v3.25.4
Consolidated Statements of Changes in Shareholders’ Equity - USD ($)
shares in Thousands, $ in Thousands
Total
Keystone Integrated Care, LLC
Common Stock [Member]
Additional Paid-in Capital [Member]
AOCI Attributable to Parent [Member]
Retained Earnings [Member]
Noncontrolling Interest [Member]
Beginning balance at Dec. 31, 2023 $ 428,067   $ 1,689,452 $ 82,927 $ (1,151) $ (1,265,536) $ (77,625)
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Stock Issued During Period, Value, Stock Options Exercised 9   14 (5)      
Stock Issued During Period, Value, Restricted Stock Award, Net of Forfeitures     6,403 (6,403)      
APIC, Share-Based Payment Arrangement, Increase for Cost Recognition 14,331     14,331      
Share-Based Payment Arrangement, Decrease for Tax Withholding Obligation (747)     (747)      
Stock Issued During Period, Value, Payable Pursuant To Tax Receivable Agreements 21   21        
Stock Issued During Period, Value, Acquisitions 2,850   2,850        
Net change in tax distribution accrual 32,647     32,647      
Stock Issued During Period, Value, New Issues, And Other Adjustments (200)   (200)        
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders, Tax Distributions (22,077)           (22,077)
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders, Cash Distributions (5,155)           (5,155)
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Changes, Net     8,282     (12,512) 4,230
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax (1,081)       (1,081)    
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest (60,489)         (74,438) 13,949
Ending balance at Dec. 31, 2024 388,176   1,706,822 122,750 (2,232) (1,352,486) (86,678)
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Business Combination, Consideration Transferred, Equity Interest   $ 2,850          
Shares issues (in shares)   1,422          
Stock Issued During Period, Value, Stock Options Exercised 11   19 (8)      
Stock Issued During Period, Value, Restricted Stock Award, Net of Forfeitures     6,580 (6,580)      
APIC, Share-Based Payment Arrangement, Increase for Cost Recognition 10,924     10,924      
Share-Based Payment Arrangement, Decrease for Tax Withholding Obligation (743)   2 (741)      
Stock Issued During Period, Value, Payable Pursuant To Tax Receivable Agreements 21   21        
Stock Issued During Period, Value, Issued for Services 396   396        
Stock Issued During Period, Value, Acquisitions 750   750        
Net change in tax distribution accrual (6,099)     (6,099)      
Stock Issued During Period, Value, New Issues, And Other Adjustments 0   199 (199)      
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders, Tax Distributions (959)           (959)
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders, Cash Distributions (2,533)           (2,533)
Income Tax Effects Allocated Directly to Equity, Equity Transactions 2,001   2,001        
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Changes, Net     5,491     (12,350) 6,859
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax 601       601    
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest (140,044)         (135,408) (4,636)
Ending balance at Dec. 31, 2025 $ 252,502   $ 1,722,277 $ 120,047 $ (1,631) $ (1,500,244) $ (87,947)
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Business Combination, Consideration Transferred, Equity Interest   $ 750          
Shares issues (in shares)   374