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Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  | $ 2,896,247 | $ 2,822,453 | $ 2,855,168 | $ 2,804,391 | $ 2,754,496 | $ 2,648,913 | $ 2,681,353 | $ 2,687,516 | $ 11,378,259 | $ 10,772,278 | $ 10,409,865
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 100.00% | 100.00% | 100.00%
Medicare |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 1,889,245 | $ 1,875,875 | $ 1,816,840
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 17.00% | 17.00% | 17.00%
Managed Medicare |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 1,047,759 | $ 929,390 | $ 791,403
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 9.00% | 9.00% | 8.00%
Medicaid |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 1,207,649 | $ 1,183,618 | $ 1,206,364
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 11.00% | 11.00% | 12.00%
Managed Medicaid |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 1,678,641 | $ 1,530,005 | $ 1,388,751
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 15.00% | 14.00% | 13.00%
Managed Care (HMO and PPOs) |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 3,634,817 | $ 3,489,870 | $ 3,361,521
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 32.00% | 32.00% | 32.00%
UK Revenue |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 553,831 | $ 504,721 | $ 426,575
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 5.00% | 5.00% | 4.00%
Other Patient Revenue and Adjustments, Net |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 696,566 | $ 650,987 | $ 717,971
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 6.00% | 6.00% | 7.00%
Other Non-patient Revenue |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 669,751 | $ 607,812 | $ 700,440
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 6.00% | 6.00% | 7.00%
Acute Care Hospital Services |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 6,164,560 | $ 5,719,905 | $ 5,484,683
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 100.00% | 100.00% | 100.00%
Acute Care Hospital Services | Medicare |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 1,336,200 | $ 1,296,152 | $ 1,223,150
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 22.00% | 23.00% | 22.00%
Acute Care Hospital Services | Managed Medicare |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 827,216 | $ 730,387 | $ 630,083
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 13.00% | 13.00% | 11.00%
Acute Care Hospital Services | Medicaid |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 519,508 | $ 487,197 | $ 482,820
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 8.00% | 9.00% | 9.00%
Acute Care Hospital Services | Managed Medicaid |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 560,029 | $ 554,438 | $ 511,844
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 9.00% | 10.00% | 9.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs) |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 2,271,002 | $ 2,093,890 | $ 1,949,435
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 37.00% | 37.00% | 36.00%
Acute Care Hospital Services | UK Revenue |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 0 | $ 0 | $ 0
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 0.00% | 0.00% | 0.00%
Acute Care Hospital Services | Other Patient Revenue and Adjustments, Net |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 191,422 | $ 167,570 | $ 219,056
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 3.00% | 3.00% | 4.00%
Acute Care Hospital Services | Other Non-patient Revenue |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 459,183 | $ 390,271 | $ 468,295
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 7.00% | 7.00% | 9.00%
Behavioral Health Services |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues | [1] |  |  |  |  |  |  |  |  | $ 5,210,063 | $ 5,038,874 | $ 4,906,719
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 100.00% | 100.00% | 100.00%
Behavioral Health Services | Medicare |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 553,045 | $ 579,723 | $ 593,690
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 11.00% | 12.00% | 12.00%
Behavioral Health Services | Managed Medicare |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 220,543 | $ 199,003 | $ 161,320
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 4.00% | 4.00% | 3.00%
Behavioral Health Services | Medicaid |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 688,141 | $ 696,421 | $ 723,544
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 13.00% | 14.00% | 15.00%
Behavioral Health Services | Managed Medicaid |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 1,118,612 | $ 975,567 | $ 876,907
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 21.00% | 19.00% | 18.00%
Behavioral Health Services | Managed Care (HMO and PPOs) |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 1,363,815 | $ 1,395,980 | $ 1,412,086
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 26.00% | 28.00% | 29.00%
Behavioral Health Services | UK Revenue |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 553,831 | $ 504,721 | $ 426,575
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 11.00% | 10.00% | 9.00%
Behavioral Health Services | Other Patient Revenue and Adjustments, Net |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 505,144 | $ 483,417 | $ 498,915
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 10.00% | 10.00% | 10.00%
Behavioral Health Services | Other Non-patient Revenue |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 206,932 | $ 204,042 | $ 213,682
Percentage of Net Revenue |  |  |  |  |  |  |  |  |  | 4.00% | 4.00% | 4.00%
Other |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 3,636 | $ 13,499 | $ 18,463
Other | Other Non-patient Revenue |  |  |  |  |  |  |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  |  | $ 3,636 | $ 13,499 | $ 18,463
[1] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $554 million in 2019, $505 million in 2018 and $429 million in 2017. Total assets at our U.K. behavioral health care facilities were approximately $1.270 billion as of December 31, 2019, $1.224 billion as of December 31, 2018 and $1.098 billion as of December 31, 2017. In addition, included in our 2019 Behavioral Health Services operating segment Income (loss) before allocation of corporate overhead and income taxes is a pre-tax $98 million provision for asset impairment to reduce the carrying value of a tradename intangible asset and real property assets. Included in our 2018 Behavioral Health Services operating segment Income (loss) before allocation of corporate overhead and income taxes is a pre-tax $49 million provision for asset impairment to reduce the carrying value of a tradename intangible asset.

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