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SEGMENT INFORMATION - Condensed Consolidated Statements of Operations (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024
Segment Reporting Information [Line Items] |  |  |  |
Depreciation and amortization | $ 218 | $ 209 | $ 632 | $ 625
Net operating revenues | 5,289 | 5,126 | 15,783 | 15,602
Equity in earnings of unconsolidated affiliates | 64 | 62 | 181 | 182
Less: |  |  |  |
Salaries, wages and benefits | 2,204 | 2,218 | 6,483 | 6,707
Supplies | 931 | 881 | 2,770 | 2,717
Other operating expenses, net | 1,119 | 1,111 | 3,328 | 3,413
Adjusted EBITDA | 1,099 | 978 | 3,383 | 2,947
Reconciliation of Adjusted EBITDA: |  |  |  |
Depreciation and amortization | (218) | (209) | (632) | (625)
Impairment and restructuring charges, and acquisition-related costs | (23) | (19) | (66) | (75)
Litigation and investigation benefit (costs) | 11 | (9) | (34) | (18)
Interest expense | (206) | (202) | (616) | (623)
Loss from early extinguishment of debt | 0 | 0 | 0 | (8)
Other non-operating income, net | 29 | 35 | 80 | 89
Net gains on sales, consolidation and deconsolidation of facilities | 20 | 348 | 4 | 2,906
Income before income taxes | 712 | 922 | 2,119 | 4,593
Ambulatory Care |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net operating revenues | 1,275 | 1,139 | 3,739 | 3,275
Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Capital expenditures | 280 | 216 | 646 | 601
Depreciation and amortization | 218 | 209 | 632 | 625
Reconciliation of Adjusted EBITDA: |  |  |  |
Depreciation and amortization | (218) | (209) | (632) | (625)
Operating Segments | Hospital Operations |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Capital expenditures | 242 | 188 | 556 | 536
Depreciation and amortization | 182 | 171 | 522 | 523
Net operating revenues | 4,014 | 3,987 | 12,044 | 12,327
Equity in earnings of unconsolidated affiliates | 1 | 1 | 5 | 7
Less: |  |  |  |
Salaries, wages and benefits | 1,888 | 1,908 | 5,558 | 5,876
Supplies | 594 | 597 | 1,783 | 1,860
Other operating expenses, net | 926 | 944 | 2,771 | 2,931
Adjusted EBITDA | 607 | 539 | 1,937 | 1,667
Reconciliation of Adjusted EBITDA: |  |  |  |
Depreciation and amortization | (182) | (171) | (522) | (523)
Operating Segments | Ambulatory Care |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Capital expenditures | 38 | 28 | 90 | 65
Depreciation and amortization | 36 | 38 | 110 | 102
Net operating revenues | 1,275 | 1,139 | 3,739 | 3,275
Equity in earnings of unconsolidated affiliates | 63 | 61 | 176 | 175
Less: |  |  |  |
Salaries, wages and benefits | 316 | 310 | 925 | 831
Supplies | 337 | 284 | 987 | 857
Other operating expenses, net | 193 | 167 | 557 | 482
Adjusted EBITDA | 492 | 439 | 1,446 | 1,280
Reconciliation of Adjusted EBITDA: |  |  |  |
Depreciation and amortization | $ (36) | $ (38) | $ (110) | $ (102)

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