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Revenue - Schedule of U.S. Revenue and Percentage Generated by Each Payor Type (Detail) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Health Care Organization, Receivable and Revenue Disclosures [Line Items]        
Revenue $ 750,311 $ 789,362 $ 1,533,121 $ 1,549,979
U.S. Facilities [Member]        
Health Care Organization, Receivable and Revenue Disclosures [Line Items]        
Revenue $ 491,475 $ 509,813 $ 1,000,692 $ 997,773
Revenue, Percentage 100.00% 100.00% 100.00% 100.00%
U.S. Facilities [Member] | Commercial [Member]        
Health Care Organization, Receivable and Revenue Disclosures [Line Items]        
Revenue $ 140,028 $ 146,917 $ 283,170 $ 286,344
Revenue, Percentage 28.50% 28.80% 28.30% 28.70%
U.S. Facilities [Member] | Medicare [Member]        
Health Care Organization, Receivable and Revenue Disclosures [Line Items]        
Revenue $ 75,914 $ 73,505 $ 148,185 $ 146,121
Revenue, Percentage 15.40% 14.40% 14.80% 14.60%
U.S. Facilities [Member] | Medicaid [Member]        
Health Care Organization, Receivable and Revenue Disclosures [Line Items]        
Revenue $ 245,690 $ 255,070 $ 505,734 $ 494,261
Revenue, Percentage 50.00% 50.00% 50.50% 49.50%
U.S. Facilities [Member] | Self-Pay [Member]        
Health Care Organization, Receivable and Revenue Disclosures [Line Items]        
Revenue $ 22,476 $ 29,624 $ 49,510 $ 61,356
Revenue, Percentage 4.60% 5.80% 5.00% 6.20%
U.S. Facilities [Member] | Other [Member]        
Health Care Organization, Receivable and Revenue Disclosures [Line Items]        
Revenue $ 7,367 $ 4,697 $ 14,093 $ 9,691
Revenue, Percentage 1.50% 1.00% 1.40% 1.00%