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Commitments and Contingencies - Additional Information (Detail) (USD $) |  |  |  |  | 12 Months Ended |  |  |  |  |
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Dec. 31, 2013 | Dec. 31, 2012 | Nov. 15, 2010 | Nov. 15, 2010 Minimum | Nov. 15, 2010 Maximum | Dec. 31, 2013 Letters Of Credit And Surety Bonds | Dec. 31, 2013 Revenue Cycle Data Processing Services | Dec. 31, 2013 Electronic Health Records Application | Dec. 31, 2013 Estimated Minimum Liabilities For Physician Commitments | Dec. 31, 2013 Related to Certain Equipment | Dec. 31, 2013 Construction Commitment | Dec. 31, 2013 Self Insurance Programs Letters Of Credit And Surety Bonds | Dec. 31, 2013 Other Debt Guarantees Letters Of Credit And Surety Bonds | Dec. 31, 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 | Dec. 31, 2013 Location 2 Minimum | Dec. 31, 2013 Location 1 Minimum | Dec. 31, 2013 Puerto Rico | Dec. 31, 2013 Wind Storms Minimum | Dec. 31, 2013 Wind Storms Maximum | Dec. 31, 2013 Earthquake | Dec. 31, 2013 Earthquake United States | Dec. 31, 2013 Earthquake United States Minimum | Dec. 31, 2013 Earthquake United States Maximum | Dec. 31, 2013 Flood Location 2 Maximum | Dec. 31, 2013 Flood Location 1 Maximum | Jan. 31, 2008 Subsidiaries Minimum | Nov. 15, 2010 Subsidiaries Maximum | Dec. 31, 2013 Psychiatric Solutions Inc Minimum | Dec. 31, 2013 Psychiatric Solutions Inc Maximum | Dec. 31, 2013 Psychiatric Solutions Inc General and Professional Liability Insurance Policies Maximum | Dec. 31, 2013 Legacy Subsidiaries General and Professional Liability Insurance Policies Maximum | Dec. 31, 2013 Behavioral Health Facilities Acquired from Ascend Health Corporation General and Professional Liability Insurance Policies | Dec. 31, 2013 Behavioral Health Facilities Acquired from Ascend Health Corporation General and Professional Liability Insurance Policies Maximum | Oct. 30, 2012 Behavioral Health Facilities Acquired from Ascend Health Corporation General and Professional Liability Insurance Policies Maximum
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Self-insured for professional and general liability | $ 206,000,000 | $ 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 |  |  |  |  |  |  | 250,000,000
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 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 25,000 |  |
Self-insured for professional and general liability, current | 44,000,000 | 48,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Reduction in professional and general liability self-insurance reserves relating to prior years |  |  |  |  |  |  |  |  |  |  |  |  |  | 81,000,000 | 27,000,000 | 11,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Weighting given to company-specific metrics |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100.00% | 75.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
General industry metrics |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0.00% | 25.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Compensation liability claims | 64,000,000 | 66,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Compensation and related benefits | 34,000,000 | 35,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Commercial property insurance policies covering catastrophic losses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 25,000,000 |  | 1,000,000,000 | 250,000,000 | 100,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of insurance deductible |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 3.00% | 5.00% |  |  | 1.00% | 5.00% |  |  |  |  |  |  |  |  |  |  |
Maximum insurance deductible |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 500,000 | 250,000 |  |  |  |  |  |  |  |  |
Combined estimated future purchase obligations | 261,000,000 |  |  |  |  |  | 76,000,000 | 149,000,000 | 3,000,000 | 33,000,000 | 153,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Combined estimated future payments related to non contributory | 223,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Defined benefit pension plan estimated payments through 2088 | 205,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other retirement plan liabilities | 17,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Off-balance sheet contingent obligation |  |  |  |  |  | $ 85,000,000 |  |  |  |  |  | $ 69,000,000 | $ 16,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

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