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Segment Reporting
6 Months Ended
Jun. 30, 2018
Segment Reporting [Abstract]  
Segment Reporting

(6) Segment Reporting

Our reportable operating segments consist of acute care hospital services and behavioral health care services. The “Other” segment column below includes centralized services including, but not limited to, information technology, purchasing, reimbursement, accounting and finance, taxation, legal, advertising and design and construction. The chief operating decision making group for our acute care services and behavioral health care services is comprised of our Chief Executive Officer, the President and the Presidents of each operating segment. The Presidents for each operating segment also manage the profitability of each respective segment’s various facilities. 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 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, 2017. The corporate overhead allocations, as reflected below, are utilized for internal reporting purposes and are comprised of each period’s projected corporate-level operating expenses (excluding interest expense). The overhead expenses are captured and allocated directly to each segment to the extent possible, and overhead expenses incurred on behalf of both segments are captured and allocated to each segment based upon each segment’s respective percentage of total operating expenses.

 

 

 

Three months ended June 30, 2018

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

6,164,010

 

 

$

2,448,894

 

 

$

0

 

 

$

8,612,904

 

Gross outpatient revenues

 

$

3,760,326

 

 

$

267,537

 

 

$

0

 

 

$

4,027,863

 

Total net revenues

 

$

1,403,991

 

 

$

1,274,083

 

 

$

3,279

 

 

$

2,681,353

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

162,015

 

 

$

261,444

 

 

$

(121,689

)

 

$

301,770

 

Allocation of corporate overhead

 

$

(49,902

)

 

$

(40,246

)

 

$

90,148

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

112,113

 

 

$

221,198

 

 

$

(31,541

)

 

$

301,770

 

Total assets as of June 30, 2018

 

$

3,971,106

 

 

$

6,746,272

 

 

$

352,039

 

 

$

11,069,417

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Six months ended June 30, 2018

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

12,525,776

 

 

$

4,851,152

 

 

$

0

 

 

$

17,376,928

 

Gross outpatient revenues

 

$

7,474,987

 

 

$

522,718

 

 

$

0

 

 

$

7,997,705

 

Total net revenues

 

$

2,849,623

 

 

$

2,512,079

 

 

$

7,167

 

 

$

5,368,869

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

365,726

 

 

$

500,192

 

 

$

(267,910

)

 

$

598,008

 

Allocation of corporate overhead

 

$

(99,793

)

 

$

(80,578

)

 

$

180,371

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

265,933

 

 

$

419,614

 

 

$

(87,539

)

 

$

598,008

 

Total assets as of June 30, 2018

 

$

3,971,106

 

 

$

6,746,272

 

 

$

352,039

 

 

$

11,069,417

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended June 30, 2017

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

5,430,997

 

 

$

2,249,135

 

 

$

0

 

 

$

7,680,132

 

Gross outpatient revenues

 

$

3,286,930

 

 

$

257,312

 

 

$

0

 

 

$

3,544,242

 

Total net revenues

 

$

1,366,457

 

 

$

1,242,561

 

 

$

3,338

 

 

$

2,612,356

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

157,877

 

 

$

252,146

 

 

$

(115,752

)

 

$

294,271

 

Allocation of corporate overhead

 

$

(45,675

)

 

$

(39,653

)

 

$

85,328

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

112,202

 

 

$

212,493

 

 

$

(30,424

)

 

$

294,271

 

Total assets as of June 30, 2017

 

$

3,754,983

 

 

$

6,541,328

 

 

$

256,176

 

 

$

10,552,487

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Six months ended June 30, 2017

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

11,028,847

 

 

$

4,432,137

 

 

$

0

 

 

$

15,460,984

 

Gross outpatient revenues

 

$

6,581,107

 

 

$

503,772

 

 

$

0

 

 

$

7,084,879

 

Total net revenues

 

$

2,756,004

 

 

$

2,460,683

 

 

$

8,527

 

 

$

5,225,214

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

345,681

 

 

$

504,077

 

 

$

(237,061

)

 

$

612,697

 

Allocation of corporate overhead

 

$

(91,351

)

 

$

(79,314

)

 

$

170,665

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

254,330

 

 

$

424,763

 

 

$

(66,396

)

 

$

612,697

 

Total assets as of June 30, 2017

 

$

3,754,983

 

 

$

6,541,328

 

 

$

256,176

 

 

$

10,552,487

 

 

 

(a)

Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $119 million and $106 million for the three-month periods ended June 30, 2018 and 2017, respectively, and approximately $234 million and $206 million for the six-month periods ended June 30, 2018 and 2017 respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.123 billion and $1.028 billion as of June 30, 2018 and 2017, respectively.