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Segment Reporting (Tables) | 6 Months Ended
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Jun. 30, 2025
Segment Reporting [Abstract] |
Segment Reporting |
Three months ended June 30, 2025 |  | Acute Care Hospital Services |  |  | Behavioral Health Care Services (c) |  |  | Total |
|  | (amounts in thousands) |
Net revenue from reportable segments |  | $ | 2,401,034 |  |  | $ | 1,880,076 |  |  | $ | 4,281,110 |
Reconciliation of Net Revenue |  |  |  |  |  |  |  |  |
Non-segment revenue |  |  |  |  |  |  |  |  | 2,706 |
Total Net Revenue |  |  |  |  |  |  |  | $ | 4,283,816 |
Salaries, wages and benefits |  | $ | 937,105 |  |  | $ | 977,156 |  |  |  |
Other segment item operating expenses (a) |  |  | 1,142,344 |  |  |  | 453,206 |  |  |  |
Depreciation and amortization expense |  |  | 96,370 |  |  |  | 53,259 |  |  |  |
Interest (income) expense, net |  |  | (1,613 | ) |  |  | 1,104 |  |  |  |
Other (income) expense, net |  |  | (916 | ) |  |  | (837 | ) |  |  |
Reportable segment income before income taxes |  | $ | 227,744 |  |  | $ | 396,188 |  |  | $ | 623,932 |
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes |  |  |  |  |  |  |  |  |
Non-segment revenue |  |  |  |  |  |  |  |  | 2,706 |
Non-segment operating expenses (b) |  |  |  |  |  |  |  |  | 124,106 |
Non-segment interest expense, net |  |  |  |  |  |  |  |  | 35,873 |
Non-segment other (income) expense, net |  |  |  |  |  |  |  |  | (6,726 | )
Income before income taxes |  |  |  |  |  |  |  | $ | 473,385 |
Six months ended June 30, 2025 |  | Acute Care Hospital Services |  |  | Behavioral Health Care Services (c) |  |  | Total |
|  | (amounts in thousands) |
Net revenue from reportable segments |  | $ | 4,750,263 |  |  | $ | 3,627,725 |  |  | $ | 8,377,988 |
Reconciliation of Net Revenue |  |  |  |  |  |  |  |  |
Non-segment revenue |  |  |  |  |  |  |  |  | 5,548 |
Total Net Revenue |  |  |  |  |  |  |  | $ | 8,383,536 |
Salaries, wages and benefits |  | $ | 1,847,829 |  |  | $ | 1,905,322 |  |  |  |
Other segment item operating expenses (a) |  |  | 2,231,416 |  |  |  | 883,606 |  |  |  |
Depreciation and amortization expense |  |  | 191,017 |  |  |  | 104,667 |  |  |  |
Interest (income) expense, net |  |  | 649 |  |  |  | 2,179 |  |  |  |
Other (income) expense, net |  |  | (9,183 | ) |  |  | (1,662 | ) |  |  |
Reportable segment income before income taxes |  | $ | 488,535 |  |  | $ | 733,613 |  |  | $ | 1,222,148 |
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes |  |  |  |  |  |  |  |  |
Non-segment revenue |  |  |  |  |  |  |  |  | 5,548 |
Non-segment operating expenses (b) |  |  |  |  |  |  |  |  | 264,584 |
Non-segment interest expense, net |  |  |  |  |  |  |  |  | 72,592 |
Non-segment other (income) expense, net |  |  |  |  |  |  |  |  | (3,293 | )
Income before income taxes |  |  |  |  |  |  |  | $ | 893,813 |
Three months ended June 30, 2024 |  | Acute Care Hospital Services |  |  | Behavioral Health Care Services (c) |  |  | Total |
Net revenue from reportable segments |  | $ | 2,178,686 |  |  | $ | 1,726,032 |  |  | $ | 3,904,718 |
Reconciliation of Net Revenue |  |  |  |  |  |  |  |  |
Non-segment revenue |  |  |  |  |  |  |  |  | 2,886 |
Total Net Revenue |  |  |  |  |  |  |  | $ | 3,907,604 |
Salaries, wages and benefits |  | $ | 859,147 |  |  | $ | 895,494 |  |  |  |
Other segment item operating expenses (a) |  |  | 1,011,953 |  |  |  | 420,423 |  |  |  |
Depreciation and amortization expense |  |  | 94,361 |  |  |  | 50,478 |  |  |  |
Interest expense, net |  |  | 986 |  |  |  | 1,008 |  |  |  |
Other expense (income), net |  |  | (461 | ) |  |  | (871 | ) |  |  |
Reportable segment income before income taxes |  | $ | 212,700 |  |  | $ | 359,500 |  |  | $ | 572,200 |
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes |  |  |  |  |  |  |  |  |
Non-segment revenue |  |  |  |  |  |  |  |  | 2,886 |
Non-segment operating expenses (b) |  |  |  |  |  |  |  |  | 139,350 |
Non-segment interest expense, net |  |  |  |  |  |  |  |  | 46,905 |
Non-segment other (income) expense, net |  |  |  |  |  |  |  |  | 6,825 |
Income before income taxes |  |  |  |  |  |  |  | $ | 382,006 |
Six months ended June 30, 2024 |  | Acute Care Hospital Services |  |  | Behavioral Health Care Services (c) |  |  | Total |
|  | (amounts in thousands) |
Net revenue from reportable segments |  | $ | 4,363,767 |  |  | $ | 3,382,099 |  |  | $ | 7,745,866 |
Reconciliation of Net Revenue |  |  |  |  |  |  |  |  |
Non-segment revenue |  |  |  |  |  |  |  |  | 5,320 |
Total Net Revenue |  |  |  |  |  |  |  | $ | 7,751,186 |
Salaries, wages and benefits |  | $ | 1,720,694 |  |  | $ | 1,767,690 |  |  |  |
Other segment item operating expenses (a) |  |  | 2,037,773 |  |  |  | 836,133 |  |  |  |
Depreciation and amortization expense |  |  | 184,673 |  |  |  | 98,350 |  |  |  |
Interest expense, net |  |  | 2,286 |  |  |  | 2,035 |  |  |  |
Other expense (income), net |  |  | 173 |  |  |  | (1,547 | ) |  |  |
Reportable segment income before income taxes |  | $ | 418,168 |  |  | $ | 679,438 |  |  | $ | 1,097,606 |
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes |  |  |  |  |  |  |  |  |
Non-segment revenue |  |  |  |  |  |  |  |  | 5,320 |
Non-segment operating expenses (b) |  |  |  |  |  |  |  |  | 280,713 |
Non-segment interest expense, net |  |  |  |  |  |  |  |  | 97,404 |
Non-segment other (income) expense, net |  |  |  |  |  |  |  |  | 6,717 |
Income before income taxes |  |  |  |  |  |  |  | $ | 718,092 |
(a) Other segment operating expenses for each period includes other operating expenses, supplies expense and lease and rental expense. (b) Non-segment operating expenses for each period includes salaries, wages and benefits, other operating expenses, supplies expense and lease and rental expense. (c) Includes net revenues generated from our behavioral health care facilities located in the U.K. am ounting to approximately $247 million and $213 million for the three-month periods ended June 30, 2025 and 2024, respectively, and approximately $474 million and $421 million for the six-month periods ended June 30, 2025 and 2024, 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 -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 2: 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 3: 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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