Segment Reporting

6 Months Ended

Jun. 30, 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 June 30, 2022
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	9,706,731		$	2,561,553		$	-		$	12,268,284
Gross outpatient revenues	$	6,206,039		$	268,489		$	-		$	6,474,528
Total net revenues	$	1,875,516		$	1,433,920		$	13,971		$	3,323,407
Income/(loss) before allocation of corporate overhead and    income taxes	$	95,059		$	249,958		$	(135,287	)	$	209,730
Allocation of corporate overhead	$	(63,213	)	$	(45,063	)	$	108,276		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	31,846		$	204,895		$	(27,011	)	$	209,730
Total assets as of June 30, 2022	$	5,785,470		$	7,251,966		$	258,667		$	13,296,103
	Six months ended June 30, 2022
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	19,945,962		$	4,998,027		$	-		$	24,943,989
Gross outpatient revenues	$	11,981,578		$	525,602		$	-		$	12,507,180
Total net revenues	$	3,787,832		$	2,800,387		$	28,144		$	6,616,363
Income/(loss) before allocation of corporate overhead and    income taxes	$	243,739		$	455,746		$	(289,772	)	$	409,713
Allocation of corporate overhead	$	(125,497	)	$	(90,064	)	$	215,561		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	118,242		$	365,682		$	(74,211	)	$	409,713
Total assets as of June 30, 2022	$	5,785,470		$	7,251,966		$	258,667		$	13,296,103
	Three months ended June 30, 2021
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	8,662,335		$	2,527,776		$	0		$	11,190,111
Gross outpatient revenues	$	5,357,888		$	266,328		$	0		$	5,624,216
Total net revenues	$	1,754,431		$	1,431,497		$	11,952		$	3,197,880
Income/(loss) before allocation of corporate overhead and    income taxes	$	218,663		$	324,577		$	(116,442	)	$	426,798
Allocation of corporate overhead	$	(58,227	)	$	(43,099	)	$	101,326		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	160,436		$	281,478		$	(15,116	)	$	426,798
Total assets as of June 30, 2021	$	5,162,252		$	7,159,426		$	490,957		$	12,812,635
	Six months ended June 30, 2021
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	17,781,519		$	5,001,341		$	0		$	22,782,860
Gross outpatient revenues	$	9,938,608		$	513,092		$	0		$	10,451,700
Total net revenues	$	3,448,973		$	2,746,834		$	15,060		$	6,210,867
Income/(loss) before allocation of corporate overhead and    income taxes	$	391,781		$	555,902		$	(248,008	)	$	699,675
Allocation of corporate overhead	$	(116,334	)	$	(86,049	)	$	202,383		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	275,447		$	469,853		$	(45,625	)	$	699,675
Total assets as of June 30, 2021	$	5,162,252		$	7,159,426		$	490,957		$	12,812,635

(a) Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $173 million and $172 million for the three-month periods ended June 30, 2022 and 2021, respectively, and approximately $349 million and $337 million for the six-month periods ended June 30, 2022 and 2021, respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.220 billion and $1.369 billion as of June 30, 2022 and 2021, respectively.