Segment Information - Operations (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024	Sep. 30, 2025	Sep. 30, 2024
Segment Information
Total revenue	$ 267,804	$ 78,795	$ 723,578	$ 222,331
Payroll	38,817	29,848	109,961	85,249
Contract services	53,837	11,657	153,601	32,482
Medical supplies	3,307	3,983	11,920	12,894
Other hospital division expenses	11,959	6,418	34,610	23,380
Total depreciation and amortization	5,003	4,972	15,343	13,691
Gross profit	154,881	21,917	398,143	54,635
Corporate and other costs	24,514	12,254	153,436	38,223
Operating income	130,367	9,663	244,707	16,412
Interest expense, net	5,452	5,381	17,250	14,880
Other expense (income)	976	128	8,570	(711)
Income (loss) before taxes	123,939	(2,580)	218,887	1,170
Operating Segment
Segment Information
Total revenue	267,804	78,795
Total operating costs and expenses	107,918	51,907	310,092	154,005
Total depreciation and amortization	5,003	4,972	15,343	13,691
Gross profit	154,881	21,917	398,143	54,635
Operating income	130,367	9,663	244,707	16,412
Total capital expenditures	490	617	1,387	1,909
Corporate non-segment reconciling item
Segment Information
Corporate and other costs	(24,514)	(12,254)	(153,436)	(38,223)
Income (loss) before taxes	(24,304)	(19,117)	(153,544)	(39,427)
Hospital division | Operating Segment
Segment Information
Total revenue	260,239	71,733	700,488	199,367
Payroll	38,431	29,196	108,914	82,398
Contract services	47,813	6,484	133,601	15,077
Medical supplies	3,307	3,983	11,920	12,893
Other hospital division expenses	12,026	6,257	34,486	21,487
Total operating costs and expenses	101,577	45,920	288,921	131,855
Total depreciation and amortization	4,553	4,637	13,996	12,072
Gross profit	154,107	21,438	397,571	54,700
Interest expense, net	5,651	5,385	17,074	14,890
Other expense (income)	990	384	8,644	(492)
Income (loss) before taxes	147,466	15,669	371,853	40,302
Total capital expenditures	490	617	1,387	1,909
Population health management division | Operating Segment
Segment Information
Total revenue	7,565	7,062	23,090	22,964
Total operating costs and expenses	6,341	5,987	21,171	22,150
Total depreciation and amortization	341	361	1,020	1,193
Gross profit	883	479	899	(65)
Income (loss) before taxes	886	868	905	295
Real estate division | Operating Segment
Segment Information
Total depreciation and amortization	109	(26)	327	426
Gross profit	(109)	0	(327)	0
Income (loss) before taxes	$ (109)	$ 0	$ (327)	$ 0