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Accounts Receivable and Net Revenue - Schedule of Accounts Receivable, Net (Detail) - USD ($)
$ in Thousands
Mar. 31, 2020
Dec. 31, 2019
Receivables [Abstract]    
Gross accounts receivable $ 1,840,118 $ 1,943,664
Allowance for contractual adjustments and uncollectibles (1,363,127) (1,444,795)
Accounts receivable, net $ 476,991 $ 498,869