v3.25.2
Variable Interest Entities - Schedule of Operating Results (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Variable Interest Entity [Line Items]        
Revenue $ 1,394,982 $ 1,482,758 $ 2,927,764 $ 3,087,112
Income (loss) from operations (116,027) (43,344) (138,137) (50,522)
Net income (loss) (104,370) (30,682) (92,258) (36,746)
Equity Method Investment, Nonconsolidated Investee or Group of Investees        
Variable Interest Entity [Line Items]        
Income (loss) from operations 6,396 11,325 22,609 20,857
Net income (loss) 5,395 9,921 18,072 15,552
Physician compensation expense 8,800 13,700 36,600 30,400
Operating expenses 4,300 1,300 8,500 2,600
Medical services revenue        
Variable Interest Entity [Line Items]        
Revenue 1,392,039 1,479,579 2,921,918 3,080,774
Expenses (1,445,245) (1,374,060) (2,847,112) (2,817,902)
Medical services revenue | Equity Method Investment, Nonconsolidated Investee or Group of Investees        
Variable Interest Entity [Line Items]        
Revenue 434,806 446,914 848,271 887,074
Expenses (401,902) (406,921) (753,755) (805,713)
Other operating revenue        
Variable Interest Entity [Line Items]        
Revenue 2,943 3,179 5,846 6,338
Expenses (2,164) (76,523) (82,357) (161,947)
Other operating revenue | Equity Method Investment, Nonconsolidated Investee or Group of Investees        
Variable Interest Entity [Line Items]        
Expenses $ (17,848) $ (22,268) $ (54,090) $ (47,673)