XML 56 R45.htm IDEA: XBRL DOCUMENT v3.19.2
Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Disaggregation Of Revenue [Line Items]        
Net revenues $ 2,855,168 $ 2,681,353 $ 5,659,559 $ 5,368,869
Percentage of Net Revenue 100.00% 100.00% 100.00% 100.00%
Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 458,308 $ 452,114 $ 931,673 $ 950,398
Percentage of Net Revenue 16.00% 17.00% 16.00% 18.00%
Managed Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 265,812 $ 225,239 $ 527,174 $ 459,332
Percentage of Net Revenue 9.00% 8.00% 9.00% 9.00%
Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 322,245 $ 285,191 $ 599,671 $ 572,306
Percentage of Net Revenue 11.00% 11.00% 11.00% 11.00%
Managed Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 421,222 $ 385,622 $ 822,226 $ 746,337
Percentage of Net Revenue 15.00% 14.00% 15.00% 14.00%
Managed Care (HMO and PPOs)        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 912,882 $ 873,678 $ 1,831,147 $ 1,747,718
Percentage of Net Revenue 32.00% 33.00% 32.00% 33.00%
UK Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 143,800 $ 119,457 $ 280,502 $ 234,198
Percentage of Net Revenue 5.00% 4.00% 5.00% 4.00%
Other Patient Revenue and Adjustments,Net        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 163,064 $ 185,342 $ 338,425 $ 349,217
Percentage of Net Revenue 6.00% 7.00% 6.00% 7.00%
Other Non-patient Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 167,835 $ 154,710 $ 328,741 $ 309,363
Percentage of Net Revenue 6.00% 6.00% 6.00% 6.00%
Acute Care Hospital Services        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 1,531,709 $ 1,403,991 $ 3,046,553 $ 2,849,623
Percentage of Net Revenue 100.00% 100.00% 100.00% 100.00%
Acute Care Hospital Services | Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 319,060 $ 305,471 $ 654,969 $ 661,228
Percentage of Net Revenue 21.00% 22.00% 21.00% 23.00%
Acute Care Hospital Services | Managed Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 211,660 $ 174,196 $ 420,763 $ 363,294
Percentage of Net Revenue 14.00% 12.00% 14.00% 13.00%
Acute Care Hospital Services | Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 138,682 $ 109,225 $ 243,192 $ 219,004
Percentage of Net Revenue 9.00% 8.00% 8.00% 8.00%
Acute Care Hospital Services | Managed Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 145,970 $ 138,346 $ 279,701 $ 268,285
Percentage of Net Revenue 10.00% 10.00% 9.00% 9.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs)        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 566,165 $ 512,631 $ 1,136,548 $ 1,028,609
Percentage of Net Revenue 37.00% 37.00% 37.00% 36.00%
Acute Care Hospital Services | UK Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 0 $ 0 $ 0 $ 0
Percentage of Net Revenue 0.00% 0.00% 0.00% 0.00%
Acute Care Hospital Services | Other Patient Revenue and Adjustments,Net        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 36,161 $ 63,950 $ 88,044 $ 110,840
Percentage of Net Revenue 2.00% 5.00% 3.00% 4.00%
Acute Care Hospital Services | Other Non-patient Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 114,011 $ 100,172 $ 223,336 $ 198,363
Percentage of Net Revenue 7.00% 7.00% 7.00% 7.00%
Behavioral Health Services        
Disaggregation Of Revenue [Line Items]        
Net revenues [1] $ 1,320,241 $ 1,274,083 $ 2,606,624 $ 2,512,079
Percentage of Net Revenue 100.00% 100.00% 100.00% 100.00%
Behavioral Health Services | Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 139,248 $ 146,643 $ 276,704 $ 289,170
Percentage of Net Revenue 11.00% 12.00% 11.00% 12.00%
Behavioral Health Services | Managed Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 54,152 $ 51,043 $ 106,411 $ 96,038
Percentage of Net Revenue 4.00% 4.00% 4.00% 4.00%
Behavioral Health Services | Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 183,563 $ 175,966 $ 356,479 $ 353,302
Percentage of Net Revenue 14.00% 14.00% 14.00% 14.00%
Behavioral Health Services | Managed Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 275,252 $ 247,276 $ 542,525 $ 478,052
Percentage of Net Revenue 21.00% 19.00% 21.00% 19.00%
Behavioral Health Services | Managed Care (HMO and PPOs)        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 346,717 $ 361,047 $ 694,599 $ 719,109
Percentage of Net Revenue 26.00% 28.00% 27.00% 29.00%
Behavioral Health Services | UK Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 143,800 $ 119,457 $ 280,502 $ 234,198
Percentage of Net Revenue 11.00% 9.00% 11.00% 9.00%
Behavioral Health Services | Other Patient Revenue and Adjustments,Net        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 126,903 $ 121,392 $ 250,381 $ 238,377
Percentage of Net Revenue 10.00% 10.00% 10.00% 9.00%
Behavioral Health Services | Other Non-patient Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 50,606 $ 51,259 $ 99,023 $ 103,833
Percentage of Net Revenue 4.00% 4.00% 4.00% 4.00%
Other        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 3,218 $ 3,279 $ 6,382 $ 7,167
Other | Other Non-patient Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 3,218 $ 3,279 $ 6,382 $ 7,167
[1] Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $144 million and $119 million for the three-month periods ended June 30, 2019 and 2018, respectively, and approximately $281 million and $234 million for the six-month periods ended June 30, 2019 and 2018, respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.217 billion and $1.123 billion as of June 30, 2019 and 2018, respectively.