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Segment Information (Tables)
9 Months Ended
Sep. 30, 2025
Segment Reporting [Abstract]  
Summary of Segment Information Including Significant Segment Expenses The following segment information, including significant segment expenses, is presented (in millions):

 

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2025

 

 

2024

 

 

2025

 

 

2024

 

Net operating revenues

 

$

3,087

 

 

$

3,090

 

 

$

9,379

 

 

$

9,369

 

Less:

 

 

 

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

 

1,356

 

 

 

1,359

 

 

 

4,056

 

 

 

4,054

 

Supplies

 

 

460

 

 

 

469

 

 

 

1,418

 

 

 

1,439

 

Contract labor

 

 

38

 

 

 

41

 

 

 

119

 

 

 

134

 

Medical specialist fees

 

 

165

 

 

 

167

 

 

 

479

 

 

 

470

 

Other segment items

 

 

696

 

 

 

875

 

 

 

2,194

 

 

 

2,357

 

Depreciation and amortization

 

 

108

 

 

 

117

 

 

 

317

 

 

 

357

 

Interest expense

 

 

217

 

 

 

217

 

 

 

651

 

 

 

645

 

Interest income

 

 

(1

)

 

 

(1

)

 

 

(2

)

 

 

(2

)

Impairment and (gain) loss on sale of
   businesses, net

 

 

21

 

 

 

267

 

 

 

(242

)

 

 

294

 

Loss (gain) from early extinguishment of debt

 

 

33

 

 

 

 

 

 

(105

)

 

 

(25

)

Equity in earnings of unconsolidated affiliates

 

 

(4

)

 

 

(2

)

 

 

(9

)

 

 

(7

)

Benefit from income taxes

 

 

(173

)

 

 

(64

)

 

 

(13

)

 

 

(13

)

Net income (loss)

 

$

171

 

 

$

(355

)

 

$

516

 

 

$

(334

)