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Accrued Expenses - Summary of Other Accrued Expenses (Detail) - USD ($) $ in Millions | Dec. 31, 2020 | Dec. 31, 2019
--- | --- | ---
Payables and Accruals [Abstract] |  |
Professional liability risks | $ 477 | $ 457
Defined contribution benefit plan | 547 | 528
Right-of-use operating lease | 379 | 350
Taxes other than income | 343 | 325
Interest | 315 | 368
Government stimulus refund liability | 83 |
Other | 1,096 | 904
Other accrued expenses | $ 3,240 | $ 2,932

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