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Goodwill and Other Intangibles
12 Months Ended
Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Other Intangibles Goodwill and Other Intangibles
Goodwill

Below is a summary of the changes in the carrying amount of goodwill by segment for the years ended December 31, 2024 and 2023:
In millionsHealth Care
Benefits
Health
Services
Pharmacy &
Consumer
Wellness
Total
Balance at December 31, 2022$44,159 $23,615 $10,376 $78,150 
Segment realignment(109)109 — — 
Acquisitions2,594 10,342 186 13,122 
Balance at December 31, 202346,644 34,066 10,562 91,272 
Balance at December 31, 2024$46,644 $34,066 $10,562 $91,272 

There were no changes to the carrying amount of the Company’s goodwill during the year ended December 31, 2024.

During the year ended December 31, 2023, the increase in the carrying amount of goodwill was primarily driven by the acquisitions of Oak Street Health and Signify Health. See Note 2 ‘‘Acquisitions, Divestitures and Asset Sales’’ for additional information.

During the fourth quarter of 2024 and 2023, and the third quarter of 2022, the Company performed its required annual impairment tests of goodwill. The results of these impairment tests indicated that there was no impairment of goodwill.

At December 31, 2024 and 2023, cumulative goodwill impairments were $6.6 billion.
Intangible Assets

The following table is a summary of the Company’s intangible assets as of December 31, 2024 and 2023:
In millions, except weighted average lifeGross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
Weighted
Average
Life (years)
2024
Trademarks (indefinite-lived)$10,498 $— $10,498 N/A
Customer contracts/relationships and covenants not to compete26,904 (13,889)13,015 14.2
Technology1,250 (1,167)83 3.0
Provider networks4,203 (1,282)2,921 20.0
Value of Business Acquired 590 (228)362 20.0
Other826 (382)444 9.3
Total$44,271 $(16,948)$27,323 14.5
2023
Trademarks (indefinite-lived)$10,498 $— $10,498 N/A
Customer contracts/relationships and covenants not to compete26,784 (12,241)14,543 14.2
Technology1,253 (1,104)149 3.0
Provider networks4,203 (1,072)3,131 20.0
Value of Business Acquired 590 (201)389 20.0
Other838 (314)524 9.3
Total
$44,166 $(14,932)$29,234 14.5

Amortization expense for intangible assets totaled $2.0 billion, $1.9 billion and $1.8 billion for the years ended December 31, 2024, 2023 and 2022, respectively. The projected annual amortization expense for the Company’s intangible assets for the next five years is as follows:
In millions
2025$1,981 
20261,704 
20271,590 
20281,316 
20291,239