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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.