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v3.23.2

Segment and Geographic Information - Schedule of Geographic Distributions of Revenues, Equity in Earnings of Affiliates, Adjusted Segment EBITDA, Depreciation and Amortization (Detail) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2023 | Jun. 30, 2022 | Jun. 30, 2023 | Jun. 30, 2022
Segment Reporting Information [Line Items] |  |  |  |
Revenues | $ 15,861 | $ 14,820 | $ 31,452 | $ 29,765
Equity in losses (earnings) of affiliates | 7 | (8) | 25 | (19)
Adjusted segment EBITDA | 3,056 | 3,042 | 6,228 | 5,986
Depreciation and amortization | 763 | 738 | 1,519 | 1,470
Interest expense | 485 | 434 | 964 | 842
Losses (gains) on sales of facilities | (1) | 32 | 14 | 22
Losses on retirement of debt | 0 | 78 | 0 | 78
Income before income taxes | 1,809 | 1,760 | 3,731 | 3,574
National Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 4,372 | 4,088 | 8,988 | 8,290
Equity in losses (earnings) of affiliates | (1) | (1) | (2) | (1)
Adjusted segment EBITDA | 878 | 867 | 2,027 | 1,822
Depreciation and amortization | 208 | 194 | 415 | 391
Atlantic Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 5,038 | 4,700 | 10,147 | 9,386
Equity in losses (earnings) of affiliates | (1) | (1) | (2) | (1)
Adjusted segment EBITDA | 975 | 969 | 2,061 | 1,819
Depreciation and amortization | 247 | 233 | 486 | 455
American Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 5,536 | 5,205 | 10,735 | 10,411
Equity in losses (earnings) of affiliates | (10) | (9) | (22) | (18)
Adjusted segment EBITDA | 1,319 | 1,338 | 2,452 | 2,654
Depreciation and amortization | 238 | 233 | 475 | 465
Corporate and Other [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 915 | 827 | 1,582 | 1,678
Equity in losses (earnings) of affiliates | 19 | 3 | 51 | 1
Adjusted segment EBITDA | (116) | (132) | (312) | (309)
Depreciation and amortization | $ 70 | $ 78 | $ 143 | $ 159

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