Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2025

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Changes in The Carrying Amount of Goodwill

The changes in the carrying amount of the Company's goodwill consist of the following (in thousands):

	Goodwill Gross		Accumulated Impairment Losses			Goodwill Net
Balance at December 31, 2023	$	1,532,478	$	(148,312	)	$	1,384,166
Acquisitions		9,084		—			9,084
Impairment loss		—		(150,644	)		(150,644	)
Balance at December 31, 2024		1,541,562		(298,956	)		1,242,606
Acquisitions		18,126		—			18,126
Balance at December 31, 2025	$	1,559,688	$	(298,956	)	$	1,260,732

Summary of Intangible Assets, Net

Intangible assets, net, consist of the following (in thousands):

	December 31, 2025
	Gross Carrying Value		Accumulated Amortization			Net Carrying Value
Physician and hospital agreements	$	60,232	$	(50,813	)	$	9,419
Other technology		14,466		(7,023	)		7,443
	$	74,698	$	(57,836	)	$	16,862

	December 31, 2024
	Gross Carrying Value		Accumulated Amortization			Net Carrying Value
Physician and hospital agreements	$	66,190	$	(61,606	)	$	4,584
Other technology		9,603		(2,592	)		7,011
	$	75,793	$	(64,198	)	$	11,595

Amortization Expenses for Existing Intangible Assets for the Next Five Years

Amortization expense for existing intangible assets for the next five years is expected to be as follows (in thousands):

2026	$	6,433
2027		2,718
2028		1,774
2029		914
2030		811