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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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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.

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