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Segment Reporting
3 Months Ended
Mar. 31, 2022
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 President and Chief Executive Officer 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, 2021. 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 March 31, 2022

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

10,239,231

 

 

$

2,436,474

 

 

$

-

 

 

$

12,675,705

 

Gross outpatient revenues

 

$

5,775,539

 

 

$

257,113

 

 

$

-

 

 

$

6,032,652

 

Total net revenues

 

$

1,912,316

 

 

$

1,366,467

 

 

$

14,173

 

 

$

3,292,956

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

148,680

 

 

$

205,787

 

 

$

(154,484

)

 

$

199,983

 

Allocation of corporate overhead

 

$

(62,284

)

 

$

(45,001

)

 

$

107,285

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

86,396

 

 

$

160,786

 

 

$

(47,199

)

 

$

199,983

 

Total assets as of March 31, 2022

 

$

5,645,352

 

 

$

7,260,870

 

 

$

238,224

 

 

$

13,144,446

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended March 31, 2021

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

9,119,184

 

 

$

2,473,565

 

 

$

0

 

 

$

11,592,749

 

Gross outpatient revenues

 

$

4,580,720

 

 

$

246,764

 

 

$

0

 

 

$

4,827,484

 

Total net revenues

 

$

1,694,542

 

 

$

1,315,337

 

 

$

3,108

 

 

$

3,012,987

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

173,118

 

 

$

231,325

 

 

$

(131,566

)

 

$

272,877

 

Allocation of corporate overhead

 

$

(58,107

)

 

$

(42,950

)

 

$

101,057

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

115,011

 

 

$

188,375

 

 

$

(30,509

)

 

$

272,877

 

Total assets as of March 31, 2021

 

$

4,957,253

 

 

$

7,090,291

 

 

$

1,048,785

 

 

$

13,096,329

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a)

Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $176 million and $165 million for the three-month periods ended March 31, 2022 and 2021, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.320 billion and $1.355 billion as of March 31, 2022 and 2021, respectively.