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Segment Reporting (Tables)

12 Months Ended

Dec. 31, 2024


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.