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Segments - Summary of Profit by Segments and Reconciliation of Segments Profit to Consolidated Income Before Income Taxes (Detail) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Amounts allocated to segments:      
Segments profit $ (443) $ (1,637) $ (17,484)
Amounts not allocated to segments:      
Amortization 1,113 1,166 1,444
Other assets impairments, restructuring and other items 423 987 1,836
Goodwill impairment   3,027 [1] 17,100
Intangible asset impairments 1,639 1,991 3,238
Gain on divestitures, net of divestitures related costs (50) (66) (1,083)
Inventory step-up     67
Other R&D expenses (income) (15) 83 221
Costs related to regulatory actions taken in facilities 45 14 47
Legal settlements and loss contingencies 1,178 (1,208) 500
Other unallocated amounts 252 366 187
Consolidated operating income (loss) (443) (1,637) (17,484)
Financial expenses, net 822 959 895
Consolidated income (loss) before income taxes (1,265) (2,596) (18,379)
North America [Member]      
Amounts allocated to segments:      
Segments profit 2,252 2,837 4,624
Amounts not allocated to segments:      
Consolidated operating income (loss) 2,252 2,837 4,624
Europe [Member]      
Amounts allocated to segments:      
Segments profit 1,318 1,273 1,029
Amounts not allocated to segments:      
Consolidated operating income (loss) 1,318 1,273 1,029
International Markets [Member]      
Amounts allocated to segments:      
Segments profit [2] 464 498 426
Amounts not allocated to segments:      
Consolidated operating income (loss) [2] 464 498 426
Corporate Segment [Member]      
Amounts allocated to segments:      
Segments profit 4,034 4,608 6,079
Amounts not allocated to segments:      
Consolidated operating income (loss) 4,034 4,608 6,079
Other Segments [Member]      
Amounts allocated to segments:      
Segments profit 108 115 (6)
Amounts not allocated to segments:      
Consolidated operating income (loss) 108 115 (6)
Segments and Other Activities [Member]      
Amounts allocated to segments:      
Segments profit 4,142 4,723 6,073
Amounts not allocated to segments:      
Consolidated operating income (loss) $ 4,142 $ 4,723 $ 6,073
[1] Goodwill impairment mainly attributable to the International Markets segment, Mexico and Medis.
[2] The data presented for prior periods have been revised to reflect a revision in the presentation of net revenues and cost of sales in the consolidated financial statements. See note 1b.