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Interim Condensed Consolidated Financial Statements - Additional Information (Detail) (USD $)
In Millions, except Share data, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2013
Hospital
Sep. 30, 2012
Mar. 31, 2011
Sep. 30, 2013
State
Surgery_Center
Hospital
Sep. 30, 2012
Nov. 22, 2010
Summary Of Significant Accounting Policies [Line Items]            
Ownership Percentage held by parent           100.00%
Initial public offering of shares common stock     87,719,300      
Number of owned and operated hospitals 162     162    
Number of freestanding surgery centers       114    
Number of facilities locations       20    
General and administrative expense $ 76 $ 62   $ 207 $ 174  
Adjustments to Medicare revenues         188  
Adjustment and related expenses added to income before income taxes         170  
Adjustment and related expenses added to income before income taxes in diluted per share         $ 0.22  
Rural Floor Provision Settlement Effect [Member]
           
Summary Of Significant Accounting Policies [Line Items]            
Adjustments to Medicare revenues         271  
Implementation of Revised Supplemental Security Income Ratios [Member]
           
Summary Of Significant Accounting Policies [Line Items]            
Adjustments to Medicare revenues         $ 83