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Segment Reporting (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2025 | Jun. 30, 2024 | Jun. 30, 2025 | Jun. 30, 2024
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | $ 4,283,816 | $ 3,907,604 | $ 8,383,536 | $ 7,751,186
Salaries, wages and benefits |  | 2,014,951 | 1,856,372 | 3,966,055 | 3,698,996
Other segment item operating expenses |  | 1,162,566 | 1,043,116 | 2,268,318 | 2,075,286
Depreciation and amortization expense |  | 152,004 | 147,480 | 300,349 | 288,483
Other (income) expense, net |  | (8,479) | 5,493 | (14,138) | 5,343
Reportable segment income before income taxes |  | 473,385 | 382,006 | 893,813 | 718,092
Interest expense, net |  | 35,364 | 48,899 | 75,420 | 101,725
Operating Segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 4,281,110 | 3,904,718 | 8,377,988 | 7,745,866
Material Reconciling Items |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 2,706 | 2,886 | 5,548 | 5,320
Reportable segment income before income taxes |  | 623,932 | 572,200 | 1,222,148 | 1,097,606
Corporate Nonsegment |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 2,706 | 2,886 | 5,548 | 5,320
Other segment item operating expenses | [1] | 124,106 | 139,350 | 264,584 | 280,713
Other (income) expense, net |  | (6,726) | 6,825 | (3,293) | 6,717
Reportable segment income before income taxes |  | 473,385 | 382,006 | 893,813 | 718,092
Interest expense, net |  | 35,873 | 46,905 | 72,592 | 97,404
Acute Care Hospital Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 2,401,034 | 2,178,686 | 4,750,263 | 4,363,767
Acute Care Hospital Services | Operating Segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 2,401,034 | 2,178,686 | 4,750,263 | 4,363,767
Acute Care Hospital Services | Material Reconciling Items |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Salaries, wages and benefits |  | 937,105 | 859,147 | 1,847,829 | 1,720,694
Other segment item operating expenses | [2] | 1,142,344 | 1,011,953 | 2,231,416 | 2,037,773
Depreciation and amortization expense |  | 96,370 | 94,361 | 191,017 | 184,673
Interest (income) expense, net |  | (1,613) | 986 | 649 | 2,286
Other (income) expense, net |  | (916) | (461) | (9,183) | 173
Reportable segment income before income taxes |  | 227,744 | 212,700 | 488,535 | 418,168
Behavioral Health Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | 1,880,076 | 1,726,032 | 3,627,725 | 3,382,099
Behavioral Health Services | Operating Segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues | [3] | 1,880,076 | 1,726,032 | 3,627,725 | 3,382,099
Behavioral Health Services | Material Reconciling Items |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Salaries, wages and benefits | [3] | 977,156 | 895,494 | 1,905,322 | 1,767,690
Other segment item operating expenses | [2],[3] | 453,206 | 420,423 | 883,606 | 836,133
Depreciation and amortization expense | [3] | 53,259 | 50,478 | 104,667 | 98,350
Interest (income) expense, net | [3] | 1,104 | 1,008 | 2,179 | 2,035
Other (income) expense, net | [3] | (837) | (871) | (1,662) | (1,547)
Reportable segment income before income taxes | [3] | 396,188 | 359,500 | 733,613 | 679,438
Other |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net revenues |  | $ 2,706 | $ 2,886 | $ 5,548 | $ 5,320
[1] | Non-segment operating expenses for each period includes salaries, wages and benefits, other operating expenses, supplies expense and lease and rental expense.
[2] | Other segment operating expenses for each period includes other operating expenses, supplies expense and lease and rental expense.
[3] | Includes net revenues generated from our behavioral health care facilities located in the U.K. am ounting to approximately $247 million and $213 million for the three-month periods ended June 30, 2025 and 2024, respectively, and approximately $474 million and $421 million for the six-month periods ended June 30, 2025 and 2024, respectively.

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