XML 54 R37.htm IDEA: XBRL DOCUMENT v3.8.0.1
Borrowings and Credit Agreements - Additional Information (Details) - USD ($)
3 Months Ended
Mar. 09, 2018
Dec. 03, 2017
Mar. 31, 2018
Dec. 31, 2017
Dec. 15, 2017
Borrowings and Credit Agreements          
Carrying amount of long-term debt     $ 65,100,000,000    
Aetna Acquisition          
Borrowings and Credit Agreements          
Redemption percentage     101.00%    
Unsecured senior notes of $40 billion          
Borrowings and Credit Agreements          
Debt instrument, face amount $ 40,000,000,000        
Proceeds from issuance of debt 39,400,000,000        
Carrying amount of long-term debt 40,000,000,000        
3.125% senior notes due 2020          
Borrowings and Credit Agreements          
Debt instrument, face amount $ 2,000,000,000        
Interest rate, stated percentage 3.125%        
Floating rate notes due 2020          
Borrowings and Credit Agreements          
Debt instrument, face amount $ 1,000,000,000        
3.35% senior notes due 2021          
Borrowings and Credit Agreements          
Debt instrument, face amount $ 3,000,000,000        
Interest rate, stated percentage 3.35%        
Floating rate notes due 2021          
Borrowings and Credit Agreements          
Debt instrument, face amount $ 1,000,000,000        
3.7% senior notes due 2023          
Borrowings and Credit Agreements          
Debt instrument, face amount $ 6,000,000,000        
Interest rate, stated percentage 3.70%        
4.1% senior notes due 2025          
Borrowings and Credit Agreements          
Debt instrument, face amount $ 5,000,000,000        
Interest rate, stated percentage 4.10%        
4.3% senior notes due 2028          
Borrowings and Credit Agreements          
Debt instrument, face amount $ 9,000,000,000        
Interest rate, stated percentage 4.30%        
4.78% senior notes due 2038          
Borrowings and Credit Agreements          
Debt instrument, face amount $ 5,000,000,000        
Interest rate, stated percentage 4.78%        
5.05% senior notes due 2048          
Borrowings and Credit Agreements          
Debt instrument, face amount $ 8,000,000,000        
Interest rate, stated percentage 5.05%        
Term loan in connection with Aetna purchase | Aetna Acquisition          
Borrowings and Credit Agreements          
Debt instrument, face amount         $ 5,000,000,000
Unsecured Backup Credit Facilities          
Borrowings and Credit Agreements          
Commitment fee percentage     0.02%    
Long-term line of credit     $ 0 $ 0  
Unsecured Backup Credit Facilities | Unsecured Backup Credit Facility Expiring May 17, 2018          
Borrowings and Credit Agreements          
Maximum borrowing capacity     $ 1,000,000,000    
Line of credit facility term (in years)     364 days    
Unsecured Backup Credit Facilities | Unsecured Backup Credit Facility Expiring July 24, 2019          
Borrowings and Credit Agreements          
Maximum borrowing capacity     $ 1,250,000,000    
Line of credit facility term (in years)     5 years    
Unsecured Backup Credit Facilities | Unsecured Backup Credit Facility Expiring July 1, 2020          
Borrowings and Credit Agreements          
Maximum borrowing capacity     $ 1,250,000,000    
Line of credit facility term (in years)     5 years    
Unsecured Backup Credit Facilities | Unsecured Backup Credit Facility Expiring May 18, 2022          
Borrowings and Credit Agreements          
Maximum borrowing capacity     $ 1,000,000,000    
Line of credit facility term (in years)     5 years    
Unsecured Debt | Unsecured Bridge Loan | Aetna Acquisition          
Borrowings and Credit Agreements          
Debt issuance fees paid   $ 221,000,000      
Amortization of loan facility fees     $ 161,000,000    
Debt instrument, face amount   $ 49,000,000,000     $ 44,000,000,000
Carrying amount of long-term debt $ 4,000,000,000        
Extension fees paid for extension of bridge loan facility $ 8,000,000