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Segment Information - Summary of Segment Information Including Significant Segment Expenses (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Segment Reporting [Abstract]        
Net operating revenues $ 3,133 $ 3,140 $ 6,292 $ 6,279
Salaries and benefits 1,327 1,329 2,699 2,696
Supplies 469 483 958 969
Contract labor 40 45 80 93
Medical specialist fees 152 154 314 303
Other segment items 767 756 1,498 1,482
Depreciation and amortization 105 125 211 241
Interest expense 215 216 433 427
Interest income (1)   (1) (1)
Impairment and (gain) loss on sale of businesses, net (239) 10 (263) 27
Gain from early extinguishment of debt (138) (26) (138) (26)
Equity in earnings of unconsolidated affiliates (2) (2) (4) (4)
Provision for income taxes 118 24 160 52
Net income $ 320 $ 26 $ 345 $ 20