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Goodwill and Intangible Assets - Narrative (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Jul. 31, 2021
Goodwill [Line Items]        
Goodwill impairment $ 370      
Amortization expense 817 $ 770 $ 719  
Circle Health        
Goodwill [Line Items]        
Percentage of voting interests acquired       60.00%
Specialty Services        
Goodwill [Line Items]        
Goodwill impairment 304      
Specialty Services | Federal Services        
Goodwill [Line Items]        
Goodwill impairment $ 216