Segment Disclosures - Revenues by Segment (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Segment Disclosure
Total revenues for reportable segments	$ 700,397	$ 556,243	$ 2,002,461	$ 1,627,351
Interest income and other	14,301	5,360	27,884	16,802
Total revenues	700,397	556,243	2,002,461	1,627,351
Operating segment
Segment Disclosure
Total revenues for reportable segments	686,096	550,883	1,974,577	1,610,549
Total revenues	686,096	550,883	1,974,577	1,610,549
Operating segment | Outpatient medical
Segment Disclosure
Total revenues for reportable segments	317,659	191,016	888,446	564,644
Total revenues	317,659	191,016	888,446	564,644
Operating segment | Lab
Segment Disclosure
Total revenues for reportable segments	225,592	226,059	663,619	654,829
Total revenues	225,592	226,059	663,619	654,829
Operating segment | CCRC
Segment Disclosure
Total revenues for reportable segments	142,845	133,808	422,512	391,076
Total revenues	$ 142,845	$ 133,808	$ 422,512	$ 391,076