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Goodwill and Other Intangibles - Goodwill (Details) - USD ($)
3 Months Ended 12 Months Ended
Sep. 30, 2019
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Goodwill [Roll Forward]        
Balance, beginning of the period   $ 78,678,000,000 $ 38,451,000,000  
Segment realignment   0    
Purchase accounting adjustments   1,071,000,000    
Acquisitions     46,788,000,000  
Foreign currency translation adjustments     (14,000,000)  
Other   0    
Divestiture of RxCrossroads subsidiary     (398,000,000)  
Impairments $ 0 0 (6,149,000,000) $ (181,000,000)
Balance, end of the period   79,749,000,000 78,678,000,000 38,451,000,000
Pharmacy Services        
Goodwill [Roll Forward]        
Balance, beginning of the period   23,388,000,000 21,819,000,000  
Segment realignment   194,000,000    
Purchase accounting adjustments   0    
Acquisitions     1,569,000,000  
Foreign currency translation adjustments     0  
Other   (1,000,000)    
Divestiture of RxCrossroads subsidiary     0  
Impairments     0  
Balance, end of the period   23,581,000,000 23,388,000,000 21,819,000,000
Retail/ LTC        
Goodwill [Roll Forward]        
Balance, beginning of the period   10,806,000,000 16,632,000,000  
Segment realignment   0    
Purchase accounting adjustments   0    
Acquisitions     735,000,000  
Foreign currency translation adjustments     (14,000,000)  
Other   1,000,000    
Divestiture of RxCrossroads subsidiary     (398,000,000)  
Impairments     (6,149,000,000) (181,000,000)
Balance, end of the period   10,807,000,000 10,806,000,000 16,632,000,000
Health Care Benefits        
Goodwill [Roll Forward]        
Balance, beginning of the period   44,484,000,000 0  
Segment realignment   (194,000,000)    
Purchase accounting adjustments   1,071,000,000    
Acquisitions     44,484,000,000  
Foreign currency translation adjustments     0  
Other   0    
Divestiture of RxCrossroads subsidiary     0  
Impairments     0  
Balance, end of the period   $ 45,361,000,000 $ 44,484,000,000 $ 0