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v3.19.2

Segment and Geographic Information - Schedule of Geographic Distributions of Revenues, Equity in Earnings of Affiliates, Adjusted Segment EBITDA, Depreciation and Amortization and Assets (Detail) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2019 | Jun. 30, 2018 | Jun. 30, 2019 | Jun. 30, 2018
Segment Reporting Information [Line Items] |  |  |  |
Revenues | $ 12,602 | $ 11,529 | $ 25,119 | $ 22,952
Equity in earnings of affiliates | (8) | (7) | (19) | (16)
Adjusted segment EBITDA | 2,293 | 2,227 | 4,834 | 4,345
Depreciation and amortization | 636 | 562 | 1,255 | 1,115
Interest expense | 477 | 436 | 938 | 867
Gains on sales of facilities | (18) | (9) | (17) | (414)
Income before income taxes | 1,198 | 1,238 | 2,658 | 2,777
National Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 6,444 | 5,609 | 12,761 | 11,177
Equity in earnings of affiliates | (3) | (2) | (5) | (4)
Adjusted segment EBITDA | 1,364 | 1,284 | 2,818 | 2,466
Depreciation and amortization | 283 | 232 | 548 | 457
American Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 5,626 | 5,390 | 11,221 | 10,717
Equity in earnings of affiliates | (11) | (10) | (22) | (19)
Adjusted segment EBITDA | 1,117 | 1,147 | 2,258 | 2,178
Depreciation and amortization | 270 | 255 | 551 | 507
Corporate and Other [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 532 | 530 | 1,137 | 1,058
Equity in earnings of affiliates | 6 | 5 | 8 | 7
Adjusted segment EBITDA | (188) | (204) | (242) | (299)
Depreciation and amortization | $ 83 | $ 75 | $ 156 | $ 151

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