v3.26.1
Pay vs Performance Disclosure - USD ($)
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Pay vs Performance Disclosure          
Pay vs Performance Disclosure, Table
Principal Executive Officers (“PEOs”)(1)
Value of Initial Fixed
 $100 Investment
 Based on:
Net
 Income (Loss)(5)
($MM)
Company
 Selected
 Measure:
 Adj.
 EBITDA(6)
($MM)
Summary Compensation
 Table Total
Compensation Actually
 Paid Total(3)
Average Other
 Non-PEO NEOs(2)
Fiscal
Year
Current:
 Suzanne
 Foster
Former:
Richard Barasch
Former:
 Stephen
 Griggs
Former:
 Luke
 McGee
Current:
 Suzanne
 Foster
Former:
 Richard
 Barasch
Former:
 Stephen
 Griggs
Former:
 Luke
 McGee
Summary
 Comp
 Table
 Total
Comp
 Actually
 Paid
 Total(3)
Company
 TSR(4)
Peer
 Group
 TSR(4)
2025$10,256,240 n/an/an/a$9,602,139 n/an/an/a$3,424,642 $3,219,184 $27 $110 $(66)$631 
2024$8,391,752 $2,074,106 n/an/a$8,347,867 $2,060,486 n/an/a$4,122,211 $2,675,520 $25 $93 $95 $689 
2023n/a$2,265,183 $10,437,819 n/an/a$2,048,248 $1,893,765 n/a$2,440,283 $(238,940)$19 $92 $(675)$671 
2022n/an/a$4,724,344 n/an/an/a$4,296,449 n/a$2,823,510 $1,841,864 $51 $87 $73 $594 
2021n/an/a$3,935,883 $8,061,871 n/an/a$2,710,254 $(21,022,257)$3,348,903 $(523,574)$65 $109 $158 $566 
       
Company Selected Measure Name Adjusted EBITDA        
Named Executive Officers, Footnote
(1)For 2025, our PEO was Ms. Foster. For 2024, our PEOs included both our current CEO, Ms. Foster, and our former interim CEO, Mr. Barasch. For 2023, our PEOs included both our former interim CEO, Mr. Barasch, and our former CEO, Mr. Griggs. For 2022, our PEO was Mr. Griggs. For 2021, our PEOs included both Mr. Griggs and our former CEO, Mr. McGee.
For 2024, our non-PEO NEOs were Messrs. Clemens, Prast, Barnhart, Parnes, and Rietkerk, and Ms. Archbold. For 2023, our non-PEO NEOs were Messrs. Parnes, Clemens, Prast, and Rietkerk. For 2022, our non-PEO NEOs were Messrs. Parnes, Clemens, Joyce and Prast. For 2021, our non-PEO NEOs were Messrs. Parnes, Clemens, Prast and Bunting.
       
