Income Taxes - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended				9 Months Ended
	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Income Taxes [Line Items]
Income tax expense (benefit)	$ 10,058			$ 18,579	$ (134,661)	$ 40,615
Income tax benefit related to the initial loan impairment			$ 5,000
Watsonville Community Hospital [Member]
Income Taxes [Line Items]
Income tax expense (benefit)				$ 5,000
Foreign Tax Authority [Member]
Income Taxes [Line Items]
Income tax expense (benefit)		$ (158,000)