Commitments and Contingencies - Additional Information (Detail) $ / shares in Units, £ in Millions |
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1 Months Ended |
3 Months Ended |
6 Months Ended |
12 Months Ended |
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Jan. 01, 2026
GBP (£)
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Sep. 26, 2025
USD ($)
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Sep. 27, 2024
USD ($)
Plaintiffs
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Apr. 30, 2026
Bed
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Jun. 30, 2026
USD ($)
Professional
$ / shares
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Jun. 30, 2025
USD ($)
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Jun. 30, 2026
USD ($)
Professional
$ / shares
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Jun. 30, 2025
USD ($)
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Dec. 31, 2025
USD ($)
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Jun. 30, 2026
GBP (£)
Professional
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Dec. 31, 2024
USD ($)
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Dec. 31, 2023
USD ($)
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Dec. 31, 2022
USD ($)
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Dec. 31, 2021
USD ($)
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Dec. 31, 2020
USD ($)
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Dec. 31, 2019
USD ($)
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Dec. 31, 2018
USD ($)
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Dec. 31, 2017
USD ($)
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Dec. 31, 2016
USD ($)
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Dec. 31, 2014
USD ($)
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| Commitments and Contingencies Disclosure [Line Items] |
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| Purchased several excess policies through commercial reinsurance carriers per occurrence excess claim amount |
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$ 35,000,000
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$ 35,000,000
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| Self-insured for professional and general liability, current |
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150,000,000
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150,000,000
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$ 125,000,000
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| Compensation liability claims |
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160,000,000
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160,000,000
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152,000,000
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| Compensation and related benefits |
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70,000,000
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70,000,000
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64,000,000
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| Maximum insurance deductible |
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5,000,000
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5,000,000
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| Property insurance | £ |
£ 2,700
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| Property insurance per occurrence | £ |
£ 150
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| Acquisition, cash paid |
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5,000,000
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$ 8,000,000
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| Self insurance reserve amount exhausted |
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5,000,000
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5,000,000
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| Purchased several excess policies through commercial reinsurance amount exhausted |
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35,000,000
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35,000,000
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| Income before income taxes |
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$ 479,126,000
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$ 473,385,000
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$ 948,242,000
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$ 893,813,000
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| District Facilities |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Lease initial terms |
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75 years
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75 years
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75 years
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| Committment to expend |
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$ 23,000,000
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| Projected commitment expend period |
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12 years
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| Cumberland Hospital for Children and Adolescents |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Number of plaintiffs | Plaintiffs |
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43
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| Aggregate insurance coverage |
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$ 143,000,000
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$ 143,000,000
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| Self-insured retention amounts |
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10,000,000
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$ 10,000,000
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| Cumberland Hospital for Children and Adolescents | Compensatory Damages |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Damages awarded |
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$ 60,000,000
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| Cumberland Hospital for Children and Adolescents | Trebled Damages |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Damages awarded |
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180,000,000
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| Cumberland Hospital for Children and Adolescents | Punitive Damages |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Damages awarded |
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120,000,000
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| Punitive damage amount, per plaintiff |
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$ 350,000
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| Cumberland Hospital for Children and Adolescents | Compensatory Damages, Trebled Damages And Punitive Damages |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Number of plaintiffs | Plaintiffs |
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3
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| Pinnacle Medical Group |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Legal reserve |
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$ 18,000,000
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| Pinnacle Medical Group | Compensatory Damages |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Damages awarded |
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$ 4,700,000
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| Pinnacle Medical Group | Punitive Damages |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Damages awarded |
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500,000,000
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| Pinnacle Medical Group | UHS of Delaware, Inc. |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Non-controlling ownership interests |
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50.00%
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50.00%
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50.00%
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| San Antonio, Texas | Laurel Ridge Treatment Center |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Income before income taxes |
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23,000,000
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| Number of bed available in behavioral health care facility | Bed |
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330
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| Springville | Provo Canyon School |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Income before income taxes |
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2,000,000
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| Wind Storms |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Commercial property insurance policies covering catastrophic losses |
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$ 250,000,000
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$ 250,000,000
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| Wind Storms | PUERTO RICO |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Commercial property insurance policies covering catastrophic losses |
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100,000,000
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100,000,000
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| Earthquake Wind Hail and Flood |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Maximum insurance deductible |
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5,000,000
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5,000,000
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| All Other Events |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Maximum insurance deductible |
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$ 5,000,000
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$ 5,000,000
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| Talkspace, Inc |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Acquisition, price per share | $ / shares |
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$ 5.25
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$ 5.25
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| Acquisition, cash paid |
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$ 835
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| Number of licensed professionals | Professional |
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6,000
