Segment Reporting

9 Months Ended

Sep. 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 September 30, 2024
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	12,277,563		$	2,835,301					$	15,112,864
Gross outpatient revenues	$	8,573,270		$	268,182					$	8,841,452
Total net revenues	$	2,245,517		$	1,714,914		$	2,596		$	3,963,027
Income/(loss) before allocation of corporate overhead and    income taxes	$	199,316		$	318,864		$	(176,647	)	$	341,533
Allocation of corporate overhead	$	(64,883	)	$	(46,898	)	$	111,781		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	134,433		$	271,966		$	(64,866	)	$	341,533
Total assets as of September 30, 2024	$	6,481,922		$	7,631,827		$	240,099		$	14,353,848
	Nine months ended September 30, 2024
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	37,522,395		$	8,375,470					$	45,897,865
Gross outpatient revenues	$	25,553,451		$	833,260					$	26,386,711
Total net revenues	$	6,604,007		$	5,102,290		$	7,916		$	11,714,213
Income/(loss) before allocation of corporate overhead and    income taxes	$	616,503		$	999,282		$	(556,160	)	$	1,059,625
Allocation of corporate overhead	$	(194,616	)	$	(140,808	)	$	335,424		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	421,887		$	858,474		$	(220,736	)	$	1,059,625
Total assets as of September 30, 2024	$	6,481,922		$	7,631,827		$	240,099		$	14,353,848
	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

(a)Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $230 million and $203 million for the three-month periods ended September 30, 2024 and 2023, respectively, and approximately $651 million and $561 million for the nine-month periods ended September 30, 2024 and 2023, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.442 billion and $1.260 billion as of September 30, 2024 and 2023, respectively.