Related Party Transactions (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2024 USD ($) executive	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
Related Party Transaction [Line Items]
Expense for related party	$ 2,997,243	$ 3,798,578	$ 2,780,184
Related Party | Vendor Two
Related Party Transaction [Line Items]
Number of executives | executive	1
Expense for related party	$ 14,900	11,300	7,000
Related Party | Vendor Three
Related Party Transaction [Line Items]
Equity ownership percentage	5.00%
Expense for related party	$ 73,900	24,200	80,300
Related Party | Shareholder Of Contract Labor Service Provider
Related Party Transaction [Line Items]
Payments to service provider	$ 5,300	$ 21,800	$ 20,000
Related Party | Maximum | Third Party Payor
Related Party Transaction [Line Items]
Net revenue related party	1.00%	1.00%	1.00%