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Business and Summary of Significant Accounting Policies - Other Assets and Intangible Assets - Additional Information (Detail) - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Summary Of Business And Significant Accounting Policies [Line Items]      
Impairment of intangible assets $ 0 $ 0 $ 0
Provision for asset impairment 0 0 57,550,000
Other (Income) Expense, Net      
Summary Of Business And Significant Accounting Policies [Line Items]      
Provision for asset impairment     $ 58,000,000
Commercial Insurance Subsidiary      
Summary Of Business And Significant Accounting Policies [Line Items]      
Statutorily required capital reserves 118,000,000 113,000,000  
Universal Health Realty Income Trust      
Summary Of Business And Significant Accounting Policies [Line Items]      
Investments 6,000,000 7,000,000  
Premier, Inc.      
Summary Of Business And Significant Accounting Policies [Line Items]      
Investments $ 47,000,000 $ 50,000,000