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Commitments and Contingencies - Schedule of Changes in General and Professional Liability and Workers Compensation Reserves (Detail) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Commitments and Contingencies Disclosure [Line Items] |  |  |
Beginning balance | $ 561,789 | $ 496,416 | $ 463,678
Plus: Accrued insurance expense, net of commercial premiums paid | 254,394 | 183,462 | 174,723
Less: Payments made in settlement of self-insured claims | (192,185) | (118,089) | (141,985)
Ending balance | 623,998 | 561,789 | 496,416
General and Professional Liability |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |
Beginning balance | 431,485 | 371,900 | 348,693
Plus: Accrued insurance expense, net of commercial premiums paid | 184,110 | 127,445 | 111,763
Less: Payments made in settlement of self-insured claims | (128,707) | (67,860) | (88,556)
Ending balance | 486,888 | 431,485 | 371,900
Workers’ Compensation |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |
Beginning balance | 130,304 | 124,516 | 114,985
Plus: Accrued insurance expense, net of commercial premiums paid | 70,284 | 56,017 | 62,960
Less: Payments made in settlement of self-insured claims | (63,478) | (50,229) | (53,429)
Ending balance | $ 137,110 | $ 130,304 | $ 124,516

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- Definition Payments made in settlement of self insured claims. + References No definition available. + Details
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- Definition The increase (decrease) during the period in the carrying amount of accrued known and estimated losses incurred for which no insurance coverage exists, and for which a claim has been made or is probable of being asserted, typically arising from workmen's' compensation-type of incidents and personal injury to nonemployees from accidents on the entity's property. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 230 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 28 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482740/230-10-45-28 + Details
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- Definition Carrying amount (including both current and noncurrent portions) of accrued known and estimated losses incurred as of the balance sheet date for which no insurance coverage exists, and for which a claim has been made or is probable of being asserted, typically arising from workmen's compensation-type of incidents and personal injury to nonemployees from accidents on the entity's property. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 210 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(24)) -Publisher FASB -URI https://asc.fasb.org/1943274/2147480566/210-10-S99-1 + Details
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