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Business Combinations, Asset Acquisitions, and Goodwill - Summary of Purchase Price Allocation (Details) - USD ($) $ in Thousands |  |  |  | 12 Months Ended |  |
--- | --- | --- | --- | --- | --- | ---
Oct. 04, 2024 | Mar. 31, 2024 | Jan. 31, 2024 | Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Assets: |  |  |  |  |  |  |
Goodwill |  |  |  |  | $ 419,253 | $ 278,831 | $ 269,053
CFC |  |  |  |  |  |  |
Total purchase consideration: |  |  |  |  |  |  |
Cash paid |  |  |  | $ 90,998 |  |  |
Purchase price due to (from) seller |  |  |  | 0 |  |  |
Contingent consideration |  |  |  | 8,026 |  |  |
Common stock issued and replacement awards |  |  |  | 21,952 |  |  |
Conversion of promissory note |  |  |  | 0 |  |  |
Consideration transferred |  |  |  | 120,976 |  |  |
Assets: |  |  |  |  |  |  |
Cash and cash equivalents |  |  |  | 16,674 |  |  |
Investment in marketable securities |  |  |  | 0 |  |  |
Receivables |  |  |  | 6,530 |  |  |
Other receivables |  |  |  | 472 |  |  |
Prepaid expenses and other current assets |  |  |  | 2,902 |  |  |
Property and equipment, net |  |  |  | 0 |  |  |
Intangible assets |  |  |  | 28,000 |  |  |
Goodwill |  |  |  | 83,571 |  |  |
Income tax receivable |  |  |  | 0 |  |  |
Investments in other entities - equity method |  |  |  | 0 |  |  |
Restricted cash |  |  |  | 0 |  |  |
Total assets acquired |  |  |  | 138,149 |  |  |
Liabilities: |  |  |  |  |  |  |
Accounts payable and accrued expenses |  |  |  | 2,486 |  |  |
Medical liabilities |  |  |  | 14,663 |  |  |
Income taxes payable |  |  |  | 24 |  |  |
Deferred tax liability |  |  |  | 0 |  |  |
Non-controlling interest |  |  |  | 0 |  |  |
Total liabilities assumed |  |  |  | 17,173 |  |  |
Total net assets acquired |  |  |  | $ 120,976 |  |  |
CHS |  |  |  |  |  |  |
Total purchase consideration: |  |  |  |  |  |  |
Cash paid |  | $ 35,322 |  |  |  |  |
Purchase price due to (from) seller |  | 6,944 |  |  |  |  |
Contingent consideration |  | 5,154 |  |  |  |  |
Common stock issued and replacement awards |  | 118 |  |  |  |  |
Consideration transferred |  | 47,538 |  |  |  |  |
Assets: |  |  |  |  |  |  |
Cash and cash equivalents |  | 4,556 |  |  |  |  |
Investment in marketable securities |  | 0 |  |  |  |  |
Receivables |  | 87,416 |  |  |  |  |
Other receivables |  | 54,194 |  |  |  |  |
Prepaid expenses and other current assets |  | 357 |  |  |  |  |
Property and equipment, net |  | 0 |  |  |  |  |
Intangible assets |  | 14,200 |  |  |  |  |
Goodwill |  | 12,151 |  |  |  |  |
Income tax receivable |  | 0 |  |  |  |  |
Investments in other entities - equity method |  | 3,125 |  |  |  |  |
Restricted cash |  | 0 |  |  |  |  |
Total assets acquired |  | 175,999 |  |  |  |  |
Liabilities: |  |  |  |  |  |  |
Accounts payable and accrued expenses |  | 68,115 |  |  |  |  |
Medical liabilities |  | 60,424 |  |  |  |  |
Income taxes payable |  | 0 |  |  |  |  |
Deferred tax liability |  | 0 |  |  |  |  |
Non-controlling interest |  | (78) |  |  |  |  |
Total liabilities assumed |  | 128,461 |  |  |  |  |
Total net assets acquired |  | $ 47,538 |  |  |  |  |
AHMS |  |  |  |  |  |  |
Total purchase consideration: |  |  |  |  |  |  |
Cash paid |  |  | $ 63,935 |  |  |  |
Purchase price due to (from) seller |  |  | (2,995) |  |  |  |
Contingent consideration |  |  | 0 |  |  |  |
Common stock issued and replacement awards |  |  | 0 |  |  |  |
Conversion of promissory note |  |  | 0 |  |  |  |
Consideration transferred |  |  | 60,940 |  |  |  |
Assets: |  |  |  |  |  |  |
Cash and cash equivalents |  |  | 33,950 |  |  |  |
Investment in marketable securities |  |  | 0 |  |  |  |
Receivables |  |  | 11,007 |  |  |  |
Other receivables |  |  | 0 |  |  |  |
Prepaid expenses and other current assets |  |  | 36 |  |  |  |
