Segment Reporting (Tables)

6 Months Ended

Jun. 30, 2025

Segment Reporting [Abstract]

Segment Reporting

Three months ended June 30, 2025	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	2,401,034		$	1,880,076		$	4,281,110
Reconciliation of Net Revenue
Non-segment revenue								2,706
Total Net Revenue							$	4,283,816
Salaries, wages and benefits	$	937,105		$	977,156
Other segment item operating expenses (a)		1,142,344			453,206
Depreciation and amortization expense		96,370			53,259
Interest (income) expense, net		(1,613	)		1,104
Other (income) expense, net		(916	)		(837	)
Reportable segment income before income taxes	$	227,744		$	396,188		$	623,932
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								2,706
Non-segment operating expenses (b)								124,106
Non-segment interest expense, net								35,873
Non-segment other (income) expense, net								(6,726	)
Income before income taxes							$	473,385
Six months ended June 30, 2025	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	4,750,263		$	3,627,725		$	8,377,988
Reconciliation of Net Revenue
Non-segment revenue								5,548
Total Net Revenue							$	8,383,536
Salaries, wages and benefits	$	1,847,829		$	1,905,322
Other segment item operating expenses (a)		2,231,416			883,606
Depreciation and amortization expense		191,017			104,667
Interest (income) expense, net		649			2,179
Other (income) expense, net		(9,183	)		(1,662	)
Reportable segment income before income taxes	$	488,535		$	733,613		$	1,222,148
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								5,548
Non-segment operating expenses (b)								264,584
Non-segment interest expense, net								72,592
Non-segment other (income) expense, net								(3,293	)
Income before income taxes							$	893,813

Three months ended June 30, 2024	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
Net revenue from reportable segments	$	2,178,686		$	1,726,032		$	3,904,718
Reconciliation of Net Revenue
Non-segment revenue								2,886
Total Net Revenue							$	3,907,604
Salaries, wages and benefits	$	859,147		$	895,494
Other segment item operating expenses (a)		1,011,953			420,423
Depreciation and amortization expense		94,361			50,478
Interest expense, net		986			1,008
Other expense (income), net		(461	)		(871	)
Reportable segment income before income taxes	$	212,700		$	359,500		$	572,200
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								2,886
Non-segment operating expenses (b)								139,350
Non-segment interest expense, net								46,905
Non-segment other (income) expense, net								6,825
Income before income taxes							$	382,006
Six months ended June 30, 2024	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	4,363,767		$	3,382,099		$	7,745,866
Reconciliation of Net Revenue
Non-segment revenue								5,320
Total Net Revenue							$	7,751,186
Salaries, wages and benefits	$	1,720,694		$	1,767,690
Other segment item operating expenses (a)		2,037,773			836,133
Depreciation and amortization expense		184,673			98,350
Interest expense, net		2,286			2,035
Other expense (income), net		173			(1,547	)
Reportable segment income before income taxes	$	418,168		$	679,438		$	1,097,606
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								5,320
Non-segment operating expenses (b)								280,713
Non-segment interest expense, net								97,404
Non-segment other (income) expense, net								6,717
Income before income taxes							$	718,092

(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 $247 million and $213 million for the three-month periods ended June 30, 2025 and 2024, respectively, and approximately $474 million and $421 million for the six-month periods ended June 30, 2025 and 2024, respectively.