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Acquisitions and Dispositions - Additional Information (Detail)
$ in Millions
3 Months Ended
Mar. 31, 2020
USD ($)
Hospital
Mar. 31, 2019
USD ($)
Hospital
Business Acquisition [Line Items]    
Number of hospitals purchased | Hospital 1 7
Proceeds from sale of business $ 35 $ 30
Real Estate and Other Investments [Member]    
Business Acquisition [Line Items]    
Gain (loss) on sales of real estate   5
Hospitals [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price   1,398
Hospitals [Member] | Discontinued Operations, Disposed of by Sale [Member]    
Business Acquisition [Line Items]    
Gain (loss) on sales of real estate 7 (1)
Proceeds from sale of business 35 25
Nonhospital Health Care [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price   $ 76
Hospital and other nonhospital health care entities [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price 328  
Fair value of identifiable net assets $ 296