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v3.25.1

Segment Reporting (Detail) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Segment Reporting Information [Line Items] |  |  |
Total net revenues |  | $ 4,099,720 | $ 3,843,582
Salaries, wages and benefits |  | 1,951,104 | 1,842,624
Other segment item operating expenses |  | 1,105,752 | 1,032,170
Depreciation and amortization expense |  | 148,345 | 141,003
Other (income) expense, net |  | (5,659) | (150)
Reportable segment income before income taxes |  | 420,428 | 336,086
Interest expense, net |  | 40,056 | 52,826
Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Total net revenues |  | 4,096,878 | 3,841,148
Material Reconciling Items |  |  |
Segment Reporting Information [Line Items] |  |  |
Total net revenues |  | 2,842 | 2,434
Reportable segment income before income taxes |  | 598,216 | 525,406
Corporate Nonsegment |  |  |
Segment Reporting Information [Line Items] |  |  |
Total net revenues |  | 2,842 | 2,434
Other segment item operating expenses | [1] | 140,478 | 141,363
Other (income) expense, net |  | 3,433 | (108)
Reportable segment income before income taxes |  | 420,428 | 336,086
Interest expense, net |  | 36,719 | 50,499
Acute Care Hospital Services |  |  |
Segment Reporting Information [Line Items] |  |  |
Total net revenues |  | 2,349,229 | 2,185,081
Acute Care Hospital Services | Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Total net revenues |  | 2,349,229 | 2,185,081
Acute Care Hospital Services | Material Reconciling Items |  |  |
Segment Reporting Information [Line Items] |  |  |
Salaries, wages and benefits |  | 910,724 | 861,547
Other segment item operating expenses | [2] | 1,089,072 | 1,025,820
Depreciation and amortization expense |  | 94,647 | 90,312
Interest (income) expense, net |  | 2,262 | 1,300
Other (income) expense, net |  | (8,267) | 634
Reportable segment income before income taxes |  | 260,791 | 205,468
Behavioral Health Services |  |  |
Segment Reporting Information [Line Items] |  |  |
Total net revenues |  | 1,747,649 | 1,656,067
Behavioral Health Services | Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Total net revenues | [3] | 1,747,649 | 1,656,067
Behavioral Health Services | Material Reconciling Items |  |  |
Segment Reporting Information [Line Items] |  |  |
Salaries, wages and benefits | [3] | 928,166 | 872,196
Other segment item operating expenses | [2],[3] | 430,400 | 415,710
Depreciation and amortization expense | [3] | 51,408 | 47,872
Interest (income) expense, net | [3] | 1,075 | 1,027
Other (income) expense, net | [3] | (825) | (676)
Reportable segment income before income taxes | [3] | 337,425 | 319,938
Other |  |  |
Segment Reporting Information [Line Items] |  |  |
Total net revenues |  | $ 2,842 | $ 2,434
[1] | Non-segment operating expenses for each period includes salaries, wages and benefits, other operating expenses, supplies expense and lease and rental expense.
[2] | Other segment operating expenses for each period includes other operating expenses, supplies expense and lease and rental expense.
[3] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $227 million and $208 million for the three-month periods ended March 31, 2025 and 2024, respectively.

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