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Revenue - Schedule of Revenue and Percentage Generated by Each Payor Type (Detail) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 2,928,738 $ 2,610,399 $ 2,314,394
U.S. Facilities [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 2,928,738 $ 2,610,399 $ 2,314,394
Revenue, Percentage 100.00% 100.00% 100.00%
U.S. Facilities [Member] | Commercial [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 820,701 $ 788,895 $ 684,292
Revenue, Percentage 28.00% 30.20% 29.60%
U.S. Facilities [Member] | Medicare [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 441,761 $ 394,227 $ 364,598
Revenue, Percentage 15.10% 15.10% 15.80%
U.S. Facilities [Member] | Medicaid [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 1,578,518 $ 1,319,600 $ 1,147,884
Revenue, Percentage 53.90% 50.60% 49.60%
U.S. Facilities [Member] | Self-Pay [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 67,583 $ 76,050 $ 93,425
Revenue, Percentage 2.30% 2.90% 4.00%
U.S. Facilities [Member] | Other [Member]      
Health Care Organization, Receivable and Revenue Disclosures [Line Items]      
Revenue $ 20,175 $ 31,627 $ 24,195
Revenue, Percentage 0.70% 1.20% 1.00%