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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
--- | ---
Mar. 31, 2020 | Mar. 31, 2019
Segment Reporting Information [Line Items] |  |
Revenues | $ 12,861 | $ 12,517
Equity in earnings of affiliates | (7) | (11)
Adjusted segment EBITDA | 2,200 | 2,541
Depreciation and amortization | 674 | 619
Interest expense | 428 | 461
Losses (gains) on sales of facilities | (7) | 1
Losses on retirement of debt | 295 | 0
Income before income taxes | 810 | 1,460
National Group [Member] |  |
Segment Reporting Information [Line Items] |  |
Revenues | 6,474 | 6,317
Equity in earnings of affiliates | 1 | (2)
Adjusted segment EBITDA | 1,215 | 1,454
Depreciation and amortization | 306 | 265
American Group [Member] |  |
Segment Reporting Information [Line Items] |  |
Revenues | 5,744 | 5,595
Equity in earnings of affiliates | (9) | (11)
Adjusted segment EBITDA | 1,115 | 1,141
Depreciation and amortization | 287 | 281
Corporate and Other [Member] |  |
Segment Reporting Information [Line Items] |  |
Revenues | 643 | 605
Equity in earnings of affiliates | 1 | 2
Adjusted segment EBITDA | (130) | (54)
Depreciation and amortization | $ 81 | $ 73

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