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Long-term debt - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
May 23, 2025
Jun. 30, 2025
Jun. 30, 2025
Dec. 31, 2024
Debt Instrument [Line Items]        
Weighted average effective interest rate at quarter end   5.73% 5.73%  
Percentage of debt instruments bearing fixed interest rate   63.00% 63.00%  
Long Term Debt Percentage Bearing Economically Fixed Interest Rate   97.00% 97.00%  
Change Healthcare Temporary Funding Assistance        
Debt Instrument [Line Items]        
CHC Temporary Funding Assistance   $ 0 $ 0 $ 92,777
6.75% Senior Notes        
Debt Instrument [Line Items]        
Debt, Interest Rate, at Point in Time 6.75% 6.75% 6.75%  
Senior Notes $ 1,000,000 $ 1,000,000 $ 1,000,000  
Debt Instrument, Maturity Date     Jul. 15, 2033  
Debt Instrument, Fair Value Disclosure   $ 1,032,500 $ 1,032,500  
Debt Instrument, Date of First Required Payment Jan. 15, 2026      
Debt Instrument, Redemption, Description The Company may redeem up to 40% of the aggregate principal amount of the 6.75% Senior Notes at any time prior to July 15, 2028      
Debt Instrument, Redemption Price, Percentage Any time Prior to July 15, 2028 106.75%      
Debt Instrument, Redemption Price, if change of control 101.00%      
Debt Instrument, Fee Amount $ 11,799      
Debt Instrument, Payment Terms The 6.75% Senior Notes pay interest on January 15 and July 15 of each year beginning January 15, 2026 and mature on July 15, 2033.      
Senior Secured Credit Facilities        
Debt Instrument [Line Items]        
Weighted average effective interest rate at quarter end   6.60% 6.60%  
Debt Instrument, Unamortized Discount   $ 7,435 $ 7,435 8,084
Deferred Financing Costs   24,978 24,978 28,879
Senior Notes        
Debt Instrument [Line Items]        
Deferred Financing Costs   46,111 46,111 37,612
Debt Instrument, Unamortized Premium   9,293 9,293 $ 10,239
Term Loan A-1        
Debt Instrument [Line Items]        
Secured Debt Outstanding Principal Balance Subject To SOFR   327,789 $ 327,789  
Debt Instrument, Maturity Date     Apr. 28, 2028  
Debt Instrument, Fair Value Disclosure   2,202,590 $ 2,202,590  
Term Loan A-1 and Revolver | SOFR        
Debt Instrument [Line Items]        
Debt Instrument, Description of Variable Rate Basis     Base +1.75%  
Term Loan B-1        
Debt Instrument [Line Items]        
Debt Instrument, Maturity Date     May 09, 2031  
Debt Instrument, Fair Value Disclosure   $ 1,636,089 $ 1,636,089  
Term Loan B-1 | SOFR        
Debt Instrument [Line Items]        
Debt Instrument, Description of Variable Rate Basis   SOFR + 2.00%    
Revolving line of credit        
Debt Instrument [Line Items]        
Debt Instrument, Maturity Date     Apr. 28, 2028  
Line of Credit Facility [Line Items]        
Line of Credit Facility, Remaining Borrowing Capacity   $ 1,500,000 $ 1,500,000  
Letter of Credit        
Debt Instrument [Line Items]        
Letters of credit outstanding   0 0  
Bilateral Secured Letter Of Credit Facility        
Debt Instrument [Line Items]        
Letters of credit outstanding   $ 159,115 $ 159,115