Segment Reporting

9 Months Ended

Sep. 30, 2020

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 Chief Executive Officer, the President 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, 2019. 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 September 30, 2020
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	8,137,264		$	2,487,568		$	-		$	10,624,832
Gross outpatient revenues	$	4,128,549		$	243,600		$	-		$	4,372,149
Total net revenues	$	1,610,003		$	1,299,591		$	2,947		$	2,912,541
Income/(loss) before allocation of corporate overhead and    income taxes	$	177,606		$	252,532		$	(106,874	)	$	323,264
Allocation of corporate overhead	$	(55,980	)	$	(42,667	)	$	98,647		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	121,626		$	209,865		$	(8,227	)	$	323,264
Total assets as of September 30, 2020	$	4,666,917		$	6,898,757		$	1,410,084		$	12,975,758
	Nine months ended September 30, 2020
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	22,695,513		$	7,298,466		$	0		$	29,993,979
Gross outpatient revenues	$	12,204,970		$	719,513		$	0		$	12,924,483
Total net revenues	$	4,598,558		$	3,864,823		$	8,581		$	8,471,962
Income/(loss) before allocation of corporate overhead and    income taxes	$	464,139		$	746,980		$	(361,414	)	$	849,705
Allocation of corporate overhead	$	(167,936	)	$	(128,147	)	$	296,083		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	296,203		$	618,833		$	(65,331	)	$	849,705
Total assets as of September 30, 2020	$	4,666,917		$	6,898,757		$	1,410,084		$	12,975,758
	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

(a) Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $156 million and $135 million for the three-month periods ended September 30, 2020 and 2019, respectively, and approximately $429 million and $415 million for the nine-month periods ended September 30, 2020 and 2019, respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.257 billion and $1.175 billion as of September 30, 2020 and 2019, respectively.