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Segment Reporting (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2015 | Sep. 30, 2014 | Sep. 30, 2015 | Sep. 30, 2014 | Dec. 31, 2014
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | $ 5,992,494 | $ 5,294,869 | $ 18,198,689 | $ 16,190,953 |
Gross outpatient revenues | 2,646,789 | 2,259,152 | 7,772,238 | 6,690,163 |
Total net revenues | 2,227,655 | 2,038,717 | 6,728,212 | 6,028,797 |
Income/(loss) before allocation of corporate overhead and income taxes | 248,027 | 144,478 | 852,752 | 638,606 |
Allocation of corporate overhead | 0 | 0 | 0 | 0 |
Income/(loss) after allocation of corporate overhead and before income taxes | 248,027 | 144,478 | 852,752 | 638,606 |
Total assets | 9,206,878 | 8,961,592 | 9,206,878 | 8,961,592 | $ 8,974,443
Acute Care Hospital Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 4,115,598 | 3,616,647 | 12,633,298 | 11,217,320 |
Gross outpatient revenues | 2,444,456 | 2,058,148 | 7,132,212 | 6,083,715 |
Total net revenues | 1,136,341 | 1,042,647 | 3,446,797 | 3,054,359 |
Income/(loss) before allocation of corporate overhead and income taxes | 91,784 | 100,388 | 387,568 | 330,382 |
Allocation of corporate overhead | (49,426) | (44,698) | (148,274) | (134,088) |
Income/(loss) after allocation of corporate overhead and before income taxes | 42,358 | 55,690 | 239,294 | 196,294 |
Total assets | 3,391,193 | 3,321,166 | 3,391,193 | 3,321,166 |
Behavioral Health Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross inpatient revenues | 1,876,896 | 1,678,222 | 5,565,391 | 4,973,633 |
Gross outpatient revenues | 202,333 | 192,032 | 623,915 | 580,627 |
Total net revenues | 1,089,509 | 992,461 | 3,272,714 | 2,964,047 |
Income/(loss) before allocation of corporate overhead and income taxes | 249,812 | 228,710 | 771,667 | 693,399 |
Allocation of corporate overhead | (29,526) | (24,750) | (88,913) | (74,055) |
Income/(loss) after allocation of corporate overhead and before income taxes | 220,286 | 203,960 | 682,754 | 619,344 |
Total assets | 5,458,647 | 5,429,453 | 5,458,647 | 5,429,453 |
Other |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Gross outpatient revenues |  | 8,972 | 16,111 | 25,821 |
Total net revenues | 1,805 | 3,609 | 8,701 | 10,391 |
Income/(loss) before allocation of corporate overhead and income taxes | (93,569) | (184,620) | (306,483) | (385,175) |
Allocation of corporate overhead | 78,952 | 69,448 | 237,187 | 208,143 |
Income/(loss) after allocation of corporate overhead and before income taxes | (14,617) | (115,172) | (69,296) | (177,032) |
Total assets | $ 357,038 | $ 210,973 | $ 357,038 | $ 210,973 |

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