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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