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Debt - Long-Term Borrowings (Details) - USD ($)
1 Months Ended 12 Months Ended
Mar. 09, 2018
Dec. 15, 2017
Jul. 27, 2016
May 31, 2016
May 16, 2016
Dec. 31, 2018
Nov. 30, 2018
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Nov. 28, 2018
Debt Instrument [Line Items]                      
Debt face amount                     $ 2,000,000,000.0
Proceeds from debt net of issuance costs         $ 3,500,000,000            
Proceeds form derivative instruments               $ 446,000,000      
Unrealized gain (loss) on derivatives, net of tax               331,000,000      
Gain (loss) to be reclassified during next 12 months           $ 18,000,000   18,000,000      
Long-term debt gross           74,265,000,000   74,265,000,000 $ 27,170,000,000    
Loss on extinguishment of debt before write off     $ 97,000,000 $ 486,000,000              
Write off of debt issuance cost     4,000,000 50,000,000              
Debt extinguishment fees       6,000,000              
Loss on early extinguishment of debt     101,000,000 542,000,000       0 0 $ 643,000,000  
2018 Senior Notes                      
Debt Instrument [Line Items]                      
Debt face amount $ 40,000,000,000                    
Proceeds from debt net of issuance costs 39,400,000,000                    
Senior Notes | 2018 Senior Notes                      
Debt Instrument [Line Items]                      
Debt face amount 40,000,000,000.0                    
Senior Notes | 3.125% senior notes due March 2020                      
Debt Instrument [Line Items]                      
Debt face amount 2,000,000,000                    
Long-term debt gross           $ 2,000,000,000   $ 2,000,000,000 0    
Debt interest rate           3.125%   3.125%      
Senior Notes | 3.35% senior notes due March 2021                      
Debt Instrument [Line Items]                      
Debt face amount 3,000,000,000                    
Long-term debt gross           $ 3,000,000,000   $ 3,000,000,000 0    
Debt interest rate           3.35%   3.35%      
Senior Notes | Floating rate notes due March 2021                      
Debt Instrument [Line Items]                      
Debt face amount 1,000,000,000                    
Senior Notes | 3.7% senior notes due March 2023                      
Debt Instrument [Line Items]                      
Debt face amount 6,000,000,000                    
Long-term debt gross           $ 6,000,000,000   $ 6,000,000,000 0    
Debt interest rate           3.70%   3.70%      
Senior Notes | 4.3% senior notes due March 2028                      
Debt Instrument [Line Items]                      
Debt face amount 9,000,000,000                    
Long-term debt gross           $ 9,000,000,000   $ 9,000,000,000 0    
Debt interest rate           4.30%   4.30%      
Senior Notes | 4.78% senior notes due March 2038                      
Debt Instrument [Line Items]                      
Debt face amount 5,000,000,000                    
Long-term debt gross           $ 5,000,000,000   $ 5,000,000,000 0    
Debt interest rate           4.78%   4.78%      
Senior Notes | 5.05% senior notes due March 2048                      
Debt Instrument [Line Items]                      
Debt face amount 8,000,000,000                    
Long-term debt gross           $ 8,000,000,000   $ 8,000,000,000 0    
Debt interest rate           5.05%   5.05%      
Senior Notes | 4.1% senior notes due March 2025                      
Debt Instrument [Line Items]                      
Debt face amount 5,000,000,000                    
Long-term debt gross           $ 5,000,000,000   $ 5,000,000,000 0    
Debt interest rate           4.10%   4.10%      
Senior Notes | 3-Year tranche loan due November 2021                      
Debt Instrument [Line Items]                      
Debt term               3 years      
Senior Notes | 2.125% senior notes due June 2021                      
Debt Instrument [Line Items]                      
Debt face amount         $ 1,750,000,000            
Long-term debt gross           $ 1,750,000,000   $ 1,750,000,000 1,750,000,000    
Debt interest rate         2.125% 2.125%   2.125%      
Senior Notes | 2.875% senior notes due June 2026                      
Debt Instrument [Line Items]                      
Debt face amount         $ 1,750,000,000            
Long-term debt gross           $ 1,750,000,000   $ 1,750,000,000 1,750,000,000    
