Revenue Recognition (Tables)

9 Months Ended

Sep. 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 nine-month periods ended September 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 September 30, 2025
	Acute Care				Behavioral Health				Other		Total
Medicare	$	374,814	14	%	$	85,769	5	%			$	460,583	10	%
Managed Medicare		404,619	15	%		111,992	6	%				516,611	11	%
Medicaid		451,867	17	%		314,398	17	%				766,265	17	%
Managed Medicaid		180,592	7	%		447,340	24	%				627,932	14	%
Managed Care (HMO and PPOs)		831,058	32	%		410,763	22	%				1,241,821	28	%
UK Revenue		0	0	%		264,486	14	%				264,486	6	%
Other patient revenue and adjustments, net		151,144	6	%		167,871	9	%				319,015	7	%
Other non-patient revenue		235,971	9	%		57,640	3	%		4,921		298,532	7	%
Total Net Revenue	$	2,630,065	100	%	$	1,860,259	100	%	$	4,921		4,495,245	100	%
	For the nine months ended September 30, 2025
	Acute Care				Behavioral Health				Other		Total
Medicare	$	1,141,829	15	%	$	236,040	4	%			$	1,377,869	11	%
Managed Medicare		1,236,634	17	%		319,448	6	%				1,556,082	12	%
Medicaid		983,889	13	%		953,404	17	%				1,937,293	15	%
Managed Medicaid		509,186	7	%		1,341,183	24	%				1,850,369	14	%
Managed Care (HMO and PPOs)		2,421,837	33	%		1,232,638	22	%				3,654,475	28	%
UK Revenue		0	0	%		738,460	13	%				738,460	6	%
Other patient revenue and adjustments, net		447,484	6	%		491,658	9	%				939,142	7	%
Other non-patient revenue		639,469	9	%		175,153	3	%		10,469		825,091	6	%
Total Net Revenue	$	7,380,328	100	%	$	5,487,984	100	%	$	10,469	$	12,878,781	100	%
	For the three months ended September 30, 2024
	Acute Care				Behavioral Health				Other		Total
Medicare	$	323,015	14	%	$	80,599	5	%			$	403,614	10	%
Managed Medicare		362,961	16	%		106,753	6	%				469,714	12	%
Medicaid		299,147	13	%		260,212	15	%				559,359	14	%
Managed Medicaid		157,435	7	%		419,890	25	%				577,325	15	%
Managed Care (HMO and PPOs)		726,227	32	%		399,791	23	%				1,126,018	28	%
UK Revenue		0	0	%		230,153	13	%				230,153	6	%
Other patient revenue and adjustments, net		118,193	5	%		154,818	9	%				273,011	7	%
Other non-patient revenue		266,841	12	%		54,396	3	%		2,596		323,833	8	%
Total Net Revenue	$	2,253,819	100	%	$	1,706,612	100	%	$	2,596	$	3,963,027	100	%
	For the nine months ended September 30, 2024
	Acute Care				Behavioral Health				Other		Total
Medicare	$	1,010,737	15	%	$	233,188	5	%			$	1,243,925	11	%
Managed Medicare		1,106,470	17	%		305,411	6	%				1,411,881	12	%
Medicaid		774,586	12	%		800,966	16	%				1,575,552	13	%
Managed Medicaid		471,344	7	%		1,257,645	25	%				1,728,989	15	%
Managed Care (HMO and PPOs)		2,131,280	32	%		1,224,893	24	%				3,356,173	29	%
UK Revenue		0	0	%		650,655	13	%				650,655	6	%
Other patient revenue and adjustments, net		375,727	6	%		449,043	9	%				824,770	7	%
Other non-patient revenue		747,442	11	%		166,910	3	%		7,916		922,268	8	%
Total Net Revenue	$	6,617,586	100	%	$	5,088,711	100	%	$	7,916	$	11,714,213	100	%