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v3.21.2

Business Combinations and Discontinued Operations - Additional information (Detail) $ in Thousands | 6 Months Ended
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Jun. 30, 2021 USD ($) Number | Jun. 30, 2020 USD ($)
Increase in income tax receivable | $ 28,165 | $ 70,487
Pediatric Orthopedic Practice And Multi Location Pediatric Urgent Care Practice [Member] |  |
Number of other pediatric orthopedic practice acquired | Number | 1 |
Number of other multi location pediatric urgent care practice acquired | Number | 1 |
Business acquisition total consideration | $ 12,200 |
Business acquisition consideration paid in cash | 7,200 |
Business combination consideration identifiable as current and long term liabilities | 5,000 |
Goodwill | 9,600 |
Other intangible assets | 1,000 |
Fixed assets | 1,600 |
North American Partners In Anesthesia [Member] |  |
Increase decrease in valuation allowance deferred tax assets | 37,000 |
Increase in income tax receivable | 24,000 |
Tax adjustments, sttlements and unusual provisions | 9,000 |
Increase in deferred tax assets | 17,000 |
Anesthesiology Services Medical Group [Member] |  |
Incremental loss on sale, net | 19,100 |
Radiology Services Medical Group [Member] |  |
Incremental loss on sale, net | $ 2,300 |

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