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v3.20.2

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 | 9 Months Ended
--- | --- | ---
Sep. 30, 2020 | Sep. 30, 2019 | Sep. 30, 2020 | Sep. 30, 2019
Segment Reporting Information [Line Items] |  |  |  |
Revenues | $ 13,311 | $ 12,694 | $ 37,240 | $ 37,813
Equity in earnings of affiliates | (40) | (4) | (48) | (23)
Adjusted segment EBITDA | 2,053 | 2,285 | 6,919 | 7,119
Depreciation and amortization | 694 | 647 | 2,059 | 1,902
Interest expense | 385 | 448 | 1,201 | 1,386
Losses (gains) on sales of facilities | (14) | 0 | 6 | (17)
Losses on retirement of debt | 0 | 211 | 295 | 211
Income before income taxes | 988 | 979 | 3,358 | 3,637
National Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 6,633 | 6,398 | 18,653 | 19,159
Equity in earnings of affiliates | (23) | 2 | (26) | (3)
Adjusted segment EBITDA | 1,128 | 1,270 | 3,828 | 4,088
Depreciation and amortization | 312 | 291 | 930 | 839
American Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 6,073 | 5,780 | 16,920 | 17,001
Equity in earnings of affiliates | (15) | (10) | (26) | (32)
Adjusted segment EBITDA | 1,130 | 1,185 | 3,653 | 3,443
Depreciation and amortization | 286 | 277 | 868 | 828
Corporate and Other [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 605 | 516 | 1,667 | 1,653
Equity in earnings of affiliates | (2) | 4 | 4 | 12
Adjusted segment EBITDA | (205) | (170) | (562) | (412)
Depreciation and amortization | $ 96 | $ 79 | $ 261 | $ 235

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