Segment Disclosures - Revenues and Assets by Segment (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Segment Disclosure
Total revenues for reportable segments	$ 2,700,449	$ 2,181,003	$ 2,061,178
Interest income and other	44,778	21,781	23,300
Total revenues	2,700,449	2,181,003	2,061,178
Assets	19,938,255	15,698,850
Operating segment
Segment Disclosure
Total revenues for reportable segments	2,655,671	2,159,222	2,037,878
Total revenues	2,655,671	2,159,222	2,037,878
Operating segment | Outpatient Medical
Segment Disclosure
Total revenues for reportable segments	1,205,744	753,479	725,370
Total revenues	1,205,744	753,479	725,370
Operating segment | Lab
Segment Disclosure
Total revenues for reportable segments	881,452	878,326	817,573
Total revenues	881,452	878,326	817,573
Operating segment | CCRC
Segment Disclosure
Total revenues for reportable segments	568,475	527,417	494,935
Total revenues	$ 568,475	$ 527,417	$ 494,935