Uncompensated Care (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Health Care Trust Funds [Line Items]
Total uncompensated care	$ 3,496,707	$ 2,635,942	$ 2,261,895
Uncompensated care, percentage	100.00%	100.00%	100.00%
Charity Care
Health Care Trust Funds [Line Items]
Total uncompensated care	$ 819,681	$ 843,449	$ 786,962
Uncompensated care, percentage	23.00%	32.00%	35.00%
Uninsured Discounts
Health Care Trust Funds [Line Items]
Total uncompensated care	$ 2,677,026	$ 1,792,493	$ 1,474,933
Uncompensated care, percentage	77.00%	68.00%	65.00%