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Lease Commitments - Additional Information (Detail)
$ in Thousands
12 Months Ended
Dec. 31, 2022
USD ($)
Hospital
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Lessee Lease Description [Line Items]      
Lessee, operating lease, existence of option to extend [true false] true    
Number of hospital facilities | Hospital 5    
Right-of-use assets obtained in exchange for operating lease obligations $ 163,679 $ 95,805 $ 69,678
Finance lease obligations $ 1,000 $ 29,000 $ 37,000
Two Hospital Facilities      
Lessee Lease Description [Line Items]      
Lease expiration term 2026    
Third and Fourth Hospital Facilities      
Lessee Lease Description [Line Items]      
Lease expiration term 2033    
Fifth Hospital Facility      
Lessee Lease Description [Line Items]      
Lease expiration term 2040    
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