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Summary of Net Intangible Assets (Detail) - USD ($)
$ in Millions
Dec. 31, 2017
Dec. 31, 2016
Finite Lived Intangible Assets [Line Items]    
Net Intangible Assets $ 220 $ 228
Tradenames    
Finite Lived Intangible Assets [Line Items]    
Net Intangible Assets 124 124
Medicare Licenses    
Finite Lived Intangible Assets [Line Items]    
Net Intangible Assets 57 57
Certificates of Need    
Finite Lived Intangible Assets [Line Items]    
Net Intangible Assets 12 12
Contract Relationships and Other    
Finite Lived Intangible Assets [Line Items]    
Net Intangible Assets $ 27 $ 35