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Segment and Geographic Information (Tables) | 3 Months Ended
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Mar. 31, 2024
Segment Reporting [Abstract] |
Schedule of Geographic Distributions of Revenues, Equity in Earnings or Losses of Affiliates, Adjusted Segment EBITDA, Depreciation and Amortization | The geographic distributions of our revenues, equity in earnings or losses of affiliates, adjusted segment EBITDA and depreciation and amortization for the quarters ended March 31, 2024 and 2023 are summarized in the following table (dollars in millions):
|  | 2024 |  |  | 2023 |  |
Revenues: |  |  |  |  |  |  |
National Group |  | $ | 4,795 |  |  | $ | 4,616 |  | (1)
Atlantic Group |  |  | 5,677 |  |  |  | 5,109 |  |
American Group |  |  | 5,914 |  |  |  | 5,199 |  |
Corporate and other |  |  | 953 |  |  |  | 667 |  |
|  | $ | 17,339 |  |  | $ | 15,591 |  |
Equity in (earnings) losses of affiliates: |  |  |  |  |  |  |
National Group |  | $ | (1 | ) |  | $ | (1 | ) |
Atlantic Group |  |  | (1 | ) |  |  | (1 | ) |
American Group |  |  | (13 | ) |  |  | (12 | ) |
Corporate and other |  |  | 17 |  |  |  | 32 |  |
|  | $ | 2 |  |  | $ | 18 |  |
Adjusted segment EBITDA: |  |  |  |  |  |  |
National Group |  | $ | 1,068 |  |  | $ | 1,149 |  | (1)
Atlantic Group |  |  | 1,289 |  |  |  | 1,086 |  |
American Group |  |  | 1,320 |  |  |  | 1,133 |  |
Corporate and other |  |  | (324 | ) |  |  | (196 | ) |
|  | $ | 3,353 |  |  | $ | 3,172 |  |
Depreciation and amortization: |  |  |  |  |  |  |
National Group |  | $ | 212 |  |  | $ | 207 |  |
Atlantic Group |  |  | 258 |  |  |  | 239 |  |
American Group |  |  | 255 |  |  |  | 237 |  |
Corporate and other |  |  | 70 |  |  |  | 73 |  |
|  | $ | 795 |  |  | $ | 756 |  |
Adjusted segment EBITDA |  | $ | 3,353 |  |  | $ | 3,172 |  |
Depreciation and amortization |  |  | 795 |  |  |  | 756 |  |
Interest expense |  |  | 512 |  |  |  | 479 |  |
Losses (gains) on sales of facilities |  |  | (201 | ) |  |  | 15 |  |
Income before income taxes |  | $ | 2,247 |  |  | $ | 1,922 |  |
___________ (1) Includes $145 million related to resolving certain disputed claims from prior years with a commercial payer.

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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482573/350-20-50-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-25 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-22 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-30 + Details
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