Revenue Recognition and Accounts Receivable - Additional Information (Details) $ in Thousands	12 Months Ended
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%

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

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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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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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