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Leases - Schedule of Lease Costs (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Leases [Abstract] |  |  |  |
Facility operating expense | $ 1,999 | $ 1,853 | $ 6,095 | $ 5,211
Facility lease expense | 51,937 | 53,145 | 154,397 | 149,784
Operating lease expense | 53,936 | 54,998 | 160,492 | 154,995
Operating lease expense adjustment | 12,489 | 11,458 | 39,061 | 33,820
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements | (6,432) | 0 | (7,732) | (2,244)
Operating net cash outflows from operating leases | 59,993 | 66,456 | 191,821 | 186,571
Depreciation and amortization | 2,651 | 2,843 | 8,421 | 13,589
Interest expense: financing lease obligations | 5,062 | 4,950 | 15,233 | 16,955
Financing lease expense | 7,713 | 7,793 | 23,654 | 30,544
Operating cash outflows from financing leases | 5,062 | 4,950 | 15,233 | 16,955
Financing cash outflows from financing leases | 273 | 244 | 800 | 8,222
Total net cash outflows from financing leases | $ 5,335 | $ 5,194 | $ 16,033 | $ 25,177

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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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