Revenue - Narrative (Details) - USD ($) $ in Thousands	May 01, 2024	Mar. 31, 2026	Dec. 31, 2025
Disaggregation of Revenue
Accrued arbitration expenses		$ 56,833	$ 49,743
IDR Vendor
Disaggregation of Revenue
Prepaid expenses related to IDRE fees		13,600	20,900
Accounts payable, related parties		38,100	37,700
Accrued arbitration expenses		$ 56,800	$ 49,700
Minimum
Disaggregation of Revenue
Percentage of net patient service revenue		99.00%
Minimum | IDR Vendor
Disaggregation of Revenue
IDR arbitration process	3 months
Maximum | IDR Vendor
Disaggregation of Revenue
IDR arbitration process	5 months