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Summary of Changes in Carrying Amount of Goodwill (Detail) (USD $) In Thousands, unless otherwise specified | 12 Months Ended
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Dec. 31, 2013 | Dec. 31, 2012
Goodwill [Line Items] |  |  |  |
Goodwill, Beginning Balance | $ 3,036,765 |  | $ 2,627,602 |
Goodwill acquired during the period |  |  | 445,661 |
Goodwill divested during the period |  |  | (19,352) |
Adjustments to goodwill | 12,251 | [1] | (17,146) | [2]
Goodwill, Ending Balance | 3,049,016 |  | 3,036,765 |
Acute Care Services |  |  |  |
Goodwill [Line Items] |  |  |  |
Goodwill, Beginning Balance | 382,696 |  | 389,484 |
Goodwill acquired during the period |  |  | 11,110 |
Goodwill divested during the period |  |  | (17,450) |
Adjustments to goodwill | 315 | [1] | (448) | [2]
Goodwill, Ending Balance | 383,011 |  | 382,696 |
Behavioral Health Services |  |  |  |
Goodwill [Line Items] |  |  |  |
Goodwill, Beginning Balance | 2,654,069 |  | 2,238,118 |
Goodwill acquired during the period |  |  | 434,551 |
Goodwill divested during the period |  |  | (1,902) |
Adjustments to goodwill | 11,936 | [1] | (16,698) | [2]
Goodwill, Ending Balance | $ 2,666,005 |  | $ 2,654,069 |
[1] | The increase in the Behavioral Health Services' goodwill consists primarily of an amount that was reclassified from other assets.
[2] | The reduction to the Behavioral Health Services' goodwill consists primarily of a reclassification to "assets of facilities held for sale" and represents the goodwill attributable to Peak Behavioral Health Services which we agreed to divest pursuant to our agreement with the Federal Trade Commission in connection with our acquisition of Ascend Health Corporation in October, 2012. Adjustments to prior year purchase price allocations for Acute Care and Behavioral Health Services are also included.

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- Definition Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6388280&loc=d3e13770-109266 + Details
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- Definition Amount of increase in asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized resulting from a business combination. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267 + Details
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- Definition Amount of increase (decrease) from foreign currency translation adjustments of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (f) -URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267 + Details
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- Definition Amount of divestiture of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267 + Details
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