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Segment Reporting (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
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Gross inpatient revenues |  |  |  |  |  |  |  |  |  | $ 38,531,825 | $ 34,550,480 | $ 30,838,191
Gross outpatient revenues |  |  |  |  |  |  |  |  |  | 18,733,333 | 15,993,034 | 14,109,290
Total 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
Income (loss) before allocation of corporate overhead and income taxes |  |  |  |  |  |  |  |  |  | 1,066,337 | 1,034,525 | 1,135,009
Allocation of corporate overhead |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Income before income taxes |  |  |  |  |  |  |  |  |  | 1,066,337 | 1,034,525 | 1,135,009
Total assets |  | 11,668,250 |  |  |  | 11,265,480 |  |  |  | 11,668,250 | 11,265,480 | 10,761,828
Acute Care Hospital Services |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Gross inpatient revenues |  |  |  |  |  |  |  |  |  | 28,430,922 | 24,814,959 | 21,888,207
Gross outpatient revenues |  |  |  |  |  |  |  |  |  | 17,666,629 | 14,967,313 | 13,115,881
Total net revenues |  |  |  |  |  |  |  |  |  | 6,164,560 | 5,719,905 | 5,484,683
Income (loss) before allocation of corporate overhead and income taxes |  |  |  |  |  |  |  |  |  | 713,410 | 708,680 | 641,857
Allocation of corporate overhead |  |  |  |  |  |  |  |  |  | (230,166) | (199,823) | (182,713)
Income before income taxes |  |  |  |  |  |  |  |  |  | 483,244 | 508,857 | 459,144
Total assets |  | 4,405,643 |  |  |  | 4,094,537 |  |  |  | 4,405,643 | 4,094,537 | 3,849,214
Behavioral Health Services |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Gross inpatient revenues | [1] |  |  |  |  |  |  |  |  | 10,100,903 | 9,735,521 | 8,949,984
Gross outpatient revenues | [1] |  |  |  |  |  |  |  |  | 1,066,704 | 1,025,721 | 993,409
Total net revenues | [1] |  |  |  |  |  |  |  |  | 5,210,063 | 5,038,874 | 4,906,719
Income (loss) before allocation of corporate overhead and income taxes | [1] |  |  |  |  |  |  |  |  | 900,965 | 915,517 | 968,974
Allocation of corporate overhead | [1] |  |  |  |  |  |  |  |  | (166,571) | (161,282) | (158,735)
Income before income taxes | [1] |  |  |  |  |  |  |  |  | 734,394 | 754,235 | 810,239
Total assets | [1] | 6,910,790 |  |  |  | 6,786,369 |  |  |  | 6,910,790 | 6,786,369 | 6,648,818
Other |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Total net revenues |  |  |  |  |  |  |  |  |  | 3,636 | 13,499 | 18,463
Income (loss) before allocation of corporate overhead and income taxes |  |  |  |  |  |  |  |  |  | (548,038) | (589,672) | (475,822)
Allocation of corporate overhead |  |  |  |  |  |  |  |  |  | 396,737 | 361,105 | 341,448
Income before income taxes |  |  |  |  |  |  |  |  |  | (151,301) | (228,567) | (134,374)
Total assets |  | $ 351,817 |  |  |  | $ 384,574 |  |  |  | $ 351,817 | $ 384,574 | $ 263,796
[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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