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Segments - Summary of Segment Profit (Detail) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Jun. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Amounts Allocated To Segments [Abstract] |  |  |  |  |  |
Consolidated operating income (loss) | [1] | $ (51) |  | $ 344 | $ (274) | $ (323)
Amounts Not Allocated To Segments [Abstract] |  |  |  |  |  |
Amortization |  | 146 |  | 145 | 444 | 471
Other asset impairments, restructuring and other items | [1] | (23) |  | 57 | 931 | 276
Goodwill impairment |  | 600 | $ 400 | 0 | 1,000 | 700
Intangible assets impairments |  | 28 |  | 47 | 169 | 289
Legal settlements and loss contingencies |  | 450 |  | 314 | 638 | 1,009
Other Unallocated Amounts |  | 64 |  | 112 | 254 | 394
Revenues |  | 4,332 |  | 3,850 | 12,315 | 11,389
Gross profit |  | 2,148 |  | 1,851 | 5,943 | 5,230
R&D expenses |  | 240 |  | 253 | 751 | 726
S&M expenses |  | 626 |  | 576 | 1,891 | 1,726
G&A expenses |  | 298 |  | 268 | 859 | 870
Segment profit | [1] | (51) |  | 344 | (274) | (323)
Financial expenses, net |  | 272 |  | 280 | 763 | 808
Consolidated income (loss) before income taxes | [1] | (324) |  | 64 | (1,037) | (1,131)
Europe [Member] |  |  |  |  |  |
Amounts Allocated To Segments [Abstract] |  |  |  |  |  |
Consolidated operating income (loss) |  | 373 |  | 338 | 1,137 | 1,017
Amounts Not Allocated To Segments [Abstract] |  |  |  |  |  |
Revenues |  | 1,265 |  | 1,146 | 3,749 | 3,493
Gross profit |  | 698 |  | 648 | 2,113 | 1,943
R&D expenses |  | 55 |  | 62 | 173 | 168
S&M expenses |  | 203 |  | 184 | 605 | 565
G&A expenses |  | 67 |  | 66 | 197 | 196
Other loss (income) |  | 1 |  |  | 1 | (2)
Segment profit |  | 373 |  | 338 | 1,137 | 1,017
International Markets [Member] |  |  |  |  |  |
Amounts Allocated To Segments [Abstract] |  |  |  |  |  |
Consolidated operating income (loss) |  | 109 |  | 117 | 299 | 356
Amounts Not Allocated To Segments [Abstract] |  |  |  |  |  |
Revenues |  | 613 |  | 591 | 1,802 | 1,750
Gross profit |  | 306 |  | 293 | 889 | 861
R&D expenses |  | 27 |  | 30 | 85 | 81
S&M expenses |  | 134 |  | 116 | 397 | 353
G&A expenses |  | 36 |  | 33 | 109 | 105
Other loss (income) |  |  |  | (2) | (1) | (34)
Segment profit |  | 109 |  | 117 | 299 | 356
United States [Member] |  |  |  |  |  |
Amounts Allocated To Segments [Abstract] |  |  |  |  |  |
Consolidated operating income (loss) |  | 748 |  | 571 | 1,727 | 1,421
Amounts Not Allocated To Segments [Abstract] |  |  |  |  |  |
Revenues |  | 2,225 |  | 1,896 | 6,060 | 5,465
Gross profit |  | 1,265 |  | 1,060 | 3,291 | 2,866
R&D expenses |  | 151 |  | 156 | 475 | 460
S&M expenses |  | 259 |  | 243 | 789 | 700
G&A expenses |  | 107 |  | 93 | 300 | 289
Other loss (income) |  |  |  | (2) | (1) | (3)
Segment profit |  | 748 |  | 571 | 1,727 | 1,421
Segments and Other Activities [Member] |  |  |  |  |  |
Amounts Allocated To Segments [Abstract] |  |  |  |  |  |
Consolidated operating income (loss) |  | 1,214 |  | 1,020 | 3,162 | 2,816
Amounts Not Allocated To Segments [Abstract] |  |  |  |  |  |
Segment profit |  | 1,214 |  | 1,020 | 3,162 | 2,816
Other Segments [Member] |  |  |  |  |  |
Amounts Allocated To Segments [Abstract] |  |  |  |  |  |
Consolidated operating income (loss) |  | (16) |  | (5) | (1) | 22
Amounts Not Allocated To Segments [Abstract] |  |  |  |  |  |
Segment profit |  | (16) |  | (5) | (1) | 22
Corporate Segment [Member] |  |  |  |  |  |
Amounts Allocated To Segments [Abstract] |  |  |  |  |  |
Consolidated operating income (loss) |  | 1,230 |  | 1,025 | 3,163 | 2,794
Amounts Not Allocated To Segments [Abstract] |  |  |  |  |  |
Segment profit |  | $ 1,230 |  | $ 1,025 | $ 3,163 | $ 2,794
[1] | The data presented for the prior period have been revised to reflect a revision in the presentation of these items in the consolidated financial statements. For additional information see note 1c.

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