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Segments - Operations by Reportable Segments (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Segment Reporting Information    
Revenues $ 3,652 $ 3,568
Cost of revenues, exclusive of depreciation and amortization 2,398 2,323
Selling, general and administrative expenses 513 488
Segment profit 802 799
Depreciation and amortization (253) (255)
Restructuring costs (17) (7)
Income from operations 471 495
Technology & Analytics Solutions    
Segment Reporting Information    
Revenues 1,444 1,439
Cost of revenues, exclusive of depreciation and amortization 858 834
Segment profit 361 386
Research & Development Solutions    
Segment Reporting Information    
Revenues 2,026 1,934
Cost of revenues, exclusive of depreciation and amortization 1,386 1,322
Segment profit 428 401
Contract Sales & Medical Solutions    
Segment Reporting Information    
Revenues 182 195
Cost of revenues, exclusive of depreciation and amortization 154 167
Segment profit 13 12
Operating Segments | Technology & Analytics Solutions    
Segment Reporting Information    
Selling, general and administrative expenses 225 219
Operating Segments | Research & Development Solutions    
Segment Reporting Information    
Selling, general and administrative expenses 212 211
Operating Segments | Contract Sales & Medical Solutions    
Segment Reporting Information    
Selling, general and administrative expenses 15 16
General corporate and unallocated    
Segment Reporting Information    
Selling, general and administrative expenses 61 42
Segment profit $ (61) $ (42)