v3.26.3
Segment Information
 9 Months Ended
Sep. 30, 2026
Segment Reporting [Abstract]  
Segment Information

12. SEGMENT INFORMATION

The Company is principally engaged in the provision of healthcare services, including a broad range of general and specialized hospital healthcare services and outpatient services. Services are delivered within hospitals that the Company owns or operates as well as related healthcare entities that exist to support and supplement services provided in their associated hospital, including, for example, physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

The Company has a single reportable segment represented by hospital operations, which includes its general acute care hospitals and related healthcare entities that provide inpatient and outpatient healthcare services. The Company defined its single reportable segment consistent with the manner in which internally reported financial information is regularly reviewed by the Company’s chief executive officer, who is the Company’s chief operating decision maker (“CODM”). Resources are allocated and financial performance is assessed on a consolidated basis.

The CODM does not review assets at a different level or category than the amounts disclosed in the condensed consolidated balance sheets.

The Company’s CODM uses net (loss) income, as presented in the condensed consolidated statements of (loss) income, to assess performance and allocate resources. Net (loss) income is used in the annual budgeting process as well as throughout the period when projecting or forecasting quarterly and full-year performance. The CODM considers budget-to-actual and actual versus prior period (prior month, prior year, etc.) variances on a periodic basis as a means of assessing performance. The following segment information, including significant segment expenses, is presented in millions:

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2026

 

 

2025

 

 

2026

 

 

2025

 

Net operating revenues

 

$

2,757

 

 

$

3,087

 

 

$

8,547

 

 

$

9,379

 

Less:

 

 

 

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

 

1,213

 

 

 

1,356

 

 

 

3,771

 

 

 

4,056

 

Supplies

 

 

407

 

 

 

460

 

 

 

1,249

 

 

 

1,418

 

Medical specialist fees

 

 

158

 

 

 

165

 

 

 

479

 

 

 

479

 

Other segment items

 

 

713

 

 

 

734

 

 

 

2,153

 

 

 

2,313

 

Depreciation and amortization

 

 

106

 

 

 

108

 

 

 

328

 

 

 

317

 

Interest expense

 

 

202

 

 

 

217

 

 

 

622

 

 

 

651

 

Interest income

 

 

(1

)

 

 

(1

)

 

 

(2

)

 

 

(2

)

Impairment and (gain) loss on sale of
   businesses, net

 

 

14

 

 

 

21

 

 

 

(248

)

 

 

(242

)

Loss (gain) from early extinguishment of debt

 

 

—

 

 

 

33

 

 

 

12

 

 

 

(105

)

Equity in earnings of unconsolidated affiliates

 

 

(2

)

 

 

(4

)

 

 

(8

)

 

 

(9

)

(Benefit from) provision for income taxes

 

 

(3

)

 

 

(173

)

 

 

163

 

 

 

(13

)

Net (loss) income

 

$

(50

)

 

$

171

 

 

$

28

 

 

$

516

 

Other segment items include various purchased services and other operating expenses including, for example, lease cost and rent expense, contract labor, repairs and maintenance, utilities, professional liability claims expense and software maintenance fees.