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Goodwill and Other Intangible Assets - Additional Information (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Goodwill [Line Items]      
Goodwill reclassified to assets held-for-sale $ 1 $ 40  
Amortization expense for other intangible assets 93 $ 121 $ 117
Concentra Inc.      
Goodwill [Line Items]      
Goodwill reclassified to assets held-for-sale $ 480