Segment Reporting

9 Months Ended

Sep. 30, 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.

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.

Three Months Ended September 30, 2025	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	2,630,065		$	1,860,259		$	4,490,324
Reconciliation of Net Revenue
Non-segment revenue								4,921
Total Net Revenue							$	4,495,245
Salaries, wages and benefits	$	973,680		$	995,570
Other segment item operating expenses (a)		1,258,986			462,131
Depreciation and amortization expense		97,389			55,294
Interest (income) expense, net		528			1,265
Other (income) expense, net		(623	)		733
Reportable segment income before income taxes	$	300,105		$	345,266		$	645,371
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								4,921
Non-segment operating expenses (b)								130,507
Non-segment interest expense, net								36,638
Non-segment other (income) expense, net								(13,739	)
Income before income taxes							$	496,886
Nine Months Ended September 30, 2025	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	7,380,328		$	5,487,984		$	12,868,312
Reconciliation of Net Revenue
Non-segment revenue								10,469
Total Net Revenue							$	12,878,781
Salaries, wages and benefits	$	2,821,509		$	2,900,892
Other segment item operating expenses (a)		3,490,402			1,345,738
Depreciation and amortization expense		288,406			159,961
Interest (income) expense, net		1,177			3,444
Other (income) expense, net		(9,806	)		(929	)
Reportable segment income before income taxes	$	788,640		$	1,078,878		$	1,867,518
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								10,469
Non-segment operating expenses (b)								395,090
Non-segment interest expense, net								109,230
Non-segment other (income) expense, net								(17,032	)
Income before income taxes							$	1,390,699