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Acquisitions and Dispositions - Additional Information (Detail) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Business Acquisition [Line Items]    
Proceeds from sale of business $ 30 $ 39
Real Estate and Other Investments [Member]    
Business Acquisition [Line Items]    
Pretax gain (loss) before tax 10 (20)
Proceeds from sale of business 30 39
Hospital and other nonhospital health care entities [Member]    
Business Acquisition [Line Items]    
Aggregate purchase price $ 98 $ 346