Segment and Geographic Information (Tables)

3 Months Ended

Mar. 31, 2024

Segment Reporting [Abstract]

Schedule of Geographic Distributions of Revenues, Equity in Earnings or Losses of Affiliates, Adjusted Segment EBITDA, Depreciation and Amortization

The geographic distributions of our revenues, equity in earnings or losses of affiliates, adjusted segment EBITDA and depreciation and amortization for the quarters ended March 31, 2024 and 2023 are summarized in the following table (dollars in millions):

	2024			2023
Revenues:
National Group	$	4,795		$	4,616		(1)
Atlantic Group		5,677			5,109
American Group		5,914			5,199
Corporate and other		953			667
	$	17,339		$	15,591
Equity in (earnings) losses of affiliates:
National Group	$	(1	)	$	(1	)
Atlantic Group		(1	)		(1	)
American Group		(13	)		(12	)
Corporate and other		17			32
	$	2		$	18
Adjusted segment EBITDA:
National Group	$	1,068		$	1,149		(1)
Atlantic Group		1,289			1,086
American Group		1,320			1,133
Corporate and other		(324	)		(196	)
	$	3,353		$	3,172
Depreciation and amortization:
National Group	$	212		$	207
Atlantic Group		258			239
American Group		255			237
Corporate and other		70			73
	$	795		$	756
Adjusted segment EBITDA	$	3,353		$	3,172
Depreciation and amortization		795			756
Interest expense		512			479
Losses (gains) on sales of facilities		(201	)		15
Income before income taxes	$	2,247		$	1,922

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(1) Includes $145 million related to resolving certain disputed claims from prior years with a commercial payer.