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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
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