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Segment Reporting (Detail) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Dec. 31, 2021
Segment Reporting Information [Line Items]          
Gross inpatient revenues $ 12,458,242 $ 11,968,376 $ 37,402,231 $ 34,751,236  
Gross outpatient revenues 6,627,491 5,586,222 19,134,671 16,037,922  
Total net revenues 3,336,027 3,155,999 9,952,390 9,366,866  
Income/(loss) before allocation of corporate overhead and income taxes 234,212 286,890 643,925 986,565  
Allocation of corporate overhead 0 0 0 0  
Income before income taxes 234,212 286,890 643,925 986,565  
Total assets 13,378,900 12,846,853 13,378,900 12,846,853 $ 13,093,543
Acute Care Hospital Services          
Segment Reporting Information [Line Items]          
Gross inpatient revenues 9,875,794 9,497,975 29,821,756 27,279,494  
Gross outpatient revenues 6,379,324 5,343,246 18,360,902 15,281,854  
Total net revenues 1,919,678 1,822,027 5,707,510 5,271,000  
Income/(loss) before allocation of corporate overhead and income taxes 129,241 208,638 372,981 600,419  
Allocation of corporate overhead (63,242) (58,452) (188,739) (174,786)  
Income before income taxes 65,999 150,186 184,242 425,633  
Total assets 6,039,787 5,295,533 6,039,787 5,295,533  
Behavioral Health Services          
Segment Reporting Information [Line Items]          
Gross inpatient revenues [1] 2,582,448 2,470,401 7,580,475 7,471,742  
Gross outpatient revenues [1] 248,167 242,976 773,769 756,068  
Total net revenues [1] 1,434,828 1,328,293 4,235,215 4,075,127  
Income/(loss) before allocation of corporate overhead and income taxes [1] 237,949 197,779 693,694 753,681  
Allocation of corporate overhead [1] (44,882) (43,120) (134,946) (129,169)  
Income before income taxes [1] 193,067 154,659 558,748 624,512  
Total assets [1] 7,336,437 7,106,832 7,336,437 7,106,832  
Other          
Segment Reporting Information [Line Items]          
Gross inpatient revenues   0   0  
Gross outpatient revenues   0   0  
Total net revenues (18,479) 5,679 9,665 20,739  
Income/(loss) before allocation of corporate overhead and income taxes (132,978) (119,527) (422,750) (367,535)  
Allocation of corporate overhead 108,124 101,572 323,685 303,955  
Income before income taxes (24,854) (17,955) (99,065) (63,580)  
Total assets $ 2,676 $ 444,488 $ 2,676 $ 444,488  
[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.