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Segment Reporting (Detail) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Dec. 31, 2021
Segment Reporting Information [Line Items]          
Gross inpatient revenues $ 12,268,284 $ 11,190,111 $ 24,943,989 $ 22,782,860  
Gross outpatient revenues 6,474,528 5,624,216 12,507,180 10,451,700  
Total net revenues 3,323,407 3,197,880 6,616,363 6,210,867  
Income/(loss) before allocation of corporate overhead and income taxes 209,730 426,798 409,713 699,675  
Allocation of corporate overhead 0 0 0 0  
Income before income taxes 209,730 426,798 409,713 699,675  
Total assets 13,296,103 12,812,635 13,296,103 12,812,635 $ 13,093,543
Acute Care Hospital Services          
Segment Reporting Information [Line Items]          
Gross inpatient revenues 9,706,731 8,662,335 19,945,962 17,781,519  
Gross outpatient revenues 6,206,039 5,357,888 11,981,578 9,938,608  
Total net revenues 1,875,516 1,754,431 3,787,832 3,448,973  
Income/(loss) before allocation of corporate overhead and income taxes 95,059 218,663 243,739 391,781  
Allocation of corporate overhead (63,213) (58,227) (125,497) (116,334)  
Income before income taxes 31,846 160,436 118,242 275,447  
Total assets 5,785,470 5,162,252 5,785,470 5,162,252  
Behavioral Health Services          
Segment Reporting Information [Line Items]          
Gross inpatient revenues [1] 2,561,553 2,527,776 4,998,027 5,001,341  
Gross outpatient revenues [1] 268,489 266,328 525,602 513,092  
Total net revenues [1] 1,433,920 1,431,497 2,800,387 2,746,834  
Income/(loss) before allocation of corporate overhead and income taxes [1] 249,958 324,577 455,746 555,902  
Allocation of corporate overhead [1] (45,063) (43,099) (90,064) (86,049)  
Income before income taxes [1] 204,895 281,478 365,682 469,853  
Total assets [1] 7,251,966 7,159,426 7,251,966 7,159,426  
Other          
Segment Reporting Information [Line Items]          
Gross inpatient revenues   0   0  
Gross outpatient revenues   0   0  
Total net revenues 13,971 11,952 28,144 15,060  
Income/(loss) before allocation of corporate overhead and income taxes (135,287) (116,442) (289,772) (248,008)  
Allocation of corporate overhead 108,276 101,326 215,561 202,383  
Income before income taxes (27,011) (15,116) (74,211) (45,625)  
Total assets $ 258,667 $ 490,957 $ 258,667 $ 490,957  
[1] Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $173 million and $172 million for the three-month periods ended June 30, 2022 and 2021, respectively, and approximately $349 million and $337 million for the six-month periods ended June 30, 2022 and 2021, respectively.  Total assets at our U.K. behavioral health care facilities were approximately $1.220 billion and $1.369 billion as of June 30, 2022 and 2021, respectively.