Schedule of Weighted Average Remaining Contractual Life for Options Outstanding and Weighted Average Exercise Price Per Share for Exercisable Options (Detail) - $ / shares	12 Months Ended
Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]
Options Outstanding, Shares	8,133,176	9,674,791	9,639,949
Options Outstanding, Weighted Average Exercise Price Per Share	$ 124.52	$ 115.39	$ 112.40
Options Outstanding, Weighted Average Remaining Contractual Life (in Years)	2 years 8 months 12 days	2 years 7 months 6 days	2 years 10 months 24 days
Number, Options Exercisable	2,551,267	3,724,179	2,869,346
Weighted Average Exercise Price, Options Exercisable	$ 119.86	$ 106.77	$ 100.51
Expected to Vest Options , Shares	5,073,423	4,414,324	5,031,122
Expected to Vest Options, Weighted Average Exercise Price Per Share	$ 126.62	$ 120.82	$ 118.17

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Number of options outstanding, including both vested and non-vested options.

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-Publisher FASB
-Name Accounting Standards Codification
-Topic 718
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Weighted average price at which grantees can acquire the shares reserved for issuance under the stock option plan.

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Number of fully vested and expected to vest exercisable options that may be converted into shares under option plan. Includes, but is not limited to, unvested options for which requisite service period has not been rendered but that are expected to vest based on achievement of performance condition, if forfeitures are recognized when they occur.

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Weighted-average exercise price, at which grantee can acquire shares reserved for issuance, for fully vested and expected to vest exercisable or convertible options. Includes, but is not limited to, unvested options for which requisite service period has not been rendered but that are expected to vest based on achievement of performance condition, if forfeitures are recognized when they occur.

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Number of fully vested and expected to vest options outstanding that can be converted into shares under option plan. Includes, but is not limited to, unvested options for which requisite service period has not been rendered but that are expected to vest based on achievement of performance condition, if forfeitures are recognized when they occur.

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Weighted-average exercise price, at which grantee can acquire shares reserved for issuance, for fully vested and expected to vest options outstanding. Includes, but is not limited to, unvested options for which requisite service period has not been rendered but that are expected to vest based on achievement of performance condition, if forfeitures are recognized when they occur.

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Weighted average remaining contractual term for option awards outstanding, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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