Stock-Based Compensation - Narrative (Details) $ in Thousands, shares in Millions	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2026 USD ($)	Jun. 30, 2025 USD ($)	Jun. 30, 2026 USD ($) shares	Jun. 30, 2025 USD ($) shares	Dec. 31, 2025
Stock Based Compensation
Stock-based compensation expense	$ 103,097	$ 93,358	$ 198,204	$ 171,185
Liability-Classified Awards
Stock Based Compensation
Stock-based compensation expense	1,600	0	3,000	0
Liability-Classified Awards | Foresight Diagnostics, Inc.
Stock Based Compensation
Stock-based compensation expense	500		1,600
PSU's
Stock Based Compensation
Stock-based compensation expense	24,500	29,800	$ 46,400	$ 48,500
Target (as a percent)			100.00%
Awards granted (in shares) | shares			0.2	0.4
Aggregate grant date fair value, target vesting percentage (as a percent)			1	1
Aggregate grant date fair value	$ 42,400	$ 64,900	$ 42,400	$ 64,900
Stock-based compensation, milestones as a percentage of grant value (as a percent)			100.00%		200.00%
PSU's | Minimum
Stock Based Compensation
Vesting (as a percent)			0.00%
PSU's | Maximum
Stock Based Compensation
Vesting (as a percent)			200.00%