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Lease Commitments - Additional Information (Detail)
12 Months Ended
Dec. 31, 2019
USD ($)
Hospital
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Lessee Lease Description [Line Items]      
Lessee, operating lease, existence of option to extend [true false] true    
Number of hospital facilities | Hospital 3    
Right-of-use assets obtained in exchange for operating lease obligations $ 383,857,000 $ 0 $ 0
Additional capital lease obligations incurred   $ 0  
New Operating Leases      
Lessee Lease Description [Line Items]      
Right-of-use assets obtained in exchange for operating lease obligations $ 29,300,000    
Two Hospital Facilities      
Lessee Lease Description [Line Items]      
Lease Expiration Term 2021    
Third Hospital Facilities      
Lessee Lease Description [Line Items]      
Lease Expiration Term 2026    
Minimum      
Lessee Lease Description [Line Items]      
Initial term of real estate lease 5 years    
Real estate leases option to extend lease term 5 years    
Maximum      
Lessee Lease Description [Line Items]      
Initial term of real estate lease 10 years    
Real estate leases option to extend lease term 10 years