Related Party Transactions (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024	Sep. 30, 2025	Sep. 30, 2024
Related Party Transaction [Line Items]
Costs and expenses	$ 758,584	$ 742,371	$ 2,266,641	$ 2,238,265
Vendor Two | Related Party
Related Party Transaction [Line Items]
Costs and expenses	$ 5,200	$ 3,800	$ 14,100	$ 10,800
Third Party Payor 1 | Related Party | Maximum
Related Party Transaction [Line Items]
Net revenue related party	1.00%	1.00%	1.00%	1.00%
Vendor Three | Related Party
Related Party Transaction [Line Items]
Costs and expenses	$ 14,500	$ 22,500	$ 53,400	$ 50,600
Ownership interest, as a percent			5.00%