Accounts Payable and Accrued Expenses (Details) - USD ($) $ in Thousands	1 Months Ended
	Oct. 31, 2024	Sep. 30, 2024	Dec. 31, 2023
Accounts Payable And Accrued Liabilities, Current [Line Items]
Accounts payable		$ 266,476	$ 211,504
Employee-related accruals		58,606	47,462
Accrued interest		9,990	29,327
Litigation reserves		3,935	57,340
Other		91,364	46,361
Total		430,371	$ 391,994
Subsequent Event
Accounts Payable And Accrued Liabilities, Current [Line Items]
Repayment of debt	$ 40,700
Change Healthcare
Accounts Payable And Accrued Liabilities, Current [Line Items]
Other		$ 40,700