v3.26.1
Segment Reporting - Schedule of Segment Reporting Information, by Segment (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Revenues [Abstract]    
Revenues $ 252,537 $ 245,001
Depreciation and amortization (9,922) (9,051)
Income tax provision (1,364) (3,379)
Interest expense (16,331) (29,849)
Loss on disposal of property and equipment (137) 162
Stock-based compensation (12,274) (6,374)
NET INCOME (LOSS) AND COMPREHENSIVE INCOME (LOSS) 1,717 (7,687)
Patient Service Revenue    
Revenues [Abstract]    
Revenues 188,992 184,217
Operating Segments    
Revenues [Abstract]    
Revenues 252,537 245,001
Other segment items [1] 201,338 194,002
Adjusted EBITDA 51,199 50,999
Depreciation and amortization (9,922) (9,051)
Income tax provision (1,364) (3,379)
Amortization of basis difference (531) (500)
Interest expense (16,331) (29,849)
Loss on disposal of property and equipment (137) 162
Stock-based compensation (12,274) (6,374)
Severance and executive recruiting [2] (945) (1,370)
Strategic initiatives and implementation [3] (825) (868)
Transaction costs [4] (2,582) (3,588)
Litigation and settlements [5] (29) 128
Other [6] 5 (22)
Adjustments for equity in earnings of unconsolidated affiliates [7] (4,547) (3,975)
NET INCOME (LOSS) AND COMPREHENSIVE INCOME (LOSS) 1,717 (7,687)
Operating Segments | Patient Service Revenue    
Revenues [Abstract]    
Revenues 197,318 192,298
Operating Segments | Management Fee and Other Revenue [Member]    
Revenues [Abstract]    
Revenues 55,219 52,703
Operating Segments | Outpatient    
Revenues [Abstract]    
Revenues 187,899 180,801
Other segment items [1] 149,526 138,979
Adjusted EBITDA 38,373 41,822
Operating Segments | Outpatient | Patient Service Revenue    
Revenues [Abstract]    
Revenues 138,092 133,430
Operating Segments | Outpatient | Management Fee and Other Revenue [Member]    
Revenues [Abstract]    
Revenues 49,807 47,371
Operating Segments | Professional    
Revenues [Abstract]    
Revenues 68,158 65,886
Other segment items [1] 55,332 56,709
Adjusted EBITDA 12,826 9,177
Operating Segments | Professional | Patient Service Revenue    
Revenues [Abstract]    
Revenues 62,746 60,554
Operating Segments | Professional | Management Fee and Other Revenue [Member]    
Revenues [Abstract]    
Revenues 5,412 5,332
Operating Segments | Intersegment Eliminations    
Revenues [Abstract]    
Revenues (3,520) (1,686)
Other segment items [1] (3,520) (1,686)
Adjusted EBITDA 0 0
Operating Segments | Intersegment Eliminations | Patient Service Revenue    
Revenues [Abstract]    
Revenues (3,520) (1,686)
Operating Segments | Intersegment Eliminations | Management Fee and Other Revenue [Member]    
Revenues [Abstract]    
Revenues $ 0 $ 0
[1] Other segment items for both segments include certain operating expenses that are not regularly provided to the CODM on a segment basis and that are identifiable with that segment, including general and administrative expenses.
[2] Includes severance and recruiting expenses for executive leadership departures as part of strategic organizational changes.
[3] Includes third-party consulting, implementation and integration expenses incurred as part of the Company’s strategic transformation and optimization initiatives, specifically related to the deployment of a new technology system and labor model, as well as the development, customization and integration of a new enterprise resource planning system.
[4] Includes costs for third-party non-recurring IPO costs, buy-side and sell-side due diligence activities to evaluate and execute potential mergers and acquisitions, integrate acquired businesses and one-time employee retention bonuses related to potential mergers and acquisitions.
[5] Consists of litigation and settlement costs for matters not related to core operations.
[6] Consists of other costs related to debt financing, certain de novo start-up costs related to outpatient imaging centers and certain exit costs related to closed outpatient imaging centers.
[7] Adjusts for the Company’s proportional share of depreciation and amortization, interest expense and losses/gains on asset disposals related to unconsolidated affiliates, which are included in equity in earnings from unconsolidated affiliates on the accompanying condensed consolidated statements of operations and comprehensive income (loss).