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Accounts Receivable and Net Revenue - Schedule of Accounts Receivable, Net (Detail) - USD ($) $ in Thousands	Mar. 31, 2021	Dec. 31, 2020
Receivables [Abstract]
Gross accounts receivable	$ 1,127,620	$ 1,106,394
Allowance for contractual adjustments and uncollectibles	(881,884)	(864,463)
Accounts receivable, net	$ 245,736	$ 241,931

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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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