Equity Method and Other Investments Equity Method and Other Investments (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Schedule of Equity Method and Other Investments [Line Items]
Equity method and other investments	$ 453,709	$ 545,848
Mozarc Medical Holding LLC
Schedule of Equity Method and Other Investments [Line Items]
Equity method and other investments	265,303	324,711
APAC joint venture
Schedule of Equity Method and Other Investments [Line Items]
Equity method and other investments	67,241	98,865
Adjusted cost method and other investments
Schedule of Equity Method and Other Investments [Line Items]
Equity method and other investments	16,810	14,990
Other equity method partnerships
Schedule of Equity Method and Other Investments [Line Items]
Equity method and other investments	$ 104,355	$ 107,282