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Financial Information for the Company and Its Subsidiaries - Summary of Condensed Consolidating Balance Sheets (Detail) - USD ($) $ in Thousands | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2017
--- | --- | --- | --- | --- | --- | --- | --- | ---
Current assets: |  |  |  |  |  |  |  |
Cash and cash equivalents | $ 92,900 |  |  | $ 50,510 |  |  |  |
Accounts receivable, net | 350,225 |  |  | 318,087 |  |  |  |
Other current assets | 93,788 |  |  | 81,820 |  |  |  |
Total current assets | 536,913 |  |  | 450,417 |  |  |  |
Property and equipment, net | 3,131,419 |  |  | 3,107,766 |  |  |  |
Goodwill | 2,424,241 |  |  | 2,396,412 |  |  |  |
Intangible assets, net | 89,028 |  |  | 88,990 |  |  |  |
Deferred tax assets | 3,371 |  |  | 3,468 |  |  |  |
Derivative instrument assets |  |  |  | 60,524 |  |  |  |
Operating lease right-of-use assets | 479,881 |  |  |  |  |  |  |
Other assets | 63,272 |  |  | 64,927 |  |  |  |
Total assets | 6,728,125 |  |  | 6,172,504 |  |  |  |
Current liabilities: |  |  |  |  |  |  |  |
Current portion of long-term debt | 41,287 |  |  | 34,112 |  |  |  |
Accounts payable | 131,472 |  |  | 117,740 |  |  |  |
Accrued salaries and benefits | 117,683 |  |  | 113,299 |  |  |  |
Current portion of operating lease liabilities | 28,010 |  |  |  |  |  |  |
Other accrued liabilities | 139,754 |  |  | 151,226 |  |  |  |
Total current liabilities | 458,206 |  |  | 416,377 |  |  |  |
Long-term debt | 3,133,635 |  |  | 3,159,375 |  |  |  |
Deferred tax liabilities | 63,154 |  |  | 80,372 |  |  |  |
Operating lease liabilities | 478,894 |  |  |  |  |  |  |
Derivative instrument liabilities | 15,896 |  |  |  |  |  |  |
Other liabilities | 125,285 |  |  | 154,267 |  |  |  |
Total liabilities | 4,275,070 |  |  | 3,810,391 |  |  |  |
Redeemable noncontrolling interests | 32,364 |  |  | 28,806 |  |  |  |
Total equity | 2,420,691 | $ 2,422,346 | $ 2,403,343 | 2,333,307 | $ 2,680,249 | $ 2,653,301 | $ 2,701,619 | $ 2,572,871
Total liabilities and equity | 6,728,125 |  |  | 6,172,504 |  |  |  |
Consolidating Adjustments [Member] |  |  |  |  |  |  |  |
Current assets: |  |  |  |  |  |  |  |
Deferred tax assets | (1,999) |  |  | (1,841) |  |  |  |
Investment in subsidiaries | (5,369,355) |  |  | (5,190,771) |  |  |  |
Other assets | (248,269) |  |  | (303,940) |  |  |  |
Total assets | (5,619,623) |  |  | (5,496,552) |  |  |  |
Current liabilities: |  |  |  |  |  |  |  |
Long-term debt | (248,269) |  |  | (303,940) |  |  |  |
Deferred tax liabilities | (1,999) |  |  | (1,841) |  |  |  |
Total liabilities | (250,268) |  |  | (305,781) |  |  |  |
Total equity | (5,369,355) |  |  | (5,190,771) |  |  |  |
Total liabilities and equity | (5,619,623) |  |  | (5,496,552) |  |  |  |
Parent [Member] |  |  |  |  |  |  |  |
Current assets: |  |  |  |  |  |  |  |
Deferred tax assets | 1,999 |  |  | 1,841 |  |  |  |
Derivative instrument assets |  |  |  | 60,524 |  |  |  |
Investment in subsidiaries | 5,369,355 |  |  | 5,190,771 |  |  |  |
Other assets | 251,289 |  |  | 306,495 |  |  |  |
Total assets | 5,622,643 |  |  | 5,559,631 |  |  |  |
Current liabilities: |  |  |  |  |  |  |  |
Current portion of long-term debt | 41,287 |  |  | 34,112 |  |  |  |
Other accrued liabilities | 11,134 |  |  | 32,837 |  |  |  |
