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Segment Reporting
9 Months Ended
Sep. 30, 2012
Segment Reporting [Abstract]  
Segment Reporting

(6) 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 information services, purchasing, reimbursement, accounting, taxation, legal, advertising, design and construction and patient accounting as well as the operating results for our other operating entities including outpatient surgery and radiation centers. The chief operating decision making group for our acute care hospital services and behavioral health care services is comprised of the Chief Executive Officer, the President and the Presidents of each operating segment. The Presidents of 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, 2011. 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, with the non-directly allocated overhead expenses allocated based upon each segment’s respective percentage of total facility-based operating expenses.

 

 

                                 
    Three months ended September 30, 2012  
    Acute Care
Hospital
Services
    Behavioral
Health
Services
    Other     Total
Consolidated
 
    (Amounts in thousands)  

Gross inpatient revenues

  $ 3,013,482     $ 1,410,170       —       $ 4,423,652  

Gross outpatient revenues

  $ 1,517,261     $ 151,788     $ 14,475     $ 1,683,524  

Total net revenues

  $ 828,399     $ 841,669     $ 10,285     $ 1,680,353  

Income/(loss) before allocation of corporate overhead and income taxes

  $ 48,925     $ 200,711     ($ 126,131   $ 123,505  

Allocation of corporate overhead

  ($ 39,360   ($ 20,533   $ 59,893       0  

Income/(loss) after allocation of corporate overhead and before income taxes

  $ 9,565     $ 180,178     ($ 66,238   $ 123,505  

Total assets as of 9/30/12

  $ 2,987,293     $ 4,459,030     $ 334,743     $ 7,781,066  
   
    Nine months ended September 30, 2012  
    Acute Care
Hospital
Services
    Behavioral
Health
Services
    Other     Total
Consolidated
 
    (Amounts in thousands)  

Gross inpatient revenues

  $ 9,326,344     $ 4,242,528       —       $ 13,568,872  

Gross outpatient revenues

  $ 4,606,680     $ 474,623     $ 39,468     $ 5,120,771  

Total net revenues

  $ 2,598,527     $ 2,572,256     $ 25,690     $ 5,196,473  

Income/(loss) before allocation of corporate overhead and income taxes

  $ 240,375     $ 628,170     ($ 338,278   $ 530,267  

Allocation of corporate overhead

  ($ 118,082   ($ 62,665   $ 180,747       0  

Income/(loss) after allocation of corporate overhead and before income taxes

  $ 122,293     $ 565,505     ($ 157,531   $ 530,267  

Total assets as of 9/30/12

  $ 2,987,293     $ 4,459,030     $ 334,743     $ 7,781,066  
   
    Three months ended September 30, 2011  
    Acute Care
Hospital
Services
    Behavioral
Health
Services
    Other     Total
Consolidated
 
    (Amounts in thousands)  

Gross inpatient revenues

  $ 2,827,617     $ 1,368,405       —       $ 4,196,022  

Gross outpatient revenues

  $ 1,384,084     $ 146,836     $ 13,542     $ 1,544,462  

Total net revenues

  $ 831,775     $ 825,825     $ 5,075     $ 1,662,675  

Income/(loss) before allocation of corporate overhead and income taxes

  $ 57,027     $ 184,304     ($ 94,255   $ 147,076  

Allocation of corporate overhead

  ($ 35,094   ($ 15,438   $ 50,532       0  

Income/(loss) after allocation of corporate overhead and before income taxes

  $ 21,933     $ 168,866     ($ 43,723   $ 147,076  

Total assets as of 9/30/11

  $ 2,797,029     $ 4,421,040     $ 387,862     $ 7,605,931  
   
    Nine months ended September 30, 2011  
    Acute Care
Hospital
Services
    Behavioral
Health
Services
    Other     Total
Consolidated
 
    (Amounts in thousands)  

Gross inpatient revenues

  $ 8,934,701     $ 4,154,117       —       $ 13,088,818  

Gross outpatient revenues

  $ 4,068,566     $ 453,652     $ 41,082     $ 4,563,300  

Total net revenues

  $ 2,587,070     $ 2,493,336     $ 16,820     $ 5,097,226  

Income/(loss) before allocation of corporate overhead and income taxes

  $ 275,156     $ 559,681     ($ 301,336   $ 533,501  

Allocation of corporate overhead

  ($ 98,418   ($ 46,854   $ 145,272       0  

Income/(loss) after allocation of corporate overhead and before income taxes

  $ 176,738     $ 512,827     ($ 156,064   $ 533,501  

Total assets as of 9/30/11

  $ 2,797,029     $ 4,421,040     $ 387,862     $ 7,605,931