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Long-Term Debt - Schedule of Long-Term Debt (Details) - USD ($) $ in Thousands |  |  |  | 3 Months Ended | 12 Months Ended |
--- | --- | --- | --- | --- | --- | ---
Aug. 13, 2024 | Aug. 07, 2024 | May 09, 2024 | Sep. 30, 2024 | Jun. 30, 2024 | Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022 | Feb. 13, 2025
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Long-term debt, weighted average interest rate, at point in time |  |  |  |  |  | 5.68% |  |  |
Financing lease obligations |  |  |  |  |  | $ 216,401 |  |  |
Long-term debt totals: |  |  |  |  |  |  |  |  |
Total debt principal outstanding |  |  |  |  |  | 9,511,106 | $ 8,445,980 |  |
Discount, premium and deferred financing costs |  |  |  |  |  | (64,336) | (54,347) |  |
Carrying amount of long-term debt, net of unamortized discounts, premiums and deferred financing costs |  |  |  |  |  | 9,446,770 | 8,391,633 |  |
Less current portion |  |  |  |  |  | (270,867) | (123,299) |  |
Total long-term debt |  |  |  |  |  | 9,175,903 | 8,268,334 |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt prepayment, extinguishment and modification costs |  |  |  | $ 10,081 | $ 9,732 | $ 19,813 | 7,962 | $ 0 |
Debt, Weighted Average Interest Rate |  |  |  |  |  | 5.07% |  |  |
Senior Notes 4.625% due 2030 |  |  |  |  |  |  |  |  |
Senior Notes: |  |  |  |  |  |  |  |  |
Senior Notes |  |  |  |  |  | $ 2,750,000 | 2,750,000 |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  | Jun. 01, 2030 |  |  |
Debt, interest rate at a point in time. |  |  |  |  |  | 4.625% |  |  |
Debt Instrument, Fair Value Disclosure |  |  |  |  |  | $ 2,533,438 |  |  |
Senior Notes 3.75% due 2031 |  |  |  |  |  |  |  |  |
Senior Notes: |  |  |  |  |  |  |  |  |
Senior Notes |  |  |  |  |  | $ 1,500,000 | 1,500,000 |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  | Feb. 15, 2031 |  |  |
Debt, interest rate at a point in time. |  |  |  |  |  | 3.75% |  |  |
Debt Instrument, Fair Value Disclosure |  |  |  |  |  | $ 1,301,250 |  |  |
Senior Notes 6.875% due 2032 |  |  |  |  |  |  |  |  |
Senior Notes: |  |  |  |  |  |  |  |  |
Senior Notes | $ 1,000,000 |  |  |  |  | $ 1,000,000 |  |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date | Sep. 01, 2032 |  |  |  |  | Sep. 01, 2032 |  |  |
Debt, interest rate at a point in time. | 6.875% |  |  |  |  | 6.875% |  |  |
Debt Instrument, Fair Value Disclosure |  |  |  |  |  | $ 1,007,500 |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Payment Terms | The 6.875% Senior Notes pay interest on March 1 and September 1 of each year beginning March 1, 2025 and mature on September 1, 2032 |  |  |  |  |  |  |  |
Debt Instrument, Date of First Required Payment | Mar. 01, 2025 |  |  |  |  |  |  |  |
Debt Instrument, Redemption, Description | The Company may redeem up to 40% of the aggregate principal amount of the 6.875% Senior Notes at any time prior to September 1, 2027 at 106.875% of the aggregate principal amount from the proceeds of one or more equity offerings, plus accrued and unpaid interest. |  |  |  |  |  |  |  |
Debt Instrument, Fee Amount | $ 11,421 |  |  |  |  |  |  |  |
Debt Instrument, Redemption Price, Percentage Any time Prior to September 1, 2027 | 106.875% |  |  |  |  |  |  |  |
Debt Instrument, Redemption Price, if change of control | 101.00% |  |  |  |  |  |  |  |
Acquisition obligations and other notes payable |  |  |  |  |  |  |  |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Long-term debt, weighted average interest rate, at point in time |  |  |  |  |  | 5.58% |  |  |
Acquisition obligations and other notes payable |  |  |  |  |  | $ 56,483 | 102,328 |  |
Acquisition obligations and other notes payable, fair value |  |  |  |  |  | $ 56,483 |  |  |
Debt instrument, maturity date, description |  |  |  |  |  | 2025-2038 |  |  |
Financing lease obligations |  |  |  |  |  |  |  |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Financing lease obligations |  |  |  |  |  | $ 216,401 | $ 255,491 |  |
Finance lease, weighted average discount rate, percent |  |  |  |  |  | 4.58% | 4.58% | 4.51% |
