Self-Insured Liabilities (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Liability for Claims and Claims Adjustment Expense [Line Items]
Professional fees and general liability losses	$ 131,300	$ 63,000	$ 55,500
Increase in professional fees and general liability reserves	51,300
Worker's compensation cost	(200)	8,000	6,600
Other Accrued Liabilities, Current
Liability for Claims and Claims Adjustment Expense [Line Items]
Accrual for asserted and unasserted claims	9,300	10,700
Professional Liability Insurance
Liability for Claims and Claims Adjustment Expense [Line Items]
Insurance liability, per occurrence	100,000	100,000
Self-Insurance
Liability for Claims and Claims Adjustment Expense [Line Items]
Insurance liability, per occurrence	7,500	7,500	$ 7,500
Professional And General Liability Insurance
Liability for Claims and Claims Adjustment Expense [Line Items]
Accrual for asserted and unasserted claims	284,600	240,000
Recoverable liability accrual amount	103,500	72,800
Professional And General Liability Insurance | Self-Insurance, Liability, Noncurrent
Liability for Claims and Claims Adjustment Expense [Line Items]
Accrual for asserted and unasserted claims	224,100	206,000
Professional And General Liability Insurance | Other Accrued Liabilities, Current
Liability for Claims and Claims Adjustment Expense [Line Items]
Accrual for asserted and unasserted claims	60,500	34,000
Professional And General Liability Insurance | Other Noncurrent Assets
Liability for Claims and Claims Adjustment Expense [Line Items]
Recoverable liability accrual amount	53,700	62,500
Professional And General Liability Insurance | Other current assets
Liability for Claims and Claims Adjustment Expense [Line Items]
Recoverable liability accrual amount	49,800	10,300
Workers' Compensation Insurance
Liability for Claims and Claims Adjustment Expense [Line Items]
Insurance liability, per occurrence	1,000
Accrual for asserted and unasserted claims	25,700	31,800
Recoverable liability accrual amount	12,900	12,300
Deductible	500
Workers' Compensation Insurance | Self-Insurance, Liability, Noncurrent
Liability for Claims and Claims Adjustment Expense [Line Items]
Accrual for asserted and unasserted claims	16,400	21,100
Workers' Compensation Insurance | Other Noncurrent Assets
Liability for Claims and Claims Adjustment Expense [Line Items]
Recoverable liability accrual amount	8,200	8,200
Workers' Compensation Insurance | Other current assets
Liability for Claims and Claims Adjustment Expense [Line Items]
Recoverable liability accrual amount	4,700	$ 4,100
Occupational Injury
Liability for Claims and Claims Adjustment Expense [Line Items]
Insurance liability, per occurrence	25,000
Deductible	250
Coverage per person	$ 5,000