Segment Information - Operations (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Information
Total revenue	$ 216,485	$ 211,789
Payroll	41,439	34,860
Contract services	60,532	38,655
Medical supplies	4,009	3,801
Other	13,283	11,043
Total depreciation and amortization	5,492	5,092
Gross profit	91,730	118,338
Corporate and other costs	10,465	37,677
Operating income	81,265	80,661
Interest expense, net	4,682	6,120
Other expense	23	3,325
Income before taxes	76,560	71,216
Operating Segment
Segment Information
Total revenue	216,485	211,789
Total operating costs and expenses	119,263	88,359
Total depreciation and amortization	5,492	5,092
Gross profit	91,730	118,338
Operating income	81,265	80,661
Total capital expenditures	2,209	64
Corporate non-segment reconciling item
Segment Information
Corporate and other costs	(10,465)	(37,677)
Income before taxes	(8,576)	(38,195)
Hospital division revenue | Operating Segment
Segment Information
Total revenue	207,570	203,947
Payroll	40,829	34,579
Contract services	52,904	31,760
Medical supplies	4,009	3,801
Other	15,362	11,269
Total operating costs and expenses	113,104	81,409
Total depreciation and amortization	4,879	4,643
Gross profit	89,587	117,895
Interest expense, net	6,578	5,575
Other expense	22	3,354
Income before taxes	82,987	108,966
Total capital expenditures	2,209	64
Population health management division | Operating Segment
Segment Information
Total revenue	8,915	7,842
Total operating costs and expenses	6,159	6,950
Total depreciation and amortization	340	340
Gross profit	2,416	552
Income before taxes	2,422	554
Real estate division | Operating Segment
Segment Information
Total depreciation and amortization	273	109
Gross profit	(273)	(109)
Income before taxes	(273)	(109)
Real estate division | Intersegment Eliminations
Segment Information
Total revenue	$ 1,177	$ 619