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Accounting Policies - Schedule of Estimated Cost of Uncompensated Care (Detail) - USD ($) $ in Millions | 12 Months Ended
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Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Accounting Policies [Abstract] |  |  |
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization) | $ 51,180 | $ 49,074 | $ 44,271
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) | 11.00% | 11.30% | 12.00%
Total uncompensated care | $ 31,734 | $ 29,642 | $ 29,029
Multiply by the cost-to-charges ratio | 11.00% | 11.30% | 12.00%
Estimated cost of total uncompensated care | $ 3,491 | $ 3,350 | $ 3,483

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