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Accounts Receivable - Additional Information (Detail)
$ in Thousands
3 Months Ended
Mar. 31, 2017
USD ($)
Accounts Notes And Loans Receivable [Line Items]  
Percentage of outstanding patient accounts receivables to be reserved as per Company's policy 100.00%
Account receivable outstanding, number of months 3 months
Decrease in allowance for doubtful accounts $ (9,594)
Government-based Programs, Medicare and Medicaid | Accounts Receivable  
Accounts Notes And Loans Receivable [Line Items]  
Percentage of accounts receivable due 80.00%
Health Care Patient | Accounts Receivable  
Accounts Notes And Loans Receivable [Line Items]  
Percentage of accounts receivable due 1.00%
DMG  
Accounts Notes And Loans Receivable [Line Items]  
Percentage of outstanding patient accounts receivables to be reserved as per Company's policy 100.00%
Account receivable outstanding, number of months 12 months