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Borrowings and Credit Agreements - Additional Information (Details) - USD ($)
3 Months Ended 6 Months Ended
Mar. 09, 2018
Dec. 03, 2017
Jun. 30, 2018
Jun. 30, 2018
Dec. 31, 2017
Dec. 15, 2017
Borrowings and Credit Agreements            
Carrying amount of long-term debt     $ 65,100,000,000 $ 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       0.03%    
Long-term line of credit     0 $ 0 $ 0  
Unsecured Backup Credit Facilities | Unsecured Backup Credit Facility Expiring May 16 2019            
Borrowings and Credit Agreements            
Maximum borrowing capacity     1,750,000,000 $ 1,750,000,000    
Line of credit facility term (in years)       364 days    
Unsecured Backup Credit Facilities | Unsecured Backup Credit Facility Expiring May 17 2023            
Borrowings and Credit Agreements            
Maximum borrowing capacity     2,000,000,000 $ 2,000,000,000    
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 $ 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 $ 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     $ 8,000,000 $ 169,000,000    
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