Debt instrument, maturity date, description |  |  |  |  |  | 2025-2039 |  |  |
Change Healthcare Temporary Funding Assistance |  |  |  |  |  |  |  |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Debt, interest rate at a point in time. |  |  |  |  |  | 0.00% |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
CHC Temporary Funding Assistance |  |  |  |  |  | $ 92,777 |  |  |
CHC Temporary Funding Assistance, Fair Value |  |  |  |  |  | 92,777 |  |  |
Change Healthcare Temporary Funding Assistance | Subsequent Event |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
CHC Temporary Funding Assistance |  |  |  |  |  |  |  |  | $ 70,000
Revolving line of credit |  |  |  |  |  |  |  |  |
Senior Secured Credit Facilities: |  |  |  |  |  |  |  |  |
Secured Debt |  |  |  |  |  | $ 0 | $ 0 |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  | Apr. 28, 2028 |  |  |
Line of Credit Facility, Fair Value of Amount Outstanding |  |  |  |  |  | $ 0 |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Maximum borrowing capacity on revolving credit facilities |  |  |  |  |  | $ 1,500,000 |  |  |
Term Loan A-1 and Revolver | SOFR |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Description of Variable Rate Basis |  |  |  |  |  | Base + 1.75% |  |  |
Term Loan A-1 and Revolver | Adjusted Rate |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  |  |  |  |  | 0.10% |  |  |
Term Loan A-1 |  |  |  |  |  |  |  |  |
Senior Secured Credit Facilities: |  |  |  |  |  |  |  |  |
Secured Debt |  |  |  |  |  | $ 2,259,295 | 1,234,375 |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  | Apr. 28, 2028 |  |  |
Debt Instrument, Fair Value Disclosure |  |  |  |  |  | $ 2,256,471 |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Secured Debt Outstanding Principal Balance Subject To SOFR |  |  |  |  |  | 395,445 |  |  |
Debt Instrument, Periodic Payment, Principal |  |  |  |  |  | 75,080 |  |  |
Increased Term Loan A-1 |  |  |  |  |  |  |  |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date | Apr. 28, 2028 |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Payment Terms | The Increased Term Loan A-1 requires amortizing quarterly principal payments that began on September 30, 2024 of $29,728 per quarter through June 30, 2027, and $44,591 per quarter from September 30, 2027 through March 31, 2028, with the balance due on April 28, 2028. |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date Range, Start | Sep. 30, 2024 |  |  |  |  |  |  |  |
Debt Instrument, Effective Date | Aug. 13, 2024 | Aug. 07, 2024 |  |  |  |  |  |  |
Debt Instrument, Description |  | The Sixth Amendment also incorporated the provisions of the Fifth Amendment to the Credit Agreement, dated as of August 7, 2024, which removed a cap on the amount of incremental term "A" loans the Company can incur under the Credit Agreement. |  |  |  |  |  |  |
Debt Instrument, Date of First Required Payment | Sep. 30, 2024 |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date Range, End | Apr. 28, 2028 |  |  |  |  |  |  |  |
Other Significant Noncash Financing Activity |  |  |  | $ 861,282 |  |  |  |  |
Debt Instrument, Periodic Payment Terms, Balloon Payment to be Paid |  |  |  |  |  | $ 1,828,245 |  |  |
Debt Instrument, Frequency of Periodic Payment | quarterly |  |  |  |  |  |  |  |
Proceeds from Issuance of Debt | $ 1,100,000 |  |  |  |  |  |  |  |
Debt Instrument, Quarterly Payment Through June 30, 2027 | 29,728 |  |  |  |  |  |  |  |
Debt Instrument, Quarterly Payment From September 30, 2027 Through March 31, 2028 | $ 44,591 |  |  |  |  |  |  |  |
Increased Term Loan A-1 | Minimum |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Variable Rate | 0.00% |  |  |  |  |  |  |  |
Increased Term Loan A-1 | SOFR | Minimum |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate | 1.25% |  |  |  |  |  |  |  |
Increased Term Loan A-1 | SOFR | Maximum |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate | 2.25% |  |  |  |  |  |  |  |
Increased Term Loan A-1 | Adjusted Rate |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  |  |  |  |  | 0.10% |  |  |
