Segment and Geographic Information - Narrative (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022 USD ($)	Sep. 30, 2021 USD ($)	Sep. 30, 2022 USD ($) segment	Sep. 30, 2021 USD ($)
Segment Reporting Information [Line Items]
Number of operating segments | segment			1
Revenues	$ 7,925,589	$ 7,483,467	$ 23,763,497	$ 21,988,526
United States
Segment Reporting Information [Line Items]
Revenues	$ 3,300,000	$ 3,000,000	$ 9,700,000	$ 9,000,000