v3.26.1
Summary of Significant Accounting Policies (Tables)
6 Months Ended
Jun. 30, 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):
June 30, 2026
December 31, 2025
Current liabilities:
Current installments of long-term debt
$3,669
$3,635
Accounts payable
97,552
102,482
Accrued salaries and benefits
38,166
36,900
Other accrued expenses and liabilities
77,131
67,419
Total current liabilities
216,518
210,436
Long-term debt, less current installments
8,118
9,734
Long-term operating lease liability
93,201
101,153
Long-term operating lease liability, related party
9,253
9,313
Self-insured liabilities
680
677
Other long-term liabilities
3,403
3,826
Total liabilities
$331,173
$335,139
Disaggregation of Revenue The Company's total revenue is presented in the following table (dollars in thousands):
 
Three Months Ended June 30,
Six Months Ended June 30,
 
2026
2025
2026
2025
 
Amount
% of
Total
Amount
% of
Total
Amount
% of Total
Revenue
Amount
% of Total
Revenue
Medicare
$651,544
40.2%
$643,757
39.1%
$1,320,712
41.0%
$1,239,394
39.5%
Medicaid
159,640
9.8%
159,733
9.7%
318,501
9.9%
309,076
9.9%
Other managed care
688,448
42.4%
724,053
44.0%
1,373,012
42.6%
1,369,205
43.6%
Self-pay and other
96,128
6.0%
92,104
5.6%
167,611
5.1%
173,083
5.4%
Net patient service revenue
$1,595,760
98.4%
$1,619,647
98.4%
$3,179,836
98.6%
$3,090,758
98.4%
Other revenue
26,485
1.6%
25,633
1.6%
44,279
1.4%
51,756
1.6%
Total revenue
$1,622,245
100.0%
$1,645,280
100.0%
$3,224,115
100.0%
$3,142,514
100.0%
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Geographical Area, Revenue 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 June 30,
Six Months Ended June 30,
 
2026
2025
2026
2025
Oklahoma
22.9%
22.5%
22.9%
23.5%
New Mexico
17.9%
20.2%
17.9%
17.2%
Texas
35.6%
34.8%
35.3%
36.1%
New Jersey
9.8%
9.6%
10.3%
10.1%
Other
13.8%
12.9%
13.6%
13.1%
Total
100.0%
100.0%
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
 
June 30, 2026
December 31, 2025
June 30, 2026
December 31, 2025
Senior secured term loan facility
$766,987
$770,499
$770,821
$770,499
5.75% Senior Notes
$299,731
$299,686
$295,610
$295,191