v3.26.1
Schedule of Disaggregates Revenue by Major Source (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Disaggregation Of Revenue [Line Items]        
Net revenues $ 4,638,012 $ 4,283,816 $ 9,133,194 $ 8,383,536
Percentage of Net Revenue 100.00% 100.00% 100.00% 100.00%
Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 478,705 $ 449,247 $ 960,382 $ 917,286
Percentage of Net Revenue 10.00% 10.00% 11.00% 11.00%
Managed Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 548,673 $ 519,172 $ 1,098,773 $ 1,039,471
Percentage of Net Revenue 12.00% 12.00% 12.00% 12.00%
Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 820,202 $ 644,121 $ 1,530,102 $ 1,171,029
Percentage of Net Revenue 18.00% 15.00% 17.00% 14.00%
Managed Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 653,738 $ 619,608 $ 1,300,340 $ 1,222,437
Percentage of Net Revenue 14.00% 14.00% 14.00% 15.00%
Managed Care (HMO and PPOs)        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 1,202,141 $ 1,227,853 $ 2,402,639 $ 2,412,654
Percentage of Net Revenue 26.00% 29.00% 26.00% 29.00%
UK Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 269,204 $ 246,906 $ 530,416 $ 473,974
Percentage of Net Revenue 6.00% 6.00% 6.00% 6.00%
Other Patient Revenue and Adjustments, Net        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 310,708 $ 310,061 $ 640,052 $ 620,134
Percentage of Net Revenue 7.00% 7.00% 7.00% 7.00%
Other Non-patient Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 354,641 $ 266,848 $ 670,490 $ 526,551
Percentage of Net Revenue 8.00% 6.00% 7.00% 6.00%
Acute Care Hospital Services        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 2,609,999 $ 2,403,837 $ 5,220,135 $ 4,761,651
Percentage of Net Revenue 100.00% 100.00% 100.00% 100.00%
Acute Care Hospital Services | Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 396,244 $ 375,700 $ 796,747 $ 767,793
Percentage of Net Revenue 15.00% 16.00% 15.00% 16.00%
Acute Care Hospital Services | Managed Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 435,547 $ 412,640 $ 883,546 $ 833,774
Percentage of Net Revenue 17.00% 17.00% 17.00% 18.00%
Acute Care Hospital Services | Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 351,396 $ 281,747 $ 721,693 $ 534,512
Percentage of Net Revenue 13.00% 12.00% 14.00% 11.00%
Acute Care Hospital Services | Managed Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 168,779 $ 171,221 $ 340,604 $ 332,940
Percentage of Net Revenue 6.00% 7.00% 7.00% 7.00%
Acute Care Hospital Services | Managed Care (HMO and PPOs)        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 805,509 $ 811,048 $ 1,598,935 $ 1,592,634
Percentage of Net Revenue 31.00% 34.00% 31.00% 33.00%
Acute Care Hospital Services | UK Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 0 $ 0 $ 0 $ 0
Percentage of Net Revenue 0.00% 0.00% 0.00% 0.00%
Acute Care Hospital Services | Other Patient Revenue and Adjustments, Net        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 159,375 $ 147,136 $ 329,615 $ 296,500
Percentage of Net Revenue 6.00% 6.00% 6.00% 6.00%
Acute Care Hospital Services | Other Non-patient Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 293,149 $ 204,345 $ 548,995 $ 403,498
Percentage of Net Revenue 11.00% 9.00% 11.00% 8.00%
Behavioral Health Services        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 2,025,065 $ 1,877,273 $ 3,907,217 $ 3,616,337
Percentage of Net Revenue 100.00% 100.00% 100.00% 100.00%
Behavioral Health Services | Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 82,461 $ 73,547 $ 163,635 $ 149,493
Percentage of Net Revenue 4.00% 4.00% 4.00% 4.00%
Behavioral Health Services | Managed Medicare        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 113,126 $ 106,532 $ 215,227 $ 205,697
Percentage of Net Revenue 6.00% 6.00% 6.00% 6.00%
Behavioral Health Services | Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 468,806 $ 362,374 $ 808,409 $ 636,517
Percentage of Net Revenue 23.00% 19.00% 21.00% 18.00%
Behavioral Health Services | Managed Medicaid        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 484,959 $ 448,387 $ 959,736 $ 889,497
Percentage of Net Revenue 24.00% 24.00% 25.00% 25.00%
Behavioral Health Services | Managed Care (HMO and PPOs)        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 396,632 $ 416,805 $ 803,704 $ 820,020
Percentage of Net Revenue 20.00% 22.00% 21.00% 23.00%
Behavioral Health Services | UK Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 269,204 $ 246,906 $ 530,416 $ 473,974
Percentage of Net Revenue 13.00% 13.00% 14.00% 13.00%
Behavioral Health Services | Other Patient Revenue and Adjustments, Net        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 151,333 $ 162,925 $ 310,437 $ 323,634
Percentage of Net Revenue 7.00% 9.00% 8.00% 9.00%
Behavioral Health Services | Other Non-patient Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 58,544 $ 59,797 $ 115,653 $ 117,505
Percentage of Net Revenue 3.00% 3.00% 3.00% 3.00%
Other        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 2,948 $ 2,706 $ 5,842 $ 5,548
Other | Other Non-patient Revenue        
Disaggregation Of Revenue [Line Items]        
Net revenues $ 2,948 $ 2,706 $ 5,842 $ 5,548