v3.26.1
Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Cash flows from operating activities:    
Net income $ 93,177 $ 154,666
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 84,328 75,510
Other non-operating (gains) losses (1,886) 777
Amortization of deferred financing costs and debt discounts 1,622 2,474
Deferred income taxes 3,068 (2,733)
Equity-based compensation 16,881 20,509
Income from non-consolidated affiliates (8,079) (2,956)
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:    
Accounts receivable (9,838) (14,251)
Inventories 2,571 (3,118)
Prepaid expenses and other current assets 32,009 (51,449)
Accounts payable and other accrued expenses and liabilities (60,400) (50,590)
Accrued salaries and benefits (16,940) (36,136)
Net cash provided by operating activities 136,513 92,703
Cash flows from investing activities:    
Purchases of property and equipment (66,766) (69,105)
Other (316) (264)
Net cash used in investing activities (67,082) (69,369)
Cash flows from financing activities:    
Proceeds from insurance financing arrangements 17,033 10,959
Payments of principal on insurance financing arrangements (8,192) (6,529)
Payments of principal on long-term debt (6,937) (2,896)
Distributions to noncontrolling interests (44,143) (39,525)
Repurchase of common stock (13,031) 0
Other 714 (1,499)
Net cash used in financing activities (54,556) (39,490)
Net increase (decrease) in cash and cash equivalents 14,875 (16,156)
Cash and cash equivalents at beginning of period 709,601 556,785
Cash and cash equivalents at end of period 724,476 540,629
Supplemental Cash Flow Information:    
Non-cash purchases of property and equipment $ 677 $ 13,272