Segment Reporting

3 Months Ended

Mar. 31, 2025

Segment Reporting [Abstract]

Segment Reporting

(7) 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 our Annual Report on Form 10-K for the year ended December 31, 2024. We do not present asset information for our segments as this information is not used to allocate resources.

Three months ended March 31, 2025	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	2,349,229		$	1,747,649		$	4,096,878
Reconciliation of Net Revenue
Non-segment revenue								2,842
Total Net Revenue							$	4,099,720
Salaries, wages and benefits	$	910,724		$	928,166
Other segment item operating expenses (a)		1,089,072			430,400
Depreciation and amortization expense		94,647			51,408
Interest (income) expense, net		2,262			1,075
Other (income) expense, net		(8,267	)		(825	)
Reportable segment income before income taxes	$	260,791		$	337,425		$	598,216
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								2,842
Non-segment operating expenses (b)								140,478
Non-segment interest expense, net								36,719
Non-segment other (income) expense, net								3,433
Income before income taxes							$	420,428