v3.26.1
Summary of Significant Accounting Policies (Tables)
3 Months Ended
Mar. 31, 2026
Accounting Policies [Abstract]  
Schedule of Variable Interest Entities The total liabilities of VIEs included in the Company's unaudited condensed consolidated balance sheets are shown below (in
thousands):
March 31, 2026
December 31, 2025
Current liabilities:
Current installments of long-term debt
$3,648
$3,635
Accounts payable
102,325
102,482
Accrued salaries and benefits
32,960
36,900
Other accrued expenses and liabilities
82,194
67,419
Total current liabilities
221,127
210,436
Long-term debt, less current installments
8,812
9,734
Long-term operating lease liability
98,273
101,153
Long-term operating lease liability, related party
9,283
9,313
Self-insured liabilities
677
677
Other long-term liabilities
3,604
3,826
Total liabilities
$341,776
$335,139
Disaggregation of Revenue The Company's total revenue is presented in the following table (dollars in thousands):
 
Three Months Ended March 31,
 
2026
2025
 
Amount
% of Total
Revenue
Amount
% of Total
Revenue
Medicare
$669,168
41.8%
$595,637
39.8%
Medicaid
158,861
9.9%
149,343
10.0%
Other managed care
684,564
42.7%
645,152
43.1%
Self-pay and other
71,483
4.5%
80,979
5.4%
Net patient service revenue
$1,584,076
98.9%
$1,471,111
98.3%
Other revenue
17,794
1.1%
26,123
1.7%
Total revenue
$1,601,870
100.0%
$1,497,234
100.0%
Revenue from External Customers by Geographic Areas The following is an analysis by state of revenue as a percentage of the Company's total revenue
for those states in which the Company generates significant revenue:
 
Three Months Ended March 31,
 
2026
2025
Oklahoma
22.8%
24.6%
New Mexico
17.9%
14.0%
Texas
35.1%
37.6%
New Jersey
10.9%
10.7%
Other
13.3%
13.1%
Total
100.0%
100.0%
Schedule of Carrying Values and Estimated Fair Values of Debt Instruments The carrying amounts and fair values of the Company’s senior secured term loan facility and its 5.75% Senior Notes due
2029 (the "5.75% Senior Notes") were as follows (in thousands):
 
 
Carrying Amount
Fair Value
 
March 31, 2026
December 31, 2025
March 31, 2026
December 31, 2025
Senior secured term loan facility
$768,743
$770,499
$768,743
$770,499
5.75% Senior Notes
$299,708
$299,686
$296,711
$295,191