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Variable Interest Entities - Additional Information (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2022 USD ($) Clinic	Dec. 31, 2021 USD ($)
Variable Interest Entity
Number of business units relying on operating activities of nominee-owned legal entities | Clinic	1
Assets	$ 16,928,252	$ 17,121,488
Liabilities	14,703,452	$ 14,750,508
Variable Interest Entity, Primary Beneficiary
Variable Interest Entity
Assets	316,639
Liabilities	$ 191,357

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Number Of Business Units Relying On Operating Activities Of Nominee-Owned Legal Entities

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Sum of the carrying amounts as of the balance sheet date of all assets that are recognized. Assets are probable future economic benefits obtained or controlled by an entity as a result of past transactions or events.

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