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Segment Reporting (Tables)
 6 Months Ended
Jun. 30, 2023
Segment Reporting [Abstract]  
Segment Reporting

 

 

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.