Segment Reporting

6 Months Ended

Jun. 30, 2019

Segment Reporting [Abstract]

Segment Reporting

(7) 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, 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, 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, 2019
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	7,051,925		$	2,547,626		$	0		$	9,599,551
Gross outpatient revenues	$	4,402,308		$	268,693		$	0		$	4,671,001
Total net revenues	$	1,531,709		$	1,320,241		$	3,218		$	2,855,168
Income/(loss) before allocation of corporate overhead and    income taxes	$	188,157		$	265,986		$	(143,335	)	$	310,808
Allocation of corporate overhead	$	(57,528	)	$	(41,638	)	$	99,166		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	130,629		$	224,348		$	(44,169	)	$	310,808
Total assets as of June 30, 2019	$	4,413,509		$	6,933,825		$	405,316		$	11,752,650
	Six months ended June 30, 2019
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	14,215,639		$	5,031,625		$	0		$	19,247,264
Gross outpatient revenues	$	8,659,922		$	535,239		$	0		$	9,195,161
Total net revenues	$	3,046,553		$	2,606,624		$	6,382		$	5,659,559
Income/(loss) before allocation of corporate overhead and    income taxes	$	380,370		$	510,154		$	(283,420	)	$	607,104
Allocation of corporate overhead	$	(115,028	)	$	(83,285	)	$	198,313		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	265,342		$	426,869		$	(85,107	)	$	607,104
Total assets as of June 30, 2019	$	4,413,509		$	6,933,825		$	405,316		$	11,752,650
	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

(a) Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $144 million and $119 million for the three-month periods ended June 30, 2019 and 2018, respectively, and approximately $281 million and $234 million for the six-month periods ended June 30, 2019 and 2018, respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.217 billion and $1.123 billion as of June 30, 2019 and 2018, respectively.