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v3.19.3

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 | 9 Months Ended
--- | --- | ---
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018
Segment Reporting Information [Line Items] |  |  |  |
Revenues | $ 12,694 | $ 11,451 | $ 37,813 | $ 34,403
Equity in earnings of affiliates | (4) | (9) | (23) | (25)
Adjusted segment EBITDA | 2,285 | 2,096 | 7,119 | 6,441
Depreciation and amortization | 647 | 582 | 1,902 | 1,697
Interest expense | 448 | 442 | 1,386 | 1,309
Gains on sales of facilities |  | (6) | (17) | (420)
Losses on retirement of debt | 211 | 9 | 211 | 9
Income before income taxes | 979 | 1,069 | 3,637 | 3,846
National Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 6,398 | 5,542 | 19,159 | 16,719
Equity in earnings of affiliates | 2 | (1) | (3) | (5)
Adjusted segment EBITDA | 1,270 | 1,127 | 4,088 | 3,593
Depreciation and amortization | 291 | 245 | 839 | 702
American Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 5,780 | 5,396 | 17,001 | 16,113
Equity in earnings of affiliates | (10) | (10) | (32) | (29)
Adjusted segment EBITDA | 1,185 | 1,072 | 3,443 | 3,250
Depreciation and amortization | 277 | 258 | 828 | 765
Corporate and Other [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 516 | 513 | 1,653 | 1,571
Equity in earnings of affiliates | 4 | 2 | 12 | 9
Adjusted segment EBITDA | (170) | (103) | (412) | (402)
Depreciation and amortization | $ 79 | $ 79 | $ 235 | $ 230

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- Definition Income before depreciation and amortization, interest expense, losses (gains) on sales of facilities, losses on retirement of debt, legal claim costs, income taxes and net income attributable to non controlling interests. + References No definition available. + Details
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