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v3.25.3

Acquisitions and Divestitures (Detail) - USD ($) $ / shares in Units, $ in Millions |  | 3 Months Ended | 9 Months Ended |
--- | --- | --- | --- | ---
Nov. 04, 2024 | Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024 | Nov. 30, 2024
Business Acquisition |  |  |  |  |  |
Debt repayments |  |  |  | $ 15,772 | $ 10,619 |
Operating |  | $ (3,833) | $ (3,399) | (11,319) | (9,830) |
Selling, general and administrative |  | $ (665) | $ (525) | (2,048) | $ (1,517) |
Contingent consideration paid for acquisitions closed in previous year |  |  |  | 8 |  |
Stericycle [Member] |  |  |  |  |  |
Business Acquisition |  |  |  |  |  |
Business acquisition cost (dollars per share) | $ 62 |  |  |  |  |
Total consideration, net of cash acquired | $ 7,200 |  |  |  |  |
Debt incurred for acquisition | 500 |  |  |  |  |
Debt repayments | $ 800 |  |  |  |  |
Stericycle [Member] | Senior Notes, Aggregate [Member] |  |  |  |  |  |
Business Acquisition |  |  |  |  |  |
Debt instrument face amount |  |  |  |  |  | $ 5,200
2025 Business Acquisitions [Member] |  |  |  |  |  |
Business Acquisition |  |  |  |  |  |
Total consideration, net of cash acquired |  |  |  | 442 |  |
Business acquisitions cash payments |  |  |  | 399 |  |
Other consideration |  |  |  | $ 43 |  |

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