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CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Sep. 30, 2025
Dec. 31, 2024
CURRENT ASSETS:    
Cash and cash equivalents $ 309,822 $ 412,565
Accounts receivable, net 474,500 409,733
Inventories 415,723 388,131
Prepaid expenses and other current assets 82,721 112,198
Total current assets 1,282,766 1,322,627
NONCURRENT ASSETS:    
Property and equipment, net 134,298 127,367
Operating lease right-of-use asset 92,439 86,528
Intangible assets, net 22,732 16,993
Referral sources, net 295,716 284,017
Goodwill 1,606,646 1,540,246
Other noncurrent assets 45,248 43,965
Total noncurrent assets 2,197,079 2,099,116
TOTAL ASSETS 3,479,845 3,421,743
CURRENT LIABILITIES:    
Accounts payable 627,867 610,779
Accrued compensation and employee benefits 72,460 63,028
Accrued expenses and other current liabilities 93,324 77,783
Current portion of operating lease liability 23,475 22,044
Current portion of long-term debt 6,780 6,512
Total current liabilities 823,906 780,146
NONCURRENT LIABILITIES:    
Long-term debt, net of discount, deferred financing costs and current portion 1,155,056 1,104,641
Operating lease liability, net of current portion 90,894 84,776
Deferred income taxes 50,019 47,576
Other noncurrent liabilities 1,311 366
Total noncurrent liabilities 1,297,280 1,237,359
Total liabilities 2,121,186 2,017,505
STOCKHOLDERS’ EQUITY:    
Preferred stock; $0.0001 par value; 12,500,000 shares authorized, no shares outstanding as of September 30, 2025 and December 31, 2024 0 0
Common stock; $0.0001 par value: 250,000,000 shares authorized, 184,498,929 shares issued and 160,107,695 shares outstanding as of September 30, 2025; 183,846,725 shares issued and 166,261,112 shares outstanding as of December 31, 2024 18 18
Treasury stock; 24,391,234 and 17,585,613 shares outstanding, at cost, as of September 30, 2025 and December 31, 2024, respectively (722,192) (507,598)
Paid-in capital 1,256,914 1,231,435
Retained earnings 818,417 669,336
Accumulated other comprehensive income 5,502 11,047
Total stockholders’ equity 1,358,659 1,404,238
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY $ 3,479,845 $ 3,421,743