Segment Reporting

12 Months Ended

Dec. 31, 2023

Segment Reporting [Abstract]

Segment Reporting

12) 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 Note 1-Business and Summary of Significant Accounting Policies. 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.

2023	Acute Care Hospital Services			Behavioral Health Services (a.)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	44,687,035		$	10,648,996		$	—		$	55,336,031
Gross outpatient revenues	$	29,858,874		$	1,087,595		$	—		$	30,946,469
Total net revenues	$	8,081,402		$	6,190,921		$	9,653		$	14,281,976
Income (loss) before allocation of corporate    overhead and income taxes	$	540,345		$	1,083,680		$	(683,599	)	$	940,426
Allocation of corporate overhead	$	(266,413	)	$	(186,662	)	$	453,075		$	0
Income (loss) after allocation of corporate overhead    and before income taxes	$	273,932		$	897,018		$	(230,524	)	$	940,426
Total assets	$	6,201,235		$	7,526,672		$	239,695		$	13,967,602

2022	Acute Care Hospital Services (b.)			Behavioral Health Services (a.)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	40,004,670		$	10,116,566		$	—		$	50,121,236
Gross outpatient revenues	$	24,813,718		$	1,031,370		$	—		$	25,845,088
Total net revenues	$	7,646,749		$	5,729,758		$	22,863		$	13,399,370
Income (loss) before allocation of corporate    overhead and income taxes	$	429,664		$	980,290		$	(543,694	)	$	866,260
Allocation of corporate overhead	$	(252,034	)	$	(179,936	)	$	431,970		$	0
Income (loss) after allocation of corporate overhead    and before income taxes	$	177,630		$	800,354		$	(111,724	)	$	866,260
Total assets	$	5,993,887		$	7,277,293		$	223,008		$	13,494,188

2021	Acute Care Hospital Services			Behavioral Health Services (a.)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	36,522,155		$	9,927,401		$	—		$	46,449,556
Gross outpatient revenues	$	20,633,921		$	1,013,547		$	—		$	21,647,468
Total net revenues	$	7,108,254		$	5,503,644		$	30,219		$	12,642,117
Income (loss) before allocation of corporate    overhead and income taxes	$	734,666		$	1,025,557		$	(466,910	)	$	1,293,313
Allocation of corporate overhead	$	(233,298	)	$	(172,512	)	$	405,810		$	0
Income (loss) after allocation of corporate overhead    and before income taxes	$	501,368		$	853,045		$	(61,100	)	$	1,293,313
Total assets	$	5,534,912		$	7,250,427		$	308,204		$	13,093,543

(a)Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $761 million in 2023, $685 million in 2022 and $688 million in 2021. Total assets at our U.K. behavioral health care facilities were approximately $1.327 billion as of December 31, 2023, $1.235 billion as of December 31, 2022 and $1.351 billion as of December 31, 2021.

(b)Included in our 2022 acute care hospital services operating segment income (loss) before allocation of corporate overhead and income taxes is a pre-tax $58 million provision for asset impairment charge to reduce the carrying value of real property assets.