Leases - Lease Cost (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Operating Leases
Facility operating expense	$ 8,122	$ 7,105	$ 6,329
Facility lease expense	200,587	202,410	165,294
Operating lease expense	208,709	209,515	171,623
Operating lease expense adjustment	48,793	45,739	34,896
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements	(16,362)	(9,844)	(13,718)
Operating net cash outflows from operating leases	241,140	245,410	192,801
Financing Leases
Depreciation and amortization	15,275	16,444	38,126
Interest expense: financing lease obligations	27,761	21,950	48,061
Financing lease expense	43,036	38,394	86,187
Operating cash outflows from financing leases	27,761	21,950	48,061
Financing cash outflows from financing leases	1,084	8,473	22,221
Changes in financing lease assets and liabilities for lessor capital expenditure reimbursement	(598)	(475)	(11,932)
Total net cash outflows from financing leases	$ 28,247	$ 29,948	$ 58,350