Discontinued Operations - Additional Information (Detail) - USD ($)	3 Months Ended	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Non-cash charge against goodwill	$ 20,000,000	$ 20,000,000	$ 0	$ 0
Deferred Tax Assets, Goodwill and Intangible Assets	23,300,000	23,300,000
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount		6,700,000
Income Taxes Receivable	$ 7,565,000	$ 7,565,000	0
Anesthesiology Services Medical Group [Member]
Decrease to the loss on sale, net			$ 3,800,000