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v3.25.4

Acquisitions and Divestitures (Details) £ in Millions, $ in Millions |  |  | 1 Months Ended | 3 Months Ended | 12 Months Ended |  |
--- | --- | --- | --- | --- | --- | --- | ---
Jan. 12, 2024 USD ($) | Dec. 02, 2022 USD ($) | Dec. 31, 2025 USD ($) | Apr. 30, 2023 USD ($) | Sep. 30, 2025 USD ($) | Dec. 31, 2025 USD ($) | Dec. 31, 2024 USD ($) | Dec. 31, 2023 USD ($) | Aug. 31, 2023 USD ($) | Aug. 31, 2023 GBP (£) | Jan. 20, 2023 USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |
Gain (loss) on divestiture |  |  |  |  |  | $ 2 | $ 120 | $ 152 |  |  |
Goodwill impairment |  |  |  |  | $ 6,723 |  |  |  |  |  |
Net tax benefit |  |  |  |  |  | 51 | (963) | (899) |  |  |
Foreign currency swap agreement |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |
Derivative notional amount |  |  |  |  |  |  |  |  | $ 931 | £ 740 |
Magellan Rx | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |
Proceeds from divestitures |  | $ 1,337 |  |  |  |  |  |  |  |  |
Gain (loss) on divestiture |  | 269 |  |  |  | 2 |  | (22) |  |  |
Gain (loss) on divestitures, net of tax |  | $ 99 |  |  |  | 1 |  | (10) |  |  |
Magellan Specialty Health | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |
Proceeds from divestitures |  |  |  | $ 245 |  |  |  |  |  |  |
Gain (loss) on divestiture |  |  |  |  |  |  | 83 | 79 |  |  |
Gain (loss) on divestitures, net of tax |  |  |  |  |  |  |  | 68 |  |  |
Consideration on divestiture |  |  |  |  |  |  |  |  |  |  | $ 646
Circle Health | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |
Proceeds from divestitures | $ 931 |  |  |  |  |  |  |  |  |  |
Gain (loss) on divestiture |  |  |  |  |  |  | 20 |  |  |  |
Net tax benefit |  |  |  |  |  |  | 40 |  |  |  |
Circle Health | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |
Goodwill impairment |  |  |  |  |  |  |  | 292 |  |  |
Goodwill impairment, net of tax |  |  |  |  |  |  |  | $ 258 |  |  |
Collaborative Health Systems | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |
Gain (loss) on divestiture |  |  |  |  |  |  | 17 |  |  |  |
Gain (loss) on divestitures, net of tax |  |  |  |  |  |  | $ 13 |  |  |  |
Magellan Health | Disposal Group, Held-for-Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |
Goodwill impairment |  |  | $ 513 |  |  |  |  |  |  |  |
Goodwill impairment, net of tax |  |  | 389 |  |  |  |  |  |  |  |
Assets held for sale |  |  | 303 |  |  | 303 |  |  |  |  |
Liabilities held for sale |  |  | $ 303 |  |  | $ 303 |  |  |  |  |

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