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Basis of Presentation and Significant Accounting Policies - Schedule of Estimated Cost of Uncompensated Care (Detail) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Accounting Policies [Abstract]        
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization) $ 11,950 $ 9,916 $ 23,593 $ 21,258
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) 11.10% 12.60% 11.20% 12.20%
Total uncompensated care $ 7,696 $ 6,729 $ 14,517 $ 14,602
Multiply by the cost-to-charges ratio 11.10% 12.60% 11.20% 12.20%
Estimated cost of total uncompensated care $ 848 $ 844 $ 1,626 $ 1,781