Quarterly report [Sections 13 or 15(d)]

Intangible Assets - Schedule of Intangible Assets (Details)

v3.26.3
Intangible Assets - Schedule of Intangible Assets (Details) - USD ($)
$ in Thousands
Sep. 30, 2026
Dec. 31, 2025
Definite lived intangible assets:    
Accumulated Amortization $ (399,917) $ (338,165)
Intangible Asset, Excluding Goodwill, after Accumulated Amortization [Abstract]    
Intangible assets, gross (excluding goodwill) 831,738 830,588
Intangible assets, net 431,821 492,423
Customer relationships    
Definite lived intangible assets:    
Gross Carrying Amount 672,639 671,819
Accumulated Amortization (323,373) (273,361)
Net Carrying Amount 349,266 398,458
Trademarks    
Definite lived intangible assets:    
Gross Carrying Amount 148,635 148,635
Accumulated Amortization (71,958) (61,005)
Net Carrying Amount 76,677 87,630
Payor contracts    
Definite lived intangible assets:    
Gross Carrying Amount 4,700 4,700
Accumulated Amortization (2,233) (1,880)
Net Carrying Amount 2,467 2,820
Provider network    
Definite lived intangible assets:    
Gross Carrying Amount 5,064 4,734
Accumulated Amortization (2,353) (1,919)
Net Carrying Amount 2,711 2,815
Medical licenses    
Indefinite lived intangible assets:    
Indefinite-lived intangible assets $ 700 $ 700