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Segment Reporting (Tables)
 6 Months Ended
Jun. 30, 2019
Segment Reporting [Abstract]  
Segment Reporting

 

 

 

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.