Total current liabilities | 52,421 |  |  | 66,949 |  |  |  |
Long-term debt | 3,133,635 |  |  | 3,159,375 |  |  |  |
Derivative instrument liabilities | 15,896 |  |  |  |  |  |  |
Total liabilities | 3,201,952 |  |  | 3,226,324 |  |  |  |
Total equity | 2,420,691 |  |  | 2,333,307 |  |  |  |
Total liabilities and equity | 5,622,643 |  |  | 5,559,631 |  |  |  |
Combined Subsidiary Guarantors [Member] |  |  |  |  |  |  |  |
Current assets: |  |  |  |  |  |  |  |
Cash and cash equivalents | 63,066 |  |  | 32,471 |  |  |  |
Accounts receivable, net | 282,407 |  |  | 248,218 |  |  |  |
Other current assets | 78,992 |  |  | 60,160 |  |  |  |
Total current assets | 424,465 |  |  | 340,849 |  |  |  |
Property and equipment, net | 1,313,560 |  |  | 1,219,803 |  |  |  |
Goodwill | 1,991,944 |  |  | 1,936,057 |  |  |  |
Intangible assets, net | 58,410 |  |  | 56,611 |  |  |  |
Operating lease right-of-use assets | 99,517 |  |  |  |  |  |  |
Other assets | 55,571 |  |  | 52,824 |  |  |  |
Total assets | 3,943,467 |  |  | 3,606,144 |  |  |  |
Current liabilities: |  |  |  |  |  |  |  |
Accounts payable | 93,817 |  |  | 79,463 |  |  |  |
Accrued salaries and benefits | 87,206 |  |  | 84,150 |  |  |  |
Current portion of operating lease liabilities | 17,595 |  |  |  |  |  |  |
Other accrued liabilities | 48,150 |  |  | 42,062 |  |  |  |
Total current liabilities | 246,768 |  |  | 205,675 |  |  |  |
Deferred tax liabilities | 17,419 |  |  | 31,874 |  |  |  |
Operating lease liabilities | 87,700 |  |  |  |  |  |  |
Other liabilities | 110,037 |  |  | 107,866 |  |  |  |
Total liabilities | 461,924 |  |  | 345,415 |  |  |  |
Total equity | 3,481,543 |  |  | 3,260,729 |  |  |  |
Total liabilities and equity | 3,943,467 |  |  | 3,606,144 |  |  |  |
Combined Non-Guarantors [Member] |  |  |  |  |  |  |  |
Current assets: |  |  |  |  |  |  |  |
Cash and cash equivalents | 29,834 |  |  | 18,039 |  |  |  |
Accounts receivable, net | 67,818 |  |  | 69,869 |  |  |  |
Other current assets | 14,796 |  |  | 21,660 |  |  |  |
Total current assets | 112,448 |  |  | 109,568 |  |  |  |
Property and equipment, net | 1,817,859 |  |  | 1,887,963 |  |  |  |
Goodwill | 432,297 |  |  | 460,355 |  |  |  |
Intangible assets, net | 30,618 |  |  | 32,379 |  |  |  |
Deferred tax assets | 3,371 |  |  | 3,468 |  |  |  |
Operating lease right-of-use assets | 380,364 |  |  |  |  |  |  |
Other assets | 4,681 |  |  | 9,548 |  |  |  |
Total assets | 2,781,638 |  |  | 2,503,281 |  |  |  |
Current liabilities: |  |  |  |  |  |  |  |
Accounts payable | 37,655 |  |  | 38,277 |  |  |  |
Accrued salaries and benefits | 30,477 |  |  | 29,149 |  |  |  |
Current portion of operating lease liabilities | 10,415 |  |  |  |  |  |  |
Other accrued liabilities | 80,470 |  |  | 76,327 |  |  |  |
Total current liabilities | 159,017 |  |  | 143,753 |  |  |  |
Long-term debt | 248,269 |  |  | 303,940 |  |  |  |
Deferred tax liabilities | 47,734 |  |  | 50,339 |  |  |  |
Operating lease liabilities | 391,194 |  |  |  |  |  |  |
Other liabilities | 15,248 |  |  | 46,401 |  |  |  |
Total liabilities | 861,462 |  |  | 544,433 |  |  |  |
Redeemable noncontrolling interests | 32,364 |  |  | 28,806 |  |  |  |
Total equity | 1,887,812 |  |  | 1,930,042 |  |  |  |
Total liabilities and equity | $ 2,781,638 |  |  | $ 2,503,281 |  |  |  |

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