v3.25.2
SEGMENT INFORMATION - Condensed Consolidated Statements of Operations (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Segment Reporting Information [Line Items]        
Depreciation and amortization $ 208 $ 208 $ 414 $ 416
Net operating revenues  5,271 5,108 10,494 10,476
Equity in earnings of unconsolidated affiliates 61 61 117 120
Less:        
Salaries, wages and benefits 2,160 2,168 4,279 4,489
Supplies 932 908 1,839 1,836
Other operating expenses, net 1,119 1,148 2,209 2,302
Adjusted EBITDA 1,121 945 2,284 1,969
Reconciliation of Adjusted EBITDA:        
Depreciation and amortization (208) (208) (414) (416)
Impairment and restructuring charges, and acquisition-related costs (24) (29) (43) (56)
Litigation and investigation costs (28) (5) (45) (9)
Interest expense (206) (203) (410) (421)
Loss from early extinguishment of debt 0 0 0 (8)
Other non-operating income, net 25 29 51 54
Net gain (losses) on sales, consolidation and deconsolidation of facilities (38) 58 (16) 2,558
Income before income taxes 642 587 1,407 3,671
Ambulatory Care        
Segment Reporting Information [Line Items]        
Net operating revenues  1,270 1,141 2,464 2,136
Operating Segments        
Segment Reporting Information [Line Items]        
Capital expenditures 193 145 366 385
Depreciation and amortization 208 208 414 416
Reconciliation of Adjusted EBITDA:        
Depreciation and amortization (208) (208) (414) (416)
Operating Segments | Hospital Operations        
Segment Reporting Information [Line Items]        
Capital expenditures 166 126 314 348
Depreciation and amortization 173 175 340 352
Net operating revenues  4,001 3,967 8,030 8,340
Equity in earnings of unconsolidated affiliates 2 3 4 6
Less:        
Salaries, wages and benefits 1,846 1,884 3,670 3,968
Supplies 600 609 1,189 1,263
Other operating expenses, net 934 979 1,845 1,987
Adjusted EBITDA 623 498 1,330 1,128
Reconciliation of Adjusted EBITDA:        
Depreciation and amortization (173) (175) (340) (352)
Operating Segments | Ambulatory Care        
Segment Reporting Information [Line Items]        
Capital expenditures 27 19 52 37
Depreciation and amortization 35 33 74 64
Net operating revenues  1,270 1,141 2,464 2,136
Equity in earnings of unconsolidated affiliates 59 58 113 114
Less:        
Salaries, wages and benefits 314 284 609 521
Supplies 332 299 650 573
Other operating expenses, net 185 169 364 315
Adjusted EBITDA 498 447 954 841
Reconciliation of Adjusted EBITDA:        
Depreciation and amortization $ (35) $ (33) $ (74) $ (64)