Segment Reporting

9 Months Ended

Sep. 30, 2022

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 President and Chief Executive Officer 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, 2021. 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, 2022
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	9,875,794		$	2,582,448		$	-		$	12,458,242
Gross outpatient revenues	$	6,379,324		$	248,167		$	-		$	6,627,491
Total net revenues	$	1,919,678		$	1,434,828		$	(18,479	)	$	3,336,027
Income/(loss) before allocation of corporate overhead and    income taxes	$	129,241		$	237,949		$	(132,978	)	$	234,212
Allocation of corporate overhead	$	(63,242	)	$	(44,882	)	$	108,124		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	65,999		$	193,067		$	(24,854	)	$	234,212
Total assets as of September 30, 2022	$	6,039,787		$	7,336,437		$	2,676		$	13,378,900
	Nine months ended September 30, 2022
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	29,821,756		$	7,580,475					$	37,402,231
Gross outpatient revenues	$	18,360,902		$	773,769					$	19,134,671
Total net revenues	$	5,707,510		$	4,235,215		$	9,665		$	9,952,390
Income/(loss) before allocation of corporate overhead and    income taxes	$	372,981		$	693,694		$	(422,750	)	$	643,925
Allocation of corporate overhead	$	(188,739	)	$	(134,946	)	$	323,685		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	184,242		$	558,748		$	(99,065	)	$	643,925
Total assets as of September 30, 2022	$	6,039,787		$	7,336,437		$	2,676		$	13,378,900
	Three months ended September 30, 2021
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	9,497,975		$	2,470,401		$	0		$	11,968,376
Gross outpatient revenues	$	5,343,246		$	242,976		$	0		$	5,586,222
Total net revenues	$	1,822,027		$	1,328,293		$	5,679		$	3,155,999
Income/(loss) before allocation of corporate overhead and    income taxes	$	208,638		$	197,779		$	(119,527	)	$	286,890
Allocation of corporate overhead	$	(58,452	)	$	(43,120	)	$	101,572		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	150,186		$	154,659		$	(17,955	)	$	286,890
Total assets as of September 30, 2021	$	5,295,533		$	7,106,832		$	444,488		$	12,846,853
	Nine months ended September 30, 2021
	Acute Care Hospital Services			Behavioral Health Services (a)			Other			Total Consolidated
	(Amounts in thousands)
Gross inpatient revenues	$	27,279,494		$	7,471,742		$	0		$	34,751,236
Gross outpatient revenues	$	15,281,854		$	756,068		$	0		$	16,037,922
Total net revenues	$	5,271,000		$	4,075,127		$	20,739		$	9,366,866
Income/(loss) before allocation of corporate overhead and    income taxes	$	600,419		$	753,681		$	(367,535	)	$	986,565
Allocation of corporate overhead	$	(174,786	)	$	(129,169	)	$	303,955		$	0
Income/(loss) after allocation of corporate overhead and    before income taxes	$	425,633		$	624,512		$	(63,580	)	$	986,565
Total assets as of September 30, 2021	$	5,295,533		$	7,106,832		$	444,488		$	12,846,853

(a) Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $167 million and $174 million for the three-month periods ended September 30, 2022 and 2021, respectively, and approximately $516 million and $511 million for the nine-month periods ended September 30, 2022 and 2021, respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.119 billion and $1.338 billion as of September 30, 2022 and 2021, respectively.