v3.25.4
Segments - Schedule of Financial Information Attributable to the Company's Business Segments (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Dec. 31, 2024
Dec. 31, 2023
Segment Reporting Information [Line Items]            
Service revenue, net $ 659,553 $ 698,299 $ 1,310,207 $ 1,382,750    
Purchased services 376,640 372,579 720,758 735,479    
Payroll and related costs 174,717 194,907 364,276 394,469    
Other service expense 19,290 20,614 38,601 41,718    
Service expense 570,647 588,100 1,123,635 1,171,666    
General and administrative expense 70,581 76,065 149,170 153,242    
Depreciation and amortization 23,414 27,752 46,933 54,855    
Impairment of goodwill 263,394 105,302 263,394 105,302 $ 105,302  
Operating income (loss) (268,483) (98,920) (272,925) (102,315)    
Interest expense, net 37,109 19,950 75,946 38,636    
Income (loss) before income taxes and equity method investment (305,592) (118,870) (348,871) (140,951)    
Income tax provision (76) (9,558) (3,623) (9,015)    
Equity in net income (loss) of investee, net of tax 1,979 (456) (1,572) (1,218)    
Net loss (303,689) (128,884) (354,066) (151,184)    
Equity investment 29,163 39,340 29,163 39,340 31,427  
Goodwill 416,858 680,252 416,858 680,252 680,252 $ 785,554
Total assets 1,407,550 1,676,142 1,407,550 1,676,142 1,654,332  
NEMT            
Segment Reporting Information [Line Items]            
Service revenue, net 473,335 490,677 922,342 969,983    
Purchased services 376,640 372,579 720,758 735,479    
Payroll and related costs 38,697 42,619 78,555 90,777    
Other service expense 12,232 12,758 24,270 25,357    
Service expense 427,569 427,956 823,583 851,613    
General and administrative expense 29,217 33,123 57,001 64,943    
Depreciation and amortization 7,579 7,598 15,135 14,957    
Impairment of goodwill 0 0 0 0 0  
Operating income (loss) 8,970 22,000 26,623 38,470    
Interest expense, net 0 0 0 0    
Income (loss) before income taxes and equity method investment 8,970 22,000 26,623 38,470    
Income tax provision (11) (5,748) 1,106 (10,022)    
Equity in net income (loss) of investee, net of tax (28) 146 (1,091) 118    
Net loss 8,931 16,398 26,638 28,566    
Equity investment 361 1,816 361 1,816    
Goodwill 135,186 135,186 135,186 135,186 135,186 135,186
Total assets 555,644 564,112 555,644 564,112    
PCS            
Segment Reporting Information [Line Items]            
Service revenue, net 166,888 186,610 348,675 370,178    
Purchased services 0 0 0 0    
Payroll and related costs 131,429 147,938 276,764 294,791    
Other service expense 2,186 1,928 4,369 4,513    
Service expense 133,615 149,866 281,133 299,304    
General and administrative expense 21,857 23,897 44,441 48,329    
Depreciation and amortization 9,352 12,793 18,786 25,588    
Impairment of goodwill 211,780 0 211,780 0 0  
Operating income (loss) (209,716) 54 (207,465) (3,043)    
Interest expense, net 0 0 0 0    
Income (loss) before income taxes and equity method investment (209,716) 54 (207,465) (3,043)    
Income tax provision (32) 67 141 890    
Equity in net income (loss) of investee, net of tax 0 0 0 0    
Net loss (209,748) 121 (207,324) (2,153)    
Equity investment 0 0 0 0    
Goodwill 203,664 415,444 203,664 415,444 415,444 415,444
Total assets 479,674 751,133 479,674 751,133    
Remote Patient Monitoring            
Segment Reporting Information [Line Items]            
Service revenue, net 17,482 19,025 35,607 39,127    
Purchased services 0 0 0 0    
Payroll and related costs 4,258 4,233 8,509 8,569    
Other service expense 3,245 3,942 6,667 7,969    
Service expense 7,503 8,175 15,176 16,538    
General and administrative expense 5,944 6,008 11,352 11,448    
Depreciation and amortization 5,911 7,087 11,961 13,761    
Impairment of goodwill 51,614 105,302 51,614 105,302 105,302  
Operating income (loss) (53,490) (107,547) (54,496) (107,922)    
Interest expense, net 0 0 0 0    
Income (loss) before income taxes and equity method investment (53,490) (107,547) (54,496) (107,922)    
Income tax provision (9) 666 (86) 733    
Equity in net income (loss) of investee, net of tax 0 0 0 0    
Net loss (53,499) (106,881) (54,582) (107,189)    
Equity investment 0 0 0 0    
Goodwill 77,978 129,592 77,978 129,592 129,592 234,894
Total assets 170,031 236,496 170,031 236,496    
Corporate and Other            
Segment Reporting Information [Line Items]            
Service revenue, net 1,848 1,987 3,583 3,462    
Purchased services 0 0 0 0    
Payroll and related costs 333 117 448 332    
Other service expense 1,627 1,986 3,295 3,879    
Service expense 1,960 2,103 3,743 4,211    
General and administrative expense 13,563 13,037 36,376 28,522    
Depreciation and amortization 572 274 1,051 549    
Impairment of goodwill 0 0 0 0 0  
Operating income (loss) (14,247) (13,427) (37,587) (29,820)    
Interest expense, net 37,109 19,950 75,946 38,636    
Income (loss) before income taxes and equity method investment (51,356) (33,377) (113,533) (68,456)    
Income tax provision (24) (4,543) (4,784) (616)    
Equity in net income (loss) of investee, net of tax 2,007 (602) (481) (1,336)    
Net loss (49,373) (38,522) (118,798) (70,408)    
Equity investment 28,802 37,524 28,802 37,524    
Goodwill 30 30 30 30 $ 30 $ 30
Total assets $ 202,201 $ 124,401 $ 202,201 $ 124,401