XML 44 R57.htm IDEA: XBRL DOCUMENT v3.19.3.a.u2
Revenue - Schedule of U.K. Revenue and Percentage Generated by Each Payor Type (Detail) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Health Care Organization, Receivable and Revenue Disclosures [Line Items]                      
Revenue before provision for doubtful accounts                 $ 3,107,462 $ 3,012,442 $ 2,877,234
Provision for doubtful accounts                     (40,918)
Revenue $ 780,232 $ 777,251 $ 789,362 $ 760,617 $ 743,547 $ 760,916 $ 765,738 $ 742,241 3,107,462 3,012,442 2,836,316
U.K. Facilities [Member]                      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]                      
Revenue before provision for doubtful accounts                 1,099,081 1,107,747 1,026,678
Provision for doubtful accounts                     (206)
Revenue                 $ 1,099,081 $ 1,107,747 $ 1,026,472
Revenue before provision for doubtful accounts, Percentage                 100.00% 100.00% 100.00%
U.K. Facilities [Member] | U.K. Public Funded Sources [Member]                      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]                      
Revenue before provision for doubtful accounts                 $ 991,353 $ 1,000,828 $ 922,159
Revenue before provision for doubtful accounts, Percentage                 90.20% 90.30% 89.80%
U.K. Facilities [Member] | Self-Pay [Member]                      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]                      
Revenue before provision for doubtful accounts                 $ 105,430 $ 104,824 $ 95,687
Revenue before provision for doubtful accounts, Percentage                 9.60% 9.50% 9.30%
U.K. Facilities [Member] | Other [Member]                      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]                      
Revenue before provision for doubtful accounts                 $ 2,298 $ 2,095 $ 8,832
Revenue before provision for doubtful accounts, Percentage                 0.20% 0.20% 0.90%