Stock-based Compensation (Tables)

3 Months Ended

Mar. 31, 2026

Share-Based Payment Arrangement [Abstract]

Schedule of measurement of shares issued

Measurement Periods ending on or prior to March 31, 2026 (dollars in thousands):

Number of Hospitals	End of Measurement Period	Number of Shares Issuable	Number of Shares Issued to Date	Inception-to-date Compensation Expense		Year-to-date 2026 Compensation Expense
1	February 28, 2023	—	—	$	—	$	—
2	February 29, 2024	27,035	27,035	458		—
1	February 28, 2025	422,091	422,091	23,173		—
2	June 30, 2025	603,306	603,306	75,042		—
1	August 31, 2025	309,429	309,429	25,927		—
1	March 31, 2026	12,753	12,753	3,744		(2,532)
8		1,374,614	1,374,614	$	128,344	$	(2,532)

Measurement Periods ending after March 31, 2026 (dollars in thousands):

Number of Hospitals	End of Measurement Period	Estimated Number of Shares Issuable	Estimated Compensation Expense		Inception-to-date Compensation Expense		Year-to-date 2026 Compensation Expense
1	November 30, 2026	—	—		—		$	(2,181)
1	December 31, 2026	47,100	3,216		2,705		160
2		47,100	$	3,216	$	2,705	$	(2,021)

Schedule of share-based payment arrangement, restricted stock and restricted stock unit, activity

The following is an inception-to-date summary of the restricted stock units (RSUs) granted to certain employees and board members participating in the Company's long-term incentive program (shares and dollars in thousands):

Grant Date	RSUs Granted	Grant Date Fair Value		RSUs Vested	RSUs Forfeited	RSUs Unvested	Future Vesting Dates
June 16, 2024	118	$	640.11	72	13	33	March 2027
March 10, 2025	61	2,484.02		18	7	36	March 2027 and 2028
July 14, 2025	3	280.00		—	—	3	July 2026
March 2, 2026	34	3,982.29		—	—	34	March 2027, 2028, 2029
Total	216	$	7,386.41	90	20	106

Schedule of changes in restricted stock units

The following table summarizes activity in restricted stock units:

	Shares (in thousands)	Weighted Average Grant-Date Fair Value Per Share
Non-vested awards, December 31, 2024	117	$	37.23
Granted	61	41.15
Forfeitures	(5)	5.40
Vested	(16)	105.80
Non-vested awards, March 31, 2025	157	$	34.96
Non-vested awards, December 31, 2025	127	$	43.69
Granted	34	117.60
Forfeitures	(3)	34.16
Vested	(52)	33.90
Non-vested awards, March 31, 2026	106	$	95.21