v3.26.1
Segment Information - Reconciliation of Total Adjusted EBITDA to Consolidated Income (Loss) Before Income Taxes (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2026
USD ($)
Jun. 30, 2025
USD ($)
Jun. 30, 2026
USD ($)
provider
Jun. 30, 2025
USD ($)
Segment Reporting [Line Items]        
Adjusted EBITDA $ 131,993 $ 136,419 $ 236,558 $ 249,089
Interest expense, net (26,209) (27,533) (51,803) (55,932)
Depreciation and amortization, including patient equipment depreciation     (226,766) (186,705)
Equity-based compensation expense (5,400) (6,000) (11,800) (11,200)
Gain on sale of businesses 6,269 32,225 6,269 32,225
Loss on extinguishment of debt (1,322) 0 (1,322) 0
Goodwill impairment (note 8) (144,236) 0 (144,236) 0
(Loss) income from continuing operations before income taxes (165,333) 38,161 (196,348) 23,173
Asset dispositions     4,300 9,200
Transaction costs     2,200 1,100
Other nonoperating income     1,300  
Contingent success fees       5,100
Systems implementation activities       2,000
Other nonoperating expense       2,800
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Wellness at Home        
Segment Reporting [Line Items]        
Gain on sale of businesses     $ 32,225  
Number of businesses disposed of | provider     2  
Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment        
Segment Reporting [Line Items]        
Interest expense, net (26,209) (27,533) $ (51,803) (55,932)
Depreciation and amortization, including patient equipment depreciation (114,766) (86,925) (215,683) (175,865)
Equity-based compensation expense (5,398) (6,010) (11,764) (11,202)
Gain on sale of businesses 6,269 32,225 6,269 32,225
Loss on extinguishment of debt (1,322) 0 (1,322) 0
Litigation settlement expense 0 0 (500) 0
Restructuring expense 6,070 0 6,070 0
Goodwill impairment (note 8) (144,236) 0 (144,236) 0
Other non-recurring expenses, net (5,594) (10,015) (7,797) (15,142)
(Loss) income from continuing operations before income taxes $ (165,333) $ 38,161 $ (196,348) $ 23,173