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Segment Reporting (Tables)
 9 Months Ended
Sep. 30, 2020
Segment Reporting [Abstract]  
Segment Reporting

 

  

 

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.