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Segment Reporting
12 Months Ended
Dec. 31, 2018
Segment Reporting [Abstract]  
Segment Reporting

12) 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 this Annual Report on Form 10-K for the year ended December 31, 2018. 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, based upon each segment’s respective percentage of total operating expenses.

 

2018

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a.)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

24,814,959

 

 

$

9,735,521

 

 

$

 

 

$

34,550,480

 

Gross outpatient revenues

 

$

14,967,313

 

 

$

1,025,721

 

 

$

 

 

$

15,993,034

 

Total net revenues

 

$

5,719,905

 

 

$

5,038,874

 

 

$

13,499

 

 

$

10,772,278

 

Income (loss) before allocation of corporate overhead and

   income taxes

 

$

708,680

 

 

$

915,517

 

 

$

(589,672

)

 

$

1,034,525

 

Allocation of corporate overhead

 

$

(199,823

)

 

$

(161,282

)

 

$

361,105

 

 

$

0

 

Income (loss) after allocation of corporate overhead and

   before income taxes

 

$

508,857

 

 

$

754,235

 

 

$

(228,567

)

 

$

1,034,525

 

Total assets

 

$

4,094,537

 

 

$

6,786,369

 

 

$

384,574

 

 

$

11,265,480

 

 

2017

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a.)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

21,888,207

 

 

$

8,949,984

 

 

$

 

 

$

30,838,191

 

Gross outpatient revenues

 

$

13,115,881

 

 

$

993,409

 

 

$

 

 

$

14,109,290

 

Total net revenues

 

$

5,484,683

 

 

$

4,906,719

 

 

$

18,463

 

 

$

10,409,865

 

Income (loss) before allocation of corporate overhead and

   income taxes

 

$

641,857

 

 

$

968,974

 

 

$

(475,822

)

 

$

1,135,009

 

Allocation of corporate overhead

 

$

(182,713

)

 

$

(158,735

)

 

$

341,448

 

 

$

0

 

Income (loss) after allocation of corporate overhead and

   before income taxes

 

$

459,144

 

 

$

810,239

 

 

$

(134,374

)

 

$

1,135,009

 

Total assets

 

$

3,849,214

 

 

$

6,648,818

 

 

$

263,796

 

 

$

10,761,828

 

 

2016

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a.)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

19,042,627

 

 

$

8,017,585

 

 

$

 

 

$

27,060,212

 

Gross outpatient revenues

 

$

11,374,098

 

 

$

902,102

 

 

$

 

 

$

12,276,200

 

Total net revenues

 

$

5,112,950

 

 

$

4,645,007

 

 

$

8,253

 

 

$

9,766,210

 

Income (loss) before allocation of corporate overhead and

   income taxes

 

$

557,472

 

 

$

1,030,734

 

 

$

(431,848

)

 

$

1,156,358

 

Allocation of corporate overhead

 

$

(170,767

)

 

$

(154,843

)

 

$

325,610

 

 

$

0

 

Income (loss) after allocation of corporate overhead and

   before income taxes

 

$

386,705

 

 

$

875,891

 

 

$

(106,238

)

 

$

1,156,358

 

Total assets

 

$

3,723,075

 

 

$

6,440,195

 

 

$

154,532

 

 

$

10,317,802

 

 

 

(a)

Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $505 million in 2018, $429 million in 2017 and $241 million in 2016.  Total assets at our U.K. behavioral health care facilities were approximately $1.224 billion as of December 31, 2018, $1.098 billion as of December 31, 2017 and $965 million as of December 31, 2016. In addition, included in our 2018 Behavioral Health Services operating segment Income (loss) before allocation of corporate overhead and income taxes is a pre-tax $49 million provision for asset impairment to reduce the carrying value of a tradename intangible asset.