v3.25.4
Segments - Schedule of Financial Information Attributable to the Company's Business Segments (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2025
Jun. 30, 2025
Sep. 30, 2024
Jun. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Dec. 31, 2024
Dec. 31, 2023
Segment Reporting Information [Line Items]                
Service revenue, net $ 679,707   $ 702,037   $ 1,989,914 $ 2,084,787    
Purchased services 388,401   383,769   1,109,159 1,119,248    
Payroll and related costs 175,875   194,904   540,151 589,373    
Other service expense 19,854   19,261   58,455 60,979    
Service expense 584,130   597,934   1,707,765 1,769,600    
General and administrative expense 84,351   70,903   233,521 224,145    
Depreciation and amortization 23,295   27,940   70,228 82,795    
Impairment of goodwill 0 $ 263,400 0   263,394 105,302 $ 105,302  
Operating income (loss) (12,069)   5,260   (284,994) (97,055)    
Interest expense, net 14,467   28,493   90,413 67,129    
Loss on debt extinguishment 0   11,797   0 11,797    
Reorganization items, net 53,482   0   53,482 0    
Income (loss) before income taxes and equity method investment (80,018)   (35,030)   (428,889) (175,981)    
Income tax (benefit) provision 7,505   11,070   3,882 2,055    
Equity in net income (loss) of investee, net of tax (618)   (2,644)   (2,190) (3,862)    
Net loss (73,131)   (26,604)   (427,197) (177,788)    
Equity investment 28,283   35,835   28,283 35,835 31,427  
Goodwill 416,858   680,252   416,858 680,252 680,252 $ 785,554
Total assets 1,419,565   1,651,748   1,419,565 1,651,748 1,654,332  
NEMT                
Segment Reporting Information [Line Items]                
Service revenue, net 491,672   492,253   1,414,014 1,462,236    
Purchased services 388,401   383,769   1,109,159 1,119,248    
Payroll and related costs 39,177   40,383   117,732 131,160    
Other service expense 13,033   12,397   37,303 37,754    
Service expense 440,611   436,549   1,264,194 1,288,162    
General and administrative expense 25,118   30,758   82,119 95,701    
Depreciation and amortization 7,482   7,645   22,617 22,602    
Impairment of goodwill     0   0 0 0  
Operating income (loss) 18,461   17,301   45,084 55,771    
Interest expense, net 0   0   0 0    
Loss on debt extinguishment     0     0    
Reorganization items, net 208       208      
Income (loss) before income taxes and equity method investment 18,253   17,301   44,876 55,771    
Income tax (benefit) provision (867)   (4,490)   239 (14,512)    
Equity in net income (loss) of investee, net of tax 21   151   (1,070) 269    
Net loss 17,407   12,962   44,045 41,528    
Equity investment 361   2,026   361 2,026    
Goodwill 135,186   135,186   135,186 135,186 135,186 135,186
Total assets 580,132   525,768   580,132 525,768    
PCS                
Segment Reporting Information [Line Items]                
Service revenue, net 168,737   188,518   517,412 558,696    
Purchased services 0   0   0 0    
Payroll and related costs 132,104   150,132   408,868 444,923    
Other service expense 2,158   1,613   6,527 6,126    
Service expense 134,262   151,745   415,395 451,049    
General and administrative expense 21,194   23,823   65,635 72,152    
Depreciation and amortization 9,304   12,918   28,090 38,506    
Impairment of goodwill   211,800 0   211,780 0 0  
Operating income (loss) 3,977   32   (203,488) (3,011)    
Interest expense, net 0   0   0 0    
Loss on debt extinguishment     0     0    
Reorganization items, net 0       0      
Income (loss) before income taxes and equity method investment 3,977   32   (203,488) (3,011)    
Income tax (benefit) provision 3,556   (24)   3,697 866    
Equity in net income (loss) of investee, net of tax 0   0   0 0    
Net loss 7,533   8   (199,791) (2,145)    
Equity investment 0   0   0 0    
Goodwill 203,664   415,444   203,664 415,444 415,444 415,444
Total assets 479,332   736,854   479,332 736,854    
Monitoring                
Segment Reporting Information [Line Items]                
Service revenue, net 17,046   19,448   52,653 58,575    
Purchased services 0   0   0 0    
Payroll and related costs 4,251   4,281   12,760 12,850    
Other service expense 3,361   3,737   10,028 11,706    
Service expense 7,612   8,018   22,788 24,556    
General and administrative expense 5,299   4,332   16,651 15,780    
Depreciation and amortization 5,748   7,073   17,709 20,834    
Impairment of goodwill   $ 51,600 0 $ 105,300 51,614 105,302 105,302  
Operating income (loss) (1,613)   25   (56,109) (107,897)    
Interest expense, net 0   0   0 0    
Loss on debt extinguishment     0     0    
Reorganization items, net 0       0      
Income (loss) before income taxes and equity method investment (1,613)   25   (56,109) (107,897)    
Income tax (benefit) provision 983   (7)   897 726    
Equity in net income (loss) of investee, net of tax 0   0   0 0    
Net loss (630)   18   (55,212) (107,171)    
Equity investment 0   0   0 0    
Goodwill 77,978   129,592   77,978 129,592 129,592 234,894
Total assets 165,381   232,633   165,381 232,633    
Corporate and Other                
Segment Reporting Information [Line Items]                
Service revenue, net 2,252   1,818   5,835 5,280    
Purchased services 0   0   0 0    
Payroll and related costs 343   108   791 440    
Other service expense 1,302   1,514   4,597 5,393    
Service expense 1,645   1,622   5,388 5,833    
General and administrative expense 32,740   11,990   69,116 40,512    
Depreciation and amortization 761   304   1,812 853    
Impairment of goodwill     0   0 0 0  
Operating income (loss) (32,894)   (12,098)   (70,481) (41,918)    
Interest expense, net 14,467   28,493   90,413 67,129    
Loss on debt extinguishment     11,797     11,797    
Reorganization items, net 53,274       53,274      
Income (loss) before income taxes and equity method investment (100,635)   (52,388)   (214,168) (120,844)    
Income tax (benefit) provision 3,833   15,591   (951) 14,975    
Equity in net income (loss) of investee, net of tax (639)   (2,795)   (1,120) (4,131)    
Net loss (97,441)   (39,592)   (216,239) (110,000)    
Equity investment 27,922   33,809   27,922 33,809    
Goodwill 30   30   30 30 $ 30 $ 30
Total assets $ 194,720   $ 156,493   $ 194,720 $ 156,493