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Revenue Recognition and Accounts Receivable - Additional Information (Details) $ in Thousands | 12 Months Ended
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Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($)
Revenue Recognition |  |  |
Accounts receivable | $ 1,986,856 | $ 2,132,070 |
Contract with Customer, Performance Obligation Satisfied in Previous Period | 94,361 | 34,600 | $ 11,312
Medicare bad debt claims |  |  |
Revenue Recognition |  |  |
Accounts receivable | 817,045 | $ 1,113,499 |
Accounts Receivable |  |  |
Revenue Recognition |  |  |
Accounts receivable | $ 0 |  |
Percentage Of Accounts Receivable Six Months Or More Past Due | 19.00% | 18.00% |
Accounts Receivable Period Outstanding |  | 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% |

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