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Financial Information for the Company and Its Subsidiaries - Summary of Condensed Consolidating Balance Sheets (Detail) - USD ($) $ in Thousands | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
--- | --- | --- | --- | ---
Current assets: |  |  |  |
Cash and cash equivalents | $ 124,192 | $ 50,510 |  |
Accounts receivable, net | 339,775 | 318,087 |  |
Other current assets | 78,244 | 81,820 |  |
Total current assets | 542,211 | 450,417 |  |
Property and equipment, net | 3,224,034 | 3,107,766 |  |
Goodwill | 2,449,131 | 2,396,412 | $ 2,751,174 |
Intangible assets, net | 90,357 | 88,990 |  |
Deferred tax assets – noncurrent | 3,339 | 3,468 |  |
Derivative instruments |  | 60,524 |  |
Operating lease right-of-use assets | 501,837 |  |  |
Other assets | 68,233 | 64,927 |  |
Total assets | 6,879,142 | 6,172,504 |  |
Current liabilities: |  |  |  |
Current portion of long-term debt | 43,679 | 34,112 |  |
Accounts payable | 127,045 | 117,740 |  |
Accrued salaries and benefits | 122,552 | 113,299 |  |
Current portion of operating lease liabilities | 29,140 |  |  |
Other accrued liabilities | 141,160 | 151,226 |  |
Total current liabilities | 463,576 | 416,377 |  |
Long-term debt | 3,105,420 | 3,159,375 |  |
Deferred tax liabilities – noncurrent | 71,860 | 80,372 |  |
Operating lease liabilities | 502,252 |  |  |
Derivative instrument liabilities | 68,915 |  |  |
Other liabilities | 128,587 | 154,267 |  |
Total liabilities | 4,340,610 | 3,810,391 |  |
Redeemable noncontrolling interests | 33,151 | 28,806 | 22,417 |
Total equity | 2,505,381 | 2,333,307 | $ 2,572,871 | $ 2,167,724
Total liabilities and equity | 6,879,142 | 6,172,504 |  |
Parent [Member] |  |  |  |
Current assets: |  |  |  |
Deferred tax assets – noncurrent | 1,403 | 1,841 |  |
Derivative instruments |  | 60,524 |  |
Investment in subsidiaries | 5,521,340 | 5,190,771 |  |
Other assets | 233,975 | 306,495 |  |
Total assets | 5,756,718 | 5,559,631 |  |
Current liabilities: |  |  |  |
Current portion of long-term debt | 43,679 | 34,112 |  |
Other accrued liabilities | 33,323 | 32,837 |  |
Total current liabilities | 77,002 | 66,949 |  |
Long-term debt | 3,105,420 | 3,159,375 |  |
Derivative instrument liabilities | 68,915 |  |  |
Total liabilities | 3,251,337 | 3,226,324 |  |
Total equity | 2,505,381 | 2,333,307 |  |
Total liabilities and equity | 5,756,718 | 5,559,631 |  |
Combined Subsidiary Guarantors [Member] |  |  |  |
Current assets: |  |  |  |
Cash and cash equivalents | 98,943 | 32,471 |  |
Accounts receivable, net | 266,864 | 248,218 |  |
Other current assets | 61,508 | 60,160 |  |
Total current assets | 427,315 | 340,849 |  |
Property and equipment, net | 1,313,830 | 1,219,803 |  |
Goodwill | 1,992,344 | 1,936,057 |  |
Intangible assets, net | 58,291 | 56,611 |  |
Operating lease right-of-use assets | 97,396 |  |  |
Other assets | 48,949 | 52,824 |  |
Total assets | 3,938,125 | 3,606,144 |  |
Current liabilities: |  |  |  |
Accounts payable | 87,165 | 79,463 |  |
Accrued salaries and benefits | 89,483 | 84,150 |  |
Current portion of operating lease liabilities | 17,967 |  |  |
Other accrued liabilities | 22,672 | 42,062 |  |
Total current liabilities | 217,287 | 205,675 |  |
Deferred tax liabilities – noncurrent | 21,858 | 31,874 |  |
Operating lease liabilities | 85,365 |  |  |
Other liabilities | 110,445 | 107,866 |  |
Total liabilities | 434,955 | 345,415 |  |
Total equity | 3,503,170 | 3,260,729 |  |
Total liabilities and equity | 3,938,125 | 3,606,144 |  |
Combined Non-Guarantors [Member] |  |  |  |
Current assets: |  |  |  |
Cash and cash equivalents | 25,249 | 18,039 |  |
Accounts receivable, net | 72,911 | 69,869 |  |
Other current assets | 16,736 | 21,660 |  |
Total current assets | 114,896 | 109,568 |  |
Property and equipment, net | 1,910,204 | 1,887,963 |  |
Goodwill | 456,787 | 460,355 |  |
Intangible assets, net | 32,066 | 32,379 |  |
Deferred tax assets – noncurrent | 3,339 | 3,468 |  |
Operating lease right-of-use assets | 404,441 |  |  |
Other assets | 13,127 | 9,548 |  |
Total assets | 2,934,860 | 2,503,281 |  |
Current liabilities: |  |  |  |
Accounts payable | 39,880 | 38,277 |  |
Accrued salaries and benefits | 33,069 | 29,149 |  |
Current portion of operating lease liabilities | 11,173 |  |  |
Other accrued liabilities | 85,165 | 76,327 |  |
Total current liabilities | 169,287 | 143,753 |  |
Long-term debt | 227,818 | 303,940 |  |
Deferred tax liabilities – noncurrent | 51,405 | 50,339 |  |
Operating lease liabilities | 416,887 |  |  |
Other liabilities | 18,142 | 46,401 |  |
Total liabilities | 883,539 | 544,433 |  |
Redeemable noncontrolling interests | 33,151 | 28,806 |  |
Total equity | 2,018,170 | 1,930,042 |  |
Total liabilities and equity | 2,934,860 | 2,503,281 |  |
Consolidating Adjustments [Member] |  |  |  |
Current assets: |  |  |  |
Deferred tax assets – noncurrent | (1,403) | (1,841) |  |
Investment in subsidiaries | (5,521,340) | (5,190,771) |  |
Other assets | (227,818) | (303,940) |  |
Total assets | (5,750,561) | (5,496,552) |  |
Current liabilities: |  |  |  |
Long-term debt | (227,818) | (303,940) |  |
Deferred tax liabilities – noncurrent | (1,403) | (1,841) |  |
Total liabilities | (229,221) | (305,781) |  |
Total equity | (5,521,340) | (5,190,771) |  |
Total liabilities and equity | $ (5,750,561) | $ (5,496,552) |  |

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