v3.25.4
Business Combinations and Goodwill - Summary of Purchase Price Allocation (Details) - USD ($)
$ in Thousands
 12 Months Ended
Jul. 01, 2025
Oct. 04, 2024
Mar. 31, 2024
Jan. 31, 2024
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Assets:              
Goodwill         $ 865,305 $ 419,253 $ 278,831
CFC              
Total purchase consideration:              
Cash paid       $ 90,998      
Purchase price due to (from) seller       0      
Contingent consideration       8,026      
Common stock issued and replacement awards       21,952      
Conversion of promissory note       0      
Purchase consideration:       120,976      
Assets:              
Cash and cash equivalents       16,674      
Investment in marketable securities [1]       0      
Receivables       6,530      
Other receivables       3,375      
Prepaid expenses and other current assets       0      
Property and equipment       0      
Intangible assets       28,000      
Goodwill       83,571      
Income tax receivable       0      
Investments in other entities - equity method       0      
Restricted cash       0      
Total assets acquired       138,150      
Liabilities:              
Accounts payable and accrued expenses       2,487      
Medical liabilities       14,663      
Income taxes payable       24      
Deferred tax liability       0      
Non-controlling interest       0      
Total liabilities assumed       17,174      
Total net assets acquired       $ 120,976      
Certain Businesses and Assets of Prospect Medical Holdings, Inc.              
Total purchase consideration:              
Cash paid         674,900    
Purchase consideration: $ 674,902            
Assets:              
Cash and cash equivalents 124,835            
Receivables 86,170            
Other receivables 1,329            
Prepaid expenses and other current assets 7,684            
Loan receivable 794            
Property and equipment 37,512            
Intangible assets 193,500            
Goodwill 442,887            
Loans receivable, non-current 278            
Operating lease right-of-use assets 4,535            
Other assets 6,126            
Total assets acquired 905,650            
Liabilities:              
Accounts payable and accrued expenses 93,290            
Medical liabilities 124,076            
Operating lease liabilities 1,772            
Other liabilities 646            
Deferred tax liability 5,300            
Operating lease liabilities, net of current portion 2,763            
Other long-term liabilities 2,901            
Total liabilities assumed 230,748            
Total net assets acquired $ 674,902            
CHS              
Total purchase consideration:              
Cash paid   $ 35,322          
Purchase price due to (from) seller   6,944          
Contingent consideration   5,154          
Common stock issued and replacement awards   118          
Purchase consideration:   47,538          
Assets:              
Cash and cash equivalents   4,556          
Investment in marketable securities [1]   0          
Receivables   102,447          
Other receivables   36,766          
Prepaid expenses and other current assets   356          
Property and equipment   0          
Intangible assets   14,200          
Goodwill   9,161          
Income tax receivable   0          
Investments in other entities - equity method   3,121          
Restricted cash   0          
Total assets acquired   170,607          
Liabilities:              
Accounts payable and accrued expenses   69,258          
Medical liabilities   53,889          
Income taxes payable   0          
Deferred tax liability   0          
Non-controlling interest   (78)          
Total liabilities assumed   123,069          
Total net assets acquired   $ 47,538          
AHMS              
Total purchase consideration:              
Cash paid     $ 63,935        
Purchase price due to (from) seller     (2,995)        
Contingent consideration     0        
Common stock issued and replacement awards     0        
Conversion of promissory note     0        
Purchase consideration:     60,940        
Assets:              
Cash and cash equivalents     33,950        
Investment in marketable securities [1]     0        
Receivables     11,007        
Other receivables     0        
Prepaid expenses and other current assets     36        
Property and equipment     0        
Intangible assets     23,600        
Goodwill     25,571        
Income tax receivable     0        
Investments in other entities - equity method     0        
Restricted cash     300        
Total assets acquired     94,464        
Liabilities:              
Accounts payable and accrued expenses     13,001        
Medical liabilities     14,093        
Income taxes payable     0        
Deferred tax liability     6,430        
Non-controlling interest     0        
Total liabilities assumed     33,524        
Total net assets acquired     $ 60,940        
Other Acquisitions              
Total purchase consideration:              
Cash paid [2]         15,000    
Purchase price due to (from) seller [2]         0    
Contingent consideration [2]         6,161    
Common stock issued and replacement awards [2]         0    
Conversion of promissory note [2]         5,175    
Purchase consideration: [2]         26,336    
Assets:              
Cash and cash equivalents [2]         3,515    
Investment in marketable securities [1],[2]         30    
Receivables [2]         0    
Other receivables [2]         0    
Prepaid expenses and other current assets [2]         11    
Property and equipment [2]         823    
Intangible assets [2]         6,338    
Goodwill [2]         16,357    
Income tax receivable [2]         1    
Investments in other entities - equity method [2]         0    
Restricted cash [2]         0    
Total assets acquired [2]         27,075    
Liabilities:              
Accounts payable and accrued expenses [2]         303    
Medical liabilities [2]         0    
Income taxes payable [2]         0    
Deferred tax liability [2]         8    
Non-controlling interest [2]         428    
Total liabilities assumed [2]         739    
Total net assets acquired [2]         26,336    
Total Acquisitions              
Total purchase consideration:              
Cash paid         205,255    
Purchase price due to (from) seller         3,949    
Contingent consideration         19,341    
Common stock issued and replacement awards         22,070    
Conversion of promissory note         5,175    
Purchase consideration:         255,790    
Assets:              
Cash and cash equivalents         58,695    
Investment in marketable securities [1]         30    
Receivables         119,984    
Other receivables         40,141    
Prepaid expenses and other current assets         403    
Property and equipment         823    
Intangible assets         72,138    
Goodwill         134,660    
Income tax receivable         1    
Investments in other entities - equity method         3,121    
Restricted cash         300    
Total assets acquired         430,296    
Liabilities:              
Accounts payable and accrued expenses         85,049    
Medical liabilities         82,645    
Income taxes payable         24    
Deferred tax liability         6,438    
Non-controlling interest         350    
Total liabilities assumed         174,506    
Total net assets acquired         $ 255,790    
[1] Included in prepaid expense and other current assets on the consolidated balance sheet.
[2] Others consist of estimated fair values of the assets acquired, net of cash acquired, related to ADSC, PCCCV, Airline Complete, and DWGAS.