Leases - Lease Cost (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Operating Leases
Facility operating expense	$ 6,329	$ 12,606	$ 19,241
Facility lease expense	165,294	174,358	224,033
Operating lease expense	171,623	186,964	243,274
Operating lease expense adjustment	34,896	23,280	136,276
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements	(13,718)	(30,965)	(22,242)
Operating net cash outflows from operating leases	192,801	179,279	357,308
Payments for lease restructuring			119,200
Financing Leases
Depreciation and amortization	30,065	30,542	32,647
Interest expense: financing lease obligations	48,061	46,282	48,534
Financing lease expense	78,126	76,824	81,181
Operating cash outflows from financing leases	48,061	46,282	48,534
Financing cash outflows from financing leases	22,221	19,874	18,867
Changes in financing lease assets and liabilities for lessor capital expenditure reimbursement	(11,932)	(11,135)	(5,603)
Total net cash outflows from financing leases	$ 58,350	$ 55,021	$ 61,798