v3.26.1
Segment Information - Operations (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Information        
Total revenue $ 210,752 $ 243,985 $ 427,237 $ 455,774
Payroll 42,751 36,284 84,190 71,144
Contract services 1,082 61,109 61,614 99,764
Medical supplies 5,342 4,812 9,351 8,613
Other hospital division expenses 14,981 11,608 28,264 22,651
Total depreciation and amortization 5,317 5,248 10,809 10,340
Gross profit 141,279 124,924 233,009 243,262
Corporate and other costs 19,561 91,245 30,026 128,922
Operating income 121,718 33,679 202,983 114,340
Interest expense, net 4,671 5,678 9,353 11,798
Other expense (38) 4,269 (15) 7,594
Income before taxes 117,085 23,732 193,645 94,948
Operating Segment        
Segment Information        
Total revenue 210,752 243,985 427,237 455,774
Total operating costs and expenses 64,156 113,815 183,419 202,174
Total depreciation and amortization 5,317 5,248 10,809 10,340
Gross profit 141,279 124,924 233,009 243,262
Operating income 121,718 33,679 202,983 114,340
Total capital expenditures 1,743 776 3,952 897
Corporate non-segment reconciling item        
Segment Information        
Corporate and other costs (19,561) (91,245) (30,026) (128,922)
Income before taxes (17,459) (91,045) (26,035) (129,240)
Hospital division revenue | Operating Segment        
Segment Information        
Total revenue 201,852 236,302 409,422 440,249
Payroll 42,307 35,904 83,136 70,483
Contract services (5,214) 54,028 47,690 85,788
Medical supplies 5,342 4,812 9,351 8,613
Other hospital division expenses 12,685 11,191 28,047 22,460
Total operating costs and expenses 55,120 105,935 168,224 187,344
Total depreciation and amortization 4,899 4,800 9,778 9,443
Gross profit 141,833 125,569 231,420 243,464
Interest expense, net 6,768 5,848 13,346 11,423
Other expense (26) 4,300 (4) 7,654
Income before taxes 135,091 115,421 218,078 224,387
Total capital expenditures 1,743 776 3,952 897
Population health management division | Operating Segment        
Segment Information        
Total revenue 8,900 7,683 17,815 15,525
Total operating costs and expenses 9,036 7,880 15,195 14,830
Total depreciation and amortization 341 339 681 679
Gross profit (477) (536) 1,939 16
Income before taxes (470) (535) 1,952 19
Real estate division | Operating Segment        
Segment Information        
Total depreciation and amortization 77 109 350 218
Gross profit (77) (109) (350) (218)
Income before taxes (77) (109) (350) (218)
Real estate division | Intersegment Eliminations        
Segment Information        
Total revenue $ 1,177 $ 824 $ 2,354 $ 1,443