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Segment Reporting (Parenthetical) (Detail) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2019
Segment Reporting Information [Line Items]          
Net revenues $ 2,912,541 $ 2,822,453 $ 8,471,962 $ 8,482,012  
Total assets 12,975,758 11,594,401 12,975,758 11,594,401 $ 11,668,250
Behavioral Health Services          
Segment Reporting Information [Line Items]          
Net revenues [1] 1,299,591 1,291,816 3,864,823 3,898,440  
Total assets [1] 6,898,757 6,919,100 6,898,757 6,919,100  
Behavioral Health Services | Located in U.K.          
Segment Reporting Information [Line Items]          
Net revenues 156,000 135,000 429,000 415,000  
Total assets $ 1,257,000 $ 1,175,000 $ 1,257,000 $ 1,175,000  
[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.