Condensed Consolidated Statements Of Cash Flows (Statement) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024
Cash flows from operating activities:
Net income	$ 155,873	$ 158,817
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	114,666	108,434
Other non-operating losses	1,275	0
Loss on extinguishment and modification of debt	515	2,158
Amortization of deferred financing costs and debt discounts	3,568	4,235
Deferred income taxes	14,884	1,690
Equity-based compensation	30,183	8,873
(Income) loss from non-consolidated affiliates	(1,409)	2,160
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:
Accounts receivable	16,594	77,284
Inventories	(6,308)	(2,545)
Prepaid expenses and other current assets	(47,361)	(21,189)
Accounts payable and other accrued expenses and liabilities	(15,716)	(132,031)
Accrued salaries and benefits	(19,689)	(12,429)
Net cash provided by operating activities	247,075	195,457
Cash flows from investing activities:
Investment in acquisitions, net of cash acquired	0	(8,044)
Purchases of property and equipment	(127,909)	(106,234)
Other	(92)	(738)
Net cash used in investing activities	(128,001)	(115,016)
Cash flows from financing activities:
Proceeds from initial public offering, net of underwriting discounts and commissions	0	208,656
Proceeds from insurance financing arrangements	15,607	10,797
Proceeds from long-term debt	0	3,600
Payments of principal on insurance financing arrangements	(10,751)	(7,370)
Payments of principal on long-term debt	(4,506)	(106,335)
Debt issuance costs	(2,573)	(2,450)
Payments of initial public offering costs	0	(8,636)
Distributions to noncontrolling interests	(62,366)	(53,138)
Other	(1,829)	0
Net cash (used in) provided by financing activities	(66,418)	45,124
Net increase in cash and cash equivalents	52,656	125,565
Cash and cash equivalents at beginning of period	556,785	437,577
Cash and cash equivalents at end of period	609,441	563,142
Supplemental Cash Flow Information:
Non-cash purchases of property and equipment	13,509	5,546
Offering costs not yet paid	$ 0	$ 898