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Segment Reporting | 12 Months Ended
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Dec. 31, 2020
Segment Reporting [Abstract] |
Segment Reporting | 12) 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, but not limited to, information technology, purchasing, reimbursement, accounting and finance, taxation, legal, advertising and design and construction. The chief operating decision making group for our acute care services and behavioral health care services is comprised of our Chief Executive Officer, the President and the Presidents of each operating segment. The Presidents for 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 Note 1-Business and Summary of Significant Accounting Policies. 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, based upon each segment’s respective percentage of total operating expenses.
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 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/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8924-108599 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 34 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8981-108599 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8721-108599 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e9031-108599 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (f) -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8933-108599 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8933-108599 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 26 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8844-108599 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 41 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e9038-108599 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8933-108599 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -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 11: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 42 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e9054-108599 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8657-108599 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8721-108599 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -URI http://asc.fasb.org/topic&trid=2134510 + Details
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