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Segment Reporting (Tables)
3 Months Ended
Mar. 31, 2025
Segment Reporting [Abstract]  
Segment Reporting

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

 

 

 

Three months ended March 31, 2024

 

Acute Care
Hospital
Services

 

 

Behavioral
Health Care
Services (c)

 

 

Total

 

 

 

(amounts in thousands)

 

Net revenue from reportable segments

 

$

2,185,081

 

 

$

1,656,067

 

 

$

3,841,148

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of Net Revenue

 

 

 

 

 

 

 

 

 

Non-segment revenue

 

 

 

 

 

 

 

 

2,434

 

Total Net Revenue

 

 

 

 

 

 

 

$

3,843,582

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

$

861,547

 

 

$

872,196

 

 

 

 

Other segment item operating expenses (a)

 

 

1,025,820

 

 

 

415,710

 

 

 

 

Depreciation and amortization expense

 

 

90,312

 

 

 

47,872

 

 

 

 

Interest expense, net

 

 

1,300

 

 

 

1,027

 

 

 

 

Other expense (income), net

 

 

634

 

 

 

(676

)

 

 

 

Reportable segment income before income taxes

 

$

205,468

 

 

$

319,938

 

 

$

525,406

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of non-segment revenue/expenses to consolidated income before income taxes

 

 

 

 

 

 

 

 

 

Non-segment revenue

 

 

 

 

 

 

 

 

2,434

 

Non-segment operating expenses (b)

 

 

 

 

 

 

 

 

141,363

 

Non-segment interest expense, net

 

 

 

 

 

 

 

 

50,499

 

Non-segment other (income) expense, net

 

 

 

 

 

 

 

 

(108

)

Income before income taxes

 

 

 

 

 

 

 

$

336,086

 

 

(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 $227 million and $208 million for the three-month periods ended March 31, 2025 and 2024, respectively.