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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