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Segment Reporting | 9 Months Ended
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Sep. 30, 2012
Segment Reporting [Abstract] |
Segment Reporting | (6) 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 information services, purchasing, reimbursement, accounting, taxation, legal, advertising, design and construction and patient accounting as well as the operating results for our other operating entities including outpatient surgery and radiation centers. The chief operating decision making group for our acute care hospital services and behavioral health care services is comprised of the Chief Executive Officer, the President and the Presidents of each operating segment. The Presidents of 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, 2011. 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, with the non-directly allocated overhead expenses allocated based upon each segment’s respective percentage of total facility-based operating expenses.
|  | Three months ended September 30, 2012 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 3,013,482 |  |  | $ | 1,410,170 |  |  |  | — |  |  | $ | 4,423,652 |
Gross outpatient revenues |  | $ | 1,517,261 |  |  | $ | 151,788 |  |  | $ | 14,475 |  |  | $ | 1,683,524 |
Total net revenues |  | $ | 828,399 |  |  | $ | 841,669 |  |  | $ | 10,285 |  |  | $ | 1,680,353 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 48,925 |  |  | $ | 200,711 |  |  | ($ | 126,131 | ) |  | $ | 123,505 |
Allocation of corporate overhead |  | ($ | 39,360 | ) |  | ($ | 20,533 | ) |  | $ | 59,893 |  |  |  | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 9,565 |  |  | $ | 180,178 |  |  | ($ | 66,238 | ) |  | $ | 123,505 |
Total assets as of 9/30/12 |  | $ | 2,987,293 |  |  | $ | 4,459,030 |  |  | $ | 334,743 |  |  | $ | 7,781,066 |
|  | Nine months ended September 30, 2012 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 9,326,344 |  |  | $ | 4,242,528 |  |  |  | — |  |  | $ | 13,568,872 |
Gross outpatient revenues |  | $ | 4,606,680 |  |  | $ | 474,623 |  |  | $ | 39,468 |  |  | $ | 5,120,771 |
Total net revenues |  | $ | 2,598,527 |  |  | $ | 2,572,256 |  |  | $ | 25,690 |  |  | $ | 5,196,473 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 240,375 |  |  | $ | 628,170 |  |  | ($ | 338,278 | ) |  | $ | 530,267 |
Allocation of corporate overhead |  | ($ | 118,082 | ) |  | ($ | 62,665 | ) |  | $ | 180,747 |  |  |  | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 122,293 |  |  | $ | 565,505 |  |  | ($ | 157,531 | ) |  | $ | 530,267 |
Total assets as of 9/30/12 |  | $ | 2,987,293 |  |  | $ | 4,459,030 |  |  | $ | 334,743 |  |  | $ | 7,781,066 |
|  | Three months ended September 30, 2011 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 2,827,617 |  |  | $ | 1,368,405 |  |  |  | — |  |  | $ | 4,196,022 |
Gross outpatient revenues |  | $ | 1,384,084 |  |  | $ | 146,836 |  |  | $ | 13,542 |  |  | $ | 1,544,462 |
Total net revenues |  | $ | 831,775 |  |  | $ | 825,825 |  |  | $ | 5,075 |  |  | $ | 1,662,675 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 57,027 |  |  | $ | 184,304 |  |  | ($ | 94,255 | ) |  | $ | 147,076 |
Allocation of corporate overhead |  | ($ | 35,094 | ) |  | ($ | 15,438 | ) |  | $ | 50,532 |  |  |  | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 21,933 |  |  | $ | 168,866 |  |  | ($ | 43,723 | ) |  | $ | 147,076 |
Total assets as of 9/30/11 |  | $ | 2,797,029 |  |  | $ | 4,421,040 |  |  | $ | 387,862 |  |  | $ | 7,605,931 |
|  | Nine months ended September 30, 2011 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 8,934,701 |  |  | $ | 4,154,117 |  |  |  | — |  |  | $ | 13,088,818 |
Gross outpatient revenues |  | $ | 4,068,566 |  |  | $ | 453,652 |  |  | $ | 41,082 |  |  | $ | 4,563,300 |
Total net revenues |  | $ | 2,587,070 |  |  | $ | 2,493,336 |  |  | $ | 16,820 |  |  | $ | 5,097,226 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 275,156 |  |  | $ | 559,681 |  |  | ($ | 301,336 | ) |  | $ | 533,501 |
Allocation of corporate overhead |  | ($ | 98,418 | ) |  | ($ | 46,854 | ) |  | $ | 145,272 |  |  |  | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 176,738 |  |  | $ | 512,827 |  |  | ($ | 156,064 | ) |  | $ | 533,501 |
Total assets as of 9/30/11 |  | $ | 2,797,029 |  |  | $ | 4,421,040 |  |  | $ | 387,862 |  |  | $ | 7,605,931 |

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 29 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8864-108599 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8906-108599 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8933-108599 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 35 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8984-108599 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8380-108599 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 10 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8538-108599 Reference 7: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 42 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e9054-108599 Reference 8: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8595-108599 Reference 9: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 131 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 10: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 34 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8981-108599 Reference 11: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 33 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8971-108599 Reference 12: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 26 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8844-108599 Reference 13: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8924-108599 Reference 14: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e9031-108599 Reference 15: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 41 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e9038-108599 + Details
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