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Accounts Receivable and Net Revenue - Schedule of Accounts Receivable, Net (Detail) - USD ($) $ in Thousands | Dec. 31, 2019 | Dec. 31, 2018
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Receivables [Abstract] |  |
Gross accounts receivable | $ 1,943,664 | $ 1,993,395
Allowance for contractual adjustments and uncollectibles | (1,444,795) | (1,486,672)
Accounts receivable, net | $ 498,869 | $ 506,723

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