Term Loan B-1 |  |  |  |  |  |  |  |  |
Senior Secured Credit Facilities: |  |  |  |  |  |  |  |  |
Secured Debt |  |  |  |  |  | $ 0 | 2,603,786 |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Debt Instrument, Fair Value Disclosure |  |  |  |  |  | 0 |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Constructive Financing Cash Outflow |  |  |  |  | 722,351 |  |  |  |
Repayments of Debt | $ 949,819 |  |  |  | 728,653 |  |  |  |
Debt Instrument, Periodic Payment, Principal |  |  |  |  |  | 13,716 |  |  |
Extended Term Loan B-1 |  |  |  |  |  |  |  |  |
Senior Secured Credit Facilities: |  |  |  |  |  |  |  |  |
Secured Debt |  |  |  |  |  | $ 1,636,150 |  |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  | May 09, 2031 |  |  | May 09, 2031 |  |  |
Debt Instrument, Fair Value Disclosure |  |  |  |  |  | $ 1,638,195 |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Payment Terms |  |  | The Extended Term Loan B-1 requires quarterly principal payments beginning on December 31, 2024 of 0.25% of the aggregate principal amount of the Extended Term Loan B-1 outstanding on the Fourth Amendment Effective Date, with the balance due on May 9, 2031. |  |  |  |  |  |
Debt Instrument, Maturity Date Range, Start |  |  | Dec. 31, 2024 |  |  |  |  |  |
Constructive Financing Cash Outflow |  |  |  |  | 6,302 |  |  |  |
Constructive Financing Cash Inflow |  |  |  |  | 728,653 |  |  |  |
Debt Instrument, Effective Date |  |  | May 09, 2024 |  |  |  |  |  |
Debt Instrument, Date of First Required Payment |  |  | Dec. 31, 2024 |  |  |  |  |  |
Debt Instrument, Maturity Date Range, End |  |  | May 09, 2031 |  |  |  |  |  |
Other Significant Noncash Financing Activity |  |  |  |  | 13,282 |  |  |  |
Debt Instrument, Periodic Payment Terms, Balloon Payment to be Paid |  |  |  |  |  | 1,533,635 |  |  |
Debt Instrument, Frequency of Periodic Payment |  |  | quarterly |  |  |  |  |  |
Secured Debt, Extended Maturity |  |  | $ 911,598 |  |  |  |  |  |
Debt Instrument, Increase (Decrease), Net |  |  |  |  | $ 728,653 |  |  |  |
Debt Instrument, Quarterly Payment, % of Beginning Balance Outstanding |  |  | 0.25% |  |  |  |  |  |
Debt Instrument, Periodic Payment, Principal |  |  |  |  |  | $ 4,101 |  |  |
Extended Term Loan B-1 | Minimum |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Variable Rate |  |  | 0.00% |  |  |  |  |  |
Extended Term Loan B-1 | SOFR |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Description of Variable Rate Basis |  |  |  |  |  | SOFR + 2.00% |  |  |
Extended Term Loan B-1 | SOFR | SOFR Loans |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  |  | 2.00% |  |  |  |  |  |
Extended Term Loan B-1 | Adjusted Rate | Base Rate Loans |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  |  | 1.00% |  |  |  |  |  |
Extended Term Loan B-1 | Fed Funds Effective Rate Overnight Index Swap Rate | Maximum | Base Rate Loans |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  |  | 0.50% |  |  |  |  |  |
Extended Term Loan B-1 | 1-Month SOFR | Maximum | Base Rate Loans |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  |  | 1.00% |  |  |  |  |  |
Extended Term Loan B-1 | Prime Rate | Maximum | Base Rate Loans |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Description of Variable Rate Basis |  |  | prime commercial lending rate |  |  |  |  |  |
Senior Notes |  |  |  |  |  |  |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Deferred Financing Costs |  |  |  |  |  | $ 37,612 | 31,491 |  |
Debt Instrument, Unamortized Premium |  |  |  |  |  | $ 10,239 | 12,129 |  |
Senior Secured Credit Facilities |  |  |  |  |  |  |  |  |
Long-term debt disclosure |  |  |  |  |  |  |  |  |
Long-term debt, weighted average interest rate, at point in time |  |  |  |  |  | 6.91% |  |  |
Debt Instrument, footnotes to the table |  |  |  |  |  |  |  |  |
Debt Instrument, Unamortized Discount |  |  |  |  |  | $ 8,084 | 2,487 |  |
Deferred Financing Costs |  |  |  |  |  | $ 28,879 | $ 32,498 |  |

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