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Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($) $ in Thousands		3 Months Ended
		Mar. 31, 2020	Mar. 31, 2019
Disaggregation Of Revenue [Line Items]
Net revenues		$ 2,829,667	$ 2,804,391
Percentage of Net Revenue		100.00%	100.00%
Medicare
Disaggregation Of Revenue [Line Items]
Net revenues		$ 445,642	$ 473,365
Percentage of Net Revenue		16.00%	17.00%
Managed Medicare
Disaggregation Of Revenue [Line Items]
Net revenues		$ 281,229	$ 261,362
Percentage of Net Revenue		10.00%	9.00%
Medicaid
Disaggregation Of Revenue [Line Items]
Net revenues		$ 302,977	$ 277,426
Percentage of Net Revenue		11.00%	10.00%
Managed Medicaid
Disaggregation Of Revenue [Line Items]
Net revenues		$ 426,012	$ 401,004
Percentage of Net Revenue		15.00%	14.00%
Managed Care (HMO and PPOs)
Disaggregation Of Revenue [Line Items]
Net revenues		$ 881,424	$ 918,265
Percentage of Net Revenue		31.00%	33.00%
UK Revenue
Disaggregation Of Revenue [Line Items]
Net revenues		$ 136,850	$ 136,702
Percentage of Net Revenue		5.00%	5.00%
Other Patient Revenue and Adjustments, Net
Disaggregation Of Revenue [Line Items]
Net revenues		$ 187,659	$ 175,361
Percentage of Net Revenue		7.00%	6.00%
Other Non-patient Revenue
Disaggregation Of Revenue [Line Items]
Net revenues		$ 167,874	$ 160,906
Percentage of Net Revenue		6.00%	6.00%
Acute Care Hospital Services
Disaggregation Of Revenue [Line Items]
Net revenues		$ 1,521,049	$ 1,514,844
Percentage of Net Revenue		100.00%	100.00%
Acute Care Hospital Services | Medicare
Disaggregation Of Revenue [Line Items]
Net revenues		$ 326,025	$ 335,909
Percentage of Net Revenue		21.00%	22.00%
Acute Care Hospital Services | Managed Medicare
Disaggregation Of Revenue [Line Items]
Net revenues		$ 221,991	$ 209,103
Percentage of Net Revenue		15.00%	14.00%
Acute Care Hospital Services | Medicaid
Disaggregation Of Revenue [Line Items]
Net revenues		$ 127,959	$ 104,510
Percentage of Net Revenue		8.00%	7.00%
Acute Care Hospital Services | Managed Medicaid
Disaggregation Of Revenue [Line Items]
Net revenues		$ 123,455	$ 133,731
Percentage of Net Revenue		8.00%	9.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs)
Disaggregation Of Revenue [Line Items]
Net revenues		$ 540,737	$ 570,383
Percentage of Net Revenue		36.00%	38.00%
Acute Care Hospital Services | UK Revenue
Disaggregation Of Revenue [Line Items]
Net revenues		$ 0	$ 0
Percentage of Net Revenue		0.00%	0.00%
Acute Care Hospital Services | Other Patient Revenue and Adjustments, Net
Disaggregation Of Revenue [Line Items]
Net revenues		$ 64,599	$ 51,883
Percentage of Net Revenue		4.00%	3.00%
Acute Care Hospital Services | Other Non-patient Revenue
Disaggregation Of Revenue [Line Items]
Net revenues		$ 116,283	$ 109,325
Percentage of Net Revenue		8.00%	7.00%
Behavioral Health Services
Disaggregation Of Revenue [Line Items]
Net revenues	[1]	$ 1,306,109	$ 1,286,383
Percentage of Net Revenue		100.00%	100.00%
Behavioral Health Services | Medicare
Disaggregation Of Revenue [Line Items]
Net revenues		$ 119,617	$ 137,456
Percentage of Net Revenue		9.00%	11.00%
Behavioral Health Services | Managed Medicare
Disaggregation Of Revenue [Line Items]
Net revenues		$ 59,238	$ 52,259
Percentage of Net Revenue		5.00%	4.00%
Behavioral Health Services | Medicaid
Disaggregation Of Revenue [Line Items]
Net revenues		$ 175,018	$ 172,916
Percentage of Net Revenue		13.00%	13.00%
Behavioral Health Services | Managed Medicaid
Disaggregation Of Revenue [Line Items]
Net revenues		$ 302,557	$ 267,273
Percentage of Net Revenue		23.00%	21.00%
Behavioral Health Services | Managed Care (HMO and PPOs)
Disaggregation Of Revenue [Line Items]
Net revenues		$ 340,687	$ 347,882
Percentage of Net Revenue		26.00%	27.00%
Behavioral Health Services | UK Revenue
Disaggregation Of Revenue [Line Items]
Net revenues		$ 136,850	$ 136,702
Percentage of Net Revenue		10.00%	11.00%
Behavioral Health Services | Other Patient Revenue and Adjustments, Net
Disaggregation Of Revenue [Line Items]
Net revenues		$ 123,060	$ 123,478
Percentage of Net Revenue		9.00%	10.00%
Behavioral Health Services | Other Non-patient Revenue
Disaggregation Of Revenue [Line Items]
Net revenues		$ 49,082	$ 48,417
Percentage of Net Revenue		4.00%	4.00%
Other
Disaggregation Of Revenue [Line Items]
Net revenues		$ 2,509	$ 3,164
Other | Other Non-patient Revenue
Disaggregation Of Revenue [Line Items]
Net revenues		$ 2,509	$ 3,164
[1] Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $137 million for each of the three-month periods ended March 31, 2020 and 2019. Total assets at our U.K. behavioral health care facilities were approximately $1.197 billion and $1.237 billion as of March 31, 2020 and 2019.

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Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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