Debt interest rate         2.875% 2.875%   2.875%      
Senior Notes | Any And All Notes                      
Debt Instrument [Line Items]                      
Extinguishment of debt     $ 1,100,000,000 835,000,000              
Senior Notes | Senior Notes, 5.75% Due 2017                      
Debt Instrument [Line Items]                      
Debt interest rate         5.75%            
Senior Notes | Senior Notes, 6.60% Due 2019                      
Debt Instrument [Line Items]                      
Debt interest rate         6.60%            
Senior Notes | Senior Notes, 4.75% Due 2020                      
Debt Instrument [Line Items]                      
Debt interest rate         4.75%            
Senior Notes | Maximum Tender Offer Notes                      
Debt Instrument [Line Items]                      
Extinguishment of debt       $ 2,250,000,000 $ 1,500,000,000            
Senior Notes | 4.75% senior notes due December 2022                      
Debt Instrument [Line Items]                      
Long-term debt gross           $ 399,000,000   $ 399,000,000 399,000,000    
Debt interest rate         4.75% 4.75%   4.75%      
Senior Notes | 5% senior notes due December 2024                      
Debt Instrument [Line Items]                      
Long-term debt gross           $ 299,000,000   $ 299,000,000 299,000,000    
Debt interest rate         5.00% 5.00%   5.00%      
Senior Notes | 3.875% senior notes due July 2025                      
Debt Instrument [Line Items]                      
Long-term debt gross           $ 2,828,000,000   $ 2,828,000,000 2,828,000,000    
Debt interest rate         3.875% 3.875%   3.875%      
Senior Notes | 6.25% senior notes due June 2027                      
Debt Instrument [Line Items]                      
Long-term debt gross           $ 372,000,000   $ 372,000,000 372,000,000    
Debt interest rate         6.25% 6.25%   6.25%      
Senior Notes | 4.875% senior notes due July 2035                      
Debt Instrument [Line Items]                      
Long-term debt gross           $ 652,000,000   $ 652,000,000 652,000,000    
Debt interest rate         4.875% 4.875%   4.875%      
Senior Notes | 6.125% senior notes due September 2039                      
Debt Instrument [Line Items]                      
Long-term debt gross           $ 447,000,000   $ 447,000,000 447,000,000    
Debt interest rate         6.125% 6.125%   6.125%      
Senior Notes | 5.75% senior notes due May 2041                      
Debt Instrument [Line Items]                      
Long-term debt gross           $ 133,000,000   $ 133,000,000 133,000,000    
Debt interest rate         5.75% 5.75%   5.75%      
Notes Payable | Floating rate notes due March 2020                      
Debt Instrument [Line Items]                      
Debt face amount $ 1,000,000,000                    
Long-term debt gross           $ 1,000,000,000   $ 1,000,000,000 0    
Notes Payable | Floating rate notes due March 2021                      
Debt Instrument [Line Items]                      
Long-term debt gross           1,000,000,000   1,000,000,000 0    
Notes Payable | 3-Year and 5-Year Term Loan                      
Debt Instrument [Line Items]                      
Debt face amount                     5,000,000,000.0
Maximum borrowing capacity   $ 5,000,000,000.0                  
Notes Payable | 3-Year tranche loan due November 2021                      
Debt Instrument [Line Items]                      
Debt face amount                     3,000,000,000.0
Maximum borrowing capacity   $ 3,000,000,000.0                  
Debt term   3 years         3 years        
Long-term debt gross           3,000,000,000.0   $ 3,000,000,000.0 $ 0    
Notes Payable | 5-Year tranche loan due November 2023                      
Debt Instrument [Line Items]                      
Maximum borrowing capacity   $ 2,000,000,000.0                  
Debt term   5 years         5 years        
Repayments of Debt           $ 2,000,000,000.0          
Aetna Inc.                      
Debt Instrument [Line Items]                      
Assumed debt                     $ 8,098,000,000
Minimum | Aetna Inc.                      
Debt Instrument [Line Items]                      
Debt interest rate                     2.20%
Maximum | Aetna Inc.                      
Debt Instrument [Line Items]                      
Debt interest rate                     6.75%