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Segment Reporting (Tables)
 9 Months Ended
Sep. 30, 2021
Segment Reporting [Abstract]  
Segment Reporting

 

 

 

 

Three months ended September 30, 2021

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

9,497,975

 

 

$

2,470,401

 

 

$

-

 

 

$

11,968,376

 

Gross outpatient revenues

 

$

5,343,246

 

 

$

242,976

 

 

$

-

 

 

$

5,586,222

 

Total net revenues

 

$

1,822,027

 

 

$

1,328,293

 

 

$

5,679

 

 

$

3,155,999

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

208,638

 

 

$

197,779

 

 

$

(119,527

)

 

$

286,890

 

Allocation of corporate overhead

 

$

(58,452

)

 

$

(43,120

)

 

$

101,572

 

 

$

-

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

150,186

 

 

$

154,659

 

 

$

(17,955

)

 

$

286,890

 

Total assets as of September 30, 2021

 

$

5,295,533

 

 

$

7,106,832

 

 

$

444,488

 

 

$

12,846,853

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended September 30, 2021

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

27,279,494

 

 

$

7,471,742

 

 

$

-

 

 

$

34,751,236

 

Gross outpatient revenues

 

$

15,281,854

 

 

$

756,068

 

 

$

-

 

 

$

16,037,922

 

Total net revenues

 

$

5,271,000

 

 

$

4,075,127

 

 

$

20,739

 

 

$

9,366,866

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

600,419

 

 

$

753,681

 

 

$

(367,535

)

 

$

986,565

 

Allocation of corporate overhead

 

$

(174,786

)

 

$

(129,169

)

 

$

303,955

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

425,633

 

 

$

624,512

 

 

$

(63,580

)

 

$

986,565

 

Total assets as of September 30, 2021

 

$

5,295,533

 

 

$

7,106,832

 

 

$

444,488

 

 

$

12,846,853

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended September 30, 2020

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

8,137,264

 

 

$

2,487,568

 

 

$

0

 

 

$

10,624,832

 

Gross outpatient revenues

 

$

4,128,549

 

 

$

243,600

 

 

$

0

 

 

$

4,372,149

 

Total net revenues

 

$

1,610,003

 

 

$

1,299,591

 

 

$

2,947

 

 

$

2,912,541

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

177,606

 

 

$

252,532

 

 

$

(106,874

)

 

$

323,264

 

Allocation of corporate overhead

 

$

(55,980

)

 

$

(42,667

)

 

$

98,647

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

121,626

 

 

$

209,865

 

 

$

(8,227

)

 

$

323,264

 

Total assets as of September 30, 2020

 

$

4,666,917

 

 

$

6,898,757

 

 

$

1,410,084

 

 

$

12,975,758

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended September 30, 2020

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

22,695,513

 

 

$

7,298,466

 

 

$

0

 

 

$

29,993,979

 

Gross outpatient revenues

 

$

12,204,970

 

 

$

719,513

 

 

$

0

 

 

$

12,924,483

 

Total net revenues

 

$

4,598,558

 

 

$

3,864,823

 

 

$

8,581

 

 

$

8,471,962

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

464,139

 

 

$

746,980

 

 

$

(361,414

)

 

$

849,705

 

Allocation of corporate overhead

 

$

(167,936

)

 

$

(128,147

)

 

$

296,083

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

296,203

 

 

$

618,833

 

 

$

(65,331

)

 

$

849,705

 

Total assets as of September 30, 2020

 

$

4,666,917

 

 

$

6,898,757

 

 

$

1,410,084

 

 

$

12,975,758

 

 

 

(a)

Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $174 million and $155 million for the three-month periods ended September 30, 2021 and 2020, respectively, and approximately $511 million and $429 million for the nine-month periods ended September 30, 2021 and 2020, respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.338 billion and $1.257 billion as of September 30, 2021 and 2020, respectively.