Business and Summary of Significant Accounting Policies - Provider Taxes - Additional Information (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Summary Of Business And Significant Accounting Policies [Line Items]
Net revenues	$ 15,827,935	$ 14,281,976	$ 13,399,370
State Medicaid programs
Summary Of Business And Significant Accounting Policies [Line Items]
Revenue offset amount	536,000	297,000	287,000
Net aggregate benefit	963,000	556,000	497,000
Net revenues	53,000	73,000	75,000
Health Care | State Medicaid programs
Summary Of Business And Significant Accounting Policies [Line Items]
Net revenues	$ 1,499,000	$ 853,000	$ 784,000