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Commitments and Contingencies - Additional Information (Detail) £ in Millions | 1 Months Ended | 6 Months Ended |  |  |  |  |
--- | --- | --- | --- | --- | --- | --- | ---
Mar. 31, 2015 | Nov. 30, 2010 GBP (£) Facility | Jun. 30, 2015 GBP (£) | Jun. 30, 2015 USD ($) | Dec. 31, 2014 USD ($) | Dec. 31, 2013 USD ($) | Oct. 31, 2012 USD ($) | Nov. 30, 2010 USD ($)
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Self-insured for professional and general liability |  |  |  | $ 201,000,000 | $ 193,000,000 |  |  |
Self-insured for professional and general liability, current |  |  |  | 51,000,000 | 51,000,000 |  |  |
Compensation liability claims |  |  |  | 68,000,000 | 67,000,000 |  |  |
Compensation and related benefits |  |  |  | 32,000,000 | 32,000,000 |  |  |
Accounts receivable, net |  |  |  | 1,360,973,000 | 1,282,735,000 |  |  |
Payment suspension period increased | 180 days |  |  |  |  |  |  |
Letters of Credit and Surety Bonds |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Off-balance sheet contingent obligation |  |  |  | 118,000,000 |  |  |  |
Cygnet Health Care Limited |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Number of inpatient behavioral health hospitals | Facility |  | 15 |  |  |  |  |  |
Number of facilities | Facility |  | 17 |  |  |  |  |  |
Number of nursing homes | Facility |  | 2 |  |  |  |  |  |
Property insurance | £ |  |  | £ 180 |  |  |  |  |
Professional Liability | Cygnet Health Care Limited |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Self-insured for professional and general liability | £ |  | £ 10 |  |  |  |  |  |
General Liability | Cygnet Health Care Limited |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Self-insured for professional and general liability | £ |  | £ 25 |  |  |  |  |  |
Location 2 |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Minimum Insurance Deductible |  |  |  | 250,000 |  |  |  |
Location 1 |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Minimum Insurance Deductible |  |  |  | 50,000 |  |  |  |
Illinois |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Accounts receivable, net |  |  |  | 24,000,000 | 44,000,000 |  |  |
Accounts receivable net greater than sixty days Past due |  |  |  | 8,000,000 | 23,000,000 |  |  |
Accounts receivable |  |  |  | 97,000,000 | $ 102,000,000 |  |  |
Illinois | Uncompensated Care Program Revenues |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Accounts receivable |  |  |  | 52,000,000 |  |  |  |
Illinois | Disproportionate Share Hospital Program Revenues |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Accounts receivable |  |  |  | 27,000,000 |  |  |  |
Illinois | Delivery System Reform Incentive Pool |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Accounts receivable |  |  |  | 18,000,000 |  |  |  |
Wind Storms | Maximum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Commercial property insurance policies covering catastrophic losses |  |  |  | $ 1,000,000,000 |  |  |  |
Percentage of insurance deductible |  |  |  | 5.00% |  |  |  |
Wind Storms | Minimum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Percentage of insurance deductible |  |  |  | 3.00% |  |  |  |
Earthquake |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Minimum Insurance Deductible |  |  |  | $ 250,000 |  |  |  |
Earthquake | Maximum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Commercial property insurance policies covering catastrophic losses |  |  |  | 250,000,000 |  |  |  |
Earthquake | UNITED STATES | Maximum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Commercial property insurance policies covering catastrophic losses |  |  |  | $ 100,000,000 |  |  |  |
Percentage of insurance deductible |  |  |  | 5.00% |  |  |  |
Earthquake | UNITED STATES | Minimum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Percentage of insurance deductible |  |  |  | 1.00% |  |  |  |
Earthquake | PUERTO RICO |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Commercial property insurance policies covering catastrophic losses |  |  |  | $ 25,000,000 |  |  |  |
Maximum insurance deductible |  |  |  | 25,000 |  |  |  |
Flood | Location 2 |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Maximum insurance deductible |  |  |  | 250,000 |  |  |  |
Flood | Location 1 |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Maximum insurance deductible |  |  |  | $ 500,000 |  |  |  |
Subsidiaries | Professional Liability | Maximum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Self-insured for professional and general liability |  |  |  |  |  |  |  | $ 10,000,000
Subsidiaries | General Liability | Maximum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Self-insured for professional and general liability |  |  |  |  |  |  |  | $ 3,000,000
Subsidiaries | General and Professional Liability Insurance Policies |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Percentage of liability for claims paid under commercially insured coverage |  |  |  | 10.00% |  |  |  |
Subsidiaries | General and Professional Liability Insurance Policies | Maximum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Purchased several excess policies through commercial insurance carriers per occurrence |  |  |  | $ 250,000,000 |  | $ 200,000,000 |  |
Liability for claims paid under commercially insured coverage |  |  |  | 60,000,000 |  |  |  |
Subsidiaries | General and Professional Liability Insurance Policies | Minimum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Liability for claims paid under commercially insured coverage |  |  |  | 10,000,000 |  |  |  |
Psychiatric Solutions Inc | General and Professional Liability Insurance Policies | Maximum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Self-insured for professional and general liability |  |  |  | 3,000,000 |  |  |  |
Behavioral Health Facilities Acquired from Ascend Health Corporation | General and Professional Liability Insurance Policies |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Minimum Insurance Deductible |  |  |  |  |  |  | $ 100,000 |
Behavioral Health Facilities Acquired from Ascend Health Corporation | General and Professional Liability Insurance Policies | Maximum |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Self-insured for professional and general liability |  |  |  |  |  |  | $ 12,000,000 |
Self Insurance Programs | Letters of Credit and Surety Bonds |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Off-balance sheet contingent obligation |  |  |  | 96,000,000 |  |  |  |
Other Debt Guarantees | Letters of Credit and Surety Bonds |  |  |  |  |  |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |
Off-balance sheet contingent obligation |  |  |  | $ 22,000,000 |  |  |  |

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