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Segment Reporting (Tables)
 9 Months Ended
Sep. 30, 2024
Segment Reporting [Abstract]  
Segment Reporting

 

 

Three months ended September 30, 2024

 

 

 

Acute Care
Hospital
Services

 

 

Behavioral
Health
Services (a)

 

 

Other

 

 

Total
Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

12,277,563

 

 

$

2,835,301

 

 

 

 

 

$

15,112,864

 

Gross outpatient revenues

 

$

8,573,270

 

 

$

268,182

 

 

 

 

 

$

8,841,452

 

Total net revenues

 

$

2,245,517

 

 

$

1,714,914

 

 

$

2,596

 

 

$

3,963,027

 

Income/(loss) before allocation of corporate overhead and
   income taxes

 

$

199,316

 

 

$

318,864

 

 

$

(176,647

)

 

$

341,533

 

Allocation of corporate overhead

 

$

(64,883

)

 

$

(46,898

)

 

$

111,781

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and
   before income taxes

 

$

134,433

 

 

$

271,966

 

 

$

(64,866

)

 

$

341,533

 

Total assets as of September 30, 2024

 

$

6,481,922

 

 

$

7,631,827

 

 

$

240,099

 

 

$

14,353,848

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended September 30, 2024

 

 

 

Acute Care
Hospital
Services

 

 

Behavioral
Health
Services (a)

 

 

Other

 

 

Total
Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

37,522,395

 

 

$

8,375,470

 

 

 

 

 

$

45,897,865

 

Gross outpatient revenues

 

$

25,553,451

 

 

$

833,260

 

 

 

 

 

$

26,386,711

 

Total net revenues

 

$

6,604,007

 

 

$

5,102,290

 

 

$

7,916

 

 

$

11,714,213

 

Income/(loss) before allocation of corporate overhead and
   income taxes

 

$

616,503

 

 

$

999,282

 

 

$

(556,160

)

 

$

1,059,625

 

Allocation of corporate overhead

 

$

(194,616

)

 

$

(140,808

)

 

$

335,424

 

 

$

0

 

Income/(loss) after allocation of corporate overhead and
   before income taxes

 

$

421,887

 

 

$

858,474

 

 

$

(220,736

)

 

$

1,059,625

 

Total assets as of September 30, 2024

 

$

6,481,922

 

 

$

7,631,827

 

 

$

240,099

 

 

$

14,353,848

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 
(a)
Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $230 million and $203 million for the three-month periods ended September 30, 2024 and 2023, respectively, and approximately $651 million and $561 million for the nine-month periods ended September 30, 2024 and 2023, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.442 billion and $1.260 billion as of September 30, 2024 and 2023, respectively.