Uncompensated Care (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Health Care Trust Funds [Line Items]
Total uncompensated care	$ 2,635,942	$ 2,261,895	$ 1,998,284
Uncompensated care, percentage	100.00%	100.00%	100.00%
Charity Care
Health Care Trust Funds [Line Items]
Total uncompensated care	$ 843,449	$ 786,962	$ 661,965
Uncompensated care, percentage	32.00%	35.00%	33.00%
Uninsured Discounts
Health Care Trust Funds [Line Items]
Total uncompensated care	$ 1,792,493	$ 1,474,933	$ 1,336,319
Uncompensated care, percentage	68.00%	65.00%	67.00%