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Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2021 | Sep. 30, 2020 | Sep. 30, 2021 | Sep. 30, 2020
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 3,155,999 | $ 2,912,541 | $ 9,366,866 | $ 8,471,962
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 406,702 | $ 439,950 | $ 1,231,645 | $ 1,256,473
Percentage of Net Revenue |  | 13.00% | 15.00% | 13.00% | 15.00%
Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 346,923 | $ 296,787 | $ 1,015,950 | $ 820,766
Percentage of Net Revenue |  | 11.00% | 10.00% | 11.00% | 10.00%
Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 283,270 | $ 320,427 | $ 945,280 | $ 908,946
Percentage of Net Revenue |  | 9.00% | 11.00% | 10.00% | 11.00%
Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 503,286 | $ 443,662 | $ 1,469,005 | $ 1,258,875
Percentage of Net Revenue |  | 16.00% | 15.00% | 16.00% | 15.00%
Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,023,671 | $ 907,052 | $ 2,932,177 | $ 2,514,295
Percentage of Net Revenue |  | 32.00% | 31.00% | 31.00% | 30.00%
UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 173,728 | $ 155,323 | $ 510,614 | $ 428,795
Percentage of Net Revenue |  | 6.00% | 5.00% | 5.00% | 5.00%
Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 187,377 | $ 183,510 | $ 615,011 | $ 570,500
Percentage of Net Revenue |  | 6.00% | 6.00% | 7.00% | 7.00%
Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 231,042 | $ 165,830 | $ 647,184 | $ 713,312
Percentage of Net Revenue |  | 7.00% | 6.00% | 7.00% | 8.00%
Acute Care Hospital Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,822,027 | $ 1,610,003 | $ 5,271,000 | $ 4,598,558
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Acute Care Hospital Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 310,483 | $ 319,259 | $ 954,207 | $ 909,594
Percentage of Net Revenue |  | 17.00% | 20.00% | 18.00% | 20.00%
Acute Care Hospital Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 280,674 | $ 234,169 | $ 830,627 | $ 638,931
Percentage of Net Revenue |  | 15.00% | 15.00% | 16.00% | 14.00%
Acute Care Hospital Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 136,989 | $ 160,671 | $ 418,335 | $ 420,082
Percentage of Net Revenue |  | 8.00% | 10.00% | 8.00% | 9.00%
Acute Care Hospital Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 176,497 | $ 126,979 | $ 473,256 | $ 358,770
Percentage of Net Revenue |  | 10.00% | 8.00% | 9.00% | 8.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 674,396 | $ 585,333 | $ 1,862,012 | $ 1,558,765
Percentage of Net Revenue |  | 37.00% | 36.00% | 35.00% | 34.00%
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 |  | $ 69,935 | $ 56,188 | $ 248,342 | $ 198,983
Percentage of Net Revenue |  | 4.00% | 3.00% | 5.00% | 4.00%
Acute Care Hospital Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 173,053 | $ 127,404 | $ 484,221 | $ 513,433
Percentage of Net Revenue |  | 9.00% | 8.00% | 9.00% | 11.00%
Behavioral Health Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues | [1] | $ 1,328,293 | $ 1,299,591 | $ 4,075,127 | $ 3,864,823
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Behavioral Health Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 96,219 | $ 120,691 | $ 277,438 | $ 346,879
Percentage of Net Revenue |  | 7.00% | 9.00% | 7.00% | 9.00%
Behavioral Health Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 66,249 | $ 62,618 | $ 185,323 | $ 181,835
Percentage of Net Revenue |  | 5.00% | 5.00% | 5.00% | 5.00%
Behavioral Health Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 146,281 | $ 159,756 | $ 526,945 | $ 488,864
Percentage of Net Revenue |  | 11.00% | 12.00% | 13.00% | 13.00%
Behavioral Health Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 326,789 | $ 316,683 | $ 995,749 | $ 900,105
Percentage of Net Revenue |  | 25.00% | 24.00% | 24.00% | 23.00%
Behavioral Health Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 349,275 | $ 321,719 | $ 1,070,165 | $ 955,530
Percentage of Net Revenue |  | 26.00% | 25.00% | 26.00% | 25.00%
Behavioral Health Services | UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 173,728 | $ 155,323 | $ 510,614 | $ 428,795
Percentage of Net Revenue |  | 13.00% | 12.00% | 13.00% | 11.00%
Behavioral Health Services | Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 117,442 | $ 127,322 | $ 366,669 | $ 371,517
Percentage of Net Revenue |  | 9.00% | 10.00% | 9.00% | 10.00%
Behavioral Health Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 52,310 | $ 35,479 | $ 142,224 | $ 191,298
Percentage of Net Revenue |  | 4.00% | 3.00% | 3.00% | 5.00%
Other |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 5,679 | $ 2,947 | $ 20,739 | $ 8,581
Other | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 5,679 | $ 2,947 | $ 20,739 | $ 8,581
[1] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $174 million and $155 million for the three-month periods ended September 30, 2021 and 2020, respectively, and approximately $511 million and $429 million for the nine-month periods ended September 30, 2021 and 2020, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.338 billion and $1.257 billion as of September 30, 2021 and 2020, respectively.

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