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CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Dec. 31, 2025
Dec. 31, 2024
CURRENT ASSETS:    
Cash and cash equivalents $ 232,624 $ 412,565
Accounts receivable, net 473,566 409,733
Inventories 471,149 388,131
Prepaid expenses and other current assets 87,629 112,198
Total current assets 1,264,968 1,322,627
NONCURRENT ASSETS:    
Property and equipment, net 139,236 127,367
Operating lease right-of-use asset 91,250 86,528
Intangible assets, net 21,897 16,993
Referral sources, net 287,281 284,017
Goodwill 1,606,743 1,540,246
Other noncurrent assets 44,394 43,965
Total noncurrent assets 2,190,801 2,099,116
TOTAL ASSETS 3,455,769 3,421,743
CURRENT LIABILITIES:    
Accounts payable 639,829 610,779
Accrued compensation and employee benefits 70,414 63,028
Accrued expenses and other current liabilities 88,329 77,783
Current portion of operating lease liability 23,996 22,044
Current portion of long-term debt 6,780 6,512
Total current liabilities 829,348 780,146
NONCURRENT LIABILITIES:    
Long-term debt, net of discount, deferred financing costs and current portion 1,154,052 1,104,641
Operating lease liability, net of current portion 88,519 84,776
Deferred income taxes 56,019 47,576
Other noncurrent liabilities 1,438 366
Total noncurrent liabilities 1,300,028 1,237,359
Total liabilities 2,129,376 2,017,505
STOCKHOLDERS’ EQUITY:    
Preferred stock; $0.0001 par value; 12,500,000 shares authorized, no shares outstanding as of December 31, 2025 and 2024 0 0
Common stock; $0.0001 par value: 250,000,000 shares authorized, 184,522,423 shares issued and 156,857,801 shares outstanding as of December 31, 2025; 183,846,725 shares issued and 166,261,112 shares outstanding as of December 31, 2024 18 18
Treasury stock; 27,664,622 and 17,585,613 shares outstanding, at cost, as of December 31, 2025 and 2024, respectively (818,201) (507,598)
Paid-in capital 1,263,549 1,231,435
Retained earnings 876,921 669,336
Accumulated other comprehensive income (loss) 4,106 11,047
Total stockholders’ equity 1,326,393 1,404,238
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY $ 3,455,769 $ 3,421,743