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Income Taxes - Significant Components of Deferred Income Tax Assets and Liabilities (Detail) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Income Tax Disclosure [Abstract]    
Allowance for uncollectible accounts $ 122,742 $ 139,998
Reserves and accruals 68,128 59,218
Stock-based compensation 1,691 3,022
Operating loss and other carryforwards 47,869 34,739
Capital loss carryforwards 412,392 422,809
Operating lease assets 12,332 19,133
Property and equipment 2,734 2,056
Other 914 5,520
Deferred tax assets before valuation allowance 668,802 686,495
Less: Valuation allowance (425,395) (435,940)
Deferred tax assets, net of valuation allowance 243,407 250,555
Gross deferred tax liabilities:    
Amortization (161,983) (162,538)
Operating lease liabilities (9,687) (17,342)
Other (2,128) (2,131)
Total deferred tax liabilities (173,798) (182,011)
Net deferred tax assets $ 69,609 $ 68,544