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v3.23.2

Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2023 | Jun. 30, 2022 | Jun. 30, 2023 | Jun. 30, 2022
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 3,548,138 |  | $ 3,323,407 | $ 7,015,656 | $ 6,616,363
Percentage of Net Revenue |  | 100.00% |  | 100.00% | 100.00% | 100.00%
Medicare |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 409,770 |  | $ 401,516 | $ 815,760 | $ 818,137
Percentage of Net Revenue |  | 12.00% |  | 12.00% | 12.00% | 12.00%
Managed Medicare |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 430,586 |  | $ 377,462 | $ 849,695 | $ 773,560
Percentage of Net Revenue |  | 12.00% |  | 11.00% | 12.00% | 12.00%
Medicaid |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 349,850 |  | $ 368,009 | $ 666,332 | $ 699,248
Percentage of Net Revenue |  | 10.00% |  | 11.00% | 9.00% | 11.00%
Managed Medicaid |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 569,213 |  | $ 526,263 | $ 1,160,462 | $ 1,032,065
Percentage of Net Revenue |  | 16.00% |  | 16.00% | 17.00% | 16.00%
Managed Care (HMO and PPOs) |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 1,088,876 |  | $ 1,003,486 | $ 2,134,968 | $ 2,007,586
Percentage of Net Revenue |  | 31.00% |  | 30.00% | 30.00% | 30.00%
UK Revenue |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 190,114 |  | $ 173,231 | $ 357,903 | $ 349,323
Percentage of Net Revenue |  | 5.00% |  | 5.00% | 5.00% | 5.00%
Other Patient Revenue and Adjustments, Net |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 210,448 |  | $ 200,118 | $ 453,082 | $ 412,961
Percentage of Net Revenue |  | 6.00% |  | 6.00% | 6.00% | 6.00%
Other Non-patient Revenue |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 299,281 |  | $ 523,483 | $ 577,454 | $ 273,322
Percentage of Net Revenue |  | 8.00% |  | 8.00% | 8.00% | 8.00%
Acute Care Hospital Services |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 2,003,079 |  | $ 1,875,516 | $ 3,976,611 | $ 3,787,832
Percentage of Net Revenue |  | 100.00% |  | 100.00% | 100.00% | 100.00%
Acute Care Hospital Services | Medicare |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 334,073 |  | $ 318,166 | $ 663,519 | $ 655,275
Percentage of Net Revenue |  | 17.00% |  | 17.00% | 17.00% | 17.00%
Acute Care Hospital Services | Managed Medicare |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 344,975 |  | $ 306,585 | $ 689,007 | $ 638,833
Percentage of Net Revenue |  | 17.00% |  | 16.00% | 17.00% | 17.00%
Acute Care Hospital Services | Medicaid |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 134,521 |  | $ 184,098 | $ 244,530 | $ 339,934
Percentage of Net Revenue |  | 7.00% |  | 10.00% | 6.00% | 9.00%
Acute Care Hospital Services | Managed Medicaid |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 171,824 |  | $ 162,092 | $ 364,122 | $ 333,729
Percentage of Net Revenue |  | 9.00% |  | 9.00% | 9.00% | 9.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs) |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 702,499 |  | $ 627,475 | $ 1,357,294 | $ 1,266,370
Percentage of Net Revenue |  | 35.00% |  | 33.00% | 34.00% | 33.00%
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 |  | $ 74,290 |  | $ 74,123 | $ 195,247 | $ 166,233
Percentage of Net Revenue |  | 4.00% |  | 4.00% | 5.00% | 4.00%
Acute Care Hospital Services | Other Non-patient Revenue |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 240,897 |  | $ 387,458 | $ 462,892 | $ 202,977
Percentage of Net Revenue |  | 12.00% |  | 10.00% | 12.00% | 11.00%
Behavioral Health Services |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues | [1] | $ 1,542,194 |  | $ 1,433,920 | $ 3,032,683 | $ 2,800,387
Percentage of Net Revenue |  | 100.00% |  | 100.00% | 100.00% | 100.00%
Behavioral Health Services | Medicare |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 75,697 |  | $ 83,350 | $ 152,241 | $ 162,862
Percentage of Net Revenue |  | 5.00% |  | 6.00% | 5.00% | 6.00%
Behavioral Health Services | Managed Medicare |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 85,611 |  | $ 70,877 | $ 160,688 | $ 134,727
Percentage of Net Revenue |  | 6.00% |  | 5.00% | 5.00% | 5.00%
Behavioral Health Services | Medicaid |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 215,329 |  | $ 183,911 | $ 421,802 | $ 359,314
Percentage of Net Revenue |  | 14.00% |  | 13.00% | 14.00% | 13.00%
Behavioral Health Services | Managed Medicaid |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 397,389 |  | $ 364,171 | $ 796,340 | $ 698,336
Percentage of Net Revenue |  | 26.00% |  | 25.00% | 26.00% | 25.00%
Behavioral Health Services | Managed Care (HMO and PPOs) |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 386,377 |  | $ 376,011 | $ 777,674 | $ 741,216
Percentage of Net Revenue |  | 25.00% |  | 26.00% | 26.00% | 26.00%
Behavioral Health Services | UK Revenue |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 190,114 |  | $ 173,231 | $ 357,903 | $ 349,323
Percentage of Net Revenue |  | 12.00% |  | 12.00% | 12.00% | 12.00%
Behavioral Health Services | Other Patient Revenue and Adjustments, Net |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 136,158 |  | $ 125,995 | $ 257,835 | $ 246,728
Percentage of Net Revenue |  | 9.00% |  | 9.00% | 9.00% | 9.00%
Behavioral Health Services | Other Non-patient Revenue |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 55,519 |  | $ 107,881 | $ 108,200 | $ 56,374
Percentage of Net Revenue |  | 4.00% |  | 4.00% | 4.00% | 4.00%
Other |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 2,865 | [1] | $ 13,971 | $ 6,362 | $ 28,144
Other | Other Non-patient Revenue |  |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |  |
Net revenues |  | $ 2,865 |  | $ 28,144 | $ 6,362 | $ 13,971
[1] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $190 million and $173 million for the three-month periods ended June 30, 2023 and 2022, respectively, and approximately $358 million and $349 million for the six-month periods ended June 30, 2023 and 2022, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.295 billion and $1.220 billion as of June 30, 2023 and 2022, respectively.

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