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Segment Reporting (Tables) | 12 Months Ended
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Dec. 31, 2017
Segment Reporting [Abstract] |
Segment Reporting |
2017 |  | Acute Care Hospital Services |  |  | Behavioral Health Services (a.) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 21,888,207 |  |  | $ | 8,949,984 |  |  | $ | — |  |  | $ | 30,838,191 |
Gross outpatient revenues |  | $ | 13,115,881 |  |  | $ | 993,409 |  |  | $ | — |  |  | $ | 14,109,290 |
Total net revenues |  | $ | 5,484,683 |  |  | $ | 4,906,719 |  |  | $ | 18,463 |  |  | $ | 10,409,865 |
Income (loss) before allocation of corporate overhead and income taxes |  | $ | 641,857 |  |  | $ | 968,974 |  |  | $ | (475,822 | ) |  | $ | 1,135,009 |
Allocation of corporate overhead |  | $ | (182,713 | ) |  | $ | (158,735 | ) |  | $ | 341,448 |  |  | $ | 0 |
Income (loss) after allocation of corporate overhead and before income taxes |  | $ | 459,144 |  |  | $ | 810,239 |  |  | $ | (134,374 | ) |  | $ | 1,135,009 |
Total assets |  | $ | 3,849,214 |  |  | $ | 6,648,818 |  |  | $ | 263,796 |  |  | $ | 10,761,828 |
2016 |  | Acute Care Hospital Services |  |  | Behavioral Health Services (a.) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 19,042,627 |  |  | $ | 8,017,585 |  |  | $ | — |  |  | $ | 27,060,212 |
Gross outpatient revenues |  | $ | 11,374,098 |  |  | $ | 902,102 |  |  | $ | — |  |  | $ | 12,276,200 |
Total net revenues |  | $ | 5,112,950 |  |  | $ | 4,645,007 |  |  | $ | 8,253 |  |  | $ | 9,766,210 |
Income (loss) before allocation of corporate overhead and income taxes |  | $ | 557,472 |  |  | $ | 1,030,734 |  |  | $ | (431,848 | ) |  | $ | 1,156,358 |
Allocation of corporate overhead |  | $ | (170,767 | ) |  | $ | (154,843 | ) |  | $ | 325,610 |  |  | $ | 0 |
Income (loss) after allocation of corporate overhead and before income taxes |  | $ | 386,705 |  |  | $ | 875,891 |  |  | $ | (106,238 | ) |  | $ | 1,156,358 |
Total assets |  | $ | 3,723,075 |  |  | $ | 6,440,195 |  |  | $ | 154,532 |  |  | $ | 10,317,802 |
2015 |  | Acute Care Hospital Services |  |  | Behavioral Health Services (a.) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 16,847,944 |  |  | $ | 7,456,397 |  |  | $ | — |  |  | $ | 24,304,341 |
Gross outpatient revenues |  | $ | 9,604,952 |  |  | $ | 839,884 |  |  | $ | 15,794 |  |  | $ | 10,460,630 |
Total net revenues |  | $ | 4,632,564 |  |  | $ | 4,400,335 |  |  | $ | 10,552 |  |  | $ | 9,043,451 |
Income (loss) before allocation of corporate overhead and income taxes |  | $ | 519,630 |  |  | $ | 1,021,823 |  |  | $ | (395,552 | ) |  | $ | 1,145,901 |
Allocation of corporate overhead |  | $ | (197,699 | ) |  | $ | (117,203 | ) |  | $ | 314,902 |  |  | $ | 0 |
Income (loss) after allocation of corporate overhead and before income taxes |  | $ | 321,931 |  |  | $ | 904,620 |  |  | $ | (80,650 | ) |  | $ | 1,145,901 |
Total assets |  | $ | 3,413,879 |  |  | $ | 5,867,088 |  |  | $ | 334,477 |  |  | $ | 9,615,444 |
| (a) | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $429 million in 2017, $241 million in 2016 and $203 million in 2015. Total assets at our U.K. behavioral health care facilities were approximately $1.098 billion as of December 31, 2017, $965 million as of December 31, 2016 and $521 million as of December 31, 2015.

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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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