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Goodwill and Other Intangible Assets (Tables)
9 Months Ended
Sep. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Changes in the Net Carrying Amount of Goodwill by Operating Segment
The changes in the net carrying amount of goodwill for the nine months ended September 30, 2024 are as follows (in millions):
Balance as of December 31, 2023$8,414 
Goodwill related to current year acquisitions7,192 
Goodwill related to current year disposals(82)
Foreign currency translation and other88 
Balance as of September 30, 2024$15,612 
Schedule of Other Intangible Assets by Asset Class
Other intangible assets by asset class are as follows (in millions):
 September 30, 2024December 31, 2023
 Gross Carrying AmountAccumulated
Amortization and Impairment
Net Carrying Amount Gross Carrying AmountAccumulated
Amortization and Impairment
Net Carrying Amount
Customer-related and contract-based$7,931 $1,967 $5,964 $1,873 $1,686 $187 
Tradenames 813 46 767 12 12 — 
Technology and other384 326 58 359 312 47 
Total$9,128 $2,339 $6,789 $2,244 $2,010 $234 
Schedule of Estimated Future Amortization Expense on Intangible Assets
The estimated future amortization for finite-lived intangible assets as of September 30, 2024 is as follows (in millions):
Remainder of 2024$180 
2025751 
2026678 
2027616 
2028564 
2029521 
Thereafter3,479 
Total$6,789