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Segment Reporting (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2014 | Sep. 30, 2013 | Sep. 30, 2014 | Sep. 30, 2013 | Dec. 31, 2013
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | $ 5,294,869 | $ 4,863,920 | $ 16,190,953 | $ 14,866,875 |
Gross outpatient revenues | 2,259,152 | 1,902,280 | 6,690,163 | 5,663,033 |
Total net revenues | 2,017,758 | 1,816,369 | 5,957,745 | 5,482,976 |
Income/(loss) before allocation of corporate overhead and income taxes | 144,478 | 192,572 | 638,606 | 662,374 |
Allocation of corporate overhead | 0 | 0 | 0 | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes | 144,478 | 192,572 | 638,606 | 662,374 |
Total assets | 8,961,592 | 8,351,743 | 8,961,592 | 8,351,743 | 8,311,723
Acute Care Hospital Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 3,616,647 | 3,296,484 | 11,217,320 | 10,124,908 |
Gross outpatient revenues | 2,058,148 | 1,712,290 | 6,083,715 | 5,072,065 |
Total net revenues | 1,038,135 | 899,533 | 3,033,535 | 2,702,913 |
Income/(loss) before allocation of corporate overhead and income taxes | 100,388 | 68,266 | 330,382 | 267,285 |
Allocation of corporate overhead | (44,698) | (46,112) | (134,088) | (138,333) |
Income/(loss) after allocation of corporate overhead and before income taxes | 55,690 | 22,154 | 196,294 | 128,952 |
Total assets | 3,321,166 | 3,123,780 | 3,321,166 | 3,123,780 |
Behavioral Health Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 1,678,222 | 1,567,436 | 4,973,633 | 4,741,967 |
Gross outpatient revenues | 192,032 | 179,783 | 580,627 | 559,288 |
Total net revenues | 976,014 | 907,935 | 2,913,819 | 2,746,949 |
Income/(loss) before allocation of corporate overhead and income taxes | 228,710 | 211,456 | 693,399 | 672,787 |
Allocation of corporate overhead | (24,750) | (22,265) | (74,055) | (67,093) |
Income/(loss) after allocation of corporate overhead and before income taxes | 203,960 | 189,191 | 619,344 | 605,694 |
Total assets | 5,429,453 | 4,926,271 | 5,429,453 | 4,926,271 |
Other |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 0 | 0 | 0 | 0 |
Gross outpatient revenues | 8,972 | 10,207 | 25,821 | 31,680 |
Total net revenues | 3,609 | 8,901 | 10,391 | 33,114 |
Income/(loss) before allocation of corporate overhead and income taxes | (184,620) | (87,150) | (385,175) | (277,698) |
Allocation of corporate overhead | 69,448 | 68,377 | 208,143 | 205,426 |
Income/(loss) after allocation of corporate overhead and before income taxes | (115,172) | (18,773) | (177,032) | (72,272) |
Total assets | $ 210,973 | $ 301,692 | $ 210,973 | $ 301,692 |

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