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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Cash flows from operating activities:    
Net income (loss) $ 25 $ (6)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Depreciation and amortization 105 115
Deferred income taxes (26) (14)
Stock-based compensation expense 4 6
Impairment and (gain) loss on sale of businesses, net (24) 17
Other non-cash expenses, net 45 33
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:    
Patient accounts receivable (48) 39
Supplies, prepaid expenses and other current assets (10) (40)
Accounts payable, accrued liabilities and income taxes 103 (13)
Other (54) (41)
Net cash provided by operating activities 120 96
Cash flows from investing activities:    
Acquisitions of facilities and other related businesses 0 (1)
Purchases of property and equipment (85) (93)
Proceeds from disposition of hospitals and other ancillary operations 563 0
Proceeds from sale of property and equipment 0 1
Purchases of available-for-sale debt securities and equity securities (22) (4)
Proceeds from sales of available-for-sale debt securities and equity securities 23 12
Purchases of investments in unconsolidated affiliates 0 (4)
Increase in other investments (35) (10)
Net cash provided by (used in) investing activities 444 (99)
Cash flows from financing activities:    
Repurchase of restricted stock shares for payroll tax withholding requirements (1) (2)
Distributions to noncontrolling investors in joint ventures (35) (50)
Other borrowings 15 17
Proceeds from ABL Facility 939 933
Repayments of long-term indebtedness (1,088) (885)
Net cash (used in) provided by financing activities (170) 13
Net change in cash and cash equivalents 394 10
Cash and cash equivalents at beginning of period 37 38
Cash and cash equivalents at end of period 431 48
Supplemental disclosure of cash flow information:    
Interest payments (229) (149)
Income tax refunds (payments), net $ 80 $ 0