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Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2024 | Mar. 31, 2023
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 3,843,582 | $ 3,467,518
Percentage of Net Revenue |  | 100.00% | 100.00%
Medicare |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 425,903 | $ 405,990
Percentage of Net Revenue |  | 11.00% | 12.00%
Managed Medicare |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 469,475 | $ 419,109
Percentage of Net Revenue |  | 12.00% | 12.00%
Medicaid |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 483,225 | $ 316,482
Percentage of Net Revenue |  | 13.00% | 9.00%
Managed Medicaid |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 582,667 | $ 591,249
Percentage of Net Revenue |  | 15.00% | 17.00%
Managed Care (HMO and PPOs) |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 1,102,958 | $ 1,046,092
Percentage of Net Revenue |  | 29.00% | 30.00%
UK Revenue |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 207,796 | $ 167,789
Percentage of Net Revenue |  | 5.00% | 5.00%
Other Patient Revenue and Adjustments, Net |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 267,464 | $ 242,634
Percentage of Net Revenue |  | 7.00% | 7.00%
Other Non-patient Revenue |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 304,094 | $ 278,173
Percentage of Net Revenue |  | 8.00% | 8.00%
Acute Care Hospital Services |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 2,185,081 | $ 1,973,532
Percentage of Net Revenue |  | 100.00% | 100.00%
Acute Care Hospital Services | Medicare |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 349,087 | $ 329,446
Percentage of Net Revenue |  | 16.00% | 17.00%
Acute Care Hospital Services | Managed Medicare |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 373,401 | $ 344,032
Percentage of Net Revenue |  | 17.00% | 17.00%
Acute Care Hospital Services | Medicaid |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 234,862 | $ 110,009
Percentage of Net Revenue |  | 11.00% | 6.00%
Acute Care Hospital Services | Managed Medicaid |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 159,359 | $ 192,298
Percentage of Net Revenue |  | 7.00% | 10.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs) |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 698,785 | $ 654,795
Percentage of Net Revenue |  | 32.00% | 33.00%
Acute Care Hospital Services | UK Revenue |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 0 | $ 0
Percentage of Net Revenue |  | 0.00% | 0.00%
Acute Care Hospital Services | Other Patient Revenue and Adjustments, Net |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 123,333 | $ 120,957
Percentage of Net Revenue |  | 6.00% | 6.00%
Acute Care Hospital Services | Other Non-patient Revenue |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 246,254 | $ 221,995
Percentage of Net Revenue |  | 11.00% | 11.00%
Behavioral Health Services |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues | [1] | $ 1,656,067 | $ 1,490,489
Percentage of Net Revenue |  | 100.00% | 100.00%
Behavioral Health Services | Medicare |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 76,816 | $ 76,544
Percentage of Net Revenue |  | 5.00% | 5.00%
Behavioral Health Services | Managed Medicare |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 96,074 | $ 75,077
Percentage of Net Revenue |  | 6.00% | 5.00%
Behavioral Health Services | Medicaid |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 248,363 | $ 206,473
Percentage of Net Revenue |  | 15.00% | 14.00%
Behavioral Health Services | Managed Medicaid |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 423,308 | $ 398,951
Percentage of Net Revenue |  | 26.00% | 27.00%
Behavioral Health Services | Managed Care (HMO and PPOs) |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 404,173 | $ 391,297
Percentage of Net Revenue |  | 24.00% | 26.00%
Behavioral Health Services | UK Revenue |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 207,796 | $ 167,789
Percentage of Net Revenue |  | 13.00% | 11.00%
Behavioral Health Services | Other Patient Revenue and Adjustments, Net |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 144,131 | $ 121,677
Percentage of Net Revenue |  | 9.00% | 8.00%
Behavioral Health Services | Other Non-patient Revenue |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 55,406 | $ 52,681
Percentage of Net Revenue |  | 3.00% | 4.00%
Other |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 2,434 | $ 3,497
Other | Other Non-patient Revenue |  |  |
Disaggregation Of Revenue [Line Items] |  |  |
Net revenues |  | $ 2,434 | $ 3,497
[1] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $208 million and $168 million for the three-month periods ended March 31, 2024 and 2023, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.336 billion and $1.265 billion as of March 31, 2024 and 2023, respectively.

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