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Accrued Expenses - Summary of Other Accrued Expenses (Detail) - USD ($)
$ in Millions
Dec. 31, 2019
Dec. 31, 2018
Payables and Accruals [Abstract]    
Professional liability risks $ 457 $ 466
Defined contribution benefit plan 528 459
Interest 368 429
Right-of-use operating lease 350  
Taxes other than income 325 308
Other 904 962
Other accrued expenses $ 2,932 $ 2,624