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Accounts Receivable and Net Revenue - Schedule of Accounts Receivable, Net (Detail) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
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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Amount, before allowance for credit loss, of right to consideration from customer for product sold and service rendered in normal course of business, classified as current.

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