Estimated Cost of Providing Uncompensated Care (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Health Care Trust Funds [Line Items]
Estimated cost of providing uncompensated care	$ 320,914	$ 260,589	$ 245,556
Charity Care
Health Care Trust Funds [Line Items]
Estimated cost of providing uncompensated care	75,227	83,383	85,434
Uninsured Discounts
Health Care Trust Funds [Line Items]
Estimated cost of providing uncompensated care	$ 245,687	$ 177,206	$ 160,122