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Accrued Expenses - Accrued Expenses (Detail) - USD ($)
$ in Millions
Dec. 31, 2021
Dec. 31, 2020
Payables and Accruals [Abstract]    
Compensation, including bonuses, fringe benefits and payroll taxes $ 946 $ 852
Restructuring 30 53
Interest 56 55
Client contract related 884 849
Professional fees 102 92
Contingent consideration and deferred purchase price 31 59
Other 311 272
Total $ 2,360 $ 2,232