v3.26.1
CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Jun. 30, 2026
Dec. 31, 2025
Current assets:    
Cash and cash equivalents $ 420,001 $ 609,349
Insurance collateral 76,755 78,608
Accounts receivable, net 1,166,369 1,094,814
Spare parts, medical supplies and fuel 127,819 115,725
Prepaid expenses 84,663 105,014
Other current assets 147,372 128,571
Total current assets 2,022,979 2,132,081
Property and equipment, net of accumulated depreciation of $1,303,633 and $1,223,603 at June 30, 2026 and December 31, 2025, respectively 1,411,068 1,361,278
Operating right-of-use assets 216,206 203,258
Finance right-of-use assets 84,239 85,030
Intangible assets, net 1,171,914 1,204,237
Goodwill 2,180,581 2,180,581
Other assets 342,271 315,580
Total assets 7,429,258 7,482,045
Current liabilities:    
Accounts payable 64,054 60,047
Accrued wages, benefits and taxes 277,499 339,710
Accrued interest 24,648 75,655
Other accrued liabilities 408,742 363,160
Current portion of lease obligations 79,672 78,717
Current portion of long-term debt 151,231 147,140
Total current liabilities 1,005,846 1,064,429
Operating lease obligations 182,105 171,880
Finance lease obligations 75,578 74,943
Long-term debt 4,266,377 4,898,769
Deferred income taxes 209,129 209,067
Tax receivable agreement liability 468,414  
Insurance reserves 332,839 312,069
Other long-term liabilities 99,707 101,593
Total liabilities 6,639,995 6,832,750
Commitments and contingencies
Mezzanine equity:    
Total mezzanine equity   445,140
Stockholders' equity:    
Additional paid-in capital 963,270 456,466
Retained earnings (deficit) (181,434) (259,492)
Accumulated other comprehensive income (loss) 7,422 7,179
Total stockholders' equity (deficit) 789,263 204,155
Total liabilities, mezzanine equity and stockholders' equity 7,429,258 7,482,045
Class A Common Stock    
Stockholders' equity:    
Common stock 5 2
Class B Common Stock    
Stockholders' equity:    
Common stock