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Dispositions and Acquisitions and Purchase of Third-Party Ownership Interests - Additional Information (Detail)
$ in Thousands
1 Months Ended 6 Months Ended
May 31, 2016
USD ($)
Hospital
Jun. 30, 2017
USD ($)
Jun. 30, 2016
USD ($)
Acquisitions And Divestitures [Line Items]      
Acquisition of property and businesses   $ 19,610 $ 27,525
Las Vegas, Nevada | Acute Care Hospital Services      
Acquisitions And Divestitures [Line Items]      
Payments to purchase minority ownership interests $ 445,000    
Number of hospital facilities | Hospital 6    
Purchase price of minority ownership interests $ 418,000    
Return of reserve capital to purchase of minority ownership interests $ 27,000    
Las Vegas, Nevada | Acute Care Hospital Services | Minimum      
Acquisitions And Divestitures [Line Items]      
Ownership interests purchased 26.10%    
Las Vegas, Nevada | Acute Care Hospital Services | Maximum      
Acquisitions And Divestitures [Line Items]      
Ownership interests purchased 27.50%