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Segment Reporting | 9 Months Ended
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Sep. 30, 2023
Segment Reporting [Abstract] |
Segment Reporting | (7) 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 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 our Annual Report on Form 10-K for the year ended December 31, 2022. 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.
|  | Three months ended September 30, 2023 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 10,916,060 |  |  | $ | 2,703,478 |  |  |  |  |  | $ | 13,619,538 |
Gross outpatient revenues |  | $ | 7,480,353 |  |  | $ | 259,060 |  |  |  |  |  | $ | 7,739,413 |
Total net revenues |  | $ | 2,017,288 |  |  | $ | 1,542,695 |  |  | $ | 2,791 |  |  | $ | 3,562,774 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 132,406 |  |  | $ | 262,168 |  |  | $ | (174,067 | ) |  | $ | 220,507 |
Allocation of corporate overhead |  | $ | (66,355 | ) |  | $ | (46,677 | ) |  | $ | 113,032 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 66,051 |  |  | $ | 215,491 |  |  | $ | (61,035 | ) |  | $ | 220,507 |
Total assets as of September 30, 2023 |  | $ | 6,252,434 |  |  | $ | 7,372,995 |  |  | $ | 248,041 |  |  | $ | 13,873,470 |
|  | Nine months ended September 30, 2023 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 33,278,396 |  |  | $ | 8,001,838 |  |  |  |  |  | $ | 41,280,234 |
Gross outpatient revenues |  | $ | 22,292,249 |  |  | $ | 812,467 |  |  |  |  |  | $ | 23,104,716 |
Total net revenues |  | $ | 5,993,899 |  |  | $ | 4,575,378 |  |  | $ | 9,153 |  |  | $ | 10,578,430 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 396,229 |  |  | $ | 792,217 |  |  | $ | (529,143 | ) |  | $ | 659,303 |
Allocation of corporate overhead |  | $ | (199,943 | ) |  | $ | (139,998 | ) |  | $ | 339,941 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 196,286 |  |  | $ | 652,219 |  |  | $ | (189,202 | ) |  | $ | 659,303 |
Total assets as of September 30, 2023 |  | $ | 6,252,434 |  |  | $ | 7,372,995 |  |  | $ | 248,041 |  |  | $ | 13,873,470 |
|  | Three months ended September 30, 2022 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 9,875,794 |  |  | $ | 2,582,448 |  |  |  |  |  | $ | 12,458,242 |
Gross outpatient revenues |  | $ | 6,379,324 |  |  | $ | 248,167 |  |  |  |  |  | $ | 6,627,491 |
Total net revenues |  | $ | 1,919,678 |  |  | $ | 1,434,828 |  |  | $ | (18,479 | ) |  | $ | 3,336,027 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 129,241 |  |  | $ | 237,949 |  |  | $ | (132,978 | ) |  | $ | 234,212 |
Allocation of corporate overhead |  | $ | (63,242 | ) |  | $ | (44,882 | ) |  | $ | 108,124 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 65,999 |  |  | $ | 193,067 |  |  | $ | (24,854 | ) |  | $ | 234,212 |
Total assets as of September 30, 2022 |  | $ | 6,039,787 |  |  | $ | 7,336,437 |  |  | $ | 2,676 |  |  | $ | 13,378,900 |
|  | Nine months ended September 30, 2022 |
|  | Acute Care Hospital Services |  |  | Behavioral Health Services (a) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 29,821,756 |  |  | $ | 7,580,475 |  |  |  | - |  |  | $ | 37,402,231 |
Gross outpatient revenues |  | $ | 18,360,902 |  |  | $ | 773,769 |  |  |  | - |  |  | $ | 19,134,671 |
Total net revenues |  | $ | 5,707,510 |  |  | $ | 4,235,215 |  |  | $ | 9,665 |  |  | $ | 9,952,390 |
Income/(loss) before allocation of corporate overhead and income taxes |  | $ | 372,981 |  |  | $ | 693,694 |  |  | $ | (422,750 | ) |  | $ | 643,925 |
Allocation of corporate overhead |  | $ | (188,739 | ) |  | $ | (134,946 | ) |  | $ | 323,685 |  |  | $ | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes |  | $ | 184,242 |  |  | $ | 558,748 |  |  | $ | (99,065 | ) |  | $ | 643,925 |
Total assets as of September 30, 2022 |  | $ | 6,039,787 |  |  | $ | 7,336,437 |  |  | $ | 2,676 |  |  | $ | 13,378,900 |
(a) Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $203 million and $167 million for the three-month periods ended September 30, 2023 and 2022, respectively, and approximately $561 million and $516 million for the nine-month periods ended September 30, 2023 and 2022, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.260 billion and $1.119 billion as of September 30, 2023 and 2022, respectively.

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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 -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-22 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 15 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-15 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-31 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 42 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-42 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (f) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-40 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org//280/tableOfContent Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 26 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-26 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 34 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-34 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-41 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-21 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-21 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 + Details
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