CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2025	Jun. 30, 2024	Jun. 30, 2025	Jun. 30, 2024
Revenues:
Total revenues	$ 1,394,982	$ 1,482,758	$ 2,927,764	$ 3,087,112
Expenses:
General and administrative	56,281	69,612	122,237	146,034
Depreciation and amortization	7,319	5,907	14,195	11,751
Total expenses	1,511,009	1,526,102	3,065,901	3,137,634
Income (loss) from operations	(116,027)	(43,344)	(138,137)	(50,522)
Other income (expense):
Income (loss) from equity method investments	5,412	9,955	18,084	15,639
Other income (expense), net	7,879	4,841	17,140	10,733
Interest expense	(1,572)	(1,697)	(3,087)	(2,981)
Income (loss) before income taxes	(104,308)	(30,245)	(106,000)	(27,131)
Income tax benefit (expense)	(62)	(417)	(258)	(284)
Income (loss) from continuing operations	(104,370)	(30,662)	(106,258)	(27,415)
Discontinued operations:
Income (loss) before gain (loss) on sales	0	0	0	(518)
Adjustments on sale of assets, net	0	0	14,000	(8,763)
Total discontinued operations	0	0	14,000	(9,281)
Net income (loss)	(104,370)	(30,662)	(92,258)	(36,696)
Noncontrolling interests’ share in (earnings) loss	0	(20)	0	(50)
Net income (loss) attributable to common shares	$ (104,370)	$ (30,682)	$ (92,258)	$ (36,746)
Net income (loss) per common share, basic and diluted
Continuing operations, basic (US dollar per share)	$ (0.25)	$ (0.07)	$ (0.25)	$ (0.07)
Continuing operations, diluted (US dollar per share)	(0.25)	(0.07)	(0.25)	(0.07)
Discontinued operations, basic (US dollar per share)	0	0	0.03	(0.02)
Discontinued operations, diluted (US dollar per share)	$ 0	$ 0	$ 0.03	$ (0.02)
Weighted average shares outstanding – basic (in shares)	413,836,000	411,271,000	413,388,000	409,152,000
Weighted average shares outstanding – diluted (in shares)	413,836,000	411,271,000	413,388,000	409,152,000
Medical services revenue
Revenues:
Total revenues	$ 1,392,039	$ 1,479,579	$ 2,921,918	$ 3,080,774
Expenses:
Expenses	1,445,245	1,374,060	2,847,112	2,817,902
Other operating revenue
Revenues:
Total revenues	2,943	3,179	5,846	6,338
Expenses:
Expenses	$ 2,164	$ 76,523	$ 82,357	$ 161,947