Segment Reporting (Tables)

9 Months Ended

Sep. 30, 2025


Three Months Ended September 30, 2025	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	2,630,065		$	1,860,259		$	4,490,324

Reconciliation of Net Revenue
Non-segment revenue								4,921
Total Net Revenue							$	4,495,245

Salaries, wages and benefits	$	973,680		$	995,570
Other segment item operating expenses (a)		1,258,986			462,131
Depreciation and amortization expense		97,389			55,294
Interest (income) expense, net		528			1,265
Other (income) expense, net		(623	)		733
Reportable segment income before income taxes	$	300,105		$	345,266		$	645,371

Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								4,921
Non-segment operating expenses (b)								130,507
Non-segment interest expense, net								36,638
Non-segment other (income) expense, net								(13,739	)
Income before income taxes							$	496,886

Nine Months Ended September 30, 2025	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	7,380,328		$	5,487,984		$	12,868,312

Reconciliation of Net Revenue
Non-segment revenue								10,469
Total Net Revenue							$	12,878,781

Salaries, wages and benefits	$	2,821,509		$	2,900,892
Other segment item operating expenses (a)		3,490,402			1,345,738
Depreciation and amortization expense		288,406			159,961
Interest (income) expense, net		1,177			3,444
Other (income) expense, net		(9,806	)		(929	)
Reportable segment income before income taxes	$	788,640		$	1,078,878		$	1,867,518

Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								10,469
Non-segment operating expenses (b)								395,090
Non-segment interest expense, net								109,230
Non-segment other (income) expense, net								(17,032	)
Income before income taxes							$	1,390,699


Three Months Ended September 30, 2024	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total

Net revenue from reportable segments	$	2,253,819		$	1,706,612		$	3,960,431

Reconciliation of Net Revenue
Non-segment revenue								2,596
Total Net Revenue							$	3,963,027

Salaries, wages and benefits	$	899,375		$	914,477
Other segment item operating expenses (a)		1,058,086			422,609
Depreciation and amortization expense		94,747			52,227
Interest expense, net		1,077			1,041
Other expense (income), net		(527	)		(861	)
Reportable segment income before income taxes	$	201,061		$	317,119		$	518,180

Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								2,596
Non-segment operating expenses (b)								137,341
Non-segment interest expense, net								42,542
Non-segment other (income) expense, net								(640	)
Income before income taxes							$	341,533

Nine Months Ended September 30, 2024	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	6,617,586		$	5,088,711		$	11,706,297

Reconciliation of Net Revenue
Non-segment revenue								7,916
Total Net Revenue							$	11,714,213

Salaries, wages and benefits	$	2,620,069		$	2,682,167
Other segment item operating expenses (a)		3,095,859			1,258,743
Depreciation and amortization expense		279,420			150,577
Interest expense, net		3,363			3,076
Other expense (income), net		(354	)		(2,408	)
Reportable segment income before income taxes	$	619,229		$	996,556		$	1,615,785

Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								7,916
Non-segment operating expenses (b)								418,053
Non-segment interest expense, net								139,946
Non-segment other (income) expense, net								6,077
Income before income taxes							$	1,059,625

(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. amounting to approximately $264 million and $230 million for the three-month periods ended September 30, 2025 and 2024, respectively, and approximately $738 million and $651 million for the nine-month periods ended September 30, 2025 and 2024, respectively.