Quarterly report pursuant to Section 13 or 15(d)

Intangible Assets - Schedule of Intangible Assets (Details)

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Intangible Assets - Schedule of Intangible Assets (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Definite lived intangible assets:    
Accumulated Amortization $ (197,132) $ (176,102)
Intangible Assets, Net (Excluding Goodwill) [Abstract]    
Intangible assets, gross (excluding goodwill) 842,835 842,835
Intangible assets, net 645,703 666,733
Customer relationships    
Definite lived intangible assets:    
Gross Carrying Amount 684,000 684,000
Accumulated Amortization (159,600) (142,500)
Net Carrying Amount 524,400 541,500
Trademarks    
Definite lived intangible assets:    
Gross Carrying Amount 148,635 148,635
Accumulated Amortization (35,363) (31,671)
Net Carrying Amount 113,272 116,964
Payor contracts    
Definite lived intangible assets:    
Gross Carrying Amount 4,700 4,700
Accumulated Amortization (1,058) (940)
Net Carrying Amount 3,642 3,760
Provider network    
Definite lived intangible assets:    
Gross Carrying Amount 4,800 4,800
Accumulated Amortization (1,111) (991)
Net Carrying Amount 3,689 3,809
Medical licenses    
Indefinite lived intangible assets:    
Indefinite-lived intangible assets $ 700 $ 700