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Net Income Per Share Attributable to Gilead Common Shareholders - Schedule of Earnings Per Share, Basic and Diluted (Details) - USD ($)
$ / shares in Units, shares in Millions, $ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Earnings Per Share [Abstract]                      
Net income attributable to Gilead $ 3 $ 2,097 $ 1,817 $ 1,538 $ (3,865) $ 2,718 $ 3,073 $ 2,702 $ 5,455 $ 4,628 $ 13,501
Shares used in per share calculation - basic                 1,298 1,307 1,339
Stock options and equivalents                 10 12 13
Conversion spread related to the Convertible Notes                 0 0 2
Warrants related to the Convertible Notes                 0 0 4
Shares used in per share calculation - diluted                 1,308 1,319 1,358
Net income per share attributable to Gilead common stockholders - basic $ 0.00 $ 1.62 $ 1.40 $ 1.18 $ (2.96) $ 2.08 $ 2.35 $ 2.07 $ 4.20 $ 3.54 $ 10.08
Net income per share attributable to Gilead common stockholders - diluted $ 0.00 $ 1.60 $ 1.39 $ 1.17 $ (2.96) $ 2.06 $ 2.33 $ 2.05 $ 4.17 $ 3.51 $ 9.94