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Goodwill and Other Intangibles - Narrative (Details) - USD ($) $ in Millions | 3 Months Ended | 12 Months Ended
--- | --- | ---
Sep. 30, 2021 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Goodwill [Line Items] |  |  |  |
Goodwill impairment |  | $ 0 | $ 0 | $ 431
Goodwill |  | 91,272 | 78,150 | 79,121
Cumulative goodwill impairments |  | 6,600 | 6,600 |
Amortization of intangible assets |  | $ 1,905 | $ 1,785 | 2,233
Long-Term Care Reporting Unit |  |  |  |
Goodwill [Line Items] |  |  |  |
Goodwill impairment | $ 431 |  |  |
Goodwill |  |  |  | $ 0

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