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Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2024 | Jun. 30, 2023 | Jun. 30, 2024 | Jun. 30, 2023
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 3,907,604 | $ 3,548,138 | $ 7,751,186 | $ 7,015,656
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 414,408 | $ 409,770 | $ 840,311 | $ 815,760
Percentage of Net Revenue |  | 11.00% | 12.00% | 11.00% | 12.00%
Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 472,692 | $ 430,586 | $ 942,167 | $ 849,695
Percentage of Net Revenue |  | 12.00% | 12.00% | 12.00% | 12.00%
Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 532,968 | $ 349,850 | $ 1,016,193 | $ 666,332
Percentage of Net Revenue |  | 14.00% | 10.00% | 13.00% | 9.00%
Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 568,997 | $ 569,213 | $ 1,151,664 | $ 1,160,462
Percentage of Net Revenue |  | 15.00% | 16.00% | 15.00% | 17.00%
Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 1,127,197 | $ 1,088,876 | $ 2,230,155 | $ 2,134,968
Percentage of Net Revenue |  | 29.00% | 31.00% | 29.00% | 30.00%
UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 212,706 | $ 190,114 | $ 420,502 | $ 357,903
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 |  | $ 284,295 | $ 210,448 | $ 551,759 | $ 453,082
Percentage of Net Revenue |  | 7.00% | 6.00% | 7.00% | 6.00%
Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 294,341 | $ 299,281 | $ 598,435 | $ 577,454
Percentage of Net Revenue |  | 8.00% | 8.00% | 8.00% | 8.00%
Acute Care Hospital Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,173,409 | $ 2,003,079 | $ 4,358,490 | $ 3,976,611
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Acute Care Hospital Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 338,077 | $ 334,073 | $ 687,164 | $ 663,519
Percentage of Net Revenue |  | 16.00% | 17.00% | 16.00% | 17.00%
Acute Care Hospital Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 369,288 | $ 344,975 | $ 742,689 | $ 689,007
Percentage of Net Revenue |  | 17.00% | 17.00% | 17.00% | 17.00%
Acute Care Hospital Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 239,470 | $ 134,521 | $ 474,332 | $ 244,530
Percentage of Net Revenue |  | 11.00% | 7.00% | 11.00% | 6.00%
Acute Care Hospital Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 152,760 | $ 171,824 | $ 312,119 | $ 364,122
Percentage of Net Revenue |  | 7.00% | 9.00% | 7.00% | 9.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 705,318 | $ 702,499 | $ 1,404,103 | $ 1,357,294
Percentage of Net Revenue |  | 32.00% | 35.00% | 32.00% | 34.00%
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 |  | $ 134,149 | $ 74,290 | $ 257,482 | $ 195,247
Percentage of Net Revenue |  | 6.00% | 4.00% | 6.00% | 5.00%
Acute Care Hospital Services | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 234,347 | $ 240,897 | $ 480,601 | $ 462,892
Percentage of Net Revenue |  | 11.00% | 12.00% | 11.00% | 12.00%
Behavioral Health Services |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues | [1] | $ 1,731,309 | $ 1,542,194 | $ 3,387,376 | $ 3,032,683
Percentage of Net Revenue |  | 100.00% | 100.00% | 100.00% | 100.00%
Behavioral Health Services | Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 76,331 | $ 75,697 | $ 153,147 | $ 152,241
Percentage of Net Revenue |  | 4.00% | 5.00% | 5.00% | 5.00%
Behavioral Health Services | Managed Medicare |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 103,404 | $ 85,611 | $ 199,478 | $ 160,688
Percentage of Net Revenue |  | 6.00% | 6.00% | 6.00% | 5.00%
Behavioral Health Services | Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 293,498 | $ 215,329 | $ 541,861 | $ 421,802
Percentage of Net Revenue |  | 17.00% | 14.00% | 16.00% | 14.00%
Behavioral Health Services | Managed Medicaid |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 416,237 | $ 397,389 | $ 839,545 | $ 796,340
Percentage of Net Revenue |  | 24.00% | 26.00% | 25.00% | 26.00%
Behavioral Health Services | Managed Care (HMO and PPOs) |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 421,879 | $ 386,377 | $ 826,052 | $ 777,674
Percentage of Net Revenue |  | 24.00% | 25.00% | 24.00% | 26.00%
Behavioral Health Services | UK Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 212,706 | $ 190,114 | $ 420,502 | $ 357,903
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 |  | $ 150,146 | $ 136,158 | $ 294,277 | $ 257,835
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 |  | $ 57,108 | $ 55,519 | $ 112,514 | $ 108,200
Percentage of Net Revenue |  | 3.00% | 4.00% | 3.00% | 4.00%
Other |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,886 | $ 2,865 | $ 5,320 | $ 6,362
Other | Other Non-patient Revenue |  |  |  |  |
Disaggregation Of Revenue [Line Items] |  |  |  |  |
Net revenues |  | $ 2,886 | $ 2,865 | $ 5,320 | $ 6,362
[1] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $213 million and $190 million for the three-month periods ended June 30, 2024 and 2023, respectively, and approximately $421 million and $358 million for the six-month periods ended June 30, 2024 and 2023, respectively. Total assets at our U.K. behavioral health care facilities were approximately $1.36 billion and $1.295 billion as of June 30, 2024 and 2023, respectively.

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