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v3.23.1

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 | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Segment Reporting Information [Line Items] |  |  |
Revenues | $ 60,233 | $ 58,752 | $ 51,533
Equity in earnings of affiliates | (45) | (113) | (54)
Adjusted segment EBITDA | 12,067 | 12,644 | 10,037
Depreciation and amortization | 2,969 | 2,853 | 2,721
Interest expense | 1,741 | 1,566 | 1,584
Losses (gains) on sales of facilities | (1,301) | (1,620) | 7
Losses on retirement of debt | 78 | 12 | 295
Income before income taxes | 8,580 | 9,833 | 5,430
Assets | 52,438 | 50,742 | 47,490
Goodwill and other intangible assets, Beginning Balance | 9,540 | 8,578 | 8,269
Goodwill and other intangible assets, Acquisitions | 262 | 1,062 | 344
Foreign Currency Translation Amortization And Other | (149) | (100) | (35)
Goodwill and other intangible assets, Ending Balance | 9,653 | 9,540 | 8,578
National Group [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 16,767 | 16,329 | 14,428
Equity in earnings of affiliates | (1) | (33) | (28)
Adjusted segment EBITDA | 3,616 | 4,202 | 3,243
Depreciation and amortization | 801 | 754 | 686
Assets | 11,793 | 11,236 | 10,605
Goodwill and other intangible assets, Beginning Balance | 1,212 | 1,089 | 1,062
Goodwill and other intangible assets, Acquisitions | 75 | 126 | 29
Foreign Currency Translation Amortization And Other | (43) | (3) | (2)
Goodwill and other intangible assets, Ending Balance | 1,244 | 1,212 | 1,089
Atlantic Group [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 19,324 | 19,098 | 16,199
Equity in earnings of affiliates | (3) | (2) | (2)
Adjusted segment EBITDA | 3,881 | 4,218 | 3,405
Depreciation and amortization | 921 | 848 | 764
Assets | 15,092 | 13,944 | 11,909
Goodwill and other intangible assets, Beginning Balance | 1,970 | 1,375 | 1,366
Goodwill and other intangible assets, Acquisitions | 90 | 610 | 9
Foreign Currency Translation Amortization And Other | (3) | (15) | 0
Goodwill and other intangible assets, Ending Balance | 2,057 | 1,970 | 1,375
American Group [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 20,858 | 19,636 | 17,479
Equity in earnings of affiliates | (43) | (50) | (40)
Adjusted segment EBITDA | 5,102 | 4,836 | 4,061
Depreciation and amortization | 937 | 897 | 873
Assets | 17,934 | 17,224 | 16,082
Goodwill and other intangible assets, Beginning Balance | 5,062 | 4,996 | 4,970
Goodwill and other intangible assets, Acquisitions | 90 | 66 | 27
Foreign Currency Translation Amortization And Other | 0 | 0 | (1)
Goodwill and other intangible assets, Ending Balance | 5,152 | 5,062 | 4,996
Corporate and Other [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 3,284 | 3,689 | 3,427
Equity in earnings of affiliates | 2 | (28) | 16
Adjusted segment EBITDA | (532) | (612) | (672)
Depreciation and amortization | 310 | 354 | 398
Assets | 7,619 | 8,338 | 8,894
Goodwill and other intangible assets, Beginning Balance | 1,296 | 1,118 | 871
Goodwill and other intangible assets, Acquisitions | 7 | 260 | 279
Foreign Currency Translation Amortization And Other | (103) | (82) | (32)
Goodwill and other intangible assets, Ending Balance | $ 1,200 | $ 1,296 | $ 1,118

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