v3.26.1
SEGMENT INFORMATION - Condensed Consolidated Statements of Operations (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Reporting [Line Items]        
Depreciation and amortization $ 215 $ 208 $ 444 $ 414
Net operating revenues  5,628 5,271 10,996 10,494
Equity in earnings of unconsolidated affiliates 65 61 116 117
Less:        
Salaries, wages and benefits 2,231 2,160 4,405 4,279
Supplies 984 932 1,945 1,839
Other operating expenses, net 1,174 1,119 2,296 2,209
Adjusted EBITDA 1,304 1,121 2,466 2,284
Reconciliation of Adjusted EBITDA:        
Revenue from contract termination 413 0 826 0
Depreciation and amortization (215) (208) (444) (414)
Impairment and restructuring charges, and acquisition-related costs (31) (24) (55) (43)
Litigation and investigation costs (3) (28) (30) (45)
Interest expense (204) (206) (409) (410)
Other non-operating income, net 43 25 84 51
Net gains on sales, consolidation and deconsolidation of facilities 33 (38) 34 (16)
Income before income taxes 1,340 642 2,472 1,407
Ambulatory Care        
Segment Reporting [Line Items]        
Net operating revenues  1,388 1,270 2,708 2,464
Operating Segments        
Segment Reporting [Line Items]        
Capital expenditures 168 193 348 366
Depreciation and amortization 215 208 444 414
Reconciliation of Adjusted EBITDA:        
Depreciation and amortization (215) (208) (444) (414)
Operating Segments | Hospital Operations        
Segment Reporting [Line Items]        
Capital expenditures 130 166 278 314
Depreciation and amortization 174 173 362 340
Net operating revenues  4,240 4,001 8,288 8,030
Equity in earnings of unconsolidated affiliates 1 2 1 4
Less:        
Salaries, wages and benefits 1,893 1,846 3,737 3,670
Supplies 615 600 1,219 1,189
Other operating expenses, net 971 934 1,893 1,845
Adjusted EBITDA 762 623 1,440 1,330
Reconciliation of Adjusted EBITDA:        
Depreciation and amortization (174) (173) (362) (340)
Operating Segments | Ambulatory Care        
Segment Reporting [Line Items]        
Capital expenditures 38 27 70 52
Depreciation and amortization 41 35 82 74
Net operating revenues  1,388 1,270 2,708 2,464
Equity in earnings of unconsolidated affiliates 64 59 115 113
Less:        
Salaries, wages and benefits 338 314 668 609
Supplies 369 332 726 650
Other operating expenses, net 203 185 403 364
Adjusted EBITDA 542 498 1,026 954
Reconciliation of Adjusted EBITDA:        
Depreciation and amortization $ (41) $ (35) $ (82) $ (74)