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Segment and Geographic Information (Detail) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Entity Wide Revenue Major Customer [Line Items]                      
Total revenues $ 5,163.0 $ 5,369.4 $ 5,353.9 $ 5,138.9 $ 5,340.2 $ 5,754.6 $ 6,049.7 $ 5,675.9 $ 21,025.2 $ 22,820.4 $ 24,621.9
Total operating income 1,999.5 $ 2,417.7 $ 2,262.3 $ 2,143.1 2,144.2 $ 3,079.4 $ 2,295.1 $ 2,034.0 8,822.6 9,552.7 7,744.5
Total assets 32,811.2       33,803.7       32,811.2 33,803.7 31,023.9
Total capital expenditures                 2,741.7 1,853.7 1,821.1
Depreciation and amortization                 1,482.0 1,363.4 1,516.5
U.S.                      
Entity Wide Revenue Major Customer [Line Items]                      
Total revenues                 7,665.8 8,006.4 8,252.7
Total operating income                 4,015.6 4,022.4 3,768.7
Total assets 14,483.8       12,648.6       14,483.8 12,648.6 11,960.6
Total capital expenditures                 1,849.8 861.2 586.7
Depreciation and amortization                 598.4 524.1 510.3
International Lead Markets [Member]                      
Entity Wide Revenue Major Customer [Line Items]                      
Total revenues                 7,600.1 7,340.3 7,223.4
Total operating income                 3,485.7 3,166.5 2,838.4
Total assets 12,713.0       11,844.3       12,713.0 11,844.3 9,112.5
Total capital expenditures                 436.4 515.3 635.6
Depreciation and amortization                 472.9 461.1 451.6
High-Growth Markets [Member]                      
Entity Wide Revenue Major Customer [Line Items]                      
Total revenues                 3,988.7 5,533.2 6,160.7
Total operating income                 1,001.2 2,001.4 1,048.8
Total assets 4,404.9       4,480.7       4,404.9 4,480.7 5,208.6
Total capital expenditures                 285.6 378.5 493.2
Depreciation and amortization                 233.0 231.7 362.0
Foundational Markets and Corporate [Member]                      
Entity Wide Revenue Major Customer [Line Items]                      
Total revenues                 1,770.6 1,940.5 2,985.1
Total operating income                 320.1 362.4 88.6
Total assets $ 1,209.5       $ 4,830.1       1,209.5 4,830.1 4,742.2
Total capital expenditures                 169.9 98.7 105.6
Depreciation and amortization                 $ 177.7 $ 146.5 $ 192.6