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Segment Information - Summary of Segment Information Including Significant Segment Expenses (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Segment Reporting [Abstract]        
Net operating revenues $ 3,087 $ 3,090 $ 9,379 $ 9,369
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 0 (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)