccumulated AmortizationNet Carrying Value
December 31, 2024   
Customer relationships$29,971 $9,119 $20,852 
Trade name - Express Scripts8,400 8,400 
Other316 131 185 
Other intangible assets (1)
38,687 9,250 29,437 
Value of business acquired ("VOBA" reported in Other assets) (2)
211 142 69 
Total$38,898 $9,392 $29,506 
December 31, 2023
Customer relationships$29,978 $7,645 $22,333 
Trade name - Express Scripts8,400 8,400 
Other317 110 207 
Other intangible assets (1)
38,695 7,755 30,940 
Value of business acquired (reported in Other assets) (2)
211 142 69 
Total$38,906 $7,897 $31,009 
(1) Includes $20 million and $77 million of Other intangible assets classified as assets of businesses held for sale as of December 31, 2024 and December 31, 2023, respectively.
(2) Includes $69 million of VOBA classified as assets of businesses held for sale as of both December 31, 2024 and December 31, 2023.
Other Finite-Lived Intangible Assets Other intangible assets were comprised of the following:
(In millions)CostAccumulated AmortizationNet Carrying Value
December 31, 2024   
Customer relationships$29,971 $9,119 $20,852 
Trade name - Express Scripts8,400 8,400 
Other316 131 185 
Other intangible assets (1)
38,687 9,250 29,437 
Value of business acquired ("VOBA" reported in Other assets) (2)
211 142 69 
Total$38,898 $9,392 $29,506 
December 31, 2023
Customer relationships$29,978 $7,645 $22,333 
Trade name - Express Scripts8,400 8,400 
Other317 110 207 
Other intangible assets (1)
38,695 7,755 30,940 
Value of business acquired (reported in Other assets) (2)
211 142 69 
Total$38,906 $7,897 $31,009 
(1) Includes $20 million and $77 million of Other intangible assets classified as assets of businesses held for sale as of December 31, 2024 and December 31, 2023, respectively.
(2) Includes $69 million of VOBA classified as assets of businesses held for sale as of both December 31, 2024 and December 31, 2023.
Property and Equipment Property and equipment was comprised of the following:
(In millions)CostAccumulated AmortizationNet Carrying Value
December 31, 2024   
Internal-use software$11,295 $8,167 $3,128 
Other property and equipment2,115 1,287 828 
Total property and equipment (1)
13,410 9,454 3,956 
December 31, 2023
Internal-use software$10,155 $7,161 $2,994 
Other property and equipment2,282 1,405 877 
Total property and equipment (1)
12,437 8,566 3,871 
(1)Includes $302 million and $176 million of Property and equipment net carrying value classified as assets of businesses held for sale as of December 31, 2024 and December 31, 2023, respectively.
Components of Depreciation and Amortization Expense Depreciation and amortization expense was comprised of the following:
For the Years Ended December 31,
(In millions)202420232022
Internal-use software$1,021 $1,216 $1,068 
Other property and equipment248 260 251 
Value of business acquired (reported in Other assets)
— 7 12 
Other intangibles1,506 1,552 1,606 
Total depreciation and amortization$2,775 $3,035 $2,937 
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
2025$2,339 
2026$2,050 
2027$2,015 
2028$1,943 
2029$1,557