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Segment Reporting (Tables)

6 Months Ended

Jun. 30, 2018

Segment Reporting [Abstract]

Segment Reporting

		Three months ended June 30, 2018
		Acute Care Hospital Services				Behavioral Health Services (a)				Other				Total Consolidated
		(Amounts in thousands)
Gross inpatient revenues		$	6,164,010			$	2,448,894			$	0			$	8,612,904
Gross outpatient revenues		$	3,760,326			$	267,537			$	0			$	4,027,863
Total net revenues		$	1,403,991			$	1,274,083			$	3,279			$	2,681,353
Income/(loss) before allocation of corporate overhead and    income taxes		$	162,015			$	261,444			$	(121,689	)		$	301,770
Allocation of corporate overhead		$	(49,902	)		$	(40,246	)		$	90,148			$	0
Income/(loss) after allocation of corporate overhead and    before income taxes		$	112,113			$	221,198			$	(31,541	)		$	301,770
Total assets as of June 30, 2018		$	3,971,106			$	6,746,272			$	352,039			$	11,069,417
		Six months ended June 30, 2018
		Acute Care Hospital Services				Behavioral Health Services (a)				Other				Total Consolidated
		(Amounts in thousands)
Gross inpatient revenues		$	12,525,776			$	4,851,152			$	0			$	17,376,928
Gross outpatient revenues		$	7,474,987			$	522,718			$	0			$	7,997,705
Total net revenues		$	2,849,623			$	2,512,079			$	7,167			$	5,368,869
Income/(loss) before allocation of corporate overhead and    income taxes		$	365,726			$	500,192			$	(267,910	)		$	598,008
Allocation of corporate overhead		$	(99,793	)		$	(80,578	)		$	180,371			$	0
Income/(loss) after allocation of corporate overhead and    before income taxes		$	265,933			$	419,614			$	(87,539	)		$	598,008
Total assets as of June 30, 2018		$	3,971,106			$	6,746,272			$	352,039			$	11,069,417
		Three months ended June 30, 2017
		Acute Care Hospital Services				Behavioral Health Services (a)				Other				Total Consolidated
		(Amounts in thousands)
Gross inpatient revenues		$	5,430,997			$	2,249,135			$	0			$	7,680,132
Gross outpatient revenues		$	3,286,930			$	257,312			$	0			$	3,544,242
Total net revenues		$	1,366,457			$	1,242,561			$	3,338			$	2,612,356
Income/(loss) before allocation of corporate overhead and    income taxes		$	157,877			$	252,146			$	(115,752	)		$	294,271
Allocation of corporate overhead		$	(45,675	)		$	(39,653	)		$	85,328			$	0
Income/(loss) after allocation of corporate overhead and    before income taxes		$	112,202			$	212,493			$	(30,424	)		$	294,271
Total assets as of June 30, 2017		$	3,754,983			$	6,541,328			$	256,176			$	10,552,487
		Six months ended June 30, 2017
		Acute Care Hospital Services				Behavioral Health Services (a)				Other				Total Consolidated
		(Amounts in thousands)
Gross inpatient revenues		$	11,028,847			$	4,432,137			$	0			$	15,460,984
Gross outpatient revenues		$	6,581,107			$	503,772			$	0			$	7,084,879
Total net revenues		$	2,756,004			$	2,460,683			$	8,527			$	5,225,214
Income/(loss) before allocation of corporate overhead and    income taxes		$	345,681			$	504,077			$	(237,061	)		$	612,697
Allocation of corporate overhead		$	(91,351	)		$	(79,314	)		$	170,665			$	0
Income/(loss) after allocation of corporate overhead and    before income taxes		$	254,330			$	424,763			$	(66,396	)		$	612,697
Total assets as of June 30, 2017		$	3,754,983			$	6,541,328			$	256,176			$	10,552,487

(a) Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $119 million and $106 million for the three-month periods ended June 30, 2018 and 2017, respectively, and approximately $234 million and $206 million for the six-month periods ended June 30, 2018 and 2017 respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.123 billion and $1.028 billion as of June 30, 2018 and 2017, 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://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 22
-URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8736-108599

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 25
-URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8813-108599

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 350
-SubTopic 20
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13816-109267

Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 21
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8721-108599

Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
-URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8906-108599

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