Segment Reporting

12 Months Ended

Dec. 31, 2024

Segment Reporting [Abstract]

Segment Reporting

12) SEGMENT REPORTING

We operate in two reportable segments: Acute Care Hospital Services and Behavioral Health Care Services. Our chief operating decision making (“CODM”) group is comprised of our President and Chief Executive Officer and each of our respective division Presidents for our Acute Care Hospital Services and Behavioral Health Care Services. 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 primary profitability measurement utilized by the President and Chief Executive Officer as

well as the Presidents of each operating segment is segment income before income taxes. Segment income before income taxes is utilized by the CODM group during the annual budgeting process and during their reviews of our monthly operating results to monitor each segment’s operating results as compared to prior periods, and the respective operating budgets.

The expenses included in our non-segment operating expenses below include centralized services including, but not limited to, information technology, purchasing, reimbursement, accounting and finance, taxation, legal, advertising and design and construction. 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. We do not present asset information for our segments as this information is not used to allocate resources.

2024	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	8,922,327		$	6,895,051		$	15,817,378
Reconciliation of Net Revenue
Non-segment revenue								10,557
Total Net Revenue							$	15,827,935
Salaries, wages and benefits	$	3,511,359		$	3,603,123
Other segment item operating expenses (a)		4,202,491			1,724,763
Depreciation and amortization expense		368,096			206,362
Interest (income) expense, net		6,339			4,027
Other (income) expense, net		(1,305	)		(3,547	)
Reportable segment income before income taxes	$	835,347		$	1,360,323		$	2,195,670
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								10,557
Non-segment operating expenses (b)								529,927
Non-segment interest expense, net								175,743
Non-segment other (income) expense, net								2,621
Income before income taxes							$	1,497,936

2023	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	8,081,402		$	6,190,921		$	14,272,323
Reconciliation of Net Revenue
Non-segment revenue								9,653
Total Net Revenue							$	14,281,976
Salaries, wages and benefits	$	3,406,060		$	3,353,008
Other segment item operating expenses (a)		3,762,066			1,564,649
Depreciation and amortization expense		367,644			189,297
Interest (income) expense, net		(2,501	)		4,558
Other (income) expense, net		7,788			(4,271	)
Reportable segment income before income taxes	$	540,345		$	1,083,680		$	1,624,025
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								9,653
Non-segment operating expenses (b)								463,871
Non-segment interest expense, net								204,617
Non-segment other (income) expense, net								24,764
Income before income taxes							$	940,426

2022	Acute Care Hospital Services (d)		Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	7,646,749	$	5,729,758		$	13,376,507
Reconciliation of Net Revenue
Non-segment revenue							22,863
Total Net Revenue						$	13,399,370
Salaries, wages and benefits	$	3,332,535	$	3,107,216
Other segment item operating expenses (a)		3,497,538		1,457,217
Depreciation and amortization expense		383,115		186,555
Interest (income) expense, net		1,109		5,323
Other (income) expense, net		2,788		(6,843	)
Reportable segment income before income taxes	$	429,664	$	980,290		$	1,409,954
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue							22,863
Non-segment operating expenses (b)							431,639
Non-segment interest expense, net							120,457
Non-segment other (income) expense, net							14,461
Income before income taxes						$	866,260

(a)Other segment operating expenses for each period includes other operating expenses, supplies expense and lease and rental expense.

(b)Non-segment operating expenses for each period includes salaries, wages and benefits, other operating expenses, supplies expense and lease and rental expense.

(c)Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $880 million in 2024, $761 million in 2023 and $685 million in 2022.

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