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Segment Reporting (Tables)
 9 Months Ended
Sep. 30, 2017
Segment Reporting [Abstract]  
Segment Reporting

 

 

Three months ended September 30, 2017

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

5,344,625

 

 

$

2,257,231

 

 

$

0

 

 

$

7,601,856

 

Gross outpatient revenues

 

$

3,199,066

 

 

$

236,559

 

 

$

0

 

 

$

3,435,625

 

Total net revenues

 

$

1,316,748

 

 

$

1,224,548

 

 

$

568

 

 

$

2,541,864

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

106,707

 

 

$

228,673

 

 

$

(115,026

)

 

$

220,354

 

Allocation of corporate overhead

 

$

(45,680

)

 

$

(39,707

)

 

$

85,387

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

61,027

 

 

$

188,966

 

 

$

(29,639

)

 

$

220,354

 

Total assets as of September 30, 2017

 

$

3,736,676

 

 

$

6,610,811

 

 

$

291,873

 

 

$

10,639,360

 

 

 

 

 

Nine months ended September 30, 2017

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

16,373,472

 

 

$

6,689,368

 

 

$

0

 

 

$

23,062,840

 

Gross outpatient revenues

 

$

9,780,173

 

 

$

740,331

 

 

$

0

 

 

$

10,520,504

 

Total net revenues

 

$

4,072,752

 

 

$

3,685,230

 

 

$

9,096

 

 

$

7,767,078

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

452,388

 

 

$

732,749

 

 

$

(352,086

)

 

$

833,051

 

Allocation of corporate overhead

 

$

(137,031

)

 

$

(119,021

)

 

$

256,052

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

315,357

 

 

$

613,728

 

 

$

(96,034

)

 

$

833,051

 

Total assets as of September 30, 2017

 

$

3,736,676

 

 

$

6,610,811

 

 

$

291,873

 

 

$

10,639,360

 

 

 

 

Three months ended September 30, 2016

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

4,647,578

 

 

$

2,031,868

 

 

$

0

 

 

$

6,679,446

 

Gross outpatient revenues

 

$

2,854,851

 

 

$

217,571

 

 

$

0

 

 

$

3,072,422

 

Total net revenues

 

$

1,253,866

 

 

$

1,153,880

 

 

$

2,126

 

 

$

2,409,872

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

97,542

 

 

$

245,515

 

 

$

(97,617

)

 

$

245,440

 

Allocation of corporate overhead

 

$

(42,667

)

 

$

(38,719

)

 

$

81,386

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

54,875

 

 

$

206,796

 

 

$

(16,231

)

 

$

245,440

 

Total assets as of September 30, 2016

 

$

3,581,425

 

 

$

5,927,564

 

 

$

164,650

 

 

$

9,673,639

 

 

 

 

 

Nine months ended September 30, 2016

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

14,295,797

 

 

$

5,987,430

 

 

$

0

 

 

$

20,283,227

 

Gross outpatient revenues

 

$

8,461,032

 

 

$

668,457

 

 

$

0

 

 

$

9,129,489

 

Total net revenues

 

$

3,794,341

 

 

$

3,489,681

 

 

$

6,503

 

 

$

7,290,525

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

420,832

 

 

$

784,016

 

 

$

(329,838

)

 

$

875,010

 

Allocation of corporate overhead

 

$

(128,007

)

 

$

(116,161

)

 

$

244,168

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

292,825

 

 

$

667,855

 

 

$

(85,670

)

 

$

875,010

 

Total assets as of September 30, 2016

 

$

3,581,425

 

 

$

5,927,564

 

 

$

164,650

 

 

$

9,673,639

 

 

 

(a)

Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $111 million and $60 million for the three-month periods ended September 30, 2017 and 2016, respectively, and approximately $317 million and $185 million for the nine-month periods ended September 30, 2017 and 2016, respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.094 billion and $485 million as of September 30, 2017 and 2016, respectively.