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CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Jun. 30, 2026
Dec. 31, 2025
CURRENT ASSETS:    
Cash and cash equivalents $ 193,767 $ 232,624
Accounts receivable, net 511,507 473,566
Inventories 399,605 471,149
Prepaid expenses and other current assets 95,713 87,629
Total current assets 1,200,592 1,264,968
NONCURRENT ASSETS:    
Property and equipment, net 140,408 139,236
Operating lease right-of-use asset 89,351 91,250
Intangible assets, net 20,229 21,897
Referral sources, net 270,410 287,281
Goodwill 1,606,743 1,606,743
Other noncurrent assets 51,044 44,394
Total noncurrent assets 2,178,185 2,190,801
TOTAL ASSETS 3,378,777 3,455,769
CURRENT LIABILITIES:    
Accounts payable 639,767 639,829
Accrued compensation and employee benefits 66,226 70,414
Accrued expenses and other current liabilities 83,615 88,329
Current portion of operating lease liability 23,089 23,996
Current portion of long-term debt 6,780 6,780
Total current liabilities 819,477 829,348
NONCURRENT LIABILITIES:    
Long-term debt, net of discount, deferred financing costs and current portion 1,152,040 1,154,052
Operating lease liability, net of current portion 86,170 88,519
Deferred income taxes 58,920 56,019
Other noncurrent liabilities 2,272 1,438
Total noncurrent liabilities 1,299,402 1,300,028
Total liabilities 2,118,879 2,129,376
STOCKHOLDERS’ EQUITY:    
Preferred stock; $0.0001 par value; 12,500,000 shares authorized, no shares outstanding as of June 30, 2026 and December 31, 2025 0 0
Common stock; $0.0001 par value: 250,000,000 shares authorized, 185,321,928 shares issued and 149,777,268 shares outstanding as of June 30, 2026; 184,522,423 shares issued and 156,857,801 shares outstanding as of December 31, 2025 18 18
Treasury stock; 35,544,660 and 27,664,622 shares outstanding, at cost, as of June 30, 2026 and December 31, 2025, respectively (987,296) (818,201)
Paid-in capital 1,268,767 1,263,549
Retained earnings 976,177 876,921
Accumulated other comprehensive income (loss) 2,232 4,106
Total stockholders’ equity 1,259,898 1,326,393
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY $ 3,378,777 $ 3,455,769