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Other Receivables (Detail) - USD ($) $ in Thousands | Dec. 31, 2016 | Dec. 31, 2015
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Other Receivables, Net, Current [Abstract] |  |
Other receivables | $ 453,483 | $ 435,885
Supplier rebates and other non-trade receivables |  |
Other Receivables, Net, Current [Abstract] |  |
Other receivables | 347,123 | 316,644
Medicare bad debt claims |  |
Other Receivables, Net, Current [Abstract] |  |
Other receivables | 104,658 | 105,714
Operating advances under management and administrative services agreements |  |
Other Receivables, Net, Current [Abstract] |  |
Other receivables | $ 1,702 | $ 13,527

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