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Contingencies - Additional Information (Detail) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2024
Dec. 31, 2023
University of St. Augustine for Health Sciences, LLC [Member]    
Loss Contingencies [Line Items]    
Percentage of investment in equity affiliate 100.00%  
Minimum [Member] | University of St. Augustine for Health Sciences, LLC [Member]    
Loss Contingencies [Line Items]    
Expected payment for acquisition $ 142.0  
Maximum [Member] | University of St. Augustine for Health Sciences, LLC [Member]    
Loss Contingencies [Line Items]    
Expected payment for acquisition 144.0  
Other Accrued Expenses [Member]    
Loss Contingencies [Line Items]    
Accrual for legal fees $ 1.9 $ 2.4