Related Party Transactions (Details) - USD ($) $ in Thousands		3 Months Ended
		Mar. 31, 2024	Mar. 31, 2023	Dec. 31, 2023
Related Party Transaction [Line Items]
Total revenue		$ 1,822,467	$ 1,636,932
Costs and Expenses		1,801,912	1,492,145
Trade receivables, net of allowance for doubtful accounts of $40,739 and $39,458, respectively		867,610		$ 888,603
Accounts payable		283,837		355,173
Certain Affiliates [Member]
Related Party Transaction [Line Items]
Trade receivables, net of allowance for doubtful accounts of $40,739 and $39,458, respectively	[1]	0		23
Accounts payable	[1]	186		$ 37
Certain Affiliates [Member] | Facility and Equipment Leases [Member]
Related Party Transaction [Line Items]
Total revenue		197	0
Costs and Expenses		150	25
Certain Affiliates [Member] | Other Services [Member]
Related Party Transaction [Line Items]
Total revenue		0	27
Costs and Expenses		$ 9	$ 134

[1] "Certain affiliates" includes entities that are associated with various board members and executives and require approval by the Audit Committee of the Board prior to completing transactions. Transactions with these entities generally include facility and equipment leases, equipment sales, and other services.