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Segment Reporting
9 Months Ended
Sep. 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 September 30, 2018

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

6,009,303

 

 

$

2,459,078

 

 

$

0

 

 

$

8,468,381

 

Gross outpatient revenues

 

$

3,694,389

 

 

$

242,167

 

 

$

0

 

 

$

3,936,556

 

Total net revenues

 

$

1,383,050

 

 

$

1,262,472

 

 

$

3,391

 

 

$

2,648,913

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

147,448

 

 

$

234,170

 

 

$

(152,551

)

 

$

229,067

 

Allocation of corporate overhead

 

$

(49,967

)

 

$

(40,244

)

 

$

90,211

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

97,481

 

 

$

193,926

 

 

$

(62,340

)

 

$

229,067

 

Total assets as of September 30, 2018

 

$

4,027,573

 

 

$

6,871,765

 

 

$

374,247

 

 

$

11,273,585

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended September 30, 2018

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

18,535,079

 

 

$

7,310,230

 

 

$

0

 

 

$

25,845,309

 

Gross outpatient revenues

 

$

11,169,376

 

 

$

764,885

 

 

$

0

 

 

$

11,934,261

 

Total net revenues

 

$

4,232,673

 

 

$

3,774,551

 

 

$

10,558

 

 

$

8,017,782

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

513,174

 

 

$

734,362

 

 

$

(420,461

)

 

$

827,075

 

Allocation of corporate overhead

 

$

(149,760

)

 

$

(120,822

)

 

$

270,582

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

363,414

 

 

$

613,540

 

 

$

(149,879

)

 

$

827,075

 

Total assets as of September 30, 2018

 

$

4,027,573

 

 

$

6,871,765

 

 

$

374,247

 

 

$

11,273,585

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

(a)

Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $130 million and $111 million for the three-month periods ended September 30, 2018 and 2017, respectively, and approximately $364 million and $317 million for the nine-month periods ended September 30, 2018 and 2017 respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.231 billion and $1.094 billion as of September 30, 2018 and 2017, respectively.