Segment Reporting (Tables)

12 Months Ended

Dec. 31, 2022

Segment Reporting [Abstract]

Segment Reporting

2022	Acute Care Hospital Services (b.)			Behavioral Health Services (a.)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	40,004,670		$	10,116,566		$	—		$	50,121,236
Gross outpatient revenues	$	24,813,718		$	1,031,370		$	—		$	25,845,088
Total net revenues	$	7,646,749		$	5,729,758		$	22,863		$	13,399,370
Income (loss) before allocation of corporate    overhead and income taxes	$	429,664		$	980,290		$	(543,694	)	$	866,260
Allocation of corporate overhead	$	(252,034	)	$	(179,936	)	$	431,970		$	0
Income (loss) after allocation of corporate overhead    and before income taxes	$	177,630		$	800,354		$	(111,724	)	$	866,260
Total assets	$	5,993,887		$	7,277,293		$	223,008		$	13,494,188

2021	Acute Care Hospital Services			Behavioral Health Services (a.)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	36,522,155		$	9,927,401		$	—		$	46,449,556
Gross outpatient revenues	$	20,633,921		$	1,013,547		$	—		$	21,647,468
Total net revenues	$	7,108,254		$	5,503,644		$	30,219		$	12,642,117
Income (loss) before allocation of corporate    overhead and income taxes	$	734,666		$	1,025,557		$	(466,910	)	$	1,293,313
Allocation of corporate overhead	$	(233,298	)	$	(172,512	)	$	405,810		$	0
Income (loss) after allocation of corporate overhead    and before income taxes	$	501,368		$	853,045		$	(61,100	)	$	1,293,313
Total assets	$	5,534,912		$	7,250,427		$	308,204		$	13,093,543

2020	Acute Care Hospital Services			Behavioral Health Services (a.)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	30,562,093		$	9,718,934		$	—		$	40,281,027
Gross outpatient revenues	$	16,272,520		$	963,799		$	—		$	17,236,319
Total net revenues	$	6,337,304		$	5,208,722		$	12,871		$	11,558,897
Income (loss) before allocation of corporate    overhead and income taxes	$	693,427		$	1,023,257		$	(464,601	)	$	1,252,083
Allocation of corporate overhead	$	(223,921	)	$	(170,849	)	$	394,770		$	0
Income (loss) after allocation of corporate overhead    and before income taxes	$	469,506		$	852,408		$	(69,831	)	$	1,252,083
Total assets	$	4,927,456		$	7,044,617		$	1,504,806		$	13,476,879

(a)Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $685 million in 2022, $688 million in 2021 and $584 million in 2020. Total assets at our U.K. behavioral health care facilities were approximately $1.235 billion as of December 31, 2022, $1.351 billion as of December 31, 2021 and $1.334 billion as of December 31, 2020.

(b)Included in our 2022 acute care hospital services operating segment income (loss) before allocation of corporate overhead and income taxes is a pre-tax $58 million provision for asset impairment charge to reduce the carrying value of real property assets.