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Segment Reporting (Detail) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | $ 15,827,935 | $ 14,281,976 | $ 13,399,370 |
Salaries, wages and benefits |  | 7,518,687 | 7,107,484 | 6,762,256 |
Other segment item operating expenses |  | 4,308,384 | 3,757,216 | 3,445,733 |
Depreciation and amortization expense |  | 584,831 | 568,041 | 581,861 |
Other (income) expense, net |  | (2,231) | 28,281 | 10,406 |
Reportable segment income before income taxes |  | 1,497,936 | 940,426 | 866,260 |
Interest expense, net |  | 186,109 | 206,674 | 126,889 |
Operating Segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 15,817,378 | 14,272,323 | 13,376,507 |
Material Reconciling Items |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 10,557 | 9,653 | 22,863 |
Reportable segment income before income taxes |  | 2,195,670 | 1,624,025 | 1,409,954 |
Corporate Nonsegment |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 10,557 | 9,653 | 22,863 |
Other segment item operating expenses | [1] | 529,927 | 463,871 | 431,639 |
Other (income) expense, net |  | 2,621 | 24,764 | 14,461 |
Reportable segment income before income taxes |  | 1,497,936 | 940,426 | 866,260 |
Interest expense, net |  | 175,743 | 204,617 | 120,457 |
Acute Care Hospital Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 8,922,327 | 8,081,402 | 7,646,749 |
Acute Care Hospital Services | Operating Segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 8,922,327 | 8,081,402 | 7,646,749 | [2]
Acute Care Hospital Services | Material Reconciling Items |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Salaries, wages and benefits |  | 3,511,359 | 3,406,060 | 3,332,535 | [2]
Other segment item operating expenses | [3] | 4,202,491 | 3,762,066 | 3,497,538 | [2]
Depreciation and amortization expense |  | 368,096 | 367,644 | 383,115 | [2]
Interest (income) expense, net |  | 6,339 | (2,501) | 1,109 | [2]
Other (income) expense, net |  | (1,305) | 7,788 | 2,788 | [2]
Reportable segment income before income taxes |  | 835,347 | 540,345 | 429,664 | [2]
Behavioral Health Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 6,895,051 | 6,190,921 | 5,729,758 |
Behavioral Health Services | Operating Segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues | [4] | 6,895,051 | 6,190,921 | 5,729,758 |
Behavioral Health Services | Material Reconciling Items |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Salaries, wages and benefits | [4] | 3,603,123 | 3,353,008 | 3,107,216 |
Other segment item operating expenses | [3],[4] | 1,724,763 | 1,564,649 | 1,457,217 |
Depreciation and amortization expense | [4] | 206,362 | 189,297 | 186,555 |
Interest (income) expense, net | [4] | 4,027 | 4,558 | 5,323 |
Other (income) expense, net | [4] | (3,547) | (4,271) | (6,843) |
Reportable segment income before income taxes | [4] | 1,360,323 | 1,083,680 | 980,290 |
Other |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | $ 10,557 | $ 9,653 | $ 22,863 |
[1] | Non-segment operating expenses for each period includes salaries, wages and benefits, other operating expenses, supplies expense and lease and rental expense.
[2] | Included in our 2022 acute care hospital services reportable segment income before income taxes is a pre-tax $58 million provision for asset impairment charge to reduce the carrying value of real property assets.
[3] | Other segment operating expenses for each period includes other operating expenses, supplies expense and lease and rental expense.
[4] | Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $880 million in 2024, $761 million in 2023 and $685 million in 2022.

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