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Summary of Changes in Carrying Amount of Goodwill (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Goodwill [Line Items]    
Goodwill, Beginning Balance $ 3,962,624 $ 3,882,715
Goodwill acquired during the period 0 55,406
Goodwill divested during the period 0 0
Adjustments to goodwill (53,168) [1] 24,503 [2]
Goodwill, Ending Balance 3,909,456 3,962,624
Acute Care Services    
Goodwill [Line Items]    
Goodwill, Beginning Balance 515,936 447,021
Goodwill acquired during the period 0 55,406
Goodwill divested during the period 0 0
Adjustments to goodwill 690 [1] 13,509 [2]
Goodwill, Ending Balance 516,626 515,936
Behavioral Health Services    
Goodwill [Line Items]    
Goodwill, Beginning Balance 3,446,688 3,435,694
Goodwill acquired during the period 0 0
Goodwill divested during the period 0 0
Adjustments to goodwill (53,858) [1] 10,994 [2]
Goodwill, Ending Balance $ 3,392,830 $ 3,446,688
[1] The changes in the Behavioral Health Services’ goodwill consists primarily of foreign currency translation adjustments.
[2] Adjustments to goodwill during 2021 consist of the following: $13.5 million in Acute Care Services consists primarily of a measurement period adjustment to the preliminary purchase price allocation related to a 2020 acquisition; and the $11.0 million in Behavioral Health Services consists of $16.3 million recorded in connection with a third party minority ownership interest in a majority owned joint venture that constructed and owns a recently opened behavioral health facility, partially offset by a $5.3 million decrease related to foreign currency translation adjustments.