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Acquisitions and Dispositions - Additional Information (Detail)
$ in Millions
9 Months Ended
Sep. 30, 2020
USD ($)
Hospital
Sep. 30, 2019
USD ($)
Hospital
Business Acquisition [Line Items]    
Number of hospitals purchased | Hospital 1 7
Proceeds from sale of business $ 68 $ 49
Real Estate and Other Investments [Member]    
Business Acquisition [Line Items]    
Gain (loss) on sales of real estate 6 17
Proceeds from sale of business 68 49
Hospitals [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price   1,399
Nonhospital Health Care [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price   $ 193
Hospital and other nonhospital health care entities [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price 380  
Fair value of identifiable net assets $ 309