Summary of Significant Accounting Policies - Texas Waiver Program (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Disaggregation of Revenue [Line Items]
Revenue	$ 5,966,072	$ 5,409,483	$ 5,129,687
Texas Waiver Program | Patient Services | Third-Party Payor
Disaggregation of Revenue [Line Items]
Revenue	210,100	208,000	172,100
Provider assessment costs	$ 74,600	$ 78,700	$ 67,600