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Consolidated Statements of Stockholders' Deficit - USD ($) $ in Millions | Total | Redeemable Noncontrolling Interests (Non- Equity) | Common Stock | Additional Paid-in Capital | Accumulated Other Comprehensive Loss | Accumulated Deficit | Noncontrolling Interest
--- | --- | --- | --- | --- | --- | --- | ---
Equity, beginning balance at Dec. 31, 2021 | $ (1,290) |  | $ 1 | $ 2,118 | $ (14) | $ (3,477) | $ 82
Redeemable Noncontrolling Interests, beginning balance at Dec. 31, 2021 |  | $ 480 |  |  |  |  |
Shares, outstanding, beginning balance at Dec. 31, 2021 |  |  | 132,146,282 |  |  |  |
Comprehensive income (loss) | 80 |  |  |  | (7) | 46 |
Comprehensive income (loss) attributable to redeemable noncontrolling interest |  | 92 |  |  |  |  | 41
Contributions from noncontrolling interests | 11 |  |  |  |  |  |
Contributions from redeemable noncontrolling interests |  | 2 |  |  |  |  | 11
Distributions to noncontrolling interests | (45) |  |  |  |  |  |
Distributions to redeemable noncontrolling interests |  | (80) |  |  |  |  | (45)
Purchase of subsidiary shares from noncontrolling interests | (6) | 1 |  | (6) |  |  |
Noncontrolling interests in acquired entity | 3 | 6 |  |  |  |  | 3
Adjustment to redemption value of redeemable noncontrolling interests | (40) | 40 |  | (40) |  |  |
Cancellation of restricted stock for tax withholdings on vested shares | (8) |  |  | (8) |  |  |
Cancellation of restricted stock for tax withholdings on vested shares, shares |  |  | (828,952) |  |  |  |
Issuance of common stock in connection with the exercise of stock options, shares |  |  | 56,500 |  |  |  |
Stock-based compensation | 20 |  |  | 20 |  |  |
Stock-based compensation, shares |  |  | 3,329,887 |  |  |  |
Equity, ending balance at Dec. 31, 2022 | (1,275) |  | $ 1 | 2,084 | (21) | (3,431) | 92
Redeemable Noncontrolling Interests, ending balance at Dec. 31, 2022 |  | 541 |  |  |  |  |
Shares, outstanding, ending balance at Dec. 31, 2022 |  |  | 134,703,717 |  |  |  |
Comprehensive income (loss) | (50) |  |  |  | 7 | (133) | 76
Comprehensive income (loss) attributable to redeemable noncontrolling interest |  | 73 |  |  |  |  |
Contributions from noncontrolling interests | 4 |  |  |  |  |  | 4
Contributions from redeemable noncontrolling interests |  | 1 |  |  |  |  |
Distributions to noncontrolling interests | (69) |  |  |  |  |  | (69)
Distributions to redeemable noncontrolling interests |  | (72) |  |  |  |  |
Purchase of subsidiary shares from noncontrolling interests | 5 | (7) |  | 5 |  |  |
Other reclassifications of noncontrolling interests | 263 |  |  | 121 |  |  | 142
Other reclassifications of redeemable noncontrolling interests |  | (266) |  |  |  |  |
Noncontrolling interests in acquired entity |  | 10 |  |  |  |  |
Adjustment to redemption value of redeemable noncontrolling interests | (43) | 43 |  | (43) |  |  |
Cancellation of restricted stock for tax withholdings on vested shares | (4) |  |  | (4) |  |  |
Cancellation of restricted stock for tax withholdings on vested shares, shares |  |  | (722,606) |  |  |  |
Issuance of common stock in connection with the exercise of stock options, shares |  |  | 15,001 |  |  |  |
Stock-based compensation | 22 |  |  | 22 |  |  |
Stock-based compensation, shares |  |  | 2,778,799 |  |  |  |
Equity, ending balance at Dec. 31, 2023 | (1,147) |  | $ 1 | 2,185 | (14) | (3,564) | 245
Redeemable Noncontrolling Interests, ending balance at Dec. 31, 2023 | 323 | 323 |  |  |  |  |
Shares, outstanding, ending balance at Dec. 31, 2023 |  |  | 136,774,911 |  |  |  |
Comprehensive income (loss) | (416) |  |  |  | 4 | (516) | 96
Comprehensive income (loss) attributable to redeemable noncontrolling interest |  | 58 |  |  |  |  |
Contributions from redeemable noncontrolling interests |  | 1 |  |  |  |  |
Distributions to noncontrolling interests | (100) |  |  |  |  |  |
Distributions to redeemable noncontrolling interests |  | (55) |  |  |  |  | (100)
Purchase of subsidiary shares from noncontrolling interests | (28) | 34 |  | (28) |  |  |
Other reclassifications of noncontrolling interests | 1 |  |  |  |  |  | 1
Other reclassifications of redeemable noncontrolling interests |  | 1 |  |  |  |  |
Disposition of less-than-wholly owned hospital | (4) | (4) |  |  |  |  | (4)
Noncontrolling interests in acquired entity |  | 3 |  |  |  |  |
Adjustment to redemption value of redeemable noncontrolling interests | 2 | (2) |  | 2 |  |  |
Cancellation of restricted stock for tax withholdings on vested shares | (1) |  |  | (1) |  |  |
Cancellation of restricted stock for tax withholdings on vested shares, shares |  |  | (657,876) |  |  |  |
Stock-based compensation | 17 |  |  | 17 |  |  |
Stock-based compensation, shares |  |  | 2,802,606 |  |  |  |
Equity, ending balance at Dec. 31, 2024 | (1,676) |  | $ 1 | $ 2,175 | $ (10) | $ (4,080) | $ 238
Redeemable Noncontrolling Interests, ending balance at Dec. 31, 2024 | $ 359 | $ 359 |  |  |  |  |
Shares, outstanding, ending balance at Dec. 31, 2024 |  |  | 138,919,641 |  |  |  |

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