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Accounts Receivable and Net Patient Service Revenue - Schedule of Net Patient Service Revenue (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 12 Months Ended
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Dec. 31, 2013 | Sep. 30, 2013 | Jun. 30, 2013 | Mar. 31, 2013 | Dec. 31, 2012 | Sep. 30, 2012 | Jun. 30, 2012 | Mar. 31, 2012 | Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2011
Receivables [Abstract] |  |  |  |  |  |  |  |  |  |  |
Gross patient service revenue |  |  |  |  |  |  |  |  | $ 6,702,484 | $ 5,691,790 | $ 4,851,500
Contractual adjustments and uncollectibles |  |  |  |  |  |  |  |  | (4,695,232) | (3,994,924) | (3,362,081)
Hospital contract administrative fees |  |  |  |  |  |  |  |  | 146,760 | 119,746 | 98,829
Net patient service revenue | $ 567,387 | $ 554,730 | $ 529,180 | $ 502,715 | $ 471,332 | $ 473,134 | $ 449,530 | $ 422,616 | $ 2,154,012 | $ 1,816,612 | $ 1,588,248

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- Definition Contractual adjustments and uncollectibles. + References No definition available. + Details
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- Definition Health care organization patient service revenue, gross. + References No definition available. + Details
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- Definition Hospital contract administrative fees. + References No definition available. + Details
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- Definition Amount of revenue recognized for providing services to patients, net of provisions for contractual allowances and discounts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=9156363&loc=d3e8184-115640 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=9156363&loc=SL9156442-115640 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 50 -Paragraph 4 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=25502053&loc=SL9156464-115641 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=9156363&loc=d3e8195-115640 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=9156363&loc=SL9156442-115640 + Details
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- Details
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