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CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Mar. 31, 2026
Dec. 31, 2025
CURRENT ASSETS:    
Cash and cash equivalents $ 177,321 $ 232,624
Accounts receivable, net 516,436 473,566
Inventories 415,686 471,149
Prepaid expenses and other current assets 85,664 87,629
Total current assets 1,195,107 1,264,968
NONCURRENT ASSETS:    
Property and equipment, net 139,939 139,236
Operating lease right-of-use asset 89,772 91,250
Intangible assets, net 21,063 21,897
Referral sources, net 278,845 287,281
Goodwill 1,606,743 1,606,743
Other noncurrent assets 48,631 44,394
Total noncurrent assets 2,184,993 2,190,801
TOTAL ASSETS 3,380,100 3,455,769
CURRENT LIABILITIES:    
Accounts payable 545,016 639,829
Accrued compensation and employee benefits 49,432 70,414
Accrued expenses and other current liabilities 104,477 88,329
Current portion of operating lease liability 24,040 23,996
Current portion of long-term debt 6,780 6,780
Total current liabilities 729,745 829,348
NONCURRENT LIABILITIES:    
Long-term debt, net of discount, deferred financing costs and current portion 1,153,040 1,154,052
Operating lease liability, net of current portion 86,311 88,519
Deferred income taxes 57,885 56,019
Other noncurrent liabilities 2,050 1,438
Total noncurrent liabilities 1,299,286 1,300,028
Total liabilities 2,029,031 2,129,376
STOCKHOLDERS’ EQUITY:    
Preferred stock; $0.0001 par value; 12,500,000 shares authorized, no shares outstanding as of March 31, 2026 and December 31, 2025 0 0
Common stock; $0.0001 par value: 250,000,000 shares authorized, 185,181,961 shares issued and 156,988,358 shares outstanding as of March 31, 2026; 184,522,423 shares issued and 156,857,801 shares outstanding as of December 31, 2025 18 18
Treasury stock; 28,193,603 and 27,664,622 shares outstanding, at cost, as of March 31, 2026 and December 31, 2025, respectively (835,740) (818,201)
Paid-in capital 1,261,153 1,263,549
Retained earnings 922,264 876,921
Accumulated other comprehensive income (loss) 3,374 4,106
Total stockholders’ equity 1,351,069 1,326,393
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY $ 3,380,100 $ 3,455,769