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Significant Accounting Policies - Property and Equipment (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Property, Plant and Equipment      
Property and equipment, gross $ 24,290 $ 22,802  
Accumulated depreciation and amortization (13,998) (12,627)  
Property and equipment, net 10,292 10,175  
Property and equipment under capital leases 588 547  
Capital leases, accumulated depreciation 140 119  
Depreciation expense 1,700 1,700 $ 1,500
Land      
Property, Plant and Equipment      
Property and equipment, gross 1,707 1,734  
Furniture and Fixtures      
Property, Plant and Equipment      
Property and equipment, gross 11,963 10,956  
Leasehold Improvements      
Property, Plant and Equipment      
Property and equipment, gross 4,793 4,494  
Building and Building Improvements      
Property, Plant and Equipment      
Property and equipment, gross 3,343 3,226  
Software      
Property, Plant and Equipment      
Property and equipment, gross $ 2,484 $ 2,392  
Minimum | Building      
Property, Plant and Equipment      
Estimated useful life (in years) 10 years    
Minimum | Building Improvements      
Property, Plant and Equipment      
Estimated useful life (in years) 10 years    
Minimum | Furniture and Fixtures      
Property, Plant and Equipment      
Estimated useful life (in years) 3 years    
Minimum | Leasehold Improvements      
Property, Plant and Equipment      
Estimated useful life (in years) 10 years    
Minimum | Equipment      
Property, Plant and Equipment      
Estimated useful life (in years) 3 years    
Minimum | Software and Software Development Costs      
Property, Plant and Equipment      
Estimated useful life (in years) 3 years    
Maximum | Building      
Property, Plant and Equipment      
Estimated useful life (in years) 40 years    
Maximum | Building Improvements      
Property, Plant and Equipment      
Estimated useful life (in years) 40 years    
Maximum | Furniture and Fixtures      
Property, Plant and Equipment      
Estimated useful life (in years) 10 years    
Maximum | Leasehold Improvements      
Property, Plant and Equipment      
Estimated useful life (in years) 40 years    
Maximum | Equipment      
Property, Plant and Equipment      
Estimated useful life (in years) 10 years    
Maximum | Software and Software Development Costs      
Property, Plant and Equipment      
Estimated useful life (in years) 10 years