CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024	Sep. 30, 2025	Sep. 30, 2024
Revenues:
Total revenues	$ 1,435,321	$ 1,450,932	$ 4,363,085	$ 4,538,044
Expenses:
General and administrative	56,198	63,123	178,435	209,157
Depreciation and amortization	7,430	6,218	21,625	17,969
Total expenses	1,566,595	1,584,440	4,632,496	4,722,074
Income (loss) from operations	(131,274)	(133,508)	(269,411)	(184,030)
Other income (expense):
Income (loss) from equity method investments	13,133	2,047	31,217	17,686
Other income (expense), net	9,441	16,061	26,581	26,794
Interest expense	(1,838)	(1,622)	(4,925)	(4,603)
Income (loss) before income taxes	(110,538)	(117,022)	(216,538)	(144,153)
Income tax benefit (expense)	331	590	73	306
Income (loss) from continuing operations	(110,207)	(116,432)	(216,465)	(143,847)
Discontinued operations:
Income (loss) before gain (loss) on sales	0	(1,183)	0	(1,701)
Adjustments on sale of assets, net	0	0	14,000	(8,763)
Total discontinued operations	0	(1,183)	14,000	(10,464)
Net income (loss)	(110,207)	(117,615)	(202,465)	(154,311)
Noncontrolling interests’ share in (earnings) loss	0	0	0	(50)
Net income (loss) attributable to common shares	$ (110,207)	$ (117,615)	$ (202,465)	$ (154,361)
Net income (loss) per common share, basic and diluted
Continuing operations, basic (in dollars per share)	$ (0.27)	$ (0.29)	$ (0.52)	$ (0.35)
Continuing operations, diluted (in dollars per share)	(0.27)	(0.29)	(0.52)	(0.35)
Discontinued operations, basic (in dollars per share)	0	0	0.03	(0.03)
Discontinued operations, diluted (in dollars per share)	$ 0	$ 0	$ 0.03	$ (0.03)
Weighted average shares outstanding – basic (in shares)	414,465,000	411,591,000	413,751,000	410,604,000
Weighted average shares outstanding – diluted (in shares)	414,465,000	411,591,000	413,751,000	410,604,000
Medical services revenue
Revenues:
Total revenues	$ 1,432,437	$ 1,447,697	$ 4,354,355	$ 4,528,471
Expenses:
Expenses	1,489,479	1,505,950	4,336,591	4,323,852
Other operating revenue
Revenues:
Total revenues	2,884	3,235	8,730	9,573
Expenses:
Expenses	$ 13,488	$ 9,149	$ 95,845	$ 171,096