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Income Taxes - Additional Information (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024
Income Taxes [Line Items] |  |  |  |
Amount of interest and penalties included in liabilities for uncertain tax positions | $ 8 |  | $ 8 |
Benefit from income taxes | $ (173) | $ (64) | $ (13) | $ (13)
Effective income tax rate | 8650.00% | 15.30% | (2.60%) | 3.70%
Income tax payment, net | $ 91 | $ 48 | $ 192 | $ 132
Income tax benefit | $ 163 |  |  |
Effective tax rate increased | 8150.00% |  |  |
Effective tax rate reduced |  |  | 32.40% |
Cash paid for taxes related to gains on hospitals divested | $ 52 | $ 17 | $ 126 | $ 17
Federal |  |  |  |
Income Taxes [Line Items] |  |  |  |
Open tax year |  |  | 2021 2022 |
Maximum |  |  |  |
Income Taxes [Line Items] |  |  |  |
Unrecognized benefit that would affect the effective tax rate | $ 44 |  | $ 44 |

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