v3.4.0.3
Revenue Recognition and Valuation Accounts - Additional Information (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Dec. 31, 2015
Valuation and Qualifying Accounts [Abstract]      
Allowance for doubtful accounts $ 5.4   $ 5.2
Allowance for contractual discounts 129.8   103.6
Allowance for uncompensated care 30.7   41.9
Value of uncompensated care to patients 2.5 $ 2.7  
Estimated cost of charity services 0.6 $ 0.6  
Inventory valuation reserves $ 16.8   $ 15.4