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Long-term debt - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2025
Dec. 31, 2024
Debt Instrument [Line Items]    
Weighted average effective interest rate at quarter end 5.65%  
Weighted average effective interest rate during quarter 5.60%  
Percentage of debt instruments bearing fixed interest rate 56.00%  
Long Term Debt Percentage Bearing Economically Fixed Interest Rate 92.00%  
Change Healthcare Temporary Funding Assistance    
Debt Instrument [Line Items]    
CHC Temporary Funding Assistance $ 0 $ 92,777
Senior Secured Credit Facilities    
Debt Instrument [Line Items]    
Weighted average effective interest rate at quarter end 6.62%  
Debt Instrument, Unamortized Discount $ 7,759 8,084
Deferred Financing Costs 26,965 28,879
Senior Notes    
Debt Instrument [Line Items]    
Deferred Financing Costs 36,081 37,612
Debt Instrument, Unamortized Premium 9,766 $ 10,239
Term Loan A-1    
Debt Instrument [Line Items]    
Secured Debt Outstanding Principal Balance Subject To SOFR 361,617  
Revolving line of credit    
Debt Instrument [Line Items]    
Secured Debt Outstanding Principal Balance Subject To SOFR 425,000  
Line of Credit Facility [Line Items]    
Line of Credit Facility, Remaining Borrowing Capacity 1,075,000  
Maximum borrowing capacity on the revolving credit facilities 1,500,000  
Letter of Credit    
Debt Instrument [Line Items]    
Letters of credit outstanding 0  
Bilateral Secured Letter Of Credit Facility    
Debt Instrument [Line Items]    
Letters of credit outstanding $ 172,716