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v3.20.2

Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2020 | Sep. 30, 2019 | Sep. 30, 2020 | Sep. 30, 2019
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,912,541 | $ 2,822,453 | $ 8,471,962 | $ 8,482,012
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 439,950 | $ 477,291 | $ 1,256,473 | $ 1,408,964
Percentage of Net Revenue |  | 15.00% | 17.00% | 15.00% | 17.00%
Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 296,787 | $ 258,794 | $ 820,766 | $ 785,968
Percentage of Net Revenue |  | 10.00% | 9.00% | 10.00% | 9.00%
Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 320,427 | $ 317,441 | $ 908,946 | $ 917,112
Percentage of Net Revenue |  | 11.00% | 11.00% | 11.00% | 11.00%
Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 443,662 | $ 412,794 | $ 1,258,875 | $ 1,235,020
Percentage of Net Revenue |  | 15.00% | 15.00% | 15.00% | 15.00%
Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 907,052 | $ 878,481 | $ 2,514,295 | $ 2,709,628
Percentage of Net Revenue |  | 31.00% | 31.00% | 30.00% | 32.00%
UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 155,323 | $ 134,905 | $ 428,795 | $ 415,407
Percentage of Net Revenue |  | 5.00% | 5.00% | 5.00% | 5.00%
Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 183,510 | $ 176,882 | $ 570,500 | $ 515,307
Percentage of Net Revenue |  | 6.00% | 6.00% | 7.00% | 6.00%
Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 165,830 | $ 165,865 | $ 713,312 | $ 494,606
Percentage of Net Revenue |  | 6.00% | 6.00% | 8.00% | 6.00%
Acute Care Hospital Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,610,003 | $ 1,528,535 | $ 4,598,558 | $ 4,575,088
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Acute Care Hospital Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 319,259 | $ 333,777 | $ 909,594 | $ 988,746
Percentage of Net Revenue |  | 20.00% | 22.00% | 20.00% | 22.00%
Acute Care Hospital Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 234,169 | $ 197,993 | $ 638,931 | $ 618,756
Percentage of Net Revenue |  | 15.00% | 13.00% | 14.00% | 14.00%
Acute Care Hospital Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 160,671 | $ 148,570 | $ 420,082 | $ 391,762
Percentage of Net Revenue |  | 10.00% | 10.00% | 9.00% | 9.00%
Acute Care Hospital Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 126,979 | $ 133,906 | $ 358,770 | $ 413,607
Percentage of Net Revenue |  | 8.00% | 9.00% | 8.00% | 9.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 585,333 | $ 554,341 | $ 1,558,765 | $ 1,690,889
Percentage of Net Revenue |  | 36.00% | 36.00% | 34.00% | 37.00%
Acute Care Hospital Services | UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 0 | $ 0 | $ 0 | $ 0
Percentage of Net Revenue |  | 0.00% | 0.00% | 0.00% | 0.00%
Acute Care Hospital Services | Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 56,188 | $ 45,918 | $ 198,983 | $ 133,962
Percentage of Net Revenue |  | 3.00% | 3.00% | 4.00% | 3.00%
Acute Care Hospital Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 127,404 | $ 114,030 | $ 513,433 | $ 337,366
Percentage of Net Revenue |  | 8.00% | 7.00% | 11.00% | 7.00%
Behavioral Health Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues | [1] | $ 1,299,591 | $ 1,291,816 | $ 3,864,823 | $ 3,898,440
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Behavioral Health Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 120,691 | $ 143,514 | $ 346,879 | $ 420,218
Percentage of Net Revenue |  | 9.00% | 11.00% | 9.00% | 11.00%
Behavioral Health Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 62,618 | $ 60,801 | $ 181,835 | $ 167,212
Percentage of Net Revenue |  | 5.00% | 5.00% | 5.00% | 4.00%
Behavioral Health Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 159,756 | $ 168,871 | $ 488,864 | $ 525,350
Percentage of Net Revenue |  | 12.00% | 13.00% | 13.00% | 13.00%
Behavioral Health Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 316,683 | $ 278,888 | $ 900,105 | $ 821,413
Percentage of Net Revenue |  | 24.00% | 22.00% | 23.00% | 21.00%
Behavioral Health Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 321,719 | $ 324,140 | $ 955,530 | $ 1,018,739
Percentage of Net Revenue |  | 25.00% | 25.00% | 25.00% | 26.00%
Behavioral Health Services | UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 155,323 | $ 134,905 | $ 428,795 | $ 415,407
Percentage of Net Revenue |  | 12.00% | 10.00% | 11.00% | 11.00%
Behavioral Health Services | Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 127,322 | $ 130,964 | $ 371,517 | $ 381,345
Percentage of Net Revenue |  | 10.00% | 10.00% | 10.00% | 10.00%
Behavioral Health Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 35,479 | $ 49,733 | $ 191,298 | $ 148,756
Percentage of Net Revenue |  | 3.00% | 4.00% | 5.00% | 4.00%
Other |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,947 | $ 2,102 | $ 8,581 | $ 8,484
Other | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,947 | $ 2,102 | $ 8,581 | $ 8,484
[1] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $156 million and $135 million for the three-month periods ended September 30, 2020 and 2019, respectively, and approximately $429 million and $415 million for the nine-month periods ended September 30, 2020 and 2019, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.257 billion and $1.175 billion as of September 30, 2020 and 2019, respectively.

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