Revenue Recognition and Accounts Receivable - Additional Information (Details) $ in Thousands	12 Months Ended
Dec. 31, 2024 USD ($)	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
Revenue Recognition
Accounts receivable	$ 2,146,975	$ 1,986,856
Contract with Customer, Performance Obligation Satisfied in Previous Period	116,336	94,361	$ 34,600
Medicare bad debt claims
Revenue Recognition
Accounts receivable	833,464	$ 817,045
Accounts Receivable
Revenue Recognition
Accounts receivable	$ 0
Percentage Of Accounts Receivable Six Months Or More Past Due	23.00%	19.00%
Accounts Receivable Period Outstanding	6 months	6 months
Accounts Receivable, Noncurrent, Threshold Period Past Due	1 year
Customer Concentration Risk \| Accounts Receivable \| Third-Party Payor
Revenue Recognition
Number of concentration risk customers	0	0
Concentration risk percentage	10.00%	10.00%

Patient accounts receivable months outstanding to be reserved per company policy.

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Number Of Concentration Risk Customers.

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Percentage of Accounts Receivable , 6 months or More Past Due

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Amount, after allowance for credit loss, of right to consideration from customer for product sold and service rendered in normal course of business, classified as current.

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Threshold period for when accounts receivable, classified as noncurrent, is considered past due, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. Excludes threshold period past due to write off as uncollectible.

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For an entity that discloses a concentration risk in relation to quantitative amount, which serves as the "benchmark" (or denominator) in the equation, this concept represents the concentration percentage derived from the division.

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Amount of revenue recognized from performance obligation satisfied or partially satisfied in previous reporting periods. Includes, but is not limited to, change in transaction price.

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