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Segment Reporting - Reconciliation from Operating Income to Adjusted Operating Income (Details) - USD ($)
$ in Millions
1 Months Ended 3 Months Ended 9 Months Ended
Jul. 31, 2020
Jun. 30, 2021
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Segment Reporting [Abstract]            
Operating income (GAAP measure)     $ 3,061 $ 3,249 $ 10,964 $ 11,387
Amortization of intangible assets     561 587 1,730 1,751
Acquisition-related integration costs     20 57 101 196
Goodwill impairment     431 0 431 0
Acquisition purchase price adjustment outside of measurement period     0 (271) (61) (271)
Adjusted operating income (loss)     $ 4,073 $ 3,622 13,165 13,063
Revenue, Major Customer [Line Items]            
Proceeds from sale of subsidiary         0 $ 834
Health Care Benefits            
Segment Reporting [Abstract]            
Goodwill impairment         $ 0  
Revenue, Major Customer [Line Items]            
Receipt related purchase price adjustment from acquisition   $ 61        
Health Care Benefits | Discontinued Operations, Disposed of by Sale | Coventry Health Care Workers Compensation business            
Revenue, Major Customer [Line Items]            
Proceeds from sale of subsidiary $ 850