v3.24.3
Goodwill - Summary of Goodwill by Reportable Segment (Detail)
$ in Millions
9 Months Ended
Sep. 30, 2024
USD ($)
Goodwill  
Beginning balance $ 14,567
Business combinations 470
Impact of foreign currency fluctuations and other 54
Ending balance 15,091
Technology & Analytics Solutions  
Goodwill  
Beginning balance 11,976
Business combinations 289
Impact of foreign currency fluctuations and other 49
Ending balance 12,314
Research & Development Solutions  
Goodwill  
Beginning balance 2,439
Business combinations 181
Impact of foreign currency fluctuations and other 5
Ending balance 2,625
Contract Sales & Medical Solutions  
Goodwill  
Beginning balance 152
Business combinations 0
Impact of foreign currency fluctuations and other 0
Ending balance $ 152