CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS) (unaudited) - USD ($) shares in Thousands, $ in Thousands |
3 Months Ended | 6 Months Ended | ||
|---|---|---|---|---|
Jun. 30, 2026 |
Jun. 30, 2025 |
Jun. 30, 2026 |
Jun. 30, 2025 |
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| Income Statement [Abstract] | ||||
| TOTAL REVENUE | $ 435,354 | $ 345,311 | $ 838,830 | $ 678,281 |
| OPERATING EXPENSES | ||||
| Center costs, excluding depreciation and amortization shown separately below | 282,313 | 236,880 | 549,857 | 460,059 |
| General and administrative expenses | 108,139 | 97,375 | 208,469 | 191,806 |
| Depreciation and amortization | 14,249 | 14,006 | 27,567 | 27,762 |
| Total operating expenses | 404,701 | 348,261 | 785,893 | 679,627 |
| INCOME (LOSS) FROM OPERATIONS | 30,653 | (2,950) | 52,937 | (1,346) |
| OTHER EXPENSE | ||||
| Loss on remeasurement of contingent | (26) | 0 | (31) | 0 |
| Transaction costs | (445) | 0 | (989) | 0 |
| Interest expense, net | (2,632) | (2,900) | (4,425) | (5,973) |
| Other expense | (93) | (92) | (275) | (93) |
| Total other expense | (3,196) | (2,992) | (5,720) | (6,066) |
| INCOME (LOSS) BEFORE INCOME TAXES | 27,457 | (5,942) | 47,217 | (7,412) |
| INCOME TAX (PROVISION) BENEFIT | (3,845) | 2,151 | (9,362) | 4,330 |
| NET INCOME (LOSS) | $ 23,612 | $ (3,791) | $ 37,855 | $ (3,082) |
| EARNINGS (LOSS) PER SHARE, Basic | $ 0.06 | $ (0.01) | $ 0.1 | $ (0.01) |
| EARNINGS (LOSS) PER SHARE, Diluted | $ 0.06 | $ (0.01) | $ 0.1 | $ (0.01) |
| Weighted-average shares outstanding - Basic | 383,516 | 386,733 | 385,379 | 385,015 |
| Weighted-average shares outstanding - Diluted | 387,299 | 386,733 | 391,181 | 385,015 |
| Net Income (Loss) | $ 23,612 | $ (3,791) | $ 37,855 | $ (3,082) |
| OTHER COMPREHENSIVE LOSS | ||||
| Unrealized losses on cash flow hedge, net of tax | 0 | (267) | 0 | (584) |
| COMPREHENSIVE INCOME (LOSS) | $ 23,612 | $ (4,058) | $ 37,855 | $ (3,666) |
| X | ||||||||||
- Definition Business combination remeasurement gain loss on contingent consideration. No definition available.
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| X | ||||||||||
- Definition Cost of goods and service excluding depreciation and amortization. No definition available.
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| X | ||||||||||
- Definition Transaction costs. No definition available.
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| X | ||||||||||
- Definition Amount after tax of increase (decrease) in equity from transactions and other events and circumstances from net income and other comprehensive income, attributable to parent entity. Excludes changes in equity resulting from investments by owners and distributions to owners. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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| X | ||||||||||
- References No definition available.
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| X | ||||||||||
- Definition The current period expense charged against earnings on long-lived, physical assets not used in production, and which are not intended for resale, to allocate or recognize the cost of such assets over their useful lives; or to record the reduction in book value of an intangible asset over the benefit period of such asset; or to reflect consumption during the period of an asset that is not used in production. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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| X | ||||||||||
- Definition Amount of income (loss) from continuing operations, including income (loss) from equity method investments, before deduction of income tax expense (benefit), and income (loss) attributable to noncontrolling interest. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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| X | ||||||||||
- Definition The amount of net income (loss) from continuing operations per each share of common stock or unit outstanding during the reporting period. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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| X | ||||||||||
- Definition The amount of net income (loss) derived from continuing operations during the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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| X | ||||||||||
- References No definition available.
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| X | ||||||||||
- Definition Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Amount of interest expense classified as nonoperating. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition The portion of profit or loss for the period, net of income taxes, which is attributable to the parent. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition The aggregate amount of income or expense from ancillary business-related activities (that is to say, excluding major activities considered part of the normal operations of the business). Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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| X | ||||||||||
- Definition Generally recurring costs associated with normal operations except for the portion of these expenses which can be clearly related to production and included in cost of sales or services. Includes selling, general and administrative expense. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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| X | ||||||||||
- References No definition available.
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| X | ||||||||||
- Definition The net result for the period of deducting operating expenses from operating revenues. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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| X | ||||||||||
- Definition Amount, after tax and reclassification, of gain (loss) from derivative instrument designated and qualifying as cash flow hedge included in assessment of hedge effectiveness. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Amount of income (expense) related to nonoperating activities, classified as other. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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- References No definition available.
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| X | ||||||||||
- Definition Amount of revenue recognized from goods sold, services rendered, insurance premiums, or other activities that constitute an earning process. Includes, but is not limited to, investment and interest income before deduction of interest expense when recognized as a component of revenue, and sales and trading gain (loss). Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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| X | ||||||||||
- Definition The aggregate total costs related to selling a firm's product and services, as well as all other general and administrative expenses. Direct selling expenses (for example, credit, warranty, and advertising) are expenses that can be directly linked to the sale of specific products. Indirect selling expenses are expenses that cannot be directly linked to the sale of specific products, for example telephone expenses, Internet, and postal charges. General and administrative expenses include salaries of non-sales personnel, rent, utilities, communication, etc. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition The average number of shares or units issued and outstanding that are used in calculating diluted EPS or earnings per unit (EPU), determined based on the timing of issuance of shares or units in the period. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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| X | ||||||||||
- Definition Number of [basic] shares or units, after adjustment for contingently issuable shares or units and other shares or units not deemed outstanding, determined by relating the portion of time within a reporting period that common shares or units have been outstanding to the total time in that period. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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