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Commitments and Contingencies - Additional Information (Detail)
£ in Millions
1 Months Ended 6 Months Ended 12 Months Ended
Mar. 31, 2016
Jun. 30, 2016
GBP (£)
Dec. 31, 2011
USD ($)
Hospital
Jun. 30, 2016
USD ($)
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Nov. 30, 2010
USD ($)
Nov. 30, 2010
GBP (£)
Commitments and Contingencies Disclosure [Line Items]                  
Self-insured for professional and general liability       $ 215,000,000 $ 204,000,000        
Self-insured for professional and general liability, current       48,000,000 48,000,000        
Compensation liability claims       68,000,000 68,000,000        
Compensation and related benefits       34,000,000 34,000,000        
Accounts receivable, net       1,344,916,000 1,302,429,000        
Payment suspension period increased 180 days                
Letters of Credit and Surety Bonds                  
Commitments and Contingencies Disclosure [Line Items]                  
Off-balance sheet contingent obligation       130,000,000          
Self Insurance Programs | Letters of Credit and Surety Bonds                  
Commitments and Contingencies Disclosure [Line Items]                  
Off-balance sheet contingent obligation       105,000,000          
Other Debt Guarantees | Letters of Credit and Surety Bonds                  
Commitments and Contingencies Disclosure [Line Items]                  
Off-balance sheet contingent obligation       25,000,000          
Location 1                  
Commitments and Contingencies Disclosure [Line Items]                  
Minimum Insurance Deductible       50,000          
Location 2                  
Commitments and Contingencies Disclosure [Line Items]                  
Minimum Insurance Deductible       250,000          
Illinois                  
Commitments and Contingencies Disclosure [Line Items]                  
Accounts receivable, net       24,000,000 28,000,000        
Accounts receivable net greater than sixty days Past due       9,000,000 12,000,000        
Texas                  
Commitments and Contingencies Disclosure [Line Items]                  
Accounts receivable       38,000,000 80,000,000        
Texas | Uncompensated Care Program and Disproportionate Share Hospital                  
Commitments and Contingencies Disclosure [Line Items]                  
Accounts receivable       22,000,000          
Texas | Delivery System Reform Incentive Pool                  
Commitments and Contingencies Disclosure [Line Items]                  
Accounts receivable       16,000,000          
Flood | Location 1                  
Commitments and Contingencies Disclosure [Line Items]                  
Maximum insurance deductible       500,000          
Flood | Location 2                  
Commitments and Contingencies Disclosure [Line Items]                  
Maximum insurance deductible       250,000          
Cygnet Health Care Limited                  
Commitments and Contingencies Disclosure [Line Items]                  
Property insurance | £   £ 180              
Maximum | Wind Storms                  
Commitments and Contingencies Disclosure [Line Items]                  
Commercial property insurance policies covering catastrophic losses       $ 1,000,000,000          
Percentage of insurance deductible       5.00%          
Maximum | Earthquake | LAS VEGAS, NEVADA                  
Commitments and Contingencies Disclosure [Line Items]                  
Commercial property insurance policies covering catastrophic losses       $ 500,000,000          
Maximum | Earthquake | CALIFORNIA                  
Commitments and Contingencies Disclosure [Line Items]                  
Commercial property insurance policies covering catastrophic losses       130,000,000          
Maximum | Earthquake | 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          
Minimum | Wind Storms                  
Commitments and Contingencies Disclosure [Line Items]                  
Percentage of insurance deductible       3.00%          
Professional Liability | Cygnet Health Care Limited                  
Commitments and Contingencies Disclosure [Line Items]                  
Self-insured for professional and general liability | £                 £ 10
General Liability | Cygnet Health Care Limited                  
Commitments and Contingencies Disclosure [Line Items]                  
Self-insured for professional and general liability | £                 £ 25
Subsidiaries | Professional Liability | Maximum                  
Commitments and Contingencies Disclosure [Line Items]                  
Self-insured for professional and general liability               $ 10,000,000  
Subsidiaries | General Liability | Maximum                  
Commitments and Contingencies Disclosure [Line Items]                  
Self-insured for professional and general liability               $ 3,000,000  
Subsidiaries | General And Professional Liability Insurance Policies                  
Commitments and Contingencies Disclosure [Line Items]                  
Percentage of liability for claims paid under commercially insured coverage       10.00%          
Subsidiaries | General And Professional Liability Insurance Policies | Maximum                  
Commitments and Contingencies Disclosure [Line Items]                  
Purchased several excess policies through commercial insurance carriers per occurrence         $ 250,000,000 $ 250,000,000 $ 200,000,000    
Liability for claims paid under commercially insured coverage       $ 60,000,000          
Subsidiaries | General And Professional Liability Insurance Policies | Minimum                  
Commitments and Contingencies Disclosure [Line Items]                  
Liability for claims paid under commercially insured coverage       $ 10,000,000          
DPW                  
Commitments and Contingencies Disclosure [Line Items]                  
Repayment of legal settlement amount on demand     $ 4,000,000            
Percentage of federal share on payments     55.00%            
DPW | Pennsylvania                  
Commitments and Contingencies Disclosure [Line Items]                  
Number of behavioral health care hospitals | Hospital     7