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6,000
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6,000
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| Maximum |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Self-insured for professional and general liability |
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$ 5,000,000
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$ 5,000,000
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| Purchased several excess policies through commercial insurance carriers per occurrence |
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25,000,000
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25,000,000
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| Commercial property insurance policies covering catastrophic losses |
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$ 1,000,000,000
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$ 1,000,000,000
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| Lease initial terms |
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10 years
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10 years
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10 years
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| Maximum | Cumberland Hospital for Children and Adolescents | Punitive Damages |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Damages awarded |
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$ 1,050,000.00
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| Maximum | Pinnacle Medical Group | Punitive Damages |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Damages awarded |
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$ 14,000,000
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| Maximum | Wind Storms |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Percentage of insurance deductible |
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5.00%
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5.00%
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5.00%
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| Maximum | Earthquake | CALIFORNIA |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Commercial property insurance policies covering catastrophic losses |
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$ 150,000,000
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$ 150,000,000
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| Maximum | Earthquake | SOUTH CAROLINA |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Commercial property insurance policies covering catastrophic losses |
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100,000,000
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100,000,000
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| Maximum | Earthquake | PUERTO RICO |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Commercial property insurance policies covering catastrophic losses |
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40,000,000
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40,000,000
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| Maximum | Earthquake | OTHER STATES |
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| Commitments and Contingencies Disclosure [Line Items] |
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| Commercial property insurance policies covering catastrophic losses |
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250,000,000
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250,000,000
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| Maximum | Flood |
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| Commitments and Contingencies Disclosure [Line Items] |
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|
|
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|
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|
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|
|
|
|
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|
| Commercial property insurance policies covering catastrophic losses |
|
|
|
|
100,000,000
|
|
100,000,000
|
|
|
|
|
|
|
|
|
|
|
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|
|
| Maximum | Flood | PUERTO RICO |
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| Commitments and Contingencies Disclosure [Line Items] |
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|
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|
|
|
|
|
|
|
|
|
|
|
|
| Commercial property insurance policies covering catastrophic losses |
|
|
|
|
1,000,000
|
|
1,000,000
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Maximum | Flood | Texas |
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| Commitments and Contingencies Disclosure [Line Items] |
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|
|
|
|
|
|
|
|
|
|
|
|
|
| Commercial property insurance policies covering catastrophic losses |
|
|
|
|
$ 10,000,000
|
|
$ 10,000,000
|
|
|
|
|
|
|
|
|
|
|
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|
| Minimum |
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| Commitments and Contingencies Disclosure [Line Items] |
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|
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| Lease initial terms |
|
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|
5 years
|
|
5 years
|
|
|
5 years
|
|
|
|
|
|
|
|
|
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|
| Loss on business interruption insurance recovery |
|
|
|
|
|
|
$ 10,000,000
|
|
|
|
|
|
|
|
|
|
|
|
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|
| Minimum | District Facilities |
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| Commitments and Contingencies Disclosure [Line Items] |
|
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|
|
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|
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|
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| Committment to expend |
|
|
|
|
|
|
$ 75,000,000
|
|
|
|
|
|
|
|
|
|
|
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|
|
| Minimum | Wind Storms |
|
|
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| Commitments and Contingencies Disclosure [Line Items] |
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|
|
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|
|
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| Percentage of insurance deductible |
|
|
|
|
3.00%
|
|
3.00%
|
|
|
3.00%
|
|
|
|
|
|
|
|
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|
| Professional Liability | Cumberland Hospital for Children and Adolescents |
|
|
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| Commitments and Contingencies Disclosure [Line Items] |
|
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|
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|
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| Self-insured retention amounts |
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|
$ 25,000,000
|
|
$ 25,000,000
|
|
|
|
|
|
|
|
|
|
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|
| General Liability | Cumberland Hospital for Children and Adolescents |
|
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| Commitments and Contingencies Disclosure [Line Items] |
|
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|
|
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|
|
|
|
|
|
|
|
|
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|
| Self-insured retention amounts |
|
|
|
|
3,000,000
|
|
3,000,000
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| General And Professional Liability Insurance Policies |
|
|
|
|
|
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| Commitments and Contingencies Disclosure [Line Items] |
|
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|
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|
|
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|
|
|
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|
| Self-insured for professional and general liability |
|
|
|
|
28,000,000
|
|
28,000,000
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| General and Professional Liability |
|
|
|
|
|
|
|
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|
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|
| Commitments and Contingencies Disclosure [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Self-insured for professional and general liability |
|
|
|
|
499,000,000
|
|
499,000,000
|
|
449,000,000
|
|
|
|
|
|
|
|
|
|
|
|
| Subsidiaries | Professional Liability | Cygnet Health Care Limited |
|
|
|
|
|
|
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|
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|
| Commitments and Contingencies Disclosure [Line Items] |
|
|
|
|
|
|
|
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|
|
|
|
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|
| Self-insured for professional and general liability | £ |
|
|
|
|
|
|
|
|
|
£ 20
|
|
|
|
|
|
|
|
|
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|
| Subsidiaries | Professional Liability | Maximum |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
| Commitments and Contingencies Disclosure [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Self-insured for professional and general liability |
|
|
|
|
|
|
|
|
20,000,000
|
|
$ 20,000,000
|
$ 20,000,000
|
$ 20,000,000
|
$ 20,000,000
|
$ 10,000,000
|
$ 5,000,000
|
$ 5,000,000
|
$ 5,000,000
|
$ 10,000,000
|
|
| Subsidiaries | General Liability | Cygnet Health Care Limited |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Commitments and Contingencies Disclosure [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Self-insured for professional and general liability | £ |
|
|
|
|
|
|
|
|
|
£ 25
|
|
|
|
|
|
|
|
|
|
|
| Subsidiaries | General Liability | Maximum |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Commitments and Contingencies Disclosure [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Self-insured for professional and general liability |
|
|
|
|
|
|
|
|
3,000,000
|
|
3,000,000
|
3,000,000
|
3,000,000
|
3,000,000
|
$ 3,000,000
|
$ 3,000,000
|
$ 3,000,000
|
$ 3,000,000
|
$ 3,000,000
|
|
| Subsidiaries | General And Professional Liability Insurance Policies | Maximum |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Commitments and Contingencies Disclosure [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Purchased several excess policies through commercial insurance carriers per occurrence |
|
|
|
|
$ 120,000,000
|
|
$ 120,000,000
|
|
$ 110,000,000
|
|
$ 175,000,000
|
$ 165,000,000
|
$ 162,000,000
|
$ 155,000,000
|
|
|
|
|
|
$ 250,000,000
|