v3.25.2
Basis of Presentation and Principles of Consolidation (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
USD ($)
Jun. 30, 2024
USD ($)
Jun. 30, 2025
USD ($)
professional_corporation
professional_association
Jun. 30, 2024
USD ($)
Mar. 31, 2025
USD ($)
Dec. 31, 2024
USD ($)
Mar. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Variable interest entity                
Number of professional associations consolidated as VIEs | professional_association     3          
Revenue $ 631,900 $ 642,444 $ 1,261,269 $ 1,288,575        
Net loss 32,660 837,671 125,672 919,560        
Assets 2,894,004   2,894,004     $ 3,516,524    
Liabilities 1,471,865   1,471,865     2,025,445    
Stockholders' deficit (1,422,139) (1,502,086) $ (1,422,139) (1,502,086) $ (1,427,030) (1,491,079) $ (2,288,898) $ (2,326,073)
THMG Association                
Variable interest entity                
Number of professional corporations consolidated as VIEs | professional_corporation     10          
Uplift Association                
Variable interest entity                
Number of professional corporations consolidated as VIEs | professional_corporation     5          
Variable Interest Entity, Primary Beneficiary                
Variable interest entity                
Revenue 81,300 64,100 $ 161,500 134,100        
Net loss 400 $ 0 400 $ (0)        
Assets 42,000   42,000     29,400    
Liabilities 91,000   91,000     78,000    
Stockholders' deficit $ 49,000   $ 49,000     $ 48,600