v3.26.1
CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Mar. 31, 2026
Dec. 31, 2025
Current assets:    
Cash and cash equivalents $ 426,092 $ 609,349
Insurance collateral 74,396 78,608
Accounts receivable, net 1,159,661 1,094,814
Spare parts, medical supplies and fuel 123,772 115,725
Prepaid expenses 75,808 105,014
Other current assets 135,098 128,571
Total current assets 1,994,827 2,132,081
Property and equipment, net of accumulated depreciation of $1,269,762 and $1,223,603 at March 31, 2026 and December 2025, respectively 1,364,127 1,361,278
Operating right-of-use assets 207,786 203,258
Finance right-of-use assets 88,730 85,030
Intangible assets, net 1,188,075 1,204,237
Goodwill 2,180,581 2,180,581
Other assets 316,509 315,580
Total assets 7,340,635 7,482,045
Current liabilities:    
Accounts payable 65,822 60,047
Accrued wages, benefits and taxes 264,812 339,710
Accrued interest 91,504 75,655
Other accrued liabilities 423,468 363,160
Current portion of lease obligations 80,562 78,717
Current portion of long-term debt 141,809 147,140
Total current liabilities 1,067,977 1,064,429
Operating lease obligations 174,179 171,880
Finance lease obligations 79,314 74,943
Long-term debt 4,894,435 4,898,769
Deferred income taxes 208,947 209,067
Insurance reserves 310,619 312,069
Other long-term liabilities 100,026 101,593
Total liabilities 6,835,497 6,832,750
Commitments and contingencies
Mezzanine equity:    
Total mezzanine equity 292,469 445,140
Stockholders' equity:    
Common stock, $0.0001 par value, 200,000,000 shares authorized and 22,096,835 and 22,096,835 shares issued and outstanding, respectively 2 2
Additional paid-in capital 359,052 456,466
Retained earnings (deficit) (153,156) (259,492)
Accumulated other comprehensive income (loss) 6,771 7,179
Total stockholders' equity (deficit) 212,669 204,155
Total liabilities, mezzanine equity and stockholders' equity $ 7,340,635 $ 7,482,045