Segment Reporting

6 Months Ended

Jun. 30, 2024

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, 2023. 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, 2024
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	12,334,730		$	2,785,485					$	15,120,215
Gross outpatient revenues	$	8,633,892		$	286,550					$	8,920,442
Total net revenues	$	2,173,409		$	1,731,309		$	2,886		$	3,907,604
Income/(loss) before allocation of corporate overhead and    income taxes	$	211,720		$	360,480		$	(190,194	)	$	382,006
Allocation of corporate overhead	$	(64,887	)	$	(46,975	)	$	111,862		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	146,833		$	313,505		$	(78,332	)	$	382,006
Total assets as of June 30, 2024	$	6,338,360		$	7,572,228		$	160,840		$	14,071,428
	Six months ended June 30, 2024
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	25,244,832		$	5,540,169					$	30,785,001
Gross outpatient revenues	$	16,980,181		$	565,078					$	17,545,259
Total net revenues	$	4,358,490		$	3,387,376		$	5,320		$	7,751,186
Income/(loss) before allocation of corporate overhead and    income taxes	$	417,188		$	680,418		$	(379,514	)	$	718,092
Allocation of corporate overhead	$	(129,733	)	$	(93,910	)	$	223,643		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	287,455		$	586,508		$	(155,871	)	$	718,092
Total assets as of June 30, 2024	$	6,338,360		$	7,572,228		$	160,840		$	14,071,428
	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

(a)Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $213 million and $190 million for the three-month periods ended June 30, 2024 and 2023, respectively, and approximately $421 million and $358 million for the six-month periods ended June 30, 2024 and 2023, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.36 billion and $1.295 billion as of June 30, 2024 and 2023, respectively.