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Segment Reporting (Tables)
 9 Months Ended
Sep. 30, 2018
Segment Reporting [Abstract]  
Segment Reporting

 

 

Three months ended September 30, 2018

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

6,009,303

 

 

$

2,459,078

 

 

$

0

 

 

$

8,468,381

 

Gross outpatient revenues

 

$

3,694,389

 

 

$

242,167

 

 

$

0

 

 

$

3,936,556

 

Total net revenues

 

$

1,383,050

 

 

$

1,262,472

 

 

$

3,391

 

 

$

2,648,913

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

147,448

 

 

$

234,170

 

 

$

(152,551

)

 

$

229,067

 

Allocation of corporate overhead

 

$

(49,967

)

 

$

(40,244

)

 

$

90,211

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

97,481

 

 

$

193,926

 

 

$

(62,340

)

 

$

229,067

 

Total assets as of September 30, 2018

 

$

4,027,573

 

 

$

6,871,765

 

 

$

374,247

 

 

$

11,273,585

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended September 30, 2018

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

18,535,079

 

 

$

7,310,230

 

 

$

0

 

 

$

25,845,309

 

Gross outpatient revenues

 

$

11,169,376

 

 

$

764,885

 

 

$

0

 

 

$

11,934,261

 

Total net revenues

 

$

4,232,673

 

 

$

3,774,551

 

 

$

10,558

 

 

$

8,017,782

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

513,174

 

 

$

734,362

 

 

$

(420,461

)

 

$

827,075

 

Allocation of corporate overhead

 

$

(149,760

)

 

$

(120,822

)

 

$

270,582

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

363,414

 

 

$

613,540

 

 

$

(149,879

)

 

$

827,075

 

Total assets as of September 30, 2018

 

$

4,027,573

 

 

$

6,871,765

 

 

$

374,247

 

 

$

11,273,585

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended September 30, 2017

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

5,344,625

 

 

$

2,257,231

 

 

$

0

 

 

$

7,601,856

 

Gross outpatient revenues

 

$

3,199,066

 

 

$

236,559

 

 

$

0

 

 

$

3,435,625

 

Total net revenues

 

$

1,316,748

 

 

$

1,224,548

 

 

$

568

 

 

$

2,541,864

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

106,707

 

 

$

228,673

 

 

$

(115,026

)

 

$

220,354

 

Allocation of corporate overhead

 

$

(45,680

)

 

$

(39,707

)

 

$

85,387

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

61,027

 

 

$

188,966

 

 

$

(29,639

)

 

$

220,354

 

Total assets as of September 30, 2017

 

$

3,736,676

 

 

$

6,610,811

 

 

$

291,873

 

 

$

10,639,360

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended September 30, 2017

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

16,373,472

 

 

$

6,689,368

 

 

$

0

 

 

$

23,062,840

 

Gross outpatient revenues

 

$

9,780,173

 

 

$

740,331

 

 

$

0

 

 

$

10,520,504

 

Total net revenues

 

$

4,072,752

 

 

$

3,685,230

 

 

$

9,096

 

 

$

7,767,078

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

452,388

 

 

$

732,749

 

 

$

(352,086

)

 

$

833,051

 

Allocation of corporate overhead

 

$

(137,031

)

 

$

(119,021

)

 

$

256,052

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

315,357

 

 

$

613,728

 

 

$

(96,034

)

 

$

833,051

 

Total assets as of September 30, 2017

 

$

3,736,676

 

 

$

6,610,811

 

 

$

291,873

 

 

$

10,639,360

 

 

 

(a)

Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $130 million and $111 million for the three-month periods ended September 30, 2018 and 2017, respectively, and approximately $364 million and $317 million for the nine-month periods ended September 30, 2018 and 2017 respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.231 billion and $1.094 billion as of September 30, 2018 and 2017, respectively.