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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2023
Segment Reporting [Abstract]  
Segment Reporting

 

 

Three months ended September 30, 2023

 

 

 

Acute Care
Hospital
Services

 

 

Behavioral
Health
Services (a)

 

 

Other

 

 

Total
Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

10,916,060

 

 

$

2,703,478

 

 

 

 

 

$

13,619,538

 

Gross outpatient revenues

 

$

7,480,353

 

 

$

259,060

 

 

 

 

 

$

7,739,413

 

Total net revenues

 

$

2,017,288

 

 

$

1,542,695

 

 

$

2,791

 

 

$

3,562,774

 

Income/(loss) before allocation of corporate overhead and
   income taxes

 

$

132,406

 

 

$

262,168

 

 

$

(174,067

)

 

$

220,507

 

Allocation of corporate overhead

 

$

(66,355

)

 

$

(46,677

)

 

$

113,032

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and
   before income taxes

 

$

66,051

 

 

$

215,491

 

 

$

(61,035

)

 

$

220,507

 

Total assets as of September 30, 2023

 

$

6,252,434

 

 

$

7,372,995

 

 

$

248,041

 

 

$

13,873,470

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended September 30, 2023

 

 

 

Acute Care
Hospital
Services

 

 

Behavioral
Health
Services (a)

 

 

Other

 

 

Total
Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

33,278,396

 

 

$

8,001,838

 

 

 

 

 

$

41,280,234

 

Gross outpatient revenues

 

$

22,292,249

 

 

$

812,467

 

 

 

 

 

$

23,104,716

 

Total net revenues

 

$

5,993,899

 

 

$

4,575,378

 

 

$

9,153

 

 

$

10,578,430

 

Income/(loss) before allocation of corporate overhead and
   income taxes

 

$

396,229

 

 

$

792,217

 

 

$

(529,143

)

 

$

659,303

 

Allocation of corporate overhead

 

$

(199,943

)

 

$

(139,998

)

 

$

339,941

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and
   before income taxes

 

$

196,286

 

 

$

652,219

 

 

$

(189,202

)

 

$

659,303

 

Total assets as of September 30, 2023

 

$

6,252,434

 

 

$

7,372,995

 

 

$

248,041

 

 

$

13,873,470

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended September 30, 2022

 

 

 

Acute Care
Hospital
Services

 

 

Behavioral
Health
Services (a)

 

 

Other

 

 

Total
Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

9,875,794

 

 

$

2,582,448

 

 

 

 

 

$

12,458,242

 

Gross outpatient revenues

 

$

6,379,324

 

 

$

248,167

 

 

 

 

 

$

6,627,491

 

Total net revenues

 

$

1,919,678

 

 

$

1,434,828

 

 

$

(18,479

)

 

$

3,336,027

 

Income/(loss) before allocation of corporate overhead and
   income taxes

 

$

129,241

 

 

$

237,949

 

 

$

(132,978

)

 

$

234,212

 

Allocation of corporate overhead

 

$

(63,242

)

 

$

(44,882

)

 

$

108,124

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and
   before income taxes

 

$

65,999

 

 

$

193,067

 

 

$

(24,854

)

 

$

234,212

 

Total assets as of September 30, 2022

 

$

6,039,787

 

 

$

7,336,437

 

 

$

2,676

 

 

$

13,378,900

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended September 30, 2022

 

 

 

Acute Care
Hospital
Services

 

 

Behavioral
Health
Services (a)

 

 

Other

 

 

Total
Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

29,821,756

 

 

$

7,580,475

 

 

 

-

 

 

$

37,402,231

 

Gross outpatient revenues

 

$

18,360,902

 

 

$

773,769

 

 

 

-

 

 

$

19,134,671

 

Total net revenues

 

$

5,707,510

 

 

$

4,235,215

 

 

$

9,665

 

 

$

9,952,390

 

Income/(loss) before allocation of corporate overhead and
   income taxes

 

$

372,981

 

 

$

693,694

 

 

$

(422,750

)

 

$

643,925

 

Allocation of corporate overhead

 

$

(188,739

)

 

$

(134,946

)

 

$

323,685

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and
   before income taxes

 

$

184,242

 

 

$

558,748

 

 

$

(99,065

)

 

$

643,925

 

Total assets as of September 30, 2022

 

$

6,039,787

 

 

$

7,336,437

 

 

$

2,676

 

 

$

13,378,900

 

(a)
Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $203 million and $167 million for the three-month periods ended September 30, 2023 and 2022, respectively, and approximately $561 million and $516
million for the nine-month periods ended September 30, 2023 and 2022, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.260 billion and $1.119 billion as of September 30, 2023 and 2022, respectively.