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Stock-Based Compensation - Additional Information (Detail) - USD ($)
$ / shares in Units, shares in Millions, $ in Millions
3 Months Ended 9 Months Ended
Sep. 15, 2021
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Stock-based compensation cost   $ 41 $ 38 $ 127 $ 110
Employee stock options, granted (in shares)       0.2  
Employee stock options, weighted average grant date fair value (in usd per share)       $ 113.91  
RMS          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Shares granted, value, share-based payment arrangement, before forfeiture $ 32        
Unvested equity awards 5        
Stock-based compensation cost $ 27        
RMS | 2015 Equity Incentive Plan          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Number of shares authorized (shares) 1.2        
Restricted Stock          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Other than options, shares granted (in shares)       0.6  
Other than options, weighted average grant date fair value (in usd per share)       $ 286.08  
Award vesting period (in years)       4 years  
Unrecognized compensation expense   211   $ 211  
Weighted average period to recognize expense       2 years 6 months  
Employee Stock Option          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Award vesting period (in years)       4 years  
Unrecognized compensation expense   25   $ 25  
Weighted average period to recognize expense       2 years 3 months 18 days  
Performance Based Restricted Stock          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Other than options, shares granted (in shares)       0.1  
Other than options, weighted average grant date fair value (in usd per share)       $ 269.88  
Award vesting period (in years)       3 years  
Unrecognized compensation expense   $ 35   $ 35  
Weighted average period to recognize expense       2 years