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Debt - Additional Information (Detail)
€ in Millions
1 Months Ended 3 Months Ended 9 Months Ended
Jul. 26, 2019
USD ($)
Jun. 27, 2019
May 23, 2019
AUD ($)
Aug. 31, 2018
Hospital
Aug. 03, 2018
EUR (€)
Aug. 31, 2018
Hospital
Dec. 31, 2019
USD ($)
Sep. 30, 2019
USD ($)
Hospital
Dec. 31, 2018
USD ($)
Debt Instrument [Line Items]                  
One-time structuring and underwriting fees associated term loan facility               $ 54,674,000 $ 37,370,000
Acute Care Hospital [Member]                  
Debt Instrument [Line Items]                  
Number of facilities acquired | Hospital               3  
Germany [Member] | Primotop Holdings S.a.r.l. [Member] | Acute Care Hospital [Member]                  
Debt Instrument [Line Items]                  
Proceeds from issuance of new secured debt | €         € 655        
Number of facilities acquired | Hospital           71      
Germany [Member] | Primotop Holdings S.a.r.l. [Member] | Acute Care Hospital [Member] | Secured Debt [Member]                  
Debt Instrument [Line Items]                  
Number of facilities acquired | Hospital       71          
Debt instrument term       7 years          
Debt instrument swapped fixed rate       2.30%   2.30%      
4.625% Senior Unsecured Notes Due 2029 [Member]                  
Debt Instrument [Line Items]                  
Senior unsecured notes face amount $ 900,000,000                
Senior unsecured notes, interest rate 4.625%             4.625%  
Senior unsecured notes, payable term               Interest on the notes is payable semi-annually on February 1 and August 1 of each year, commencing on February 1, 2020.  
Percentage of par value on senior notes 99.50%                
Debt instrument maturity date Aug. 01, 2029                
Senior notes, earliest redemption date Aug. 01, 2024                
Senior unsecured notes, redemption description               We may redeem some or all of the notes at any time prior to August 1, 2024 at a “make whole” redemption price. On or after August 1, 2024, we may redeem some or all of the notes at a premium that will decrease over time. In addition, at any time prior to August 1, 2022, we may redeem up to 40% of the notes at a redemption price equal to 104.625% of the aggregate principal amount thereof, plus accrued and unpaid interest thereon, using proceeds from one or more equity offerings. In the event of a change in control, each holder of the notes may require us to repurchase some or all of the notes at a repurchase price equal to 101% of the aggregate principal amount of the notes plus accrued and unpaid interest to the date of purchase.  
Debt instrument, redemption price percentage 104.625%                
Senior notes, repurchased price percentage on principal amount plus accrued and unpaid interest 101.00%                
Senior Unsecured Term Loan Facility [Member] | Barclays Bank PLC [Member]                  
Debt Instrument [Line Items]                  
Cancellation of loan $ 1,550,000,000                
Senior Unsecured Term Loan Facility [Member] | Forecast [Member] | Barclays Bank PLC [Member]                  
Debt Instrument [Line Items]                  
Underwriting and other fees             $ 4,000,000.0    
Term Loan [Member] | Australia [Member] | Bank of America, N.A                  
Debt Instrument [Line Items]                  
Senior unsecured notes, interest rate               2.45%  
Debt instrument maturity date     May 23, 2024            
Maximum borrowing capacity     $ 1,200,000,000            
Debt instrument effective date   Jul. 03, 2019              
Effective interest rate   1.20%              
One-time structuring and underwriting fees associated term loan facility               $ 8,000,000  
Term Loan [Member] | Australia [Member] | Credit Rating | Bank of America, N.A                  
Debt Instrument [Line Items]                  
Variable interest rate               1.25%  
Maximum [Member] | 4.625% Senior Unsecured Notes Due 2029 [Member]                  
Debt Instrument [Line Items]                  
Senior unsecured notes, redemption percentage on principal amount 40.00%                
Maximum [Member] | Term Loan [Member] | Australia [Member] | Bank of America, N.A                  
Debt Instrument [Line Items]                  
Interest rate adjustable based on pricing grid, percentage     1.65%            
Minimum [Member] | Term Loan [Member] | Australia [Member] | Bank of America, N.A                  
Debt Instrument [Line Items]                  
Interest rate adjustable based on pricing grid, percentage     0.85%