Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
Cash flows from operating activities:
Net income	$ 2,955	$ 2,844
Increase (decrease) in cash from operating assets and liabilities:
Accounts receivable	306	(547)
Inventories and other assets	(301)	(462)
Accounts payable and accrued expenses	(505)	(818)
Depreciation and amortization	1,519	1,470
Income taxes	3	121
Losses on sales of facilities	14	22
Losses on retirement of debt	0	78
Amortization of debt issuance costs and discounts	17	15
Share-based compensation	133	171
Other	137	81
Net cash provided by operating activities	4,278	2,975
Cash flows from investing activities:
Purchase of property and equipment	(2,438)	(1,941)
Acquisition of hospitals and health care entities	(124)	(116)
Sales of hospitals and health care entities	172	20
Change in investments	(16)	(2)
Other	(2)	(11)
Net cash used in investing activities	(2,408)	(2,050)
Cash flows from financing activities:
Issuance of long-term debt	3,218	5,966
Net change in revolving credit facilities	(1,840)	930
Repayment of long-term debt	(608)	(2,690)
Distributions to noncontrolling interests	(342)	(333)
Payment of debt issuance costs	(30)	(53)
Payment of dividends	(339)	(337)
Repurchase of common stock	(1,761)	(4,783)
Other	(221)	(201)
Net cash used in financing activities	(1,923)	(1,501)
Effect of exchange rate changes on cash and cash equivalents	7	(17)
Change in cash and cash equivalents	(46)	(593)
Cash and cash equivalents at beginning of period	908	1,451
Cash and cash equivalents at end of period	862	858
Interest payments	925	777
Income tax payments, net	$ 773	$ 609