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Segment Information - Summary of Special Items (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2023
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Pre-tax        
(Gain) loss on sale of business   $ 1,499 $ (1,662) $ 0
Charge for organizational efficiency plan (Selling, general and administrative expenses) $ 252 252 22 168
(Benefits) charges associated with litigation matters (Selling, general and administrative expenses)   201 (28) (27)
Integration and transaction-related costs, pre-tax   45 135 169
Deferred tax (benefits), net (Income taxes, less amount attributable to noncontrolling interests)   0 0 0
Debt extinguishment costs   0 0 141
Total impact from special items   1,997 (1,533) 451
After-tax        
(Gain) loss on sale of business, after-tax   1,429 (1,332) 0
Charge for organizational efficiency plan, after-tax (Selling, general and administrative expenses) $ 193 193 17 119
(Benefits) charges associated with litigation matters, after-tax (Selling, general and administrative expenses)   171 (20) (21)
Integration and transaction-related costs, after-tax (Selling, general and administrative expenses)   35 103 71
Deferred tax (benefits), net, after-tax (Income taxes, less amount attributable to noncontrolling interests)   (1,071) 0 0
Debt extinguishment costs, after-tax   0 0 110
Total impact from special items   $ 757 $ (1,232) $ 279