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Segment Reporting (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended |
--- | --- | --- | ---
Jun. 30, 2021 | Jun. 30, 2020 | Jun. 30, 2021 | Jun. 30, 2020 | Dec. 31, 2020
Segment Reporting Information [Line Items] |  |  |  |  |  |
Gross inpatient revenues |  | $ 11,190,111 | $ 9,022,136 | $ 22,782,860 | $ 19,369,147 |
Gross outpatient revenues |  | 5,624,216 | 3,610,854 | 10,451,700 | 8,552,334 |
Total net revenues |  | 3,197,880 | 2,729,754 | 6,210,867 | 5,559,421 |
Income/(loss) before allocation of corporate overhead and income taxes |  | 426,798 | 335,658 | 699,675 | 526,441 |
Allocation of corporate overhead |  |  | 0 | 0 | 0 |
Income before income taxes |  | 426,798 | 335,658 | 699,675 | 526,441 |
Total assets |  | 12,812,635 | 12,148,499 | 12,812,635 | 12,148,499 | $ 13,476,879
Acute Care Hospital Services |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Gross inpatient revenues |  | 8,662,335 | 6,736,777 | 17,781,519 | 14,558,249 |
Gross outpatient revenues |  | 5,357,888 | 3,394,680 | 9,938,608 | 8,076,421 |
Total net revenues |  | 1,754,431 | 1,467,506 | 3,448,973 | 2,988,555 |
Income/(loss) before allocation of corporate overhead and income taxes |  | 218,663 | 182,996 | 391,781 | 286,533 |
Allocation of corporate overhead |  | (58,227) | (55,983) | (116,334) | (111,956) |
Income before income taxes |  | 160,436 | 127,013 | 275,447 | 174,577 |
Total assets |  | 5,162,252 | 4,467,698 | 5,162,252 | 4,467,698 |
Behavioral Health Services |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Gross inpatient revenues | [1] | 2,527,776 | 2,285,359 | 5,001,341 | 4,810,898 |
Gross outpatient revenues | [1] | 266,328 | 216,174 | 513,092 | 475,913 |
Total net revenues | [1] | 1,431,497 | 1,259,123 | 2,746,834 | 2,565,232 |
Income/(loss) before allocation of corporate overhead and income taxes | [1] | 324,577 | 256,766 | 555,902 | 494,449 |
Allocation of corporate overhead | [1] | (43,099) | (42,750) | (86,049) | (85,480) |
Income before income taxes | [1] | 281,478 | 214,016 | 469,853 | 408,969 |
Total assets | [1] | 7,159,426 | 6,819,694 | 7,159,426 | 6,819,694 |
Other |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Gross inpatient revenues |  |  | 0 |  | 0 |
Gross outpatient revenues |  |  | 0 |  | 0 |
Total net revenues |  | 11,952 | 3,125 | 15,060 | 5,634 |
Income/(loss) before allocation of corporate overhead and income taxes |  | (116,442) | (104,104) | (248,008) | (254,541) |
Allocation of corporate overhead |  | 101,326 | 98,733 | 202,383 | 197,436 |
Income before income taxes |  | (15,116) | (5,371) | (45,625) | (57,105) |
Total assets |  | $ 490,957 | $ 861,107 | $ 490,957 | $ 861,107 |
[1] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $172 million and $136 million for the three-month periods ended June 30, 2021 and 2020, respectively, and approximately $337 million and $273 million for the six-month periods ended June 30, 2021 and 2020, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.369 billion and $1.192 billion as of June 30, 2021 and 2020, respectively.

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