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Segment Reporting - Reconciliation of Consolidated Operating Income to Adjusted Operating Income (Details) $ in Millions | 1 Months Ended | 3 Months Ended | 9 Months Ended
--- | --- | --- | ---
Sep. 30, 2024 store | Sep. 30, 2024 USD ($) | Sep. 30, 2023 USD ($) | Sep. 30, 2024 USD ($) | Sep. 30, 2023 USD ($)
Segment Reporting [Abstract] |  |  |  |  |
Operating income (GAAP measure) |  | $ 832 | $ 3,690 | $ 6,148 | $ 10,370
Amortization of intangible assets |  | 507 | 509 | 1,522 | 1,396
Net realized capital (gains) losses |  | (19) | 142 | 89 | 345
Acquisition-related transaction and integration costs |  | 41 | 94 | 203 | 294
Restructuring charges |  | 1,169 | 11 | 1,169 | 507
Office real estate optimization charges |  | 17 | 10 | 17 | 46
Opioid litigation charges |  | 0 | 0 | 100 | 0
Loss on assets held for sale |  | 0 | 0 | 0 | 349
Adjusted operating income |  | $ 2,547 | $ 4,456 | $ 9,248 | $ 13,307
Number of estimated store closures | store | 271 |  |  |  |

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- Definition The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 45 -Paragraph 28 -Subparagraph (b) -SubTopic 10 -Topic 230 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482740/230-10-45-28 Reference 2: http://www.xbrl.org/2003/role/exampleRef -Topic 350 -SubTopic 30 -Name Accounting Standards Codification -Section 55 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482640/350-30-55-40 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 350 -SubTopic 30 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (a)(2) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482665/350-30-50-2 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 350 -SubTopic 30 -Name Accounting Standards Codification -Section 45 -Paragraph 2 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482686/350-30-45-2 + Details
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