Related Party Transactions (Details) - USD ($) $ in Thousands		3 Months Ended		9 Months Ended
		Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023	Dec. 31, 2023
Related Party Transaction [Line Items]
Total revenue		$ 1,876,676	$ 2,019,936	$ 5,545,797	$ 5,209,847
Costs and Expenses		1,795,256	1,938,880	5,380,362	4,889,974
Trade receivables, net of allowance for doubtful accounts of $39,298 and $39,458, respectively		835,248		835,248		$ 888,603
Accounts payable		293,244		293,244		355,173
Certain Affiliates [Member]
Related Party Transaction [Line Items]
Trade receivables, net of allowance for doubtful accounts of $39,298 and $39,458, respectively	[1]	0		0		23
Accounts payable	[1]	58		58		$ 37
Certain Affiliates [Member] | Facility and Equipment Leases [Member]
Related Party Transaction [Line Items]
Total revenue		250	0	697	0
Costs and Expenses		145	21	436	67
Certain Affiliates [Member] | Other Services [Member]
Related Party Transaction [Line Items]
Total revenue		0	0	0	27
Costs and Expenses		$ 9	$ 9	$ 26	$ 402

[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 and other services.