v3.26.1
Basis of Presentation and Principles of Consolidation (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2026
USD ($)
Jun. 30, 2025
USD ($)
Jun. 30, 2026
USD ($)
professional_corporation
professional_association
Jun. 30, 2025
USD ($)
Mar. 31, 2026
USD ($)
Dec. 31, 2025
USD ($)
Mar. 31, 2025
USD ($)
Dec. 31, 2024
USD ($)
Variable interest entity                
Number of professional associations consolidated as VIEs | professional_association     3          
Revenue $ 606,927 $ 631,900 $ 1,220,772 $ 1,261,269        
Net income (loss) (38,908) (32,660) (102,745) (125,672)        
Assets 2,758,625   2,758,625     $ 2,858,300    
Liabilities 1,448,517   1,448,517     1,472,594    
Stockholders' deficit (1,310,108) (1,422,139) (1,310,108) (1,422,139) $ (1,336,316) (1,385,706) $ (1,427,030) $ (1,491,079)
Variable Interest Entity, Primary Beneficiary                
Variable interest entity                
Revenue 104,600 81,300 208,700 161,500        
Net income (loss) 100 $ (400) 200 $ (400)        
Assets 64,000   64,000     36,300    
Liabilities 110,100   110,100     82,600    
Stockholders' deficit $ 46,100   $ 46,100     $ 46,300    
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