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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