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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 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Accounting Policies [Abstract]        
Patient care costs (salaries and benefits, supplies, other operating expense and depreciation and amortization) $ 16,196 $ 15,077 $ 47,300 $ 44,617
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) 10.00% 10.30% 9.70% 10.20%
Total uncompensated care $ 12,015 $ 10,958 $ 34,633 $ 31,571
Multiply by the cost-to-charges ratio 10.00% 10.30% 9.70% 10.20%
Estimated cost of total uncompensated care $ 1,188 $ 1,138 $ 3,359 $ 3,220