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Business and Summary of Significant Accounting Policies - Additional Information (Detail) (USD $)
 1 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended
Sep. 01, 2013
Dec. 31, 2013
D
Facility
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2013
Acute Care Hospitals
Dec. 31, 2012
Acute Care Hospitals
Dec. 31, 2011
Acute Care Hospitals
Dec. 31, 2013
Building Improvements
Minimum
Dec. 31, 2013
Building Improvements
Maximum
Dec. 31, 2013
Equipment
Minimum
Dec. 31, 2013
Equipment
Maximum
Dec. 31, 2013
Restricted Stock
Dec. 31, 2013
Medicare And Medicaid
Sales
Dec. 31, 2012
Medicare And Medicaid
Sales
Dec. 31, 2011
Medicare And Medicaid
Sales
Dec. 31, 2013
Care Entities
Sales
Dec. 31, 2012
Care Entities
Sales
Dec. 31, 2011
Care Entities
Sales
Dec. 31, 2013
Las Vegas, Nevada
Acute Care Facilities
Dec. 31, 2013
Las Vegas, Nevada
Sales
Dec. 31, 2012
Las Vegas, Nevada
Sales
Dec. 31, 2011
Las Vegas, Nevada
Sales
Dec. 31, 2013
Mcallen Edinburg Texas
Sales
Dec. 31, 2012
Mcallen Edinburg Texas
Sales
Dec. 31, 2011
Mcallen Edinburg Texas
Sales
Dec. 31, 2013
Washington, District of Columbia
Acute Care Facilities
Dec. 31, 2013
Laredo, Texas
Acute Care Facilities
Dec. 31, 2013
Philadelphia, Pennsylvania
Behavioral Health Care Facility
Dec. 31, 2013
Illinois
D
Dec. 31, 2012
Illinois
Dec. 31, 2011
Illinois
Jan. 31, 2014
Illinois
Subsequent Event
Dec. 31, 2013
Texas
Summary Of Business And Significant Accounting Policies [Line Items]                                                                  
Percentage of revenue                         38.00% 39.00% 41.00% 49.00% 49.00% 47.00%   14.00% 14.00% 15.00% 4.00% 4.00% 5.00%                
Percentage of uninsured discount extended for unqualified charity patients   30.00%                                                              
Establishment of partial reserve in the allowance for doubtful accounts for self-pay balances outstanding from the date of discharge, in days   90                                                              
Establishment of fully reserve for self-pay balances outstanding from the date of discharge, in days   90                                                              
Establishment of fully reserve in the allowance for doubtful accounts for third party liability accounts from the date of discharge, in days   180                                                              
Accounts receivable                                                         $ 49,000,000 $ 70,000,000 $ 54,000,000 $ 27,000,000 $ 46,000,000
Receivables due outstanding in excess of 60 days                                                         28,000,000 51,000,000 41,000,000    
Receivables days in excess                                                         60        
Net of allowance for doubtful accounts   395,000,000 311,000,000                                                            
Patients treated at hospitals for non elective services gross income less than federal poverty guidelines   400.00%                                                              
Provision for doubtful accounts   1,127,216,000 726,671,000 596,576,000 1,020,000,000 635,000,000 519,000,000                                                    
Capitalize interest expense   4,900,000 5,700,000 400,000.0                                                          
Property and equipment, useful lives, maximum years               20 years 40 years 3 years 15 years                                            
Depreciation expense   285,600,000 270,500,000 262,100,000                                                          
Impairment of goodwill or indefinite-lived intangible assets 0   0 0                                                          
Other intangible assets, net of accumulated amortization   97,000,000 99,000,000                                                            
Amount of estimated future payments related to physician-related contractual commitments   3,000,000 3,000,000                                                            
Amount of potential future financial obligations   3,000,000                                                              
Acute care facilities with outside owners holding non-controlling minority interest   5                                                              
Percentage of non-controlling, minority ownership interests held by outside owners                                     28.00%             20.00% 11.00% 20.00%          
Redeemable non-controlling interest balances   218,000,000 234,000,000                                                            
Non-controlling interest balances   $ 50,000,000 $ 53,000,000                                                            
Anti-dilutive weighted average stock options excluded from computation of earnings per share   4,000.0 2,000,000 1,400,000                                                          
Restricted stock, vesting period                       7 years