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Segment Reporting - Long-lived assets (Details) - USD ($) $ in Millions | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
--- | --- | --- | ---
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Long-Lived Assets | $ 23,688 | $ 21,653 |
Property, Plant and Equipment, Net | 2,859 | 2,446 |
Goodwill | 14,387 | 12,920 | $ 11,988
Intangible Assets, Net (Excluding Goodwill) | 6,003 | 5,902 |
Operating lease right-of-use assets | 439 | 386 |
U.S. |  |  |
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Long-Lived Assets | 1,300 | 1,241 |
Ireland |  |  |
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Long-Lived Assets | 598 | 478 |
Costa Rica |  |  |
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Long-Lived Assets | 373 | 246 |
Other countries |  |  |
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Long-Lived Assets | $ 587 | $ 481 |

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