Quarterly report [Sections 13 or 15(d)]

Intangible Assets - Schedule of Intangible Assets (Details)

v3.26.1
Intangible Assets - Schedule of Intangible Assets (Details) - USD ($)
$ in Thousands
Mar. 31, 2026
Dec. 31, 2025
Definite lived intangible assets:    
Accumulated Amortization $ (358,749) $ (338,165)
Intangible Assets, Net (Excluding Goodwill) [Abstract]    
Intangible assets, gross (excluding goodwill) 831,738 830,588
Intangible assets, net 472,989 492,423
Customer relationships    
Definite lived intangible assets:    
Gross Carrying Amount 672,639 671,819
Accumulated Amortization (290,031) (273,361)
Net Carrying Amount 382,608 398,458
Trademarks    
Definite lived intangible assets:    
Gross Carrying Amount 148,635 148,635
Accumulated Amortization (64,656) (61,005)
Net Carrying Amount 83,979 87,630
Payor contracts    
Definite lived intangible assets:    
Gross Carrying Amount 4,700 4,700
Accumulated Amortization (1,998) (1,880)
Net Carrying Amount 2,702 2,820
Provider network    
Definite lived intangible assets:    
Gross Carrying Amount 5,064 4,734
Accumulated Amortization (2,064) (1,919)
Net Carrying Amount 3,000 2,815
Medical licenses    
Indefinite lived intangible assets:    
Indefinite-lived intangible assets $ 700 $ 700