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Segment Reporting (Tables) | 9 Months Ended
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Sep. 30, 2017
Segment Reporting [Abstract] |
Segment Reporting |
|  | Three months ended September 30, 2017 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 5,344,625 |  |  | $ | 2,257,231 |  |  | $ | 0 |  |  | $ | 7,601,856 |
Gross outpatient revenues |  | $ | 3,199,066 |  |  | $ | 236,559 |  |  | $ | 0 |  |  | $ | 3,435,625 |
Total net revenues |  | $ | 1,316,748 |  |  | $ | 1,224,548 |  |  | $ | 568 |  |  | $ | 2,541,864 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 106,707 |  |  | $ | 228,673 |  |  | $ | (115,026 | ) |  | $ | 220,354 |
Allocation of corporate overhead |  | $ | (45,680 | ) |  | $ | (39,707 | ) |  | $ | 85,387 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 61,027 |  |  | $ | 188,966 |  |  | $ | (29,639 | ) |  | $ | 220,354 |
Total assets as of September 30, 2017 |  | $ | 3,736,676 |  |  | $ | 6,610,811 |  |  | $ | 291,873 |  |  | $ | 10,639,360 |
|  | Nine months ended September 30, 2017 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 16,373,472 |  |  | $ | 6,689,368 |  |  | $ | 0 |  |  | $ | 23,062,840 |
Gross outpatient revenues |  | $ | 9,780,173 |  |  | $ | 740,331 |  |  | $ | 0 |  |  | $ | 10,520,504 |
Total net revenues |  | $ | 4,072,752 |  |  | $ | 3,685,230 |  |  | $ | 9,096 |  |  | $ | 7,767,078 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 452,388 |  |  | $ | 732,749 |  |  | $ | (352,086 | ) |  | $ | 833,051 |
Allocation of corporate overhead |  | $ | (137,031 | ) |  | $ | (119,021 | ) |  | $ | 256,052 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 315,357 |  |  | $ | 613,728 |  |  | $ | (96,034 | ) |  | $ | 833,051 |
Total assets as of September 30, 2017 |  | $ | 3,736,676 |  |  | $ | 6,610,811 |  |  | $ | 291,873 |  |  | $ | 10,639,360 |
|  | Three months ended September 30, 2016 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 4,647,578 |  |  | $ | 2,031,868 |  |  | $ | 0 |  |  | $ | 6,679,446 |
Gross outpatient revenues |  | $ | 2,854,851 |  |  | $ | 217,571 |  |  | $ | 0 |  |  | $ | 3,072,422 |
Total net revenues |  | $ | 1,253,866 |  |  | $ | 1,153,880 |  |  | $ | 2,126 |  |  | $ | 2,409,872 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 97,542 |  |  | $ | 245,515 |  |  | $ | (97,617 | ) |  | $ | 245,440 |
Allocation of corporate overhead |  | $ | (42,667 | ) |  | $ | (38,719 | ) |  | $ | 81,386 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 54,875 |  |  | $ | 206,796 |  |  | $ | (16,231 | ) |  | $ | 245,440 |
Total assets as of September 30, 2016 |  | $ | 3,581,425 |  |  | $ | 5,927,564 |  |  | $ | 164,650 |  |  | $ | 9,673,639 |
|  | Nine months ended September 30, 2016 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 14,295,797 |  |  | $ | 5,987,430 |  |  | $ | 0 |  |  | $ | 20,283,227 |
Gross outpatient revenues |  | $ | 8,461,032 |  |  | $ | 668,457 |  |  | $ | 0 |  |  | $ | 9,129,489 |
Total net revenues |  | $ | 3,794,341 |  |  | $ | 3,489,681 |  |  | $ | 6,503 |  |  | $ | 7,290,525 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 420,832 |  |  | $ | 784,016 |  |  | $ | (329,838 | ) |  | $ | 875,010 |
Allocation of corporate overhead |  | $ | (128,007 | ) |  | $ | (116,161 | ) |  | $ | 244,168 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 292,825 |  |  | $ | 667,855 |  |  | $ | (85,670 | ) |  | $ | 875,010 |
Total assets as of September 30, 2016 |  | $ | 3,581,425 |  |  | $ | 5,927,564 |  |  | $ | 164,650 |  |  | $ | 9,673,639 |
| (a) | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $111 million and $60 million for the three-month periods ended September 30, 2017 and 2016, respectively, and approximately $317 million and $185 million for the nine-month periods ended September 30, 2017 and 2016, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.094 billion and $485 million as of September 30, 2017 and 2016, respectively.

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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: 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=68060357&loc=d3e8906-108599 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -URI http://asc.fasb.org/extlink&oid=68060357&loc=d3e8813-108599 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=68060357&loc=d3e8721-108599 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=35741047&loc=d3e13816-109267 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI http://asc.fasb.org/extlink&oid=68060357&loc=d3e8736-108599 + Details
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