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Commitments and Contingencies - Additional Information (Detail) (USD $) |  |  |  | 3 Months Ended | 12 Months Ended |  | 1 Months Ended |  |  |  |  |  |  |  |  |  |  |
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Sep. 30, 2013 | Dec. 31, 2012 | Nov. 15, 2010 | Jun. 30, 2013 Professional And General Liability Psi Subsidiaries | Dec. 31, 2012 Professional And General Liability Psi Subsidiaries | Dec. 31, 2011 Professional And General Liability Psi Subsidiaries | Sep. 30, 2013 Self Insurance Programs | Sep. 30, 2013 Other debt and public utility guarantees | Sep. 30, 2013 Puerto Rico | Mar. 31, 2013 Illinois | Sep. 30, 2013 Illinois | Dec. 31, 2012 Illinois | Sep. 30, 2013 Earthquake | Sep. 30, 2013 Earthquake United States | Nov. 15, 2010 Minimum | Sep. 30, 2013 Minimum Location 2 | Sep. 30, 2013 Minimum Location 1 | Sep. 30, 2013 Minimum Wind Storms | Sep. 30, 2013 Minimum Earthquake United States | Nov. 15, 2010 Maximum | Sep. 30, 2013 Maximum Wind Storms | Sep. 30, 2013 Maximum Earthquake United States | Sep. 30, 2013 Maximum Flood Location 2 | Sep. 30, 2013 Maximum Flood Location 1 | Jan. 01, 2008 Subsidiaries Minimum | Nov. 15, 2010 Subsidiaries Maximum | Sep. 30, 2013 Psychiatric Solutions Inc Minimum | Sep. 30, 2013 Psychiatric Solutions Inc Maximum | Sep. 30, 2013 Psychiatric Solutions Inc Maximum General and Professional Liability Insurance Policies | Sep. 30, 2013 Legacy Subsidiaries Maximum General and Professional Liability Insurance Policies | Sep. 30, 2013 Behavioral Health Facilities Acquired from Ascend Health Corporation General and Professional Liability Insurance Policies | Sep. 30, 2013 Behavioral Health Facilities Acquired from Ascend Health Corporation Commercial Property Insurance Policies | Sep. 30, 2013 Behavioral Health Facilities Acquired from Ascend Health Corporation Maximum General and Professional Liability Insurance Policies | Oct. 30, 2012 Behavioral Health Facilities Acquired from Ascend Health Corporation Maximum General and Professional Liability Insurance Policies
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Self-insured for professional and general liability | $ 220,000,000 | $ 279,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 10,000,000 |  | $ 3,000,000 | $ 75,000,000 | $ 3,000,000 | $ 10,000,000 |  |  | $ 20,000,000 |
Purchased several excess policies through commercial insurance carriers per occurrence |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 200,000,000 |  |  |  |  |  |  |  | 200,000,000
Percentage of liability for claims paid under commercially insured coverage |  |  | 10.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Liability for claims paid under commercially insured coverage |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10,000,000 |  |  |  |  | 60,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Minimum Insurance Deductible |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 250,000 | 50,000 |  |  |  |  |  |  |  |  |  |  |  |  |  | 10,000 | 10,000 |  |
Self-insured for professional and general liability, current | 48,000,000 | 48,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Reduction in professional and general liability self-insurance reserves relating to prior years |  |  |  | 65,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Weighting given to company-specific metrics |  |  |  |  | 100.00% | 75.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
General industry metrics |  |  |  |  | 0.00% | 25.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Compensation liability claims | 68,000,000 | 66,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Compensation and related benefits | 35,000,000 | 35,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Commercial property insurance policies covering catastrophic losses |  |  |  |  |  |  |  |  | 25,000,000 |  |  |  | 250,000,000 | 100,000,000 |  |  |  |  |  |  | 1,000,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of insurance deductible |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 3.00% | 1.00% |  | 5.00% | 5.00% |  |  |  |  |  |  |  |  |  |  |  |
Maximum insurance deductible |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 500,000 | 250,000 |  |  |  |  |  |  |  |  |  |
Accounts receivable, net | 1,166,514,000 | 1,067,197,000 |  |  |  |  |  |  |  |  | 29,000,000 | 70,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts receivable net greater than sixty days Past due |  |  |  |  |  |  |  |  |  |  | 10,000,000 | 51,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash received from collection accounts receivables |  |  |  |  |  |  |  |  |  | 72,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Off-balance sheet contingent obligation | $ 88,000,000 |  |  |  |  |  | $ 70,000,000 | $ 18,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

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