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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2024
Jun. 30, 2023
Cash flows from operating activities:      
Net income (loss) $ 26 $ 20 $ (18)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:      
Depreciation and amortization 125 241 255
Deferred income taxes   (17) 29
Stock-based compensation expense 2 8 10
Impairment and (gain) loss on sale of businesses, net 10 27 (35)
Gain from early extinguishment of debt (26) (26)  
Other non-cash expenses, net   94 88
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:      
Patient accounts receivable   39 (2)
Supplies, prepaid expenses and other current assets   (23) (73)
Accounts payable, accrued liabilities and income taxes   (88) (130)
Other   (78) (33)
Net cash provided by operating activities   197 91
Cash flows from investing activities:      
Acquisitions of facilities and other related businesses   (1) (15)
Purchases of property and equipment   (181) (227)
Proceeds from disposition of hospitals and other ancillary operations     111
Proceeds from sale of property and equipment   4 24
Purchases of available-for-sale debt securities and equity securities   (23) (99)
Proceeds from sales of available-for-sale debt securities and equity securities   32 137
Purchases of investments in unconsolidated affiliates   (4) (7)
Increase in other investments   (34) (29)
Net cash used in investing activities   (207) (105)
Cash flows from financing activities:      
Repurchase of restricted stock shares for payroll tax withholding requirements   (2) (4)
Deferred financing costs and other debt-related costs   (9)  
Proceeds from noncontrolling investors in joint ventures   1 3
Redemption of noncontrolling investments in joint ventures   (2) (1)
Distributions to noncontrolling investors in joint ventures   (84) (83)
Other borrowings   18 29
Issuance of long-term debt   1,296  
Proceeds from ABL Facility   1,906 1,527
Repayments of long-term indebtedness   (3,113) (1,457)
Net cash provided by financing activities   11 14
Net change in cash and cash equivalents   1  
Cash and cash equivalents at beginning of period   38 118
Cash and cash equivalents at end of period 39 39 118
Supplemental disclosure of cash flow information:      
Interest payments (211) (360) (385)
Income tax payments, net $ (84) $ (84) $ (37)