Property and equipment, net |  |  | 0 |  |  |  |
Intangible assets |  |  | 23,600 |  |  |  |
Goodwill |  |  | 25,731 |  |  |  |
Income tax receivable |  |  | 0 |  |  |  |
Investments in other entities - equity method |  |  | 0 |  |  |  |
Restricted cash |  |  | 300 |  |  |  |
Total assets acquired |  |  | 94,624 |  |  |  |
Liabilities: |  |  |  |  |  |  |
Accounts payable and accrued expenses |  |  | 13,001 |  |  |  |
Medical liabilities |  |  | 14,253 |  |  |  |
Income taxes payable |  |  | 0 |  |  |  |
Deferred tax liability |  |  | 6,430 |  |  |  |
Non-controlling interest |  |  | 0 |  |  |  |
Total liabilities assumed |  |  | 33,684 |  |  |  |
Total net assets acquired |  |  | $ 60,940 |  |  |  |
Other Acquisitions |  |  |  |  |  |  |
Total purchase consideration: |  |  |  |  |  |  |
Cash paid | [1] |  |  |  | 15,000 |  |
Purchase price due to (from) seller |  |  |  |  | 0 |  |
Contingent consideration | [1] |  |  |  | 6,161 |  |
Common stock issued and replacement awards | [1] |  |  |  | 0 |  |
Conversion of promissory note | [1] |  |  |  | 5,175 |  |
Consideration transferred | [1] |  |  |  | 26,336 |  |
Assets: |  |  |  |  |  |  |
Cash and cash equivalents | [1] |  |  |  | 3,515 |  |
Investment in marketable securities | [1] |  |  |  | 30 |  |
Receivables | [1] |  |  |  | 0 |  |
Other receivables | [1] |  |  |  | 0 |  |
Prepaid expenses and other current assets | [1] |  |  |  | 11 |  |
Property and equipment, net | [1] |  |  |  | 823 |  |
Intangible assets | [1] |  |  |  | 6,338 |  |
Goodwill | [1] |  |  |  | 16,357 |  |
Income tax receivable | [1] |  |  |  | 1 |  |
Investments in other entities - equity method | [1] |  |  |  | 0 |  |
Restricted cash | [1] |  |  |  | 0 |  |
Total assets acquired | [1] |  |  |  | 27,075 |  |
Liabilities: |  |  |  |  |  |  |
Accounts payable and accrued expenses | [1] |  |  |  | 303 |  |
Medical liabilities | [1] |  |  |  | 0 |  |
Income taxes payable | [1] |  |  |  | 0 |  |
Deferred tax liability | [1] |  |  |  | 8 |  |
Non-controlling interest | [1] |  |  |  | 428 |  |
Total liabilities assumed | [1] |  |  |  | 739 |  |
Total net assets acquired | [1] |  |  |  | 26,336 |  |
Total Acquisitions |  |  |  |  |  |  |
Total purchase consideration: |  |  |  |  |  |  |
Cash paid |  |  |  |  | 205,255 |  |
Purchase price due to (from) seller |  |  |  |  | 3,949 |  |
Contingent consideration |  |  |  |  | 19,341 |  |
Common stock issued and replacement awards |  |  |  |  | 22,070 |  |
Conversion of promissory note |  |  |  |  | 5,175 |  |
Consideration transferred |  |  |  |  | 255,790 |  |
Assets: |  |  |  |  |  |  |
Cash and cash equivalents |  |  |  |  | 58,695 |  |
Investment in marketable securities |  |  |  |  | 30 |  |
Receivables |  |  |  |  | 104,953 |  |
Other receivables |  |  |  |  | 54,666 |  |
Prepaid expenses and other current assets |  |  |  |  | 3,306 |  |
Property and equipment, net |  |  |  |  | 823 |  |
Intangible assets |  |  |  |  | 72,138 |  |
Goodwill |  |  |  |  | 137,810 |  |
Income tax receivable |  |  |  |  | 1 |  |
Investments in other entities - equity method |  |  |  |  | 3,125 |  |
Restricted cash |  |  |  |  | 300 |  |
Total assets acquired |  |  |  |  | 435,847 |  |
Liabilities: |  |  |  |  |  |  |
Accounts payable and accrued expenses |  |  |  |  | 83,905 |  |
Medical liabilities |  |  |  |  | 89,340 |  |
Income taxes payable |  |  |  |  | 24 |  |
Deferred tax liability |  |  |  |  | 6,438 |  |
Non-controlling interest |  |  |  |  | 350 |  |
Total liabilities assumed |  |  |  |  | 180,057 |  |
Total net assets acquired |  |  |  |  | $ 255,790 |  |
[1] | *Others consist of estimated fair values of the assets acquired, net of cash acquired, related to ADSC, PCCCV, Airline Complete, and DWGAS.

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