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Segment and Geographic Information (Tables)
 12 Months Ended
Dec. 31, 2019
Segment Reporting [Abstract]  
Schedule of Geographic Distributions of Revenues, Equity in Earnings of Affiliates, Adjusted Segment EBITDA and Depreciation and Amortization The geographic distributions of our revenues, equity in earnings of affiliates, adjusted segment EBITDA, depreciation and amortization, assets and goodwill and other intangible assets are summarized in the following table (dollars in millions):
 
For the Years Ended December 31,
 
 
    2019
    
 
 
    
2018
    
 
 
    2017    
 
Revenues:
 
 
 
 
 
 
 
 
 
National Group
 
$
25,913
 
 
$
22,581
 
 
$
20,772
 
American Group
 
 
23,173
 
 
 
21,959
 
 
 
20,912
 
Corporate and other
 
 
2,250
 
 
 
2,137
 
 
 
1,930
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$
51,336
 
 
$
46,677
 
 
$
43,614
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Equity in earnings of affiliates:
 
 
 
 
 
 
 
 
 
National Group
 
$
(2
)
 
 
$
(4
)
 
$
(21
)
American Group
 
 
(44
)
 
 
 
(40
)
 
 
(37
)
Corporate and other
 
 
3
 
 
 
15
 
 
 
13
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$
(43
)
 
 
$
(29
)
 
$
(45
)
 
 
 
 
 
 
 
 
 
 
 
 
 
Adjusted segment EBITDA:
 
 
 
 
 
 
 
 
 
National Group
 
$
5,634
 
 
$
4,980
 
 
$
4,600
 
American Group
 
 
4,904
 
 
 
4,593
 
 
 
4,231
 
Corporate and other
 
 
(681
)
 
 
 
(624
)
 
 
(598
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$
9,857
 
 
$
8,949
 
 
$
8,233
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Depreciation and amortization:
 
 
 
 
 
 
 
 
 
National Group
 
$
1,161
 
 
$
946
 
 
$
867
 
American Group
 
 
1,117
 
 
 
1,027
 
 
 
986
 
Corporate and other
 
 
318
 
 
 
305
 
 
 
278
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$
2,596
 
 
$
2,278
 
 
$
2,131
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
For the Years Ended December 31,
 
  
    2019    
 
  
    2018    
 
  
    2017    
 
Adjusted segment EBITDA
 
$
9,857
 
   $
8,949
    $
8,233
 
Depreciation and amortization
 
 
2,596
 
    
2,278
     
2,131
 
Interest expense
 
 
1,824
 
    
1,755
     
1,690
 
Gains on sales of facilities
 
 
(18
)
   
(428
 )    
(8
 )
Losses on retirement of debt
 
 
211
 
    
9
     
39
 
                         
Income before income taxes
 
$
5,244
 
   $
5,335
    $
4,381
 
                         
  
December 31,
 
  
2019
 
  
2018
 
  
2017
 
Assets:
   
     
     
 
National Group
 
$
18,290
 
   $
14,839
    $
13,097
 
American Group
 
 
20,608
 
    
19,122
     
18,136
 
Corporate and other
 
 
6,160
 
    
5,246
     
5,360
 
                         
  
$
45,058
 
   $
39,207
    $
36,593
 
                         
  
National
Group
 
  
American
Group
 
  
Corporate
and Other
 
  
Total
 
Goodwill and other intangible assets:
   
     
     
     
 
Balance at December 31, 2016
  $
1,458
    $
4,661
    $
585
    $
6,704
 
Acquisitions
   
19
     
612
     
62
     
693
 
Foreign currency translation, amortization and other
   
(3
 )    
(8
 )    
8
     
(3
 )
                                 
Balance at December 31, 2017
   
1,474
     
5,265
     
655
     
7,394
 
Acquisitions
   
132
     
504
     
—
      
636
 
Foreign currency translation, amortization and other
   
(9
 )    
(40
 )    
(28
 )    
(77
 )
                                 
Balance at December 31, 2018
   
1,597
     
5,729
     
627
     
7,953
 
Acquisitions
 
 
155
 
  
 
39
 
  
 
138
 
  
 
332
 
F
oreign currency translation, amortization and other
 
 
(13
)
 
 
(3
)
 
 
—
 
  
 
(16
)
                                 
Balance at December 31, 2019
 
$
1,739
 
  
$
5,765
 
  
$
765
 
  
$
8,269