Leases - Lease Costs (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Leases [Abstract]
Facility operating expense	$ 1,920	$ 1,626
Facility lease expense	51,496	46,127
Operating lease expense	53,416	47,753
Operating lease expense adjustment	13,089	10,805
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements	(249)	(2,244)
Operating net cash outflows from operating leases	66,256	56,314
Depreciation and amortization	2,872	6,655
Interest expense: financing lease obligations	5,061	6,552
Financing lease expense	7,933	13,207
Operating cash outflows from financing leases	5,061	6,552
Financing cash outflows from financing leases	262	5,852
Total net cash outflows from financing leases	$ 5,323	$ 12,404