Segment Reporting

6 Months Ended

Jun. 30, 2023

Segment Reporting [Abstract]

Segment Reporting

(7) Segment Reporting

Our reportable operating segments consist of acute care hospital services and behavioral health care services. The “Other” segment column below includes centralized services including, but not limited to, information technology, purchasing, reimbursement, accounting and finance, taxation, legal, advertising and design and construction. The chief operating decision making group for our acute care services and behavioral health care services is comprised of our Chief Executive Officer and the Presidents of each operating segment. The Presidents for each operating segment also manage the profitability of each respective segment’s various facilities. The operating segments are managed separately because each operating segment represents a business unit that offers different types of healthcare services or operates in different healthcare environments. The accounting policies of the operating segments are the same as those described in the summary of significant accounting policies included in our Annual Report on Form 10-K for the year ended December 31, 2022. The corporate overhead allocations, as reflected below, are utilized for internal reporting purposes and are comprised of each period’s projected corporate-level operating expenses (excluding interest expense). The overhead expenses are captured and allocated directly to each segment, to the extent possible, based upon each segment’s respective percentage of total operating expenses.

	Three months ended June 30, 2023
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	10,960,845		$	2,670,370					$	13,631,215
Gross outpatient revenues	$	7,515,780		$	281,036					$	7,796,816
Total net revenues	$	2,003,079		$	1,542,194		$	2,865		$	3,548,138
Income/(loss) before allocation of corporate overhead and    income taxes	$	130,527		$	263,693		$	(169,525	)	$	224,695
Allocation of corporate overhead	$	(66,326	)	$	(46,679	)	$	113,005		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	64,201		$	217,014		$	(56,520	)	$	224,695
Total assets as of June 30, 2023	$	6,108,389		$	7,365,545		$	258,375		$	13,732,309
	Six months ended June 30, 2023
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	22,362,336		$	5,298,360					$	27,660,696
Gross outpatient revenues	$	14,811,896		$	553,407					$	15,365,303
Total net revenues	$	3,976,611		$	3,032,683		$	6,362		$	7,015,656
Income/(loss) before allocation of corporate overhead and    income taxes	$	263,823		$	530,049		$	(355,076	)	$	438,796
Allocation of corporate overhead	$	(133,588	)	$	(93,321	)	$	226,909		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	130,235		$	436,728		$	(128,167	)	$	438,796
Total assets as of June 30, 2023	$	6,108,389		$	7,365,545		$	258,375		$	13,732,309
	Three months ended June 30, 2022
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	9,706,731		$	2,561,553					$	12,268,284
Gross outpatient revenues	$	6,206,039		$	268,489					$	6,474,528
Total net revenues	$	1,875,516		$	1,433,920		$	13,971		$	3,323,407
Income/(loss) before allocation of corporate overhead and    income taxes	$	95,059		$	249,958		$	(135,287	)	$	209,730
Allocation of corporate overhead	$	(63,213	)	$	(45,063	)	$	108,276		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	31,846		$	204,895		$	(27,011	)	$	209,730
Total assets as of June 30, 2022	$	5,785,470		$	7,251,966		$	258,667		$	13,296,103
	Six months ended June 30, 2022
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	19,945,962		$	4,998,027			-		$	24,943,989
Gross outpatient revenues	$	11,981,578		$	525,602			-		$	12,507,180
Total net revenues	$	3,787,832		$	2,800,387		$	28,144		$	6,616,363
Income/(loss) before allocation of corporate overhead and    income taxes	$	243,739		$	455,746		$	(289,772	)	$	409,713
Allocation of corporate overhead	$	(125,497	)	$	(90,064	)	$	215,561		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	118,242		$	365,682		$	(74,211	)	$	409,713
Total assets as of June 30, 2022	$	5,785,470		$	7,251,966		$	258,667		$	13,296,103

(a)Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $190 million and $173 million for the three-month periods ended June 30, 2023 and 2022, respectively, and approximately $358 million and $349 million for

the six-month periods ended June 30, 2023 and 2022, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.295 billion and $1.220 billion as of June 30, 2023 and 2022, respectively.