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Segment Reporting (Detail) - Entity [Domain] - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended |
--- | --- | --- | ---
Jun. 30, 2015 | Jun. 30, 2014 | Jun. 30, 2015 | Jun. 30, 2014 | Dec. 31, 2014
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | $ 6,054,003 | $ 5,410,821 | $ 12,206,195 | $ 10,896,084 |
Gross outpatient revenues | 2,628,341 | 2,280,891 | 5,125,449 | 4,431,011 |
Total net revenues | 2,275,204 | 2,051,766 | 4,500,557 | 3,990,080 |
Income/(loss) before allocation of corporate overhead and income taxes | 307,708 | 258,345 | 604,725 | 494,128 |
Allocation of corporate overhead | 0 | 0 | 0 | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes | 307,708 | 258,345 | 604,725 | 494,128 |
Total assets | 9,078,559 | 8,548,072 | 9,078,559 | 8,548,072 | $ 8,974,443
Acute Care Hospital Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 4,188,933 | 3,724,309 | 8,517,700 | 7,600,673 |
Gross outpatient revenues | 2,403,044 | 2,068,076 | 4,687,756 | 4,025,567 |
Total net revenues | 1,164,516 | 1,037,065 | 2,310,456 | 2,011,712 |
Income/(loss) before allocation of corporate overhead and income taxes | 140,584 | 118,345 | 295,784 | 229,994 |
Allocation of corporate overhead | (49,422) | (44,693) | (98,848) | (89,390) |
Income/(loss) after allocation of corporate overhead and before income taxes | 91,162 | 73,652 | 196,936 | 140,604 |
Total assets | 3,425,974 | 3,319,048 | 3,425,974 | 3,319,048 |
Behavioral Health Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 1,865,070 | 1,686,512 | 3,688,495 | 3,295,411 |
Gross outpatient revenues | 217,013 | 204,480 | 421,582 | 388,595 |
Total net revenues | 1,106,860 | 1,011,239 | 2,183,205 | 1,971,586 |
Income/(loss) before allocation of corporate overhead and income taxes | 268,413 | 243,540 | 521,855 | 464,688 |
Allocation of corporate overhead | (29,721) | (23,136) | (59,387) | (49,305) |
Income/(loss) after allocation of corporate overhead and before income taxes | 238,692 | 220,404 | 462,468 | 415,383 |
Total assets | 5,320,163 | 4,995,534 | 5,320,163 | 4,995,534 |
Other |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross outpatient revenues | 8,284 | 8,335 | 16,111 | 16,849 |
Total net revenues | 3,828 | 3,462 | 6,896 | 6,782 |
Income/(loss) before allocation of corporate overhead and income taxes | (101,289) | (103,540) | (212,914) | (200,554) |
Allocation of corporate overhead | 79,143 | 67,829 | 158,235 | 138,695 |
Income/(loss) after allocation of corporate overhead and before income taxes | (22,146) | (35,711) | (54,679) | (61,859) |
Total assets | $ 332,422 | $ 233,490 | $ 332,422 | $ 233,490 |

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