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Segment Reporting (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended |
--- | --- | --- | ---
Jun. 30, 2024 | Jun. 30, 2023 | Jun. 30, 2024 | Jun. 30, 2023 | Dec. 31, 2023
Segment Reporting Information [Line Items] |  |  |  |  |  |
Gross inpatient revenues |  | $ 15,120,215 | $ 13,631,215 | $ 30,785,001 | $ 27,660,696 |
Gross outpatient revenues |  | 8,920,442 | 7,796,816 | 17,545,259 | 15,365,303 |
Total net revenues |  | 3,907,604 | 3,548,138 | 7,751,186 | 7,015,656 |
Income/(loss) before allocation of corporate overhead and income taxes |  | 382,006 | 224,695 | 718,092 | 438,796 |
Allocation of corporate overhead |  | 0 | 0 | 0 | 0 |
Income before income taxes |  | 382,006 | 224,695 | 718,092 | 438,796 |
Total assets |  | 14,071,428 | 13,732,309 | 14,071,428 | 13,732,309 | $ 13,967,602
Acute Care Hospital Services |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Gross inpatient revenues |  | 12,334,730 | 10,960,845 | 25,244,832 | 22,362,336 |
Gross outpatient revenues |  | 8,633,892 | 7,515,780 | 16,980,181 | 14,811,896 |
Total net revenues |  | 2,173,409 | 2,003,079 | 4,358,490 | 3,976,611 |
Income/(loss) before allocation of corporate overhead and income taxes |  | 211,720 | 130,527 | 417,188 | 263,823 |
Allocation of corporate overhead |  | (64,887) | (66,326) | (129,733) | (133,588) |
Income before income taxes |  | 146,833 | 64,201 | 287,455 | 130,235 |
Total assets |  | 6,338,360 | 6,108,389 | 6,338,360 | 6,108,389 |
Behavioral Health Services |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Gross inpatient revenues | [1] | 2,785,485 | 2,670,370 | 5,540,169 | 5,298,360 |
Gross outpatient revenues | [1] | 286,550 | 281,036 | 565,078 | 553,407 |
Total net revenues | [1] | 1,731,309 | 1,542,194 | 3,387,376 | 3,032,683 |
Income/(loss) before allocation of corporate overhead and income taxes | [1] | 360,480 | 263,693 | 680,418 | 530,049 |
Allocation of corporate overhead | [1] | (46,975) | (46,679) | (93,910) | (93,321) |
Income before income taxes | [1] | 313,505 | 217,014 | 586,508 | 436,728 |
Total assets | [1] | 7,572,228 | 7,365,545 | 7,572,228 | 7,365,545 |
Other |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Total net revenues |  | 2,886 | 2,865 | 5,320 | 6,362 |
Income/(loss) before allocation of corporate overhead and income taxes |  | (190,194) | (169,525) | (379,514) | (355,076) |
Allocation of corporate overhead |  | 111,862 | 113,005 | 223,643 | 226,909 |
Income before income taxes |  | (78,332) | (56,520) | (155,871) | (128,167) |
Total assets |  | $ 160,840 | $ 258,375 | $ 160,840 | $ 258,375 |
[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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