Segment Information - Components of Segment Revenues, Other Segment Items and Segment Adjusted EBITDA (Details) - USD ($) $ in Thousands |
3 Months Ended | 6 Months Ended | ||||
|---|---|---|---|---|---|---|
Jun. 30, 2026 |
Jun. 30, 2025 |
Jun. 30, 2026 |
Jun. 30, 2025 |
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| Segment Reporting Information [Line Items] | ||||||
| Segment Revenues | $ 186,661 | $ 234,543 | $ 355,179 | $ 412,377 | ||
| Segment Adjusted EBITDA | 43,862 | 55,883 | 73,932 | 86,155 | ||
| Operating Segments | ||||||
| Segment Reporting Information [Line Items] | ||||||
| Segment Revenues | 186,661 | 234,543 | 355,179 | 412,377 | ||
| Segment Adjusted EBITDA | 43,862 | 55,883 | 73,932 | 86,155 | ||
| Consulting and Treatment | Operating Segments | ||||||
| Segment Reporting Information [Line Items] | ||||||
| Segment Revenues | 125,597 | 171,748 | 240,184 | 290,552 | ||
| Other Segment Items | [1] | 97,712 | 134,163 | 192,166 | 236,468 | |
| Segment Adjusted EBITDA | 27,885 | 37,585 | 48,018 | 54,084 | ||
| Measurement and Analysis | Operating Segments | ||||||
| Segment Reporting Information [Line Items] | ||||||
| Segment Revenues | 61,064 | 62,795 | 114,995 | 121,825 | ||
| Other Segment Items | [1] | 45,087 | 44,497 | 89,081 | 89,754 | |
| Segment Adjusted EBITDA | $ 15,977 | $ 18,298 | $ 25,914 | $ 32,071 | ||
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- Definition Adjusted earnings before interest taxes depreciation and amortization. No definition available.
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- Definition Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Amount of other expense (income) and loss (gain) calculated as difference between segment revenue and separately disclosed expense category to arrive at segment profit (loss). Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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