Dispositions and acquisitions	9 Months Ended
Sep. 30, 2023
Business Combinations [Abstract]
Dispositions and acquisitions	(9) Dispositions and acquisitions Nine-month period ended September 30, 2023: Acquisitions: During the first nine months of 2023, we spent $4 million on the acquisition of businesses and property. Divestitures: During the first nine months of 2023, we received $24 million from the sales of assets and businesses. Nine-month period ended September 30, 2022: Acquisitions: During the first nine months of 2022, we spent $19 million on the acquisition of businesses and property. In addition, we spent $51 million to acquire the 20% noncontrolling ownership interest in a hospital majority owned by us, located in Washington D.C. Divestitures: During the first nine months of 2022, we received $12 million from the sales of assets and businesses.

The entire disclosure for business combinations, including leverage buyout transactions (as applicable), and divestitures. This may include a description of a business combination or divestiture (or series of individually immaterial business combinations or divestitures) completed during the period, including background, timing, and assets and liabilities recognized and reclassified or sold. This element does not include fixed asset sales and plant closings.

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 805
-Name Accounting Standards Codification
-Publisher FASB
-URI https://asc.fasb.org//805/tableOfContent

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 205
-SubTopic 20
-Name Accounting Standards Codification
-Publisher FASB
-URI https://asc.fasb.org//205-20/tableOfContent

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