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Segment and Related Information - Summary information (Detail) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Segment Reporting Information [Line Items]        
Assets $ 21,829 $ 22,650 $ 21,829 $ 20,859
Goodwill, Beginning Balance   6,247 6,215  
Acquired goodwill   248 39  
Divested goodwill   (25) (1)  
Impairments (34) (6) (34) (12)
Foreign currency translation   (34) 28  
Goodwill, Ending Balance 6,247 6,430 6,247 6,215
Tier 1 [Member]        
Segment Reporting Information [Line Items]        
Goodwill, Beginning Balance   2,221 2,203  
Acquired goodwill   88 12  
Divested goodwill   (6)    
Foreign currency translation   (7) 6  
Goodwill, Ending Balance 2,221 2,296 2,221 2,203
Tier 2 [Member]        
Segment Reporting Information [Line Items]        
Goodwill, Beginning Balance   1,237 1,196  
Acquired goodwill   17 20  
Divested goodwill     (1)  
Foreign currency translation   (27) 22  
Goodwill, Ending Balance 1,237 1,227 1,237 1,196
Tier 3 [Member]        
Segment Reporting Information [Line Items]        
Goodwill, Beginning Balance   2,668 2,661  
Acquired goodwill   142 7  
Goodwill, Ending Balance 2,668 2,810 2,668 2,661
Other [Member]        
Segment Reporting Information [Line Items]        
Goodwill, Beginning Balance   121 155  
Acquired goodwill   1    
Divested goodwill   (19)    
Impairments   (6) (34)  
Goodwill, Ending Balance 121 97 121 155
Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Assets 22,116 22,896 22,116 21,137
Operating Segments [Member] | Tier 1 [Member]        
Segment Reporting Information [Line Items]        
Assets 6,528 6,958 6,528 6,188
Operating Segments [Member] | Tier 2 [Member]        
Segment Reporting Information [Line Items]        
Assets 3,749 3,761 3,749 3,562
Operating Segments [Member] | Tier 3 [Member]        
Segment Reporting Information [Line Items]        
Assets 8,727 9,119 8,727 8,497
Operating Segments [Member] | Other [Member]        
Segment Reporting Information [Line Items]        
Assets 1,785 1,571 1,785 1,489
Elimination of Intercompany Investments and Advances [Member]        
Segment Reporting Information [Line Items]        
Assets $ (287) $ (246) $ (287) $ (278)