Related Party Transactions (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Related Party Transaction [Line Items]
General and administrative expense	$ 285,760	$ 207,789	$ 427,502
Accounts payable and accrued expenses	233,182	177,428
Receivables, net	942,461	492,364
Income (loss) from equity method investments	$ 16,489	10,720	(6,766)
Population Health, LLC
Related Party Transaction [Line Items]
Percentage of ownership interest	49.00%
Related Party
Related Party Transaction [Line Items]
Advisory consulting fees	$ 100	200	800
General and administrative expense	1,700		2,800
Expenses	8,900	9,600	8,400
Accounts payable and accrued expenses	1,500	1,200
Receivables, net	6,300	6,900
Income (loss) from equity method investments	$ 1,600	$ 1,600	$ 700