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Acquisitions and Dispositions - Additional Information (Detail)
$ in Millions
3 Months Ended
Mar. 31, 2025
USD ($)
Hospital
Mar. 31, 2024
USD ($)
Hospital
Business Acquisition [Line Items]    
Proceeds from sale of business $ 161 $ 310
Hospital Facility [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price $ 190 $ 50
Number of hospitals purchased | Hospital 2 2
Number of hospitals sold | Hospital 1 1
Proceeds from sale of business $ 157 $ 297
Pretax gain (loss) before tax 4 193
Healthcare Entity [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price 37 46
Real Estate and Other Investments [Member]    
Business Acquisition [Line Items]    
Proceeds from sale of business $ 1 13
Pretax gain (loss) before tax   $ 8