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v3.24.3

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 | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Segment Reporting Information [Line Items] |  |  |  |
Revenues | $ 17,487 | $ 16,213 | $ 52,318 | $ 47,665
Equity in (earnings) losses of affiliates | (15) | (19) | (13) | 6
Adjusted segment EBITDA | 3,267 | 2,880 | 10,170 | 9,108
Depreciation and amortization | 842 | 769 | 2,456 | 2,288
Interest expense | 515 | 483 | 1,533 | 1,447
Losses (gains) on sales of facilities | 4 | (2) | (209) | 12
Income before income taxes | 1,906 | 1,630 | 6,390 | 5,361
National Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 4,891 | 4,352 | 14,503 | 13,340
Equity in (earnings) losses of affiliates | 0 | 0 | 2 | (2)
Adjusted segment EBITDA | 1,087 | 799 | 3,259 | 2,826
Depreciation and amortization | 213 | 206 | 636 | 621
Atlantic Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 5,578 | 5,470 | 16,974 | 15,617
Equity in (earnings) losses of affiliates | 0 | 0 | (2) | (2)
Adjusted segment EBITDA | 1,154 | 1,158 | 3,757 | 3,219
Depreciation and amortization | 271 | 249 | 790 | 735
American Group [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 6,019 | 5,491 | 17,911 | 16,226
Equity in (earnings) losses of affiliates | (18) | (13) | (49) | (35)
Adjusted segment EBITDA | 1,378 | 1,210 | 4,118 | 3,662
Depreciation and amortization | 277 | 244 | 799 | 719
Corporate and Other [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 999 | 900 | 2,930 | 2,482
Equity in (earnings) losses of affiliates | 3 | (6) | 36 | 45
Adjusted segment EBITDA | (352) | (287) | (964) | (599)
Depreciation and amortization | $ 81 | $ 70 | $ 231 | $ 213

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