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Income Taxes - Additional Information (Detail) - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016 | Dec. 31, 2015
Income Taxes [Line Items] |  |  |  |
Valuation allowance |  | $ 483 | $ 150 |
U.S Statutory tax rate, percent |  | 35.00% |  |
Deferred tax benefit due to reduced U.S tax rate and other effects of tax act |  | $ 283 |  |
U.S. income tax rate on accumulated foreign subsidiary earnings on cash and other current assets |  | 15.50% |  |
U.S. income tax rate on accumulated foreign subsidiary earnings on remaining earnings |  | 8.00% |  |
Tax cuts and jobs act of 2017, incomplete accounting, provisional income tax expense |  | $ 529 |  |
Provisional adjustment to valuation allowance on foreign tax credit due to 2017 Tax Act |  | $ 339 |  |
Foreign unremitted earnings |  |  | 9,300 |
Estimated federal and state income tax amounts net of applicable credits on foreign unremitted earnings |  |  | 2,600 |
Percentage of dividend exemption on foreign earnings |  | 100.00% |  |
Net interest and penalties |  | $ 3 | 6 | $ 3
Unrecognized interest and penalties expense |  | 15 | 11 |
Unrecognized tax benefits that, if recognized, would impact effective tax rate |  | 108 |  |
Gross unrecognized tax benefit liability |  | 107 | 74 |
Net indemnification receivables |  | 48 | 28 | 93
Decrease in gross unrecognized tax benefits |  |  | 75 |
Expected reduction in gross unrecognized tax benefits |  | 20 |  |
Baxalta Inc |  |  |  |
Income Taxes [Line Items] |  |  |  |
Decrease in gross unrecognized tax benefits |  |  | 37 |
Internal Revenue Service (IRS) |  |  |  |
Income Taxes [Line Items] |  |  |  |
Payment made for partially settlement on U.S. federal income tax audit for the period 2008-2013 |  |  | $ 303 |
Discontinued Operations |  |  |  |
Income Taxes [Line Items] |  |  |  |
Decrease in gross unrecognized tax benefits |  |  |  | $ 10
Scenario Forecast |  |  |  |
Income Taxes [Line Items] |  |  |  |
U.S Statutory tax rate, percent | 21.00% |  |  |
Earliest Tax Year | Internal Revenue Service (IRS) |  |  |  |
Income Taxes [Line Items] |  |  |  |
Income tax period under audit |  |  | 2008 |
Earliest Tax Year | Federal Ministry of Finance, Germany |  |  |  |
Income Taxes [Line Items] |  |  |  |
Income tax period under audit |  |  | 2008 |
Earliest Tax Year | Ministry of Economic Affairs and Finance, Italy |  |  |  |
Income Taxes [Line Items] |  |  |  |
Income tax period under audit |  |  | 2010 |
Latest Tax Year | Internal Revenue Service (IRS) |  |  |  |
Income Taxes [Line Items] |  |  |  |
Income tax period under audit |  |  | 2013 |
Latest Tax Year | Federal Ministry of Finance, Germany |  |  |  |
Income Taxes [Line Items] |  |  |  |
Income tax period under audit |  |  | 2011 |
Latest Tax Year | Ministry of Economic Affairs and Finance, Italy |  |  |  |
Income Taxes [Line Items] |  |  |  |
Income tax period under audit |  |  | 2012 |
Domestic Tax Authority |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards |  | 413 |  |
Foreign tax credit carryforwards |  | $ 348 |  |
Domestic Tax Authority | Earliest Tax Year |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards, expiration dates |  | 2018 |  |
Tax credit carryforwards, expiration dates |  | 2018 |  |
Domestic Tax Authority | Latest Tax Year |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards, expiration dates |  | 2037 |  |
Tax credit carryforwards, expiration dates |  | 2037 |  |
Foreign Tax Authority |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards |  | $ 1,600 |  |
Foreign tax credit carryforwards |  | 59 |  |
Foreign Tax Authority | Tax Year 2018 |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards |  | $ 3 |  |
Operating loss carryforwards, expiration dates |  | 2018 |  |
Foreign Tax Authority | Tax Year 2019 |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards |  | $ 2 |  |
Operating loss carryforwards, expiration dates |  | 2019 |  |
Foreign Tax Authority | Tax Year 2020 |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards |  | $ 37 |  |
Operating loss carryforwards, expiration dates |  | 2020 |  |
Foreign Tax Authority | Tax Year 2022 |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards |  | $ 4 |  |
Operating loss carryforwards, expiration dates |  | 2022 |  |
Foreign Tax Authority | Tax Year 2021 |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards |  | $ 47 |  |
Operating loss carryforwards, expiration dates |  | 2021 |  |
Foreign Tax Authority | Tax Year After 2022 |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards |  | $ 440 |  |
Operating loss carryforwards, expiration dates |  | after 2022 |  |
Foreign Tax Authority | Tax Year No Expiration |  |  |  |
Income Taxes [Line Items] |  |  |  |
Operating loss carryforwards |  | $ 1,100 |  |
Operating loss carryforwards, expiration dates |  | No expiration date |  |

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