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v3.23.3

Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2023 | Sep. 30, 2022 | Sep. 30, 2023 | Sep. 30, 2022
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 3,562,774 | $ 3,336,027 | $ 10,578,430 | $ 9,952,390
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 379,810 | $ 400,910 | $ 1,195,570 | $ 1,219,047
Percentage of Net Revenue |  | 11.00% | 12.00% | 11.00% | 12.00%
Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 419,580 | $ 383,793 | $ 1,269,275 | $ 1,157,353
Percentage of Net Revenue |  | 12.00% | 12.00% | 12.00% | 12.00%
Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 405,302 | $ 396,312 | $ 1,071,634 | $ 1,095,560
Percentage of Net Revenue |  | 11.00% | 12.00% | 10.00% | 11.00%
Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 569,026 | $ 587,179 | $ 1,729,488 | $ 1,619,244
Percentage of Net Revenue |  | 16.00% | 18.00% | 16.00% | 16.00%
Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,034,962 | $ 995,112 | $ 3,169,930 | $ 3,002,698
Percentage of Net Revenue |  | 29.00% | 30.00% | 30.00% | 30.00%
UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 202,994 | $ 166,843 | $ 560,897 | $ 516,166
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 |  | $ 238,168 | $ 154,396 | $ 691,250 | $ 567,357
Percentage of Net Revenue |  | 7.00% | 5.00% | 7.00% | 6.00%
Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 312,932 | $ 251,482 | $ 890,386 | $ 774,965
Percentage of Net Revenue |  | 9.00% | 8.00% | 8.00% | 8.00%
Acute Care Hospital Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,017,288 | $ 1,919,678 | $ 5,993,899 | $ 5,707,510
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Acute Care Hospital Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 298,121 | $ 314,785 | $ 961,640 | $ 970,060
Percentage of Net Revenue |  | 15.00% | 16.00% | 16.00% | 17.00%
Acute Care Hospital Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 324,486 | $ 305,239 | $ 1,013,493 | $ 944,072
Percentage of Net Revenue |  | 16.00% | 16.00% | 17.00% | 17.00%
Acute Care Hospital Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 201,148 | $ 200,656 | $ 445,678 | $ 540,590
Percentage of Net Revenue |  | 10.00% | 10.00% | 7.00% | 9.00%
Acute Care Hospital Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 181,051 | $ 213,723 | $ 545,173 | $ 547,452
Percentage of Net Revenue |  | 9.00% | 11.00% | 9.00% | 10.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 651,816 | $ 631,670 | $ 2,009,110 | $ 1,898,040
Percentage of Net Revenue |  | 32.00% | 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 |  | $ 108,676 | $ 38,427 | $ 303,923 | $ 204,660
Percentage of Net Revenue |  | 5.00% | 2.00% | 5.00% | 4.00%
Acute Care Hospital Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 251,990 | $ 215,178 | $ 714,882 | $ 602,636
Percentage of Net Revenue |  | 12.00% | 11.00% | 12.00% | 11.00%
Behavioral Health Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues | [1] | $ 1,542,695 | $ 1,434,828 | $ 4,575,378 | $ 4,235,215
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Behavioral Health Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 81,689 | $ 86,125 | $ 233,930 | $ 248,987
Percentage of Net Revenue |  | 5.00% | 6.00% | 5.00% | 6.00%
Behavioral Health Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 95,094 | $ 78,554 | $ 255,782 | $ 213,281
Percentage of Net Revenue |  | 6.00% | 5.00% | 6.00% | 5.00%
Behavioral Health Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 204,154 | $ 195,656 | $ 625,956 | $ 554,970
Percentage of Net Revenue |  | 13.00% | 14.00% | 14.00% | 13.00%
Behavioral Health Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 387,975 | $ 373,456 | $ 1,184,315 | $ 1,071,792
Percentage of Net Revenue |  | 25.00% | 26.00% | 26.00% | 25.00%
Behavioral Health Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 383,146 | $ 363,442 | $ 1,160,820 | $ 1,104,658
Percentage of Net Revenue |  | 25.00% | 25.00% | 25.00% | 26.00%
Behavioral Health Services | UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 202,994 | $ 166,843 | $ 560,897 | $ 516,166
Percentage of Net Revenue |  | 13.00% | 12.00% | 12.00% | 12.00%
Behavioral Health Services | Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 129,492 | $ 115,969 | $ 387,327 | $ 362,697
Percentage of Net Revenue |  | 8.00% | 8.00% | 8.00% | 9.00%
Behavioral Health Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 58,151 | $ 54,783 | $ 166,351 | $ 162,664
Percentage of Net Revenue |  | 4.00% | 4.00% | 4.00% | 4.00%
Other |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,791 | $ (18,479) | $ 9,153 | $ 9,665
Other | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,791 | $ (18,479) | $ 9,153 | $ 9,665
[1] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $203 million and $167 million for the three-month periods ended September 30, 2023 and 2022, respectively, and approximately $561 million and $516 million for the nine-month periods ended September 30, 2023 and 2022, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.260 billion and $1.119 billion as of September 30, 2023 and 2022, respectively.

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