Self-Insured Liabilities (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Liability for Claims and Claims Adjustment Expense [Line Items]
Professional fees and general liability losses	$ 63,000	$ 55,500	$ 100,600
Adjustment to estimated losses			40,100
Worker's compensation cost	8,000	6,600	$ 7,500
Other Accrued Liabilities, Current
Liability for Claims and Claims Adjustment Expense [Line Items]
Accrual for asserted and unasserted claims	10,700	11,300
Professional Liability Insurance
Liability for Claims and Claims Adjustment Expense [Line Items]
Insurance liability, per occurance	100,000	100,000
Self-Insurance
Liability for Claims and Claims Adjustment Expense [Line Items]
Insurance liability, per occurance	7,500	7,500
Professional And General Liability Insurance
Liability for Claims and Claims Adjustment Expense [Line Items]
Accrual for asserted and unasserted claims	240,000	275,000
Recoverable liability accrual amount	72,800	99,800
Professional And General Liability Insurance | Self-Insurance, Liability, Noncurrent
Liability for Claims and Claims Adjustment Expense [Line Items]
Accrual for asserted and unasserted claims	206,000	219,900
Professional And General Liability Insurance | Other Accrued Liabilities, Current
Liability for Claims and Claims Adjustment Expense [Line Items]
Accrual for asserted and unasserted claims	34,000	55,100
Professional And General Liability Insurance | Other Noncurrent Assets
Liability for Claims and Claims Adjustment Expense [Line Items]
Recoverable liability accrual amount	62,500	79,700
Professional And General Liability Insurance | Other Current Assets
Liability for Claims and Claims Adjustment Expense [Line Items]
Recoverable liability accrual amount	10,300	20,100
Workers' Compensation Insurance
Liability for Claims and Claims Adjustment Expense [Line Items]
Insurance liability, per occurance	1,000
Accrual for asserted and unasserted claims	31,800	32,600
Recoverable liability accrual amount	12,300	13,300
Deductible	500
Workers' Compensation Insurance | Self-Insurance, Liability, Noncurrent
Liability for Claims and Claims Adjustment Expense [Line Items]
Accrual for asserted and unasserted claims	21,100	21,300
Workers' Compensation Insurance | Other Noncurrent Assets
Liability for Claims and Claims Adjustment Expense [Line Items]
Recoverable liability accrual amount	8,200	8,700
Workers' Compensation Insurance | Other Current Assets
Liability for Claims and Claims Adjustment Expense [Line Items]
Recoverable liability accrual amount	4,100	$ 4,600
Occupational Injury
Liability for Claims and Claims Adjustment Expense [Line Items]
Insurance liability, per occurance	25,000
Coverage per person	5,000
Deductible	$ 250