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Segment Reporting (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2013 | Sep. 30, 2012 | Sep. 30, 2013 | Sep. 30, 2012 | Dec. 31, 2012
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | $ 4,863,920 | $ 4,423,652 | $ 14,866,875 | $ 13,568,872 |
Gross outpatient revenues | 1,902,280 | 1,683,524 | 5,663,033 | 5,120,771 |
Total net revenues | 1,816,369 | 1,680,353 | 5,482,976 | 5,196,473 |
Income/(loss) before allocation of corporate overhead and income taxes | 192,572 | 123,505 | 662,374 | 530,267 |
Allocation of corporate overhead | 0 | 0 | 0 | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes | 192,572 | 123,505 | 662,374 | 530,267 |
Total assets | 8,351,743 | 7,781,066 | 8,351,743 | 7,781,066 | 8,200,843
Acute Care Hospital Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 3,296,484 | 3,013,482 | 10,124,908 | 9,326,344 |
Gross outpatient revenues | 1,712,290 | 1,517,261 | 5,072,065 | 4,606,680 |
Total net revenues | 899,533 | 828,399 | 2,702,913 | 2,598,527 |
Income/(loss) before allocation of corporate overhead and income taxes | 68,266 | 51,591 | 267,285 | 245,718 |
Allocation of corporate overhead | (46,112) | (39,360) | (138,333) | (118,082) |
Income/(loss) after allocation of corporate overhead and before income taxes | 22,154 | 12,231 | 128,952 | 127,636 |
Total assets | 3,123,780 | 2,925,327 | 3,123,780 | 2,925,327 |
Behavioral Health Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 1,567,436 | 1,410,170 | 4,741,967 | 4,242,528 |
Gross outpatient revenues | 179,783 | 151,788 | 559,288 | 474,623 |
Total net revenues | 907,935 | 841,669 | 2,746,949 | 2,572,256 |
Income/(loss) before allocation of corporate overhead and income taxes | 211,456 | 199,275 | 672,787 | 623,524 |
Allocation of corporate overhead | (22,265) | (20,727) | (67,093) | (62,665) |
Income/(loss) after allocation of corporate overhead and before income taxes | 189,191 | 178,548 | 605,694 | 560,859 |
Total assets | 4,926,271 | 4,448,775 | 4,926,271 | 4,448,775 |
Other |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 0 | 0 | 0 | 0 |
Gross outpatient revenues | 10,207 | 14,475 | 31,680 | 39,468 |
Total net revenues | 8,901 | 10,285 | 33,114 | 25,690 |
Income/(loss) before allocation of corporate overhead and income taxes | (87,150) | (127,361) | (277,698) | (338,975) |
Allocation of corporate overhead | 68,377 | 60,087 | 205,426 | 180,747 |
Income/(loss) after allocation of corporate overhead and before income taxes | (18,773) | (67,274) | (72,272) | (158,228) |
Total assets | $ 301,692 | $ 406,964 | $ 301,692 | $ 406,964 |

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