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v3.22.2.2

Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 3,336,027 | $ 3,155,999 | $ 9,952,390 | $ 9,366,866
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 400,910 | $ 406,702 | $ 1,219,047 | $ 1,231,645
Percentage of Net Revenue |  | 12.00% | 13.00% | 12.00% | 13.00%
Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 383,793 | $ 346,923 | $ 1,157,353 | $ 1,015,950
Percentage of Net Revenue |  | 12.00% | 11.00% | 12.00% | 11.00%
Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 396,312 | $ 283,270 | $ 1,095,560 | $ 945,280
Percentage of Net Revenue |  | 12.00% | 9.00% | 11.00% | 10.00%
Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 587,179 | $ 503,286 | $ 1,619,244 | $ 1,469,005
Percentage of Net Revenue |  | 18.00% | 16.00% | 16.00% | 16.00%
Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 995,112 | $ 1,023,671 | $ 3,002,698 | $ 2,932,177
Percentage of Net Revenue |  | 30.00% | 32.00% | 30.00% | 31.00%
UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 166,843 | $ 173,728 | $ 516,166 | $ 510,614
Percentage of Net Revenue |  | 5.00% | 6.00% | 5.00% | 5.00%
Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 154,396 | $ 187,377 | $ 567,357 | $ 615,011
Percentage of Net Revenue |  | 5.00% | 6.00% | 6.00% | 7.00%
Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 251,482 | $ 231,042 | $ 774,965 | $ 647,184
Percentage of Net Revenue |  | 8.00% | 7.00% | 8.00% | 7.00%
Acute Care Hospital Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,919,678 | $ 1,822,027 | $ 5,707,510 | $ 5,271,000
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Acute Care Hospital Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 314,785 | $ 310,483 | $ 970,060 | $ 954,207
Percentage of Net Revenue |  | 16.00% | 17.00% | 17.00% | 18.00%
Acute Care Hospital Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 305,239 | $ 280,674 | $ 944,072 | $ 830,627
Percentage of Net Revenue |  | 16.00% | 15.00% | 17.00% | 16.00%
Acute Care Hospital Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 200,656 | $ 136,989 | $ 540,590 | $ 418,335
Percentage of Net Revenue |  | 10.00% | 8.00% | 9.00% | 8.00%
Acute Care Hospital Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 213,723 | $ 176,497 | $ 547,452 | $ 473,256
Percentage of Net Revenue |  | 11.00% | 10.00% | 10.00% | 9.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 631,670 | $ 674,396 | $ 1,898,040 | $ 1,862,012
Percentage of Net Revenue |  | 33.00% | 37.00% | 33.00% | 35.00%
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 |  | $ 38,427 | $ 69,935 | $ 204,660 | $ 248,342
Percentage of Net Revenue |  | 2.00% | 4.00% | 4.00% | 5.00%
Acute Care Hospital Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 215,178 | $ 173,053 | $ 602,636 | $ 484,221
Percentage of Net Revenue |  | 11.00% | 9.00% | 11.00% | 9.00%
Behavioral Health Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues | [1] | $ 1,434,828 | $ 1,328,293 | $ 4,235,215 | $ 4,075,127
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Behavioral Health Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 86,125 | $ 96,219 | $ 248,987 | $ 277,438
Percentage of Net Revenue |  | 6.00% | 7.00% | 6.00% | 7.00%
Behavioral Health Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 78,554 | $ 66,249 | $ 213,281 | $ 185,323
Percentage of Net Revenue |  | 5.00% | 5.00% | 5.00% | 5.00%
Behavioral Health Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 195,656 | $ 146,281 | $ 554,970 | $ 526,945
Percentage of Net Revenue |  | 14.00% | 11.00% | 13.00% | 13.00%
Behavioral Health Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 373,456 | $ 326,789 | $ 1,071,792 | $ 995,749
Percentage of Net Revenue |  | 26.00% | 25.00% | 25.00% | 24.00%
Behavioral Health Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 363,442 | $ 349,275 | $ 1,104,658 | $ 1,070,165
Percentage of Net Revenue |  | 25.00% | 26.00% | 26.00% | 26.00%
Behavioral Health Services | UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 166,843 | $ 173,728 | $ 516,166 | $ 510,614
Percentage of Net Revenue |  | 12.00% | 13.00% | 12.00% | 13.00%
Behavioral Health Services | Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 115,969 | $ 117,442 | $ 362,697 | $ 366,669
Percentage of Net Revenue |  | 8.00% | 9.00% | 9.00% | 9.00%
Behavioral Health Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 54,783 | $ 52,310 | $ 162,664 | $ 142,224
Percentage of Net Revenue |  | 4.00% | 4.00% | 4.00% | 3.00%
Other |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ (18,479) | $ 5,679 | $ 9,665 | $ 20,739
Other | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ (18,479) | $ 5,679 | $ 9,665 | $ 20,739
[1] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $167 million and $174 million for the three-month periods ended September 30, 2022 and 2021, respectively, and approximately $516 million and $511 million for the nine-month periods ended September 30, 2022 and 2021, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.119 billion and $1.338 billion as of September 30, 2022 and 2021, respectively.

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