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Leases - Lease Costs (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2023 | Mar. 31, 2022
Leases [Abstract] |  |
Facility operating expense | $ 1,626 | $ 1,523
Facility lease expense | 46,127 | 41,564
Operating lease expense | 47,753 | 43,087
Operating lease expense adjustment | 10,805 | 8,307
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements | (2,244) | (1,490)
Operating net cash outflows from operating leases | 56,314 | 49,904
Depreciation and amortization | 5,228 | 7,665
Interest expense: financing lease obligations | 6,552 | 12,058
Financing lease expense | 11,780 | 19,723
Operating cash outflows from financing leases | 6,552 | 12,058
Financing cash outflows from financing leases | 5,852 | 5,490
Changes in financing lease assets and liabilities for lessor capital expenditure reimbursement | 0 | (3,207)
Total net cash outflows from financing leases | $ 12,404 | $ 14,341

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- Definition Increase (Decrease) In Operating Lease Assets And Liabilities For Lessor Capital Expenditure Reimbursements + References No definition available. + Details
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- Definition Amount of interest expense on finance lease liability. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 50 -Paragraph 4 -Subparagraph (a) -URI https://asc.fasb.org/extlink&oid=128292326&loc=SL77918686-209980 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 45 -Paragraph 4 -Subparagraph (a) -URI https://asc.fasb.org/extlink&oid=123391704&loc=SL77918638-209977 Reference 3: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 55 -Paragraph 53 -URI https://asc.fasb.org/extlink&oid=123414884&loc=SL77918982-209971 + Details
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- Definition Amount of operating lease expense. Excludes sublease income. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 45 -Paragraph 4 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=123391704&loc=SL77918638-209977 + Details
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