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Income taxes - reconciliations between statutory federal income tax rate and effective income tax rate (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Income Tax Disclosure [Abstract]      
Federal statutory rate 21.00% 21.00% 35.00%
Tax effect of international items (11.30%) (3.30%) (25.70%)
Impacts of the TCJA 0 (0.010) 0.379
Legal entity merger - deferred taxes (38.00%) 0.00% 0.00%
Excess tax benefits related to share-based compensation (4.50%) (7.20%) (2.30%)
State taxes, net of federal benefit (4.90%) (0.10%) 0.10%
Uncertain tax contingencies 0.00% (0.40%) (1.80%)
Contingent consideration 3.40% 5.30% 0.40%
Intellectual property impairment charge 0.00% (2.00%) 0.00%
Research and development tax credit (1.10%) (1.60%) (0.80%)
Other, net (0.50%) (0.10%) 2.70%
Effective income tax rate, total (35.90%) 10.60% 45.50%
Increase (decrease) in deferred tax liability due to merger of foreign subsidiaries $ (129)