Business and Summary of Significant Accounting Policies - Provider Taxes - Additional Information (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Summary Of Business And Significant Accounting Policies [Line Items]
Net revenues	$ 14,281,976	$ 13,399,370	$ 12,642,117
State Medicaid programs
Summary Of Business And Significant Accounting Policies [Line Items]
Revenue offset amount	297,000	287,000	211,000
Net aggregate benefit	556,000	497,000	430,000
Net revenues	73,000	75,000	74,000
Health Care | State Medicaid programs
Summary Of Business And Significant Accounting Policies [Line Items]
Net revenues	$ 853,000	$ 784,000	$ 641,000