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Leases - Lease Costs (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2024 | Mar. 31, 2023
Leases [Abstract] |  |
Facility operating expense | $ 1,920 | $ 1,626
Facility lease expense | 51,496 | 46,127
Operating lease expense | 53,416 | 47,753
Operating lease expense adjustment | 13,089 | 10,805
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements | (249) | (2,244)
Operating net cash outflows from operating leases | 66,256 | 56,314
Depreciation and amortization | 2,872 | 6,655
Interest expense: financing lease obligations | 5,061 | 6,552
Financing lease expense | 7,933 | 13,207
Operating cash outflows from financing leases | 5,061 | 6,552
Financing cash outflows from financing leases | 262 | 5,852
Total net cash outflows from financing leases | $ 5,323 | $ 12,404

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- Definition Amount of interest expense on finance lease liability. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 55 -Paragraph 53 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479589/842-20-55-53 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 45 -Paragraph 4 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479041/842-20-45-4 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 4 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org//1943274/2147478964/842-20-50-4 + Details
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