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Segment Reporting (Tables) | 12 Months Ended
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Dec. 31, 2023
Segment Reporting [Abstract] |
Segment Reporting |
2023 |  | Acute Care Hospital Services |  |  | Behavioral Health Services (a.) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 44,687,035 |  |  | $ | 10,648,996 |  |  | $ | — |  |  | $ | 55,336,031 |
Gross outpatient revenues |  | $ | 29,858,874 |  |  | $ | 1,087,595 |  |  | $ | — |  |  | $ | 30,946,469 |
Total net revenues |  | $ | 8,081,402 |  |  | $ | 6,190,921 |  |  | $ | 9,653 |  |  | $ | 14,281,976 |
Income (loss) before allocation of corporate overhead and income taxes |  | $ | 540,345 |  |  | $ | 1,083,680 |  |  | $ | (683,599 | ) |  | $ | 940,426 |
Allocation of corporate overhead |  | $ | (266,413 | ) |  | $ | (186,662 | ) |  | $ | 453,075 |  |  | $ | 0 |
Income (loss) after allocation of corporate overhead and before income taxes |  | $ | 273,932 |  |  | $ | 897,018 |  |  | $ | (230,524 | ) |  | $ | 940,426 |
Total assets |  | $ | 6,201,235 |  |  | $ | 7,526,672 |  |  | $ | 239,695 |  |  | $ | 13,967,602 |
2022 |  | Acute Care Hospital Services (b.) |  |  | Behavioral Health Services (a.) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 40,004,670 |  |  | $ | 10,116,566 |  |  | $ | — |  |  | $ | 50,121,236 |
Gross outpatient revenues |  | $ | 24,813,718 |  |  | $ | 1,031,370 |  |  | $ | — |  |  | $ | 25,845,088 |
Total net revenues |  | $ | 7,646,749 |  |  | $ | 5,729,758 |  |  | $ | 22,863 |  |  | $ | 13,399,370 |
Income (loss) before allocation of corporate overhead and income taxes |  | $ | 429,664 |  |  | $ | 980,290 |  |  | $ | (543,694 | ) |  | $ | 866,260 |
Allocation of corporate overhead |  | $ | (252,034 | ) |  | $ | (179,936 | ) |  | $ | 431,970 |  |  | $ | 0 |
Income (loss) after allocation of corporate overhead and before income taxes |  | $ | 177,630 |  |  | $ | 800,354 |  |  | $ | (111,724 | ) |  | $ | 866,260 |
Total assets |  | $ | 5,993,887 |  |  | $ | 7,277,293 |  |  | $ | 223,008 |  |  | $ | 13,494,188 |
2021 |  | Acute Care Hospital Services |  |  | Behavioral Health Services (a.) |  |  | Other |  |  | Total Consolidated |
|  | (Dollar amounts in thousands) |
Gross inpatient revenues |  | $ | 36,522,155 |  |  | $ | 9,927,401 |  |  | $ | — |  |  | $ | 46,449,556 |
Gross outpatient revenues |  | $ | 20,633,921 |  |  | $ | 1,013,547 |  |  | $ | — |  |  | $ | 21,647,468 |
Total net revenues |  | $ | 7,108,254 |  |  | $ | 5,503,644 |  |  | $ | 30,219 |  |  | $ | 12,642,117 |
Income (loss) before allocation of corporate overhead and income taxes |  | $ | 734,666 |  |  | $ | 1,025,557 |  |  | $ | (466,910 | ) |  | $ | 1,293,313 |
Allocation of corporate overhead |  | $ | (233,298 | ) |  | $ | (172,512 | ) |  | $ | 405,810 |  |  | $ | 0 |
Income (loss) after allocation of corporate overhead and before income taxes |  | $ | 501,368 |  |  | $ | 853,045 |  |  | $ | (61,100 | ) |  | $ | 1,293,313 |
Total assets |  | $ | 5,534,912 |  |  | $ | 7,250,427 |  |  | $ | 308,204 |  |  | $ | 13,093,543 |
(a) Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $761 million in 2023, $685 million in 2022 and $688 million in 2021. Total assets at our U.K. behavioral health care facilities were approximately $1.327 billion as of December 31, 2023, $1.235 billion as of December 31, 2022 and $1.351 billion as of December 31, 2021. (b) Included in our 2022 acute care hospital services operating segment income (loss) before allocation of corporate overhead and income taxes is a pre-tax $58 million provision for asset impairment charge to reduce the carrying value of real property assets.

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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 -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482573/350-20-50-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-25 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-22 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-30 + Details
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