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Accrued Expenses - Summary of Other Accrued Expenses (Detail) - USD ($) $ in Millions | Dec. 31, 2021 | Dec. 31, 2020
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Payables and Accruals [Abstract] |  |
Professional liability risks | $ 508 | $ 477
Defined contribution benefit plans | 549 | 547
Right-of-use operating lease | 392 | 379
Taxes other than income | 361 | 343
Interest | 353 | 315
Government stimulus refund liability | 79 | 83
Other | 1,080 | 1,096
Other accrued expenses | $ 3,322 | $ 3,240

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