v3.25.2
Segment Information - Schedule of Reporting Segment (Details) - USD ($)
 3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2025
Mar. 31, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Dec. 31, 2024
Segment Reporting Information [Line Items]            
Revenues $ 241,570,000   $ 233,476,000 $ 472,900,000 $ 467,984,000  
Cost of Services ("COS")            
Costs of services (exclusive of depreciation and amortization of intangible assets shown below) 60,823,000   61,369,000 121,259,000 121,446,000  
General and Administrative ("G&A")            
General and Administrative Expenses 52,937,000   34,551,000 103,572,000 69,408,000  
Depreciation 25,261,000   21,811,000 49,807,000 42,800,000  
Amortization of intangible assets 85,971,000   85,971,000 171,942,000 171,942,000  
Loss on impairment of goodwill and intangible assets 0   553,701,000 0 1,072,751,000  
Total expenses 224,992,000   757,403,000 446,580,000 1,478,347,000  
Operating income (loss) 16,578,000   (523,927,000) 26,320,000 (1,010,363,000)  
Interest expense 99,746,000   81,129,000 191,382,000 163,327,000  
Interest income (323,000)   (551,000) (811,000) (1,477,000)  
Transaction costs - Refinancing Transaction 87,000 $ 7,800,000 0 7,879,000 0 $ 63,900,000
Loss (gain) on extinguishment of debt 0   0 670,000 (5,913,000)  
Gain on change in fair value of Private Placement Warrants and Unvested Founder Shares 0   (259,000) 0 (389,000)  
Net loss before taxes (82,932,000)   (604,246,000) (172,800,000) (1,165,911,000)  
Benefit for income taxes (20,292,000)   (27,519,000) (38,841,000) (49,495,000)  
Net loss (62,640,000)   (576,727,000) (133,959,000) (1,116,416,000)  
Reportable Segment            
Segment Reporting Information [Line Items]            
Revenues 241,570,000   233,476,000 472,900,000 467,984,000  
Cost of Services ("COS")            
Personnel costs (excluding SBC) 46,084,000   47,731,000 93,963,000 95,794,000  
Stock Based Compensation (including cRSUs) 2,518,000   2,298,000 4,295,000 4,054,000  
Access and Bill Review Fees 6,713,000   4,670,000 12,221,000 9,571,000  
Other COS Expense 5,508,000   6,670,000 10,780,000 12,027,000  
Costs of services (exclusive of depreciation and amortization of intangible assets shown below) 60,823,000   61,369,000 121,259,000 121,446,000  
General and Administrative ("G&A")            
Personnel costs (excluding SBC) 18,307,000   13,874,000 35,075,000 28,813,000  
Stock Based Compensation (including cRSUs) 6,580,000   5,019,000 11,521,000 8,957,000  
Other G&A Expense 28,050,000   15,658,000 56,976,000 31,638,000  
General and Administrative Expenses 52,937,000   34,551,000 103,572,000 69,408,000  
Depreciation 25,261,000   21,811,000 49,807,000 42,800,000  
Amortization of intangible assets 85,971,000   85,971,000 171,942,000 171,942,000  
Loss on impairment of goodwill and intangible assets 0   553,701,000 0 1,072,751,000  
Total expenses 224,992,000   757,403,000 446,580,000 1,478,347,000  
Operating income (loss) 16,578,000   (523,927,000) 26,320,000 (1,010,363,000)  
Interest expense 99,746,000   81,129,000 191,382,000 163,327,000  
Interest income (323,000)   (551,000) (811,000) (1,477,000)  
Transaction costs - Refinancing Transaction 87,000   0 7,879,000 0  
Loss (gain) on extinguishment of debt 0   0 670,000 (5,913,000)  
Gain on change in fair value of Private Placement Warrants and Unvested Founder Shares 0   (259,000) 0 (389,000)  
Net loss before taxes (82,932,000)   (604,246,000) (172,800,000) (1,165,911,000)  
Benefit for income taxes (20,292,000)   (27,519,000) (38,841,000) (49,495,000)  
Net loss $ (62,640,000)   $ (576,727,000) $ (133,959,000) $ (1,116,416,000)