v3.25.1
Summary of Significant Accounting Policies - Schedule of Variable Interest Entities (Details)
$ in Thousands
 3 Months Ended
Mar. 31, 2025
USD ($)
variableInterestEntity
Mar. 31, 2024
USD ($)
Dec. 31, 2024
USD ($)
variableInterestEntity
Accounting Policies [Abstract]      
Number of Consolidated Variable Interest Entities | variableInterestEntity 9   9
Variable Interest Entity [Line Items]      
Total assets [1] $ 4,911,257   $ 4,956,100
Current installments of long-term debt [1] 17,759   9,234
Accounts payable [1] 371,919   401,249
Accrued salaries and benefits [1] 214,170   295,117
Other accrued expenses and liabilities [1] 226,295   239,824
Total current liabilities [1] 830,143   945,424
Long-term debt, less current maturities [1] 1,090,549   1,085,818
Self-insured liabilities [1] 226,507   227,048
Other long-term liabilities [1] 31,632   34,697
Total liabilities [1] 3,346,781   3,433,743
Income before income taxes 74,198 $ 56,564  
Variable Interest Entity, Primary Beneficiary      
Variable Interest Entity [Line Items]      
Total assets 1,300,000   1,300,000
Current installments of long-term debt 2,836   2,266
Accounts payable 82,958   89,428
Accrued salaries and benefits 32,213   37,713
Other accrued expenses and liabilities 50,458   45,250
Total current liabilities 168,465   174,657
Long-term debt, less current maturities 12,398   8,192
Self-insured liabilities 676   676
Other long-term liabilities 5,022   4,595
Total liabilities 304,836   306,440
Income before income taxes 62,600 $ 61,700  
Nonrelated Party      
Variable Interest Entity [Line Items]      
Long-term operating lease liability [1] 252,113   221,443
Nonrelated Party | Variable Interest Entity, Primary Beneficiary      
Variable Interest Entity [Line Items]      
Long-term operating lease liability 108,878   108,897
Related Party      
Variable Interest Entity [Line Items]      
Long-term operating lease liability [1] 915,837   919,313
Related Party | Variable Interest Entity, Primary Beneficiary      
Variable Interest Entity [Line Items]      
Long-term operating lease liability $ 9,397   $ 9,423
[1] As of March 31, 2025 and December 31, 2024, the unaudited condensed consolidated balance sheets included total liabilities of consolidated variable interest entities of
$304.8 million and $306.4 million, respectively. Refer to Note 2, Summary of Significant Accounting Policies, for further discussion.