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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