9. LEASES The Company utilizes operating and finance leases for the use of certain hospitals, medical office buildings, and medical equipment. The components of lease cost and rent expense for the three and nine months ended September 30, 2026 and 2025 are as follows (in millions):
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Three Months Ended
September 30, |
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Nine Months Ended
September 30, |
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Lease Cost |
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2026 |
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2025 |
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2026 |
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2025 |
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Operating lease cost: |
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Operating lease cost |
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$ |
39 |
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$ |
39 |
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$ |
120 |
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$ |
124 |
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Short-term rent expense |
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14 |
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20 |
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47 |
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62 |
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Variable lease cost |
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9 |
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9 |
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29 |
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26 |
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Sublease income |
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— |
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(1 |
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(1 |
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(3 |
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Total operating lease cost |
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$ |
62 |
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$ |
67 |
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$ |
195 |
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$ |
209 |
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Finance lease cost: |
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Amortization of right-of-use assets |
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$ |
2 |
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$ |
2 |
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$ |
7 |
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$ |
7 |
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Interest on finance lease liabilities |
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3 |
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3 |
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9 |
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10 |
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Total finance lease cost |
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$ |
5 |
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$ |
5 |
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$ |
16 |
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$ |
17 |
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Supplemental balance sheet information related to leases is as follows (in millions):
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Balance Sheet Classification |
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September 30, 2026 |
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December 31, 2025 |
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Operating Leases: |
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Operating lease right-of-use assets |
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Other assets, net |
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$ |
586 |
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$ |
617 |
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Finance Leases: |
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Finance lease right-of-use assets |
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Property and equipment |
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Land and improvements |
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$ |
— |
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$ |
— |
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Buildings and improvements |
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223 |
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237 |
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Equipment and fixtures |
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8 |
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5 |
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Property and equipment |
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231 |
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242 |
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Less: Accumulated depreciation and amortization |
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(74 |
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(69 |
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Property and equipment, net |
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$ |
157 |
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$ |
173 |
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Current finance lease liabilities |
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Current maturities of long-term debt |
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$ |
4 |
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$ |
2 |
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Long-term finance lease liabilities |
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Long-term debt |
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187 |
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201 |
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Supplemental cash flow information related to leases for the nine months ended September 30, 2026 and 2025 is as follows (in millions):
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Nine Months Ended
September 30, |
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Cash flow information |
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2026 |
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2025 |
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Cash paid for amounts included in the measurement of lease liabilities: |
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Operating cash flows from operating leases (1) |
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$ |
117 |
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$ |
123 |
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Operating cash flows from finance leases |
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9 |
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10 |
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Financing cash flows from finance leases |
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2 |
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2 |
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Right-of-use assets obtained in exchange for new finance lease liabilities |
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4 |
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1 |
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Right-of-use assets obtained in exchange for new operating lease liabilities |
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89 |
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75 |
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_______________________________ (1)Included in the change in other operating assets and liabilities in the condensed consolidated statements of cash flows. |