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Debt - Additional Information (Detail)
€ in Millions
1 Months Ended 12 Months Ended
Dec. 04, 2020
USD ($)
Dec. 17, 2019
Hospital
Aug. 31, 2018
Hospital
Aug. 03, 2018
EUR (€)
Jul. 31, 2019
USD ($)
Aug. 31, 2018
Hospital
Dec. 31, 2020
USD ($)
Hospital
Dec. 31, 2019
Dec. 23, 2019
USD ($)
Feb. 22, 2016
USD ($)
Apr. 17, 2014
USD ($)
3.500% Senior Unsecured Notes Due 2031 [Member]                      
Debt Instrument [Line Items]                      
Senior unsecured notes face amount $ 1,300,000,000                    
Senior unsecured notes, interest rate 3.50%           3.50% 3.50%      
Senior unsecured notes, maturity year 2031                    
6.375% Senior Unsecured Notes due 2024 [Member]                      
Debt Instrument [Line Items]                      
Senior unsecured notes face amount                   $ 500,000,000  
Senior unsecured notes, interest rate             6.375% 6.375%   6.375%  
Senior unsecured notes, maturity year             2024        
Senior unsecured notes redemption amount including accrued and unpaid interest             $ 500,000,000.0        
5.500% Senior Unsecured Notes Due 2024 [Member]                      
Debt Instrument [Line Items]                      
Senior unsecured notes face amount                     $ 300,000,000
Senior unsecured notes, interest rate             5.50% 5.50%     5.50%
Senior unsecured notes, maturity year             2024        
Senior unsecured notes redemption amount including accrued and unpaid interest             $ 300,000,000.0        
Term Loans [Member]                      
Debt Instrument [Line Items]                      
Debt refinancing costs             $ 28,000,000        
Accelerated debt issue cost amortization expense                 $ 2,000,000.0    
Senior Unsecured Term Loan Facility [Member] | Barclays Bank P L C [Member]                      
Debt Instrument [Line Items]                      
Underwriting and other fees         $ 4,000,000            
Acute Care Hospital [Member]                      
Debt Instrument [Line Items]                      
Number of facilities acquired | Hospital   10         2        
Primotop Holdings S.a.r.l. [Member] | Germany [Member] | Acute Care Hospital [Member]                      
Debt Instrument [Line Items]                      
Proceeds from issuance of new secured debt | €       € 655              
Number of facilities acquired | Hospital           71          
Primotop Holdings S.a.r.l. [Member] | Germany [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%