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Segment Reporting (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 6 Months Ended |
--- | --- | --- | ---
Jun. 30, 2013 | Jun. 30, 2012 | Jun. 30, 2013 | Jun. 30, 2012 | Dec. 31, 2012
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | $ 4,919,537 | $ 4,451,527 | $ 10,002,955 | $ 9,145,220 |
Gross outpatient revenues | 1,912,528 | 1,715,454 | 3,760,753 | 3,437,247 |
Total net revenues | 1,834,975 | 1,723,083 | 3,666,607 | 3,516,119 |
Income/(loss) before allocation of corporate overhead and income taxes | 265,818 | 184,444 | 469,802 | 406,762 |
Allocation of corporate overhead | 0 | 0 | 0 | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes | 265,818 | 184,444 | 469,802 | 406,762 |
Total assets | 8,317,253 | 7,758,648 | 8,317,253 | 7,758,648 | 8,200,843
Acute Care Hospital Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 3,321,154 | 3,034,707 | 6,828,424 | 6,312,862 |
Gross outpatient revenues | 1,708,200 | 1,540,569 | 3,359,775 | 3,089,419 |
Total net revenues | 894,646 | 843,597 | 1,803,380 | 1,770,128 |
Income/(loss) before allocation of corporate overhead and income taxes | 118,390 | 63,817 | 199,019 | 194,127 |
Allocation of corporate overhead | (46,109) | (39,363) | (92,221) | (78,722) |
Income/(loss) after allocation of corporate overhead and before income taxes | 72,281 | 24,454 | 106,798 | 115,405 |
Total assets | 3,126,223 | 2,892,535 | 3,126,223 | 2,892,535 |
Behavioral Health Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 1,598,383 | 1,416,820 | 3,174,531 | 2,832,358 |
Gross outpatient revenues | 193,703 | 162,162 | 379,505 | 322,835 |
Total net revenues | 929,470 | 870,267 | 1,839,014 | 1,730,587 |
Income/(loss) before allocation of corporate overhead and income taxes | 240,556 | 223,324 | 461,331 | 424,249 |
Allocation of corporate overhead | (22,461) | (20,974) | (44,828) | (41,938) |
Income/(loss) after allocation of corporate overhead and before income taxes | 218,095 | 202,350 | 416,503 | 382,311 |
Total assets | 4,919,566 | 4,420,939 | 4,919,566 | 4,420,939 |
Other |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross outpatient revenues | 10,625 | 12,723 | 21,473 | 24,993 |
Total net revenues | 10,859 | 9,219 | 24,213 | 15,404 |
Income/(loss) before allocation of corporate overhead and income taxes | (93,128) | (102,697) | (190,548) | (211,614) |
Allocation of corporate overhead | 68,570 | 60,337 | 137,049 | 120,660 |
Income/(loss) after allocation of corporate overhead and before income taxes | (24,558) | (42,360) | (53,499) | (90,954) |
Total assets | $ 271,464 | $ 445,174 | $ 271,464 | $ 445,174 |

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