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Accounts Receivable and Net Revenue - Schedule of Accounts Receivable, Net (Detail) - USD ($) $ in Thousands	Dec. 31, 2020	Dec. 31, 2019
Receivables [Abstract]
Gross accounts receivable	$ 1,106,394	$ 1,750,264
Allowance for contractual adjustments and uncollectibles	(864,463)	(1,315,998)
Accounts receivable, net	$ 241,931	$ 434,266

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- Definition

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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