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Segment Reporting (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Dec. 31, 2021
Segment Reporting Information [Line Items]      
Gross inpatient revenues $ 12,675,705 $ 11,592,749  
Gross outpatient revenues 6,032,652 4,827,484  
Total net revenues 3,292,956 3,012,987  
Income/(loss) before allocation of corporate overhead and income taxes 199,983 272,877  
Allocation of corporate overhead 0 0  
Income before income taxes 199,983 272,877  
Total assets 13,144,446 13,096,329 $ 13,093,543
Acute Care Hospital Services      
Segment Reporting Information [Line Items]      
Gross inpatient revenues 10,239,231 9,119,184  
Gross outpatient revenues 5,775,539 4,580,720  
Total net revenues 1,912,316 1,694,542  
Income/(loss) before allocation of corporate overhead and income taxes 148,680 173,118  
Allocation of corporate overhead (62,284) (58,107)  
Income before income taxes 86,396 115,011  
Total assets 5,645,352 4,957,253  
Behavioral Health Services      
Segment Reporting Information [Line Items]      
Gross inpatient revenues [1] 2,436,474 2,473,565  
Gross outpatient revenues [1] 257,113 246,764  
Total net revenues [1] 1,366,467 1,315,337  
Income/(loss) before allocation of corporate overhead and income taxes [1] 205,787 231,325  
Allocation of corporate overhead [1] (45,001) (42,950)  
Income before income taxes [1] 160,786 188,375  
Total assets [1] 7,260,870 7,090,291  
Other      
Segment Reporting Information [Line Items]      
Gross inpatient revenues   0  
Gross outpatient revenues   0  
Total net revenues 14,173 3,108  
Income/(loss) before allocation of corporate overhead and income taxes (154,484) (131,566)  
Allocation of corporate overhead 107,285 101,057  
Income before income taxes (47,199) (30,509)  
Total assets $ 238,224 $ 1,048,785  
[1] Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $176 million and $165 million for the three-month periods ended March 31, 2022 and 2021, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.320 billion and $1.355 billion as of March 31, 2022 and 2021, respectively.