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Accounts Receivable and Net Revenue - Schedule of Net Revenue (Detail) - USD ($) $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Disaggregation of Revenue [Abstract]
Net revenue	$ 905,375	$ 888,675	$ 868,309	$ 851,183	$ 888,436	$ 848,759	$ 864,987	$ 852,628	$ 3,513,542	$ 3,454,810	$ 3,253,391
Net patient service revenue [Member]
Disaggregation of Revenue [Abstract]
Net revenue									3,091,987	3,067,784	2,915,648
Hospital contract administrative fees [Member]
Disaggregation of Revenue [Abstract]
Net revenue									396,814	363,368	315,778
Other revenue [Member]
Disaggregation of Revenue [Abstract]
Net revenue									$ 24,741	$ 23,658	$ 21,965

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Amount, including tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value-added and excise.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=118956577&loc=SL49130545-203045

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 4
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=118956577&loc=SL49130543-203045

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