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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