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Business Combinations - Narrative, Oncacare Acquisition (Details) - USD ($) $ in Thousands |  | 12 Months Ended
--- | --- | ---
Apr. 20, 2023 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Business Acquisition [Line Items] |  |  |  |
Goodwill |  | $ 9,022,075 | $ 8,971,670 | $ 9,037,931
Acquisition related costs |  | $ 6,160 | $ 0 | $ 0
Oncacare |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Percentage of share capital acquired | 51.00% |  |  |
Business combination, consideration transferred | $ 5,100 |  |  |
Goodwill | 13,400 |  |  |
Acquisition related costs | $ 6,200 |  |  |

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