Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Cash flows from operating activities:
Net loss	$ (6)	$ (20)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	115	132
Deferred income taxes	(14)	7
Stock-based compensation expense	6	6
Impairment and (gain) loss on sale of businesses, net	17	(22)
Other non-cash expenses, net	33	42
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
Patient accounts receivable	39	(2)
Supplies, prepaid expenses and other current assets	(40)	(50)
Accounts payable, accrued liabilities and income taxes	(13)	(32)
Other	(41)	(56)
Net cash provided by operating activities	96	5
Cash flows from investing activities:
Acquisitions of facilities and other related businesses	(1)	(8)
Purchases of property and equipment	(93)	(122)
Proceeds from disposition of hospitals and other ancillary operations		92
Proceeds from sale of property and equipment	1	5
Purchases of available-for-sale debt securities and equity securities	(4)	(26)
Proceeds from sales of available-for-sale debt securities and equity securities	12	61
Purchases of investments in unconsolidated affiliates	(4)	(5)
Increase in other investments	(10)	(16)
Net cash used in investing activities	(99)	(19)
Cash flows from financing activities:
Repurchase of restricted stock shares for payroll tax withholding requirements	(2)	(4)
Proceeds from noncontrolling investors in joint ventures		2
Redemption of noncontrolling investments in joint ventures		(1)
Distributions to noncontrolling investors in joint ventures	(50)	(44)
Other borrowings	17	29
Proceeds from ABL Facility	933	815
Repayments of long-term indebtedness	(885)	(757)
Net cash provided by financing activities	13	40
Net change in cash and cash equivalents	10	26
Cash and cash equivalents at beginning of period	38	118
Cash and cash equivalents at end of period	48	144
Supplemental disclosure of cash flow information:
Interest payments	(149)	$ (197)
Income tax payments, net	$ 0