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Acquisitions and Divestitures (Divestitures Narrative) (Details)
$ in Millions
3 Months Ended 12 Months Ended
May 01, 2017
USD ($)
item
Dec. 31, 2018
USD ($)
Jun. 30, 2018
USD ($)
Mar. 31, 2016
USD ($)
Dec. 31, 2018
USD ($)
item
Dec. 31, 2017
USD ($)
item
Dec. 31, 2016
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of Hospitals Sold | item           30  
Proceeds from Divestiture of Businesses, Net of Cash Divested         $ 405 $ 1,692 $ 143
Impairment of hospitals in discontinued operations         0 6 8
Impairment and (gain) loss on sale of businesses, net         $ 668 2,123 1,919
Divested Through 2018 and 2017 [Member]              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of Hospitals Sold | item         41    
Tennova Physicians Regional Medical Center [Member]              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Impairment and (gain) loss on sale of businesses, net   $ 27          
Twin Rivers Regional Medical Center [Member]              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Impairment and (gain) loss on sale of businesses, net     $ 4        
AllianceHealth Pryor [Member]              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Disposal date         May 01, 2017    
Number of licensed beds | item 52            
Proceeds from Divestiture of Businesses, Net of Cash Divested $ 1            
McNairy Regional Hospital [Member]              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Impairment and (gain) loss on sale of businesses, net       $ 7      
Hospitals in Period [Member]              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Impairment and (gain) loss on sale of businesses, net         $ 415 $ 368 $ 463
Almost Family, Inc. [Member]              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Disposal date         Dec. 31, 2016    
Percentage of ownership interest sold             80.00%
Proceeds from Divestiture of Businesses, Net of Cash Divested             $ 128
Gain from divestiture of controlling interest             $ 91