Estimated Cost of Providing Uncompensated Care (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Health Care Trust Funds [Line Items]
Estimated cost of providing uncompensated care	$ 260,589	$ 245,556	$ 217,633
Charity Care
Health Care Trust Funds [Line Items]
Estimated cost of providing uncompensated care	83,383	85,434	72,095
Uninsured Discounts
Health Care Trust Funds [Line Items]
Estimated cost of providing uncompensated care	$ 177,206	$ 160,122	$ 145,538