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Accounts Receivable and Net Revenue - Schedule of Net Revenue (Detail) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
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Dec. 31, 2016 | Sep. 30, 2016 | Jun. 30, 2016 | Mar. 31, 2016 | Dec. 31, 2015 | Sep. 30, 2015 | Jun. 30, 2015 | Mar. 31, 2015 | Dec. 31, 2016 | Dec. 31, 2015 | Dec. 31, 2014
Receivables [Abstract] |  |  |  |  |  |  |  |  |  |  |
Gross revenue |  |  |  |  |  |  |  |  | $ 10,374,813 | $ 8,942,957 | $ 7,662,556
Contractual adjustments and uncollectibles |  |  |  |  |  |  |  |  | (7,464,030) | (6,389,195) | (5,403,437)
Hospital contract administrative fees |  |  |  |  |  |  |  |  | 272,376 | 226,234 | 179,794
Net revenue | $ 830,770 | $ 828,006 | $ 771,759 | $ 752,624 | $ 741,740 | $ 722,273 | $ 676,588 | $ 639,395 | $ 3,183,159 | $ 2,779,996 | $ 2,438,913

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- Definition Contractual adjustments and uncollectibles. + References No definition available. + Details
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Balance Type: | debit
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- Definition Health organization revenue gross. + References No definition available. + Details
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- Definition Hospital contract administrative fees. + References No definition available. + Details
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- Definition Amount of revenues recognized by the entity from providing services to in-patients, outpatients, residents in facilities owned or operated by the entity, from insurance premiums, or from goods provided or services performed. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688 + Details
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- References No definition available. + Details
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