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Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 14,281,976 |  | $ 13,399,370 | $ 12,642,117
Percentage of Net Revenue |  | 100.00% |  | 100.00% | 100.00%
Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,607,405 |  | $ 1,615,762 | $ 1,654,119
Percentage of Net Revenue |  | 11.00% |  | 12.00% | 13.00%
Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,714,055 |  | $ 1,560,589 | $ 1,362,962
Percentage of Net Revenue |  | 12.00% |  | 12.00% | 11.00%
Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,532,904 |  | $ 1,512,396 | $ 1,291,692
Percentage of Net Revenue |  | 11.00% |  | 11.00% | 10.00%
Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,290,661 |  | $ 2,206,855 | $ 1,947,263
Percentage of Net Revenue |  | 16.00% |  | 16.00% | 15.00%
Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 4,211,194 |  | $ 4,012,954 | $ 3,957,027
Percentage of Net Revenue |  | 29.00% |  | 30.00% | 31.00%
UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 761,124 |  | $ 684,594 | $ 687,725
Percentage of Net Revenue |  | 5.00% |  | 5.00% | 5.00%
Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 981,203 |  | $ 745,642 | $ 843,200
Percentage of Net Revenue |  | 7.00% |  | 6.00% | 7.00%
Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,183,430 |  | $ 1,060,578 | $ 898,129
Percentage of Net Revenue |  | 8.00% |  | 8.00% | 7.00%
Acute Care Hospital Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 8,081,402 | [1] | $ 7,646,749 | $ 7,108,254
Percentage of Net Revenue |  | 100.00% |  | 100.00% | 100.00%
Acute Care Hospital Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,297,084 |  | $ 1,289,425 | $ 1,292,205
Percentage of Net Revenue |  | 16.00% |  | 17.00% | 18.00%
Acute Care Hospital Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,368,284 |  | $ 1,274,719 | $ 1,118,901
Percentage of Net Revenue |  | 17.00% |  | 17.00% | 16.00%
Acute Care Hospital Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 638,986 |  | $ 719,870 | $ 539,741
Percentage of Net Revenue |  | 8.00% |  | 9.00% | 8.00%
Acute Care Hospital Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 716,380 |  | $ 757,488 | $ 618,727
Percentage of Net Revenue |  | 9.00% |  | 10.00% | 9.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,658,890 |  | $ 2,536,818 | $ 2,521,089
Percentage of Net Revenue |  | 33.00% |  | 33.00% | 35.00%
Acute Care Hospital Services | UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 0 |  | $ 0 | $ 0
Percentage of Net Revenue |  | 0.00% |  | 0.00% | 0.00%
Acute Care Hospital Services | Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 452,781 |  | $ 261,879 | $ 358,458
Percentage of Net Revenue |  | 6.00% |  | 3.00% | 5.00%
Acute Care Hospital Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 948,997 |  | $ 806,550 | $ 659,133
Percentage of Net Revenue |  | 12.00% |  | 11.00% | 9.00%
Behavioral Health Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues | [2] | $ 6,190,921 |  | $ 5,729,758 | $ 5,503,644
Percentage of Net Revenue |  | 100.00% |  | 100.00% | 100.00%
Behavioral Health Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 310,321 |  | $ 326,337 | $ 361,914
Percentage of Net Revenue |  | 5.00% |  | 6.00% | 7.00%
Behavioral Health Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 345,771 |  | $ 285,870 | $ 244,061
Percentage of Net Revenue |  | 6.00% |  | 5.00% | 4.00%
Behavioral Health Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 893,918 |  | $ 792,526 | $ 751,951
Percentage of Net Revenue |  | 14.00% |  | 14.00% | 14.00%
Behavioral Health Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,574,281 |  | $ 1,449,367 | $ 1,328,536
Percentage of Net Revenue |  | 25.00% |  | 25.00% | 24.00%
Behavioral Health Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,552,304 |  | $ 1,476,136 | $ 1,435,938
Percentage of Net Revenue |  | 25.00% |  | 26.00% | 26.00%
Behavioral Health Services | UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 761,124 |  | $ 684,594 | $ 687,725
Percentage of Net Revenue |  | 12.00% |  | 12.00% | 12.00%
Behavioral Health Services | Other Patient Revenue and Adjustments, Net |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 528,422 |  | $ 483,763 | $ 484,742
Percentage of Net Revenue |  | 9.00% |  | 8.00% | 9.00%
Behavioral Health Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 224,780 |  | $ 231,165 | $ 208,777
Percentage of Net Revenue |  | 4.00% |  | 4.00% | 4.00%
Other |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 9,653 |  | $ 22,863 | $ 30,219
Other | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 9,653 |  | $ 22,863 | $ 30,219
[1] | Included in our 2022 acute care hospital services operating segment income (loss) before allocation of corporate overhead and income taxes is a pre-tax $58 million provision for asset impairment charge to reduce the carrying value of real property assets.
[2] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $761 million in 2023, $685 million in 2022 and $688 million in 2021. Total assets at our U.K. behavioral health care facilities were approximately $1.327 billion as of December 31, 2023, $1.235 billion as of December 31, 2022 and $1.351 billion as of December 31, 2021.

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