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Commitments and Contingencies - Additional Information (Detail)	1 Months Ended	9 Months Ended					3 Months Ended	12 Months Ended		1 Months Ended	3 Months Ended	9 Months Ended
	Aug. 31, 2014	Sep. 30, 2014 USD ($)	Dec. 31, 2013 USD ($)	Sep. 30, 2014 Letters of Credit and Surety Bonds USD ($)	Sep. 30, 2014 Self Insurance Programs Letters of Credit and Surety Bonds USD ($)	Sep. 30, 2014 Other Debt Guarantees Letters of Credit and Surety Bonds USD ($)	Jun. 30, 2013 Professional And General Liability USD ($)	Dec. 31, 2012 Professional And General Liability	Dec. 31, 2011 Professional And General Liability	Nov. 30, 2010 Cygnet Health Care Limited Facility Patient	Sep. 30, 2014 Cygnet Health Care Limited Facility	Sep. 30, 2014 Cygnet Health Care Limited GBP (£)	Nov. 30, 2010 Professional Liability Cygnet Health Care Limited GBP (£)	Nov. 30, 2010 General Liability Cygnet Health Care Limited GBP (£)	Nov. 30, 2010 General and Professional Liability Insurance Policies Psychiatric Solutions Inc USD ($)	Oct. 31, 2012 General and Professional Liability Insurance Policies Behavioral Health Facilities Acquired from Ascend Health Corporation USD ($)	Sep. 30, 2014 Wind Storms Maximum USD ($)	Sep. 30, 2014 Wind Storms Minimum	Sep. 30, 2014 Earthquake USD ($)	Sep. 30, 2014 Earthquake Maximum USD ($)	Sep. 30, 2014 Illinois USD ($)	Dec. 31, 2013 Illinois USD ($)	Sep. 30, 2014 Illinois Uncompensated Care Program Revenues USD ($)	Sep. 30, 2014 Illinois Disproportionate Share Hospital Program Revenues USD ($)	Sep. 30, 2014 Location 2 USD ($)	Sep. 30, 2014 Location 2 Flood USD ($)	Sep. 30, 2014 Location 1 USD ($)	Sep. 30, 2014 Location 1 Flood USD ($)	Sep. 30, 2014 UNITED STATES Earthquake Maximum USD ($)	Sep. 30, 2014 UNITED STATES Earthquake Minimum	Sep. 30, 2014 PUERTO RICO Earthquake USD ($)	Nov. 30, 2010 Subsidiaries Professional Liability Maximum USD ($)	Nov. 30, 2010 Subsidiaries General Liability Maximum USD ($)	Sep. 30, 2014 Subsidiaries General and Professional Liability Insurance Policies	Sep. 30, 2014 Subsidiaries General and Professional Liability Insurance Policies Maximum USD ($)	Dec. 31, 2013 Subsidiaries General and Professional Liability Insurance Policies Maximum USD ($)	Sep. 30, 2014 Subsidiaries General and Professional Liability Insurance Policies Minimum USD ($)
Commitments and Contingencies Disclosure [Line Items]
Self-insured for professional and general liability		$ 209,000,000	$ 206,000,000										£ 10,000,000	£ 25,000,000	$ 3,000,000	$ 10,000,000																$ 10,000,000	$ 3,000,000
Purchased several excess policies through commercial insurance carriers per occurrence																																			250,000,000	200,000,000
Percentage of liability for claims paid under commercially insured coverage																																		10.00%
Liability for claims paid under commercially insured coverage																																			60,000,000		10,000,000
Minimum Insurance Deductible																100,000			250,000						250,000		50,000
Number of patients										16
Number of facilities										18	18
Number of nursing homes										2	2
Reduction in professional and general liability self-insurance reserves relating to prior years							65,000,000
Weighting given to company-specific metrics								100.00%	75.00%
General industry metrics								0.00%	25.00%
Self-insured for professional and general liability, current		44,000,000	44,000,000
Compensation liability claims		66,000,000	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																	5.00%	3.00%											5.00%	1.00%
Maximum insurance deductible																										250,000		500,000			25,000
Property insurance												180,000,000
Accounts receivable, net		1,239,478,000	1,116,961,000																		33,000,000	49,000,000
Accounts receivable net greater than sixty days Past due																					10,000,000	28,000,000
Accounts receivable																					107,000,000	72,000,000	62,000,000	45,000,000
Off-balance sheet contingent obligation				94,000,000	73,000,000	21,000,000
Payment suspension period increased	180 days
Payments for legal settlements		65,000,000
Pre-tax charges related to settlement costs		49,000,000
Commercial insurance recoveries		$ 16,000,000

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