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Commitments and Contingencies - Additional Information (Detail) (USD $) | Mar. 31, 2014 | Dec. 31, 2013 | Mar. 31, 2014 Letters of Credit and Surety Bonds | Mar. 31, 2014 Self Insurance Programs Letters of Credit and Surety Bonds | Mar. 31, 2014 Other Debt Guarantees Letters of Credit and Surety Bonds | Mar. 31, 2014 Location 2 | Mar. 31, 2014 Location 1 | Mar. 31, 2014 Illinois | Dec. 31, 2013 Illinois | Mar. 31, 2014 Wind Storms Minimum | Mar. 31, 2014 Wind Storms Maximum | Mar. 31, 2014 Earthquake | Mar. 31, 2014 Earthquake Maximum | Mar. 31, 2014 Earthquake UNITED STATES Minimum | Mar. 31, 2014 Earthquake UNITED STATES Maximum | Mar. 31, 2014 Earthquake PUERTO RICO | Mar. 31, 2014 Flood Location 2 | Mar. 31, 2014 Flood Location 1 | Nov. 30, 2010 Subsidiaries Professional Liability Maximum | Nov. 30, 2010 Subsidiaries General Liability Maximum | Mar. 31, 2014 Subsidiaries General and Professional Liability Insurance Policies | Mar. 31, 2014 Subsidiaries General and Professional Liability Insurance Policies Minimum | Mar. 31, 2014 Subsidiaries General and Professional Liability Insurance Policies Maximum | Mar. 31, 2014 Psychiatric Solutions Inc General and Professional Liability Insurance Policies Maximum | Oct. 30, 2012 Behavioral Health Facilities Acquired from Ascend Health Corporation General and Professional Liability Insurance Policies | Oct. 30, 2012 Behavioral Health Facilities Acquired from Ascend Health Corporation General and Professional Liability Insurance Policies Maximum
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Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Self-insured for professional and general liability | $ 206,000,000 | $ 206,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 10,000,000 | $ 3,000,000 |  |  |  | $ 3,000,000 |  | $ 20,000,000
Purchased several excess policies through commercial insurance carriers per occurrence |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 250,000,000 |  |  | 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 |  |  |  |  | 250,000 |  |  |  |  |  |  |  |  |  |  |  |  | 25,000 |
Self-insured for professional and general liability, current | 44,000,000 | 44,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Compensation liability claims | 65,000,000 | 64,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Compensation and related benefits | 34,000,000 | 34,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Commercial property insurance policies covering catastrophic losses |  |  |  |  |  |  |  |  |  |  | 1,000,000,000 |  | 250,000,000 |  | 100,000,000 | 25,000,000 |  |  |  |  |  |  |  |  |  |
Percentage of insurance deductible |  |  |  |  |  |  |  |  |  | 3.00% | 5.00% |  |  | 1.00% | 5.00% |  |  |  |  |  |  |  |  |  |  |
Maximum insurance deductible |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 25,000 | 250,000 | 500,000 |  |  |  |  |  |  |  |
Accounts receivable, net | 1,212,594,000 | 1,116,961,000 |  |  |  |  |  | 39,000,000 | 49,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts receivable net greater than sixty days Past due |  |  |  |  |  |  |  | 14,000,000 | 28,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts receivable |  |  |  |  |  |  |  | 40,000,000 | 46,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Off-balance sheet contingent obligation |  |  | $ 90,000,000 | $ 73,000,000 | $ 17,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

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