Related Party Transactions (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) executive	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)
Related Party Transaction [Line Items]
Expense for related party	$ 3,798,578	$ 2,780,184	$ 2,239,525
Related Party | Vendor Two
Related Party Transaction [Line Items]
Number of executives | executive	1
Equity ownership percentage	1.00%
Expense for related party	$ 11,300	7,000	4,900
Related Party | Vendor Three
Related Party Transaction [Line Items]
Equity ownership percentage	5.00%
Expense for related party	$ 24,200	80,300	12,300
Outstanding accounts payable	100	2,100
Related Party | Shareholder Of Contract Labor Service Provider
Related Party Transaction [Line Items]
Outstanding accounts payable	200	2,200
Payments to service provider	$ 21,800	$ 20,000	$ 18,100
Related Party | Maximum | Third Party Payor
Related Party Transaction [Line Items]
Net revenue related party	1.00%	1.00%	1.00%