Variable Interest Entities - Balance Sheet Amounts (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Variable Interest Entities
Current assets	$ 579,649	$ 538,811
Property and equipment, net	94,927	94,581
Other long-term assets	668	662
Total assets	957,318	918,525
Current liabilities	184,436	157,911
Total liabilities	515,265	495,088
Equity	346,293	329,447
Total liabilities and equity	957,318	918,525
Primary Beneficiary | Real Estate VIEs
Variable Interest Entities
Current assets	1,109	161
Property and equipment, net	18,711	18,819
Other long-term assets	385	375
Total assets	20,205	19,355
Current liabilities	559	201
Long-term liabilities	18,075	18,442
Total liabilities	18,634	18,643
Equity	1,571	712
Total liabilities and equity	20,205	19,355
Primary Beneficiary | Physician LLCs
Variable Interest Entities
Current assets	79,800	68,649
Property and equipment, net	4	4
Other long-term assets	0	0
Total assets	79,804	68,653
Current liabilities	8,680	13,143
Long-term liabilities	0	0
Total liabilities	8,680	13,143
Equity	71,124	55,510
Total liabilities and equity	79,804	68,653
Primary Beneficiary | Facility Entity
Variable Interest Entities
Current assets	1,568	526
Property and equipment, net	1,279	1,195
Other long-term assets	19,903	20,098
Total assets	22,750	21,819
Current liabilities	889	1,229
Long-term liabilities	23,259	20,094
Total liabilities	24,148	21,323
Equity	(1,398)	496
Total liabilities and equity	22,750	21,819
Primary Beneficiary | IPAs
Variable Interest Entities
Current assets	12,764	11,514
Property and equipment, net	94	99
Other long-term assets	0	0
Total assets	12,858	11,613
Current liabilities	12,858	11,613
Long-term liabilities	0	0
Total liabilities	12,858	11,613
Equity	0	0
Total liabilities and equity	$ 12,858	$ 11,613