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Other Noncurrent Liabilities and Redeemable/Noncontrolling Interests - Additional Information (Detail)
$ in Millions
Sep. 30, 2018
USD ($)
Facility
Minority Interest [Line Items]  
Behavioral health care facilities with outside owners holding non-controlling minority interest | Facility 2
Non-controlling interest balances $ 75
Redeemable non-controlling interest balances $ 6
Acute Care Facilities | Washington, District of Columbia  
Minority Interest [Line Items]  
Percentage of non-controlling, minority ownership interests held by outside owners 20.00%
Acute Care Facilities | Texas  
Minority Interest [Line Items]  
Percentage of non-controlling, minority ownership interests held by outside owners 11.00%
Acute Care Facilities | Nevada  
Minority Interest [Line Items]  
Percentage of non-controlling, minority ownership interests held by outside owners 5.00%
Behavioral Health Services | Pennsylvania  
Minority Interest [Line Items]  
Percentage of non-controlling, minority ownership interests held by outside owners 20.00%
Behavioral Health Services | Ohio  
Minority Interest [Line Items]  
Percentage of non-controlling, minority ownership interests held by outside owners 30.00%
Behavioral Health Services | Washington  
Minority Interest [Line Items]  
Percentage of non-controlling, minority ownership interests held by outside owners 20.00%