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Acquisitions and Dispositions - Additional Information (Detail)
$ in Millions
9 Months Ended
Sep. 30, 2021
USD ($)
Hospital
Sep. 30, 2020
USD ($)
Business Acquisitions And Dispositions [Line Items]    
Proceeds from sale of business $ 1,980 $ 68
Real Estate and Other Investments [Member]    
Business Acquisitions And Dispositions [Line Items]    
Pretax gain (loss) before tax 402 6
Proceeds from sale of business $ 473 68
Number of hospitals sold | Hospital 1  
Discontinued Operations, Disposed of by Sale [Member]    
Business Acquisitions And Dispositions [Line Items]    
Proceeds from sale of business $ 647  
Discontinued Operations, Disposed of by Sale [Member] | Southern Georgia [Member]    
Business Acquisitions And Dispositions [Line Items]    
Number of hospitals purchased | Hospital 2  
Discontinued Operations, Disposed of by Sale [Member] | Georgia [Member]    
Business Acquisitions And Dispositions [Line Items]    
Pretax gain (loss) before tax $ 655  
Proceeds from sale of business $ 860  
Number of hospitals sold | Hospital 4  
Discontinued Operations, Disposed of by Sale [Member] | Northern Georgia [Member]    
Business Acquisitions And Dispositions [Line Items]    
Number of hospitals sold | Hospital 1  
Hospitals [Member]    
Business Acquisitions And Dispositions [Line Items]    
Aggregate purchase price $ 67  
Number of hospitals purchased | Hospital 2  
Hospitals [Member] | Southern Georgia [Member]    
Business Acquisitions And Dispositions [Line Items]    
Number of hospitals purchased | Hospital 1  
Hospitals [Member] | Tennessee [Member]    
Business Acquisitions And Dispositions [Line Items]    
Number of hospitals purchased | Hospital 1  
Other Nonhospital Health Care Entities [Member]    
Business Acquisitions And Dispositions [Line Items]    
Aggregate purchase price $ 91  
Fair value of the noncontrolling interest in the acquiree at the acquisition date 111  
Home Health and Hospice [Member]    
Business Acquisitions And Dispositions [Line Items]    
Goodwill 601  
Payment to acquire venture providing post acute care services $ 330  
Business acquisition percentage of voting interests acquired 80.00%  
Fair value of the noncontrolling interest in the acquiree at the acquisition date $ 101  
Hospital and other nonhospital health care entities [Member]    
Business Acquisitions And Dispositions [Line Items]    
Aggregate purchase price   $ 380