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Segment Reporting (Tables)
 6 Months Ended
Jun. 30, 2024
Segment Reporting [Abstract]  
Segment Reporting

 

 

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.