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Description of Business and Significant Accounting Policies - Additional Information (Details)
$ in Millions
9 Months Ended
Sep. 30, 2019
USD ($)
segment
Dec. 31, 2018
USD ($)
Product Information [Line Items]    
Number of reportable segments | segment 1  
Prepayments in Healthcare costs $ 39 $ 33
Weighted-average rate used in discounting the lease liability 4.00%  
Non-US | Revenue | Foreign Sales    
Product Information [Line Items]    
Percent of concentration risk 1.00%  
Health Care [Member]    
Product Information [Line Items]    
Prepayments in Healthcare costs $ 53 $ 50