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Commitments and Contingencies - Additional Information (Detail)
£ in Millions
3 Months Ended 12 Months Ended
Mar. 28, 2024
USD ($)
Mar. 31, 2024
USD ($)
Mar. 31, 2024
GBP (£)
Sep. 30, 2023
USD ($)
Jun. 30, 2023
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Mar. 31, 2024
GBP (£)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Commitments and Contingencies Disclosure [Line Items]                                  
Purchased several excess policies through commercial insurance carriers per occurrence excess claim amount   $ 20,000,000                              
Self-insured for professional and general liability, current   70,000,000       $ 70,000,000                      
Compensation liability claims   132,000,000       130,000,000                      
Pre-tax decrease to reserves for self-insured workers' compensation liability claims         $ 10,000,000                        
Compensation and related benefits   55,000,000       55,000,000                      
Maximum insurance deductible   5,000,000                              
Self insurance reserve amount exhausted   20,000,000                              
Purchased several excess policies through commercial insurance amount exhausted   20,000,000                              
District Facilities                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Projected aggregate development and construction cost   439,000,000                              
Development and construction cost incurred   $ 229,000,000                              
Lease initial terms   75 years                 75 years            
Committment to expend   $ 5,000,000                              
Projected commitment expend period   12 years 12 years                            
Department of Human Services                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Repayment of legal settlement amount on demand   $ 4,000,000                              
Amount claimed from over payments of legal settlements             $ 4,000,000 $ 7,000,000 $ 8,000,000 $ 7,000,000              
Amount claimed from over payments of legal settlements due to change in calculations               $ 3,000,000 2,000,000 $ 2,000,000              
The Pavilion Behavioral Health System                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Aggregate insurance coverage   221,000,000                              
The Pavilion Behavioral Health System | Compensatory Damages                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Damages awarded $ 60,000,000                                
The Pavilion Behavioral Health System | Punitive Damages                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Damages awarded $ 475,000,000                                
Wind Storms                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Commercial property insurance policies covering catastrophic losses   250,000,000                              
Earthquake Wind Hail and Flood                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Maximum insurance deductible   5,000,000                              
All Other Events                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Maximum insurance deductible   5,000,000                              
Cygnet Health Care Limited                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Property insurance | £     £ 1,500                            
Maximum                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Self-insured for professional and general liability   20,000,000                              
Purchased several excess policies through commercial insurance carriers per occurrence   25,000,000                              
Commercial property insurance policies covering catastrophic losses   $ 1,000,000,000                              
Lease initial terms   10 years                 10 years            
Maximum | Wind Storms                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Percentage of insurance deductible   5.00%                 5.00%            
Maximum | Earthquake | CALIFORNIA                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Commercial property insurance policies covering catastrophic losses   $ 100,000,000                              
Maximum | Earthquake | Faulty Zones of UNITED STATES                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Commercial property insurance policies covering catastrophic losses   100,000,000                              
Maximum | Earthquake | PUERTO RICO                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Commercial property insurance policies covering catastrophic losses   40,000,000                              
Maximum | Earthquake | OTHER STATES                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Commercial property insurance policies covering catastrophic losses   250,000,000                              
Maximum | Flood                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Commercial property insurance policies covering catastrophic losses   100,000,000                              
Maximum | Flood | PUERTO RICO                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Commercial property insurance policies covering catastrophic losses   1,000,000                              
Maximum | Flood | Texas                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Commercial property insurance policies covering catastrophic losses   $ 10,000,000                              
Minimum                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Lease initial terms   5 years                 5 years            
Loss on business interruption insurance recovery   $ 25,000,000                              
Minimum | District Facilities                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Committment to expend   $ 75,000,000                              
Minimum | Wind Storms                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Percentage of insurance deductible   3.00%                 3.00%            
Professional Liability | The Pavilion Behavioral Health System                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Self-insured retention amounts   $ 10,000,000                              
General Liability | The Pavilion Behavioral Health System                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Self-insured retention amounts   3,000,000                              
General And Professional Liability Insurance Policies                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Self-insured for professional and general liability   7,000,000   $ 5,000,000 $ 20,000,000 25,000,000 16,000,000                    
General and Professional Liability                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Self-insured for professional and general liability   447,000,000       431,000,000                      
Subsidiaries | Professional Liability | Cygnet Health Care Limited                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Self-insured for professional and general liability | £                     £ 16            
Subsidiaries | Professional Liability | Maximum                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Self-insured for professional and general liability   20,000,000       20,000,000 20,000,000         $ 20,000,000 $ 10,000,000 $ 5,000,000 $ 5,000,000 $ 5,000,000 $ 10,000,000
Subsidiaries | General Liability | Cygnet Health Care Limited                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Self-insured for professional and general liability | £                     £ 25            
Subsidiaries | General Liability | Maximum                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Self-insured for professional and general liability   3,000,000       3,000,000 3,000,000         3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000
Subsidiaries | General And Professional Liability Insurance Policies | Maximum                                  
Commitments and Contingencies Disclosure [Line Items]                                  
Purchased several excess policies through commercial insurance carriers per occurrence   $ 175,000,000       $ 165,000,000 $ 162,000,000   $ 250,000,000     $ 155,000,000