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Segment Reporting (Tables) | 12 Months Ended
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Dec. 31, 2020
Segment Reporting [Abstract] |
Segment Reporting |
2020 |  | Acute Care Hospital Services |  |  | Behavioral Health Services (a.) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 30,562,093 |  |  | $ | 9,718,934 |  |  | $ | — |  |  | $ | 40,281,027 |
Gross outpatient revenues |  | $ | 16,272,520 |  |  | $ | 963,799 |  |  | $ | — |  |  | $ | 17,236,319 |
Total net revenues |  | $ | 6,337,304 |  |  | $ | 5,208,722 |  |  | $ | 12,871 |  |  | $ | 11,558,897 |
Income (loss) before allocation of corporate overhead and income taxes |  | $ | 693,427 |  |  | $ | 1,023,257 |  |  | $ | (464,601 | ) |  | $ | 1,252,083 |
Allocation of corporate overhead |  | $ | (223,921 | ) |  | $ | (170,849 | ) |  | $ | 394,770 |  |  | $ | 0 |
Income (loss) after allocation of corporate overhead and before income taxes |  | $ | 469,506 |  |  | $ | 852,408 |  |  | $ | (69,831 | ) |  | $ | 1,252,083 |
Total assets |  | $ | 4,927,456 |  |  | $ | 7,044,617 |  |  | $ | 1,504,806 |  |  | $ | 13,476,879 |
2019 |  | Acute Care Hospital Services |  |  | Behavioral Health Services (a.) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 28,430,922 |  |  | $ | 10,100,903 |  |  | $ | — |  |  | $ | 38,531,825 |
Gross outpatient revenues |  | $ | 17,666,629 |  |  | $ | 1,066,704 |  |  | $ | — |  |  | $ | 18,733,333 |
Total net revenues |  | $ | 6,164,560 |  |  | $ | 5,210,063 |  |  | $ | 3,636 |  |  | $ | 11,378,259 |
Income (loss) before allocation of corporate overhead and income taxes |  | $ | 713,410 |  |  | $ | 900,965 |  |  | $ | (548,038 | ) |  | $ | 1,066,337 |
Allocation of corporate overhead |  | $ | (230,166 | ) |  | $ | (166,571 | ) |  | $ | 396,737 |  |  | $ | 0 |
Income (loss) after allocation of corporate overhead and before income taxes |  | $ | 483,244 |  |  | $ | 734,394 |  |  | $ | (151,301 | ) |  | $ | 1,066,337 |
Total assets |  | $ | 4,405,643 |  |  | $ | 6,910,790 |  |  | $ | 351,817 |  |  | $ | 11,668,250 |
2018 |  | Acute Care Hospital Services |  |  | Behavioral Health Services (a.) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 24,814,959 |  |  | $ | 9,735,521 |  |  | $ | — |  |  | $ | 34,550,480 |
Gross outpatient revenues |  | $ | 14,967,313 |  |  | $ | 1,025,721 |  |  | $ | — |  |  | $ | 15,993,034 |
Total net revenues |  | $ | 5,719,905 |  |  | $ | 5,038,874 |  |  | $ | 13,499 |  |  | $ | 10,772,278 |
Income (loss) before allocation of corporate overhead and income taxes |  | $ | 708,680 |  |  | $ | 915,517 |  |  | $ | (589,672 | ) |  | $ | 1,034,525 |
Allocation of corporate overhead |  | $ | (199,823 | ) |  | $ | (161,282 | ) |  | $ | 361,105 |  |  | $ | 0 |
Income (loss) after allocation of corporate overhead and before income taxes |  | $ | 508,857 |  |  | $ | 754,235 |  |  | $ | (228,567 | ) |  | $ | 1,034,525 |
Total assets |  | $ | 4,094,537 |  |  | $ | 6,786,369 |  |  | $ | 384,574 |  |  | $ | 11,265,480 |
| (a.) | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $584 million in 2020, $554 million in 2019 and $505 million in 2018. Total assets at our U.K. behavioral health care facilities were approximately $1.334 billion as of December 31, 2020, $1.270 billion as of December 31, 2019 and $1.224 billion as of December 31, 2018. In addition, included in our 2019 Behavioral Health Services operating segment Income (loss) before allocation of corporate overhead and income taxes is a pre-tax $98 million provision for asset impairment to reduce the carrying value of a tradename intangible asset and real property assets. Included in our 2018 Behavioral Health Services operating segment Income (loss) before allocation of corporate overhead and income taxes is a pre-tax $49 million provision for asset impairment to reduce the carrying value of a tradename intangible asset.

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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=120311839&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=120311839&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=121556970&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 30 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8906-108599 + Details
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