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Accrued Professional Liabilities - Schedule of Accrued Professional Liability (Detail) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Payables and Accruals [Abstract] |  |  |
Balance at beginning of year | $ 199,561 | $ 190,127 | $ 174,803
Liabilities recognized, offset by insurance receivable | (5,510) | (2,692) | (2,299)
Provision (adjustment) for losses related to Current year | 55,144 | 53,180 | 56,016
Provision (adjustment) for losses related to Prior years | (7,551) | (4,056) | (14,231)
Total provision for losses | 47,593 | 49,124 | 41,785
Claim payments related to Current year | (97) | (73) | (59)
Claim payments related to Prior years | (38,951) | (36,925) | (24,103)
Total payments | (39,048) | (36,998) | (24,162)
Balance at end of year | $ 202,596 | $ 199,561 | $ 190,127

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- Definition Accrued professional liabilities assumed through acquisition. + References No definition available. + Details
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- Definition Malpractice loss contingency accrual undiscounted excluding retained professional liabilities related to anesthesiology and radiology operations. + References No definition available. + Details
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- Definition Malpractice loss contingency provision for losses. + References No definition available. + Details
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- Definition Provision (adjustment) for losses related to current year. + References No definition available. + Details
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- Definition Provision (adjustment) for losses related to prior year. + References No definition available. + Details
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- Definition Amount of loss recognized for asserted and unasserted malpractice claims. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 954 -SubTopic 450 -Section 30 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147480654/954-450-30-1 + Details
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- Definition Amount of increase in asserted and unasserted malpractice claims that were originally recognized in a prior period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 954 -SubTopic 450 -Section 30 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147480654/954-450-30-1 + Details
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- Definition Amount of costs associated with malpractice claims and insurance premiums incurred during an accounting period, less insurance recoveries and returns of previously paid premiums. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 954 -SubTopic 450 -Section 30 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147480654/954-450-30-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 954 -SubTopic 720 -Section 25 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147480531/954-720-25-1 + Details
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