XML 50 R42.htm IDEA: XBRL DOCUMENT v3.24.2.u1
Commitments and Contingencies - Additional Information (Detail)
£ in Millions
3 Months Ended 6 Months Ended 12 Months Ended
Mar. 28, 2024
USD ($)
Jun. 30, 2024
USD ($)
Jun. 30, 2023
USD ($)
Jun. 30, 2024
USD ($)
Jun. 30, 2024
GBP (£)
Jun. 30, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Jun. 30, 2024
GBP (£)
Dec. 31, 2023
USD ($)
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   $ 0   $ 0                            
Self-insured for professional and general liability, current   70,000,000   70,000,000               $ 70,000,000            
Compensation liability claims   134,000,000   134,000,000               130,000,000            
Pre-tax decrease to reserves for self-insured workers' compensation liability claims     $ 10,000,000     $ 10,000,000                        
Compensation and related benefits   58,000,000   58,000,000               55,000,000            
Maximum insurance deductible   5,000,000   5,000,000                            
Plaintiff's counsel's fee demand       250,000                            
Self insurance reserve amount exhausted   0   0                            
Purchased several excess policies through commercial insurance amount exhausted   0   0                            
District Facilities                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Projected aggregate development and construction cost   439,000,000   439,000,000                            
Development and construction cost incurred   $ 257,000,000   $ 257,000,000                            
Lease initial terms   75 years   75 years             75 years              
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   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   250,000,000                            
Earthquake | California, New Madrid Seismic Zone, Pacific Northwest Seismic Zone, Alaska and certain counties in Nevada                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Commercial property insurance policies covering catastrophic losses   50,000,000   50,000,000                            
Earthquake Wind Hail and Flood                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Maximum insurance deductible   5,000,000   5,000,000                            
All Other Events                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Maximum insurance deductible   5,000,000   5,000,000                            
Cygnet Health Care Limited                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Property insurance | £         £ 1,500.0                          
Maximum                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Self-insured for professional and general liability   0   0                            
Purchased several excess policies through commercial insurance carriers per occurrence   25,000,000   25,000,000                            
Commercial property insurance policies covering catastrophic losses   $ 1,000,000,000   $ 1,000,000,000                            
Lease initial terms   10 years   10 years             10 years              
Maximum | Wind Storms                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Percentage of insurance deductible   5.00%   5.00%             5.00%              
Maximum | Earthquake | CALIFORNIA                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Commercial property insurance policies covering catastrophic losses   $ 100,000,000   $ 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   100,000,000                            
Maximum | Earthquake | PUERTO RICO                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Commercial property insurance policies covering catastrophic losses   40,000,000   40,000,000                            
Maximum | Earthquake | OTHER STATES                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Commercial property insurance policies covering catastrophic losses   250,000,000   250,000,000                            
Maximum | Earthquake | California, New Madrid Seismic Zone, Pacific Northwest Seismic Zone, Alaska and certain counties in Nevada                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Commercial property insurance policies covering catastrophic losses   100,000,000   100,000,000                            
Maximum | Flood                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Commercial property insurance policies covering catastrophic losses   100,000,000   100,000,000                            
Maximum | Flood | PUERTO RICO                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Commercial property insurance policies covering catastrophic losses   1,000,000   1,000,000                            
Maximum | Flood | Texas                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Commercial property insurance policies covering catastrophic losses   $ 10,000,000   $ 10,000,000                            
Minimum                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Lease initial terms   5 years   5 years             5 years              
Loss on business interruption insurance recovery       $ 15,000,000                            
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%             3.00%              
Professional Liability | The Pavilion Behavioral Health System                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Self-insured retention amounts   $ 10,000,000   $ 10,000,000                            
General Liability | The Pavilion Behavioral Health System                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Self-insured retention amounts   3,000,000   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 $ 20,000,000 14,000,000   $ 20,000,000                        
General and Professional Liability                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Self-insured for professional and general liability   465,000,000   465,000,000               431,000,000            
Subsidiaries | Professional Liability | Cygnet Health Care Limited                                    
Commitments and Contingencies Disclosure [Line Items]                                    
Self-insured for professional and general liability | £                     £ 18.5              
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 $ 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 | £                     £ 25.0              
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 $ 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   $ 175,000,000     $ 162,000,000   $ 250,000,000     $ 165,000,000 $ 155,000,000