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Acquisitions and Dispositions - Additional Information (Detail)
$ in Millions
9 Months Ended
Sep. 30, 2023
USD ($)
Hospital
Sep. 30, 2022
USD ($)
Business Acquisition [Line Items]    
Proceeds from sale of business $ 183 $ 652
Pretax gain (loss) before tax (12) (25)
Real Estate and Other Investments [Member]    
Business Acquisition [Line Items]    
Proceeds from sale of business 21 38
Discontinued Operations, Disposed of by Sale [Member]    
Business Acquisition [Line Items]    
Proceeds from sale of business   614
Nonhospital Health Care [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price 198 $ 176
Hospital Facility [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price 83  
Proceeds from sale of business $ 162  
Number of hospitals sold | Hospital 2