XML 37 R53.htm IDEA: XBRL DOCUMENT v2.4.0.8
Segment Information - Additional Information (Detail) (USD $)
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Segment
Sep. 30, 2013
Segment Reporting [Abstract]        
Number of reportable segments     3  
Member co-share amounts and government subsidies $ 2,600,000,000 $ 2,000,000,000 $ 6,800,000,000 $ 5,200,000,000
Depreciation and amortization classified as benefit expense $ 27,000,000 $ 23,000,000 $ 79,000,000 $ 69,000,000