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Related Party Transactions (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Related Party Transaction [Line Items]      
Expense for related party $ 3,186,586 $ 2,997,243 $ 3,798,578
Related Party | Vendor Two      
Related Party Transaction [Line Items]      
Expense for related party 19,100 14,900 11,300
Related Party | Vendor Three      
Related Party Transaction [Line Items]      
Expense for related party $ 77,700 $ 73,900 $ 24,200
Equity ownership percentage 5.00%    
Related Party | Maximum | Third Party Payor      
Related Party Transaction [Line Items]      
Net revenue related party 1.10% 1.00% 1.00%