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Summary of Equity Investments and Ownership Interests (Detail)
Jun. 30, 2016
Dec. 31, 2015
Summit Medical Center | Edmond OK    
Investments In And Advances To Affiliates [Line Items]    
Equity investments, ownership interest 0.00% 8.00%
Foundation Surgery Affiliate of Nacogdoches LLP | Nacogdoches TX    
Investments In And Advances To Affiliates [Line Items]    
Equity investments, ownership interest 13.00% 13.00%
Park Ten Surgery Center | Houston TX    
Investments In And Advances To Affiliates [Line Items]    
Equity investments, ownership interest 10.00% 10.00%
Foundation Surgery Affiliate of Middleburg Heights LLC | Middleburg Heights OH    
Investments In And Advances To Affiliates [Line Items]    
Equity investments, ownership interest 10.00% 10.00%
Foundation Surgery Affiliate of Huntingdon Valley LP | Huntingdon Valley PA    
Investments In And Advances To Affiliates [Line Items]    
Equity investments, ownership interest 20.00% 20.00%
New Jersey Surgery Center LLC | Mercerville NJ    
Investments In And Advances To Affiliates [Line Items]    
Equity investments, ownership interest 10.00% 10.00%
Foundation Surgery Affiliate of Northwest Oklahoma City LLC | Oklahoma City OK    
Investments In And Advances To Affiliates [Line Items]    
Equity investments, ownership interest 20.00% 20.00%
Cumberland Valley Surgery Center LLC | Hagerstown MD    
Investments In And Advances To Affiliates [Line Items]    
Equity investments, ownership interest 34.00% 34.00%
Frederick Surgical Center LLC | Frederick MD    
Investments In And Advances To Affiliates [Line Items]    
Equity investments, ownership interest 20.00% 20.00%