v3.25.2
Goodwill and Other Intangible Assets - Schedule of Intangible Assets (Details) - USD ($)
$ in Thousands
Jun. 30, 2025
Dec. 31, 2024
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount $ 5,119,800 $ 5,119,800
Accumulated Amortization (3,065,419) (2,893,477)
Net Carrying Value $ 2,054,381 2,226,323
Customer relationships    
Finite-Lived Intangible Assets [Line Items]    
Weighted-average amortization period 15 years  
Gross Carrying Amount $ 4,197,480 4,197,480
Accumulated Amortization (2,510,946) (2,370,865)
Net Carrying Value $ 1,686,534 1,826,615
Provider network    
Finite-Lived Intangible Assets [Line Items]    
Weighted-average amortization period 15 years  
Gross Carrying Amount $ 896,800 896,800
Accumulated Amortization (542,066) (512,172)
Net Carrying Value $ 354,734 384,628
Technology    
Finite-Lived Intangible Assets [Line Items]    
Weighted-average amortization period 6 years  
Gross Carrying Amount $ 21,850 21,850
Accumulated Amortization (10,682) (8,940)
Net Carrying Value $ 11,168 12,910
Trade names    
Finite-Lived Intangible Assets [Line Items]    
Weighted-average amortization period 9 years  
Gross Carrying Amount $ 2,670 2,670
Accumulated Amortization (1,295) (1,170)
Net Carrying Value $ 1,375 1,500
Non-compete    
Finite-Lived Intangible Assets [Line Items]    
Weighted-average amortization period 5 years  
Gross Carrying Amount $ 1,000 1,000
Accumulated Amortization (430) (330)
Net Carrying Value $ 570 $ 670