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Basis of Presentation and Significant Accounting Policies - Additional Information (Detail)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2016
USD ($)
Hospital
State
Surgery_Center
Sep. 30, 2015
USD ($)
Sep. 30, 2016
USD ($)
Hospital
State
Surgery_Center
Sep. 30, 2015
USD ($)
Accounting Policies [Abstract]        
Number of owned and operated hospitals | Hospital 169   169  
Number of freestanding surgery centers | Surgery_Center 117   117  
Number of facilities locations | State 20   20  
General and administrative expense | $ $ 94 $ 79 $ 272 $ 237