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Segment Reporting (Tables)
 9 Months Ended
Sep. 30, 2019
Segment Reporting [Abstract]  
Segment Reporting

 

 

 

Three months ended September 30, 2019

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

7,004,832

 

 

$

2,536,504

 

 

$

0

 

 

$

9,541,336

 

Gross outpatient revenues

 

$

4,477,277

 

 

$

257,690

 

 

$

0

 

 

$

4,734,967

 

Total net revenues

 

$

1,528,535

 

 

$

1,291,816

 

 

$

2,102

 

 

$

2,822,453

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

148,085

 

 

$

138,019

 

 

$

(148,029

)

 

$

138,075

 

Allocation of corporate overhead

 

$

(57,578

)

 

$

(41,651

)

 

$

99,229

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

90,507

 

 

$

96,368

 

 

$

(48,800

)

 

$

138,075

 

Total assets as of September 30, 2019

 

$

4,395,259

 

 

$

6,919,100

 

 

$

280,042

 

 

$

11,594,401

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended September 30, 2019

 

 

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Amounts in thousands)

 

Gross inpatient revenues

 

$

21,220,471

 

 

$

7,568,129

 

 

$

0

 

 

$

28,788,600

 

Gross outpatient revenues

 

$

13,137,199

 

 

$

792,929

 

 

$

0

 

 

$

13,930,128

 

Total net revenues

 

$

4,575,088

 

 

$

3,898,440

 

 

$

8,484

 

 

$

8,482,012

 

Income/(loss) before allocation of corporate overhead and

   income taxes

 

$

528,455

 

 

$

648,173

 

 

$

(431,449

)

 

$

745,179

 

Allocation of corporate overhead

 

$

(172,606

)

 

$

(124,936

)

 

$

297,542

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and

   before income taxes

 

$

355,849

 

 

$

523,237

 

 

$

(133,907

)

 

$

745,179

 

Total assets as of September 30, 2019

 

$

4,395,259

 

 

$

6,919,100

 

 

$

280,042

 

 

$

11,594,401

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

(a)

Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $135 million and $130 million for the three-month periods ended September 30, 2019 and 2018, respectively, and approximately $415 million and $364 million for the nine-month periods ended September 30, 2019 and 2018, respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.175 billion and $1.231 billion as of September 30, 2019 and 2018, respectively.