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Segment Reporting (Tables) | 6 Months Ended
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Jun. 30, 2021
Segment Reporting [Abstract] |
Segment Reporting |
|  | Three months ended June 30, 2021 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 8,662,335 |  |  | $ | 2,527,776 |  |  | $ | - |  |  | $ | 11,190,111 |
Gross outpatient revenues |  | $ | 5,357,888 |  |  | $ | 266,328 |  |  | $ | - |  |  | $ | 5,624,216 |
Total net revenues |  | $ | 1,754,431 |  |  | $ | 1,431,497 |  |  | $ | 11,952 |  |  | $ | 3,197,880 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 218,663 |  |  | $ | 324,577 |  |  | $ | (116,442 | ) |  | $ | 426,798 |
Allocation of corporate overhead |  | $ | (58,227 | ) |  | $ | (43,099 | ) |  | $ | 101,326 |  |  | $ | - |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 160,436 |  |  | $ | 281,478 |  |  | $ | (15,116 | ) |  | $ | 426,798 |
Total assets as of June 30, 2021 |  | $ | 5,162,252 |  |  | $ | 7,159,426 |  |  | $ | 490,957 |  |  | $ | 12,812,635 |
|  | Six months ended June 30, 2021 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 17,781,519 |  |  | $ | 5,001,341 |  |  | $ | - |  |  | $ | 22,782,860 |
Gross outpatient revenues |  | $ | 9,938,608 |  |  | $ | 513,092 |  |  | $ | - |  |  | $ | 10,451,700 |
Total net revenues |  | $ | 3,448,973 |  |  | $ | 2,746,834 |  |  | $ | 15,060 |  |  | $ | 6,210,867 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 391,781 |  |  | $ | 555,902 |  |  | $ | (248,008 | ) |  | $ | 699,675 |
Allocation of corporate overhead |  | $ | (116,334 | ) |  | $ | (86,049 | ) |  | $ | 202,383 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 275,447 |  |  | $ | 469,853 |  |  | $ | (45,625 | ) |  | $ | 699,675 |
Total assets as of June 30, 2021 |  | $ | 5,162,252 |  |  | $ | 7,159,426 |  |  | $ | 490,957 |  |  | $ | 12,812,635 |
|  | Three months ended June 30, 2020 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 6,736,777 |  |  | $ | 2,285,359 |  |  | $ | 0 |  |  | $ | 9,022,136 |
Gross outpatient revenues |  | $ | 3,394,680 |  |  | $ | 216,174 |  |  | $ | 0 |  |  | $ | 3,610,854 |
Total net revenues |  | $ | 1,467,506 |  |  | $ | 1,259,123 |  |  | $ | 3,125 |  |  | $ | 2,729,754 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 182,996 |  |  | $ | 256,766 |  |  | $ | (104,104 | ) |  | $ | 335,658 |
Allocation of corporate overhead |  | $ | (55,983 | ) |  | $ | (42,750 | ) |  | $ | 98,733 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 127,013 |  |  | $ | 214,016 |  |  | $ | (5,371 | ) |  | $ | 335,658 |
Total assets as of June 30, 2020 |  | $ | 4,467,698 |  |  | $ | 6,819,694 |  |  | $ | 861,107 |  |  | $ | 12,148,499 |
|  | Six months ended June 30, 2020 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Amounts in thousands) |
Gross inpatient revenues |  | $ | 14,558,249 |  |  | $ | 4,810,898 |  |  | $ | 0 |  |  | $ | 19,369,147 |
Gross outpatient revenues |  | $ | 8,076,421 |  |  | $ | 475,913 |  |  | $ | 0 |  |  | $ | 8,552,334 |
Total net revenues |  | $ | 2,988,555 |  |  | $ | 2,565,232 |  |  | $ | 5,634 |  |  | $ | 5,559,421 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 286,533 |  |  | $ | 494,449 |  |  | $ | (254,541 | ) |  | $ | 526,441 |
Allocation of corporate overhead |  | $ | (111,956 | ) |  | $ | (85,480 | ) |  | $ | 197,436 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 174,577 |  |  | $ | 408,969 |  |  | $ | (57,105 | ) |  | $ | 526,441 |
Total assets as of June 30, 2020 |  | $ | 4,467,698 |  |  | $ | 6,819,694 |  |  | $ | 861,107 |  |  | $ | 12,148,499 |
| (a) | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $172 million and $136 million for the three-month periods ended June 30, 2021 and 2020, respectively, and approximately $337 million and $273 million for the six-month periods ended June 30, 2021 and 2020, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.369 billion and $1.192 billion as of June 30, 2021 and 2020, 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=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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