XML 69 R50.htm IDEA: XBRL DOCUMENT v3.24.0.1
INVESTMENTS (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2022
Sep. 30, 2022
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Variable Interest Entity [Line Items]          
Minimum percent ownership for controlling interest (percent)     50.00%    
Maximum ownership percentage for equity method investment (percent)     50.00%    
Equity method investments $ 40,500   $ 46,100 $ 40,500  
Maximum ownership percentage for cost method investment (percent)     20.00%    
Cost method investments 20,000   $ 20,000 20,000  
Proceeds from sale of noncontrolling interest     0 5,817 $ 0
Gain (Loss) on equity method investments     0 0 31,098
Investment impairment     0 3,009 0
Cash and cash equivalents 40,540   126,450 40,540  
Patient accounts receivable 296,785   313,373 296,785  
Other current assets 26,415   30,060 26,415  
Total current assets 388,961   496,935 388,961  
Property and equipment 16,026   41,845 16,026  
Operating lease right of use assets 102,856   88,939 102,856  
Goodwill 1,287,399   1,244,679 1,287,399 1,196,100
Intangible assets 101,167   102,675 101,167 111,200
Other assets 79,836   85,097 79,836  
Total assets 1,976,245   2,060,170 1,976,245  
Accounts payable 43,735   28,237 43,735  
Payroll and employee benefits 125,387   136,835 125,387  
Accrued expenses 137,390   140,049 137,390  
Operating lease liabilities 33,521   26,286 33,521  
Current portion of long-term obligations 15,496   36,314 15,496  
Total liabilities 869,672   940,387 869,672  
High Acuity Care [Member]          
Variable Interest Entity [Line Items]          
Goodwill 239,600   231,100 239,600 233,900
Contessa Health | High Acuity Care [Member]          
Variable Interest Entity [Line Items]          
Investment impairment       3,000  
49% Interest Sold in Two Care Centers          
Variable Interest Entity [Line Items]          
Proceeds from sale of noncontrolling interest 1,900        
Gain Related To Sale Of Noncontrolling Interest Net Of Tax 1,400        
30% Interest Sold in Two Care Centers          
Variable Interest Entity [Line Items]          
Proceeds from sale of noncontrolling interest   $ 3,900      
Gain Related To Sale Of Noncontrolling Interest Net Of Tax   $ 2,900      
Medalogix [Member]          
Variable Interest Entity [Line Items]          
Gain (Loss) on equity method investments         31,100
Home Health Benefit Manager [Member]          
Variable Interest Entity [Line Items]          
Purchase of investment       15,000  
Workforce optimization company [Member]          
Variable Interest Entity [Line Items]          
Purchase of investment         $ 5,000
Variable Interest Entity, Primary Beneficiary [Member]          
Variable Interest Entity [Line Items]          
Cash and cash equivalents 15,600   8,800 15,600  
Patient accounts receivable 6,100   9,000 6,100  
Other current assets 600   100 600  
Total current assets 22,300   17,900 22,300  
Property and equipment 100   100 100  
Operating lease right of use assets 100   100 100  
Goodwill 8,500   8,500 8,500  
Intangible assets 400   400 400  
Other assets 200   300 200  
Total assets 31,600   27,300 31,600  
Accounts payable 100   500 100  
Payroll and employee benefits 500   900 500  
Accrued expenses 5,800   7,900 5,800  
Operating lease liabilities 100   0 100  
Current portion of long-term obligations 200   0 200  
Total liabilities $ 6,700   $ 9,300 $ 6,700