Segment Reporting (Tables)

12 Months Ended

Dec. 31, 2023

Segment Reporting [Abstract]

Segment Reporting

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.