Income Taxes - Narrative (Details) - USD ($) $ in Thousands		3 Months Ended	12 Months Ended
	Nov. 08, 2019	Dec. 31, 2023	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Income Tax Contingency [Line Items]
Income tax (benefit) expense			$ (49,004)	$ 24,769	$ 32,806
Income tax benefit			64,800
Goodwill impairment		$ 318,900	830,787	0	0
Valuation allowance		3,788	3,788	1,812
Interest expense carryforward		177,300	177,300	109,900
Additions for tax positions acquired			0	2,670	2,100
Accrued liability for interest and penalties		2,800	2,800	1,600
Tax receivable agreement percentage	85.00%
Increase in liability due to additional exchanges					146,500
Increase in deferred tax asset					$ 164,100
Liability related to TRA			291,600	297,400
Income related to changes in estimated TRA liability			2,500	2,900
Other liabilities
Income Tax Contingency [Line Items]
Liability related to TRA			1,500	3,300
Other long-term liabilities
Income Tax Contingency [Line Items]
Liability related to TRA			290,100	294,100
Pinnacle Medical Solutions, Inc.
Income Tax Contingency [Line Items]
Additions for tax positions acquired			6,600
Capital Loss Carryforward
Income Tax Contingency [Line Items]
Capital loss carryforward		3,100	3,100
Domestic Tax Authority
Income Tax Contingency [Line Items]
Operating loss carryforwards		72,400	72,400	138,200
Domestic Tax Authority | Subject to Expiration Starting in 2031
Income Tax Contingency [Line Items]
Operating loss carryforwards		3,200	3,200
Domestic Tax Authority | Not Subject to Expiration Carryforward Indefinitely
Income Tax Contingency [Line Items]
Operating loss carryforwards		69,200	69,200
Domestic Tax Authority | SEC Schedule, 12-09, Valuation Allowance, Operating Loss Carryforward
Income Tax Contingency [Line Items]
Operating loss carryforwards		4,900	4,900
State and Local Jurisdiction
Income Tax Contingency [Line Items]
Operating loss carryforwards		$ 281,100	$ 281,100	$ 150,700