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

 

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.