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Revenue - Schedule of Revenue and Percentage Generated by Each Payor Type in U.S Facilities (Detail) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 2,610,399 $ 2,314,394 $ 2,089,929
U.S. Facilities [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 2,610,399 $ 2,314,394 $ 2,089,929
Revenue, Percentage 100.00% 100.00% 100.00%
U.S. Facilities [Member] | Commercial [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 788,895 $ 684,292 $ 596,698
Revenue, Percentage 30.20% 29.60% 28.50%
U.S. Facilities [Member] | Medicare [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 394,227 $ 364,598 $ 330,070
Revenue, Percentage 15.10% 15.80% 15.80%
U.S. Facilities [Member] | Medicaid [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 1,319,600 $ 1,147,884 $ 1,037,852
Revenue, Percentage 50.60% 49.60% 49.70%
U.S. Facilities [Member] | Self-Pay [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 76,050 $ 93,425 $ 98,302
Revenue, Percentage 2.90% 4.00% 4.70%
U.S. Facilities [Member] | Other [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 31,627 $ 24,195 $ 27,007
Revenue, Percentage 1.20% 1.00% 1.30%