Revenue Recognition (Tables)

6 Months Ended

Jun. 30, 2025

Revenue from Contract with Customer [Abstract]

Schedule of Disaggregates Revenue by Major Source

The following table disaggregates our revenue by major source for the three and six-month periods ended June 30, 2025 and 2024 (in thousands):

Note: prior year amounts related to certain facilities previously included in our Behavioral Health Care Services’ results have been reclassified into our Acute Care Hospital Services' results as of May 1, 2024 to conform with current year presentation.

	For the three months ended June 30, 2025
	Acute Care				Behavioral Health				Other		Total
Medicare	$	375,454	16	%	$	73,793	4	%			$	449,247	10	%
Managed Medicare		412,153	17	%		107,019	6	%				519,172	12	%
Medicaid		281,157	12	%		362,963	19	%				644,120	15	%
Managed Medicaid		170,180	7	%		449,428	24	%				619,608	14	%
Managed Care (HMO and PPOs)		810,631	34	%		417,222	22	%				1,227,853	29	%
UK Revenue		0	0	%		246,906	13	%				246,906	6	%
Other patient revenue and adjustments, net		147,114	6	%		162,940	9	%				310,054	7	%
Other non-patient revenue		204,345	9	%		59,805	3	%		2,706		266,856	6	%
Total Net Revenue	$	2,401,034	100	%	$	1,880,076	100	%	$	2,706		4,283,816	100	%
	For the six months ended June 30, 2025
	Acute Care				Behavioral Health				Other		Total
Medicare	$	767,015	16	%	$	150,271	4	%			$	917,286	11	%
Managed Medicare		832,015	18	%		207,456	6	%				1,039,471	12	%
Medicaid		532,022	11	%		639,006	18	%				1,171,028	14	%
Managed Medicaid		328,594	7	%		893,843	25	%				1,222,437	15	%
Managed Care (HMO and PPOs)		1,590,779	33	%		821,875	23	%				2,412,654	29	%
UK Revenue		0	0	%		473,974	13	%				473,974	6	%
Other patient revenue and adjustments, net		296,340	6	%		323,787	9	%				620,127	7	%
Other non-patient revenue		403,498	8	%		117,513	3	%		5,548		526,559	6	%
Total Net Revenue	$	4,750,263	100	%	$	3,627,725	100	%	$	5,548	$	8,383,536	100	%
	For the three months ended June 30, 2024
	Acute Care				Behavioral Health				Other		Total
Medicare	$	338,635	16	%	$	75,773	4	%			$	414,408	11	%
Managed Medicare		370,108	17	%		102,584	6	%				472,692	12	%
Medicaid		240,577	11	%		292,391	17	%				532,968	14	%
Managed Medicaid		154,550	7	%		414,447	24	%				568,997	15	%
Managed Care (HMO and PPOs)		706,268	32	%		420,929	24	%				1,127,197	29	%
UK Revenue		0	0	%		212,706	12	%				212,706	5	%
Other patient revenue and adjustments, net		134,201	6	%		150,094	9	%				284,295	7	%
Other non-patient revenue		234,347	11	%		57,108	3	%		2,886		294,341	8	%
Total Net Revenue	$	2,178,686	100	%	$	1,726,032	100	%	$	2,886	$	3,907,604	100	%
	For the six months ended June 30, 2024
	Acute Care				Behavioral Health				Other		Total
Medicare	$	687,722	16	%	$	152,589	5	%			$	840,311	11	%
Managed Medicare		743,509	17	%		198,658	6	%				942,167	12	%
Medicaid		475,439	11	%		540,754	16	%				1,016,193	13	%
Managed Medicaid		313,909	7	%		837,755	25	%				1,151,664	15	%
Managed Care (HMO and PPOs)		1,405,053	32	%		825,102	24	%				2,230,155	29	%
UK Revenue		0	0	%		420,502	12	%				420,502	5	%
Other patient revenue and adjustments, net		257,534	6	%		294,225	9	%				551,759	7	%
Other non-patient revenue		480,601	11	%		112,514	3	%		5,320		598,435	8	%
Total Net Revenue	$	4,363,767	100	%	$	3,382,099	100	%	$	5,320	$	7,751,186	100	%