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v3.25.1

Long-term debt (Detail) - USD ($) $ in Thousands | 3 Months Ended |
--- | --- | ---
Mar. 31, 2025 | Dec. 31, 2024
Debt Instrument [Line Items] |  |
Total debt principal outstanding | $ 9,799,432 | $ 9,511,106
Discount Premium And Deferred Financing Costs | (61,039) | (64,336)
Carrying amount of long-term debt, net of unamortized discounts, premiums and deferred financing costs | 9,738,393 | 9,446,770
Less current portion | (178,648) | (270,867)
Total long-term debt | $ 9,559,745 | 9,175,903
Debt interest rate during period | 5.60% |
Long-term debt, weighted average interest rate, at point in time | 5.65% |
Revolving line of credit |  |
Debt Instrument [Line Items] |  |
Secured Debt | $ 425,000 | 0
Revolving line of credit, fair value of amount outstanding | $ 425,000 |
Debt Instrument, Maturity Date | Apr. 28, 2028 |
4.625% Senior Notes |  |
Debt Instrument [Line Items] |  |
Senior Notes | $ 2,750,000 | 2,750,000
Debt Instrument, Fair Value Disclosure | $ 2,536,875 |
Debt interest rate during period | 4.625% |
Debt Instrument, Maturity Date | Jun. 01, 2030 |
3.75% Senior Notes |  |
Debt Instrument [Line Items] |  |
Senior Notes | $ 1,500,000 | 1,500,000
Debt Instrument, Fair Value Disclosure | $ 1,304,535 |
Debt interest rate during period | 3.75% |
Debt Instrument, Maturity Date | Feb. 15, 2031 |
6.875% Senior Notes |  |
Debt Instrument [Line Items] |  |
Senior Notes | $ 1,000,000 | 1,000,000
Debt Instrument, Fair Value Disclosure | $ 1,005,000 |
Debt interest rate during period | 6.875% |
Debt Instrument, Maturity Date | Sep. 01, 2032 |
Acquisition obligations and other notes payable |  |
Debt Instrument [Line Items] |  |
Acquisition obligations and other notes payable | $ 53,990 | 56,483
Long-term debt, weighted average interest rate, at point in time | 5.55% |
Acquisition obligations and other notes payable, fair value | $ 53,990 |
Debt instrument, maturity date, description | 2025-2038 |
Financing lease obligations |  |
Debt Instrument [Line Items] |  |
Financing lease obligations | $ 208,825 | 216,401
Finance lease, weighted average discount rate, percent | 4.56% |
Debt instrument, maturity date, description | 2026-2039 |
Change Healthcare Temporary Funding Assistance |  |
Debt Instrument [Line Items] |  |
CHC Temporary Funding Assistance | $ 0 | 92,777
CHC Temporary Funding Assistance, Fair Value | 0 |
Term Loan A-1 |  |
Debt Instrument [Line Items] |  |
Secured Debt | 2,229,567 | 2,259,295
Debt Instrument, Fair Value Disclosure | 2,226,780 |
Debt Instrument, Periodic Payment, Principal | $ 29,728 |
Debt Instrument, Maturity Date | Apr. 28, 2028 |
Term Loan B-1 |  |
Debt Instrument [Line Items] |  |
Secured Debt | $ 1,632,050 | $ 1,636,150
Debt Instrument, Fair Value Disclosure | 1,630,010 |
Debt Instrument, Periodic Payment, Principal | $ 4,100 |
Debt Instrument, Maturity Date | May 09, 2031 |
Term Loan B-1 | SOFR |  |
Debt Instrument [Line Items] |  |
Debt Instrument, Description of Variable Rate Basis | SOFR + 2.00% |
Term Loan A-1 and Revolver | SOFR |  |
Debt Instrument [Line Items] |  |
Debt Instrument, Description of Variable Rate Basis | Base +1.75% |
Term Loan A-1 and Revolver | Adjusted Rate |  |
Debt Instrument [Line Items] |  |
SOFR Plus Interest Rate Margin | 0.10% |

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- Definition Including the current and noncurrent portions, carrying value as of the balance sheet date of Notes with the highest claim on the assets of the issuer in case of bankruptcy or liquidation (with maturities initially due after one year or beyond the operating cycle if longer). Senior note holders are paid off in full before any payments are made to junior note holders. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 942 -SubTopic 210 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(16)) -Publisher FASB -URI https://asc.fasb.org/1943274/2147478546/942-210-S99-1 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 944 -SubTopic 210 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03(a)(16)(a)(2)) -Publisher FASB -URI https://asc.fasb.org/1943274/2147478777/944-210-S99-1 + Details
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