Accrued Professional Liabilities - Additional Information (Detail) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024
Payables and Accruals [Abstract]
Total accrued professional liability		$ 287,900
Accrued professional liabilities	$ 35,176	30,430
Accrued professional liability incurred but loss reserves not reported for claims		179,400
Accrued professional liability incurred and loss reserves reported for claims		$ 108,500