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Accrued Professional Liabilities - Schedule of Accrued Professional Liability (Detail) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Payables and Accruals [Abstract]      
Balance at beginning of year $ 202,596 $ 199,561 $ 190,127
Liabilities recognized, offset by insurance receivable 1,230 (5,510) (2,692)
Provision (adjustment) for losses related to Current year 52,273 55,144 53,180
Provision (adjustment) for losses related to Prior years (8,316) (7,551) (4,056)
Total provision for losses 43,957 47,593 49,124
Claim payments related to Current year (891) (97) (73)
Claim payments related to Prior years (24,946) (38,951) (36,925)
Total payments (25,837) (39,048) (36,998)
Balance at end of year $ 221,946 $ 202,596 $ 199,561