Related Party Transactions (Details) - USD ($) $ in Thousands		3 Months Ended		6 Months Ended
		Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Related Party Transaction [Line Items]
Total revenue		$ 1,846,654	$ 1,552,979	$ 3,669,121	$ 3,189,911
Costs and Expenses		1,783,194	1,458,949	3,585,106	2,951,094
Trade receivables, net of allowance for doubtful accounts of $39,720 and $39,458, respectively		841,619		841,619		$ 888,603
Accounts payable		300,585		300,585		355,173
Certain Affiliates [Member]
Related Party Transaction [Line Items]
Trade receivables, net of allowance for doubtful accounts of $39,720 and $39,458, respectively	[1]	0		0		23
Accounts payable	[1]	162		162		$ 37
Certain Affiliates [Member] | Facility and Equipment Leases [Member]
Related Party Transaction [Line Items]
Total revenue		250	0	447	0
Costs and Expenses		141	21	291	46
Certain Affiliates [Member] | Other Services [Member]
Related Party Transaction [Line Items]
Total revenue		0	0	0	27
Costs and Expenses		$ 8	$ 259	$ 17	$ 393

[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.