Peer Group Issuers, Footnote (4)The Company Total Shareholder Return (“TSR”) and the Company’s Peer Group TSR reflected in these columns for each applicable fiscal year are calculated based on a fixed investment of $100 at the applicable measurement point on the same cumulative basis as is used in Item 201(e) of Regulation S-K. The peer group used to determine the Company’s Peer Group TSR for each applicable fiscal year is the S&P Healthcare Services Select Industry Index, which is included in the Company’s TSR performance graph in this Proxy Statement.        
Adjustment To PEO Compensation, Footnote
(3)In calculating the “Compensation Actually Paid” (“CAP”) amounts reflected in these columns, the fair value or change in fair value, as applicable, of the equity award adjustments included in such calculations were computed in accordance with FASB ASC Topic 718. Stock option grant date fair values are calculated based on the Black-Scholes option pricing model as of date of grant. Adjustments have been made using stock option fair values as of each measurement date using the stock price as of the measurement date and updated assumptions as of the measurement date. Time-vested restricted stock/unit grant date fair values are calculated using the stock price as of date of grant. Adjustments have been made using the stock price as of year-end and as of each vesting date. Performance-vested restricted stock unit fair values are calculated based on the Monte Carlo valuation model as of the date of grant. Adjustments have been made using performance-vested restricted stock unit fair values as of each measurement date using the stock price as of the measurement date and updated Monte Carlo assumptions. The assumptions used to calculate the fair value for purposes of determining CAP are consistent with the methodology used for calculating the grant date fair value for financial reporting purposes. There are no dividends or other earnings paid on stock or option awards in the applicable year prior to the vesting date that are not otherwise included in the CAP amounts for the applicable year.
In the calculation of CAP presented in the table, the following amounts were deducted and added:
Reconciliation of Summary Compensation Table (“SCT”) total to Compensation Actually Paid (“CAP”)
FY2025FY2024FY2023FY2022FY2021
Description of Elements Added / Subtracted to SCT Total to Calculate CAPCurrent
 PEO
 Foster
Average
 Other
 NEOs
Current
 PEO
 Foster
Former
 PEO
 Barasch
Average
 Other
 NEOs
Former
 PEO
 Barasch
Former
 PEO
 Griggs
Average
 Other
 NEOs
Former
 PEO
 Griggs
Average
 Other
 NEOs
Former
 PEO
 Griggs
Former
 PEO
 McGee
Average
 Other
 NEOs
Summary Compensation Table (“SCT”) Total$10,256,240 $3,424,642 $8,391,752 $2,074,106 $4,122,211 $2,265,183 $10,437,819 $2,440,283 $4,724,344 $2,823,510 $3,935,883 $8,061,871 $3,348,903 
-Pension and equity amounts reported in SCT$7,530,880 $2,221,309 $6,592,784 $474,408 $2,914,398 $743,274 $7,257,900 $1,372,050 $3,698,882 $1,963,262 $2,795,498 $5,808,758 $2,474,283 
+Fair value of equity compensation granted in current year and outstanding at year end$6,815,203 $2,012,341 $6,548,899 $— $1,618,903 $186,726 $294,606 $434,705 $3,950,263 $2,096,688 $1,569,869 $— $1,646,856 
+Change in fair value of equity granted in prior years that remains outstanding at current year end; reflects fair value at current year end - fair value at prior year end$94,912 $(5,647)$— $— $12,040 $— $(2,179,990)$(1,729,450)$(504,103)$(357,484)$— $— $(1,549,939)
-Fair value of awards forfeited in current year valued at prior year end$— $— $— $— $184,256 $— $— $— $— $— $— $20,840,650 $— 
+Fair value of equity compensation granted and vested in current year$— $— $— $391,375 $— $471,798 $948,505 $— $— $— $— $— $— 
+Change in fair value of equity granted in prior years and vested in current year$(33,336)$9,157 $— $69,413 $21,020 $(132,185)$(349,275)$(12,428)$(175,173)$(757,588)$— $(2,434,720)$(1,495,111)
Compensation Actually Paid (“CAP”)$9,602,139 $3,219,184 $8,347,867 $2,060,486 $2,675,520 $2,048,248 $1,893,765 $(238,940)$4,296,449 $1,841,864 $2,710,254 $(21,022,257)$(523,574)
       
Non-PEO NEO Average Total Compensation Amount $ 3,424,642 $ 4,122,211 $ 2,440,283 $ 2,823,510 $ 3,348,903
Non-PEO NEO Average Compensation Actually Paid Amount $ 3,219,184 2,675,520 (238,940) 1,841,864 (523,574)
Adjustment to Non-PEO NEO Compensation Footnote
(3)In calculating the “Compensation Actually Paid” (“CAP”) amounts reflected in these columns, the fair value or change in fair value, as applicable, of the equity award adjustments included in such calculations were computed in accordance with FASB ASC Topic 718. Stock option grant date fair values are calculated based on the Black-Scholes option pricing model as of date of grant. Adjustments have been made using stock option fair values as of each measurement date using the stock price as of the measurement date and updated assumptions as of the measurement date. Time-vested restricted stock/unit grant date fair values are calculated using the stock price as of date of grant. Adjustments have been made using the stock price as of year-end and as of each vesting date. Performance-vested restricted stock unit fair values are calculated based on the Monte Carlo valuation model as of the date of grant. Adjustments have been made using performance-vested restricted stock unit fair values as of each measurement date using the stock price as of the measurement date and updated Monte Carlo assumptions. The assumptions used to calculate the fair value for purposes of determining CAP are consistent with the methodology used for calculating the grant date fair value for financial reporting purposes. There are no dividends or other earnings paid on stock or option awards in the applicable year prior to the vesting date that are not otherwise included in the CAP amounts for the applicable year.
In the calculation of CAP presented in the table, the following amounts were deducted and added:
Reconciliation of Summary Compensation Table (“SCT”) total to Compensation Actually Paid (“CAP”)
FY2025FY2024FY2023FY2022FY2021
Description of Elements Added / Subtracted to SCT Total to Calculate CAPCurrent
 PEO
 Foster
Average
 Other
 NEOs
Current
 PEO
 Foster
Former
 PEO
 Barasch
Average
 Other
 NEOs
Former
 PEO
 Barasch
Former
 PEO
 Griggs
Average
 Other
 NEOs
Former
 PEO
 Griggs
Average
 Other
 NEOs
Former
 PEO
 Griggs
Former
 PEO
 McGee
Average
 Other
 NEOs
Summary Compensation Table (“SCT”) Total$10,256,240 $3,424,642 $8,391,752 $2,074,106 $4,122,211 $2,265,183 $10,437,819 $2,440,283 $4,724,344 $2,823,510 $3,935,883 $8,061,871 $3,348,903 
-Pension and equity amounts reported in SCT$7,530,880 $2,221,309 $6,592,784 $474,408 $2,914,398 $743,274 $7,257,900 $1,372,050 $3,698,882 $1,963,262 $2,795,498 $5,808,758 $2,474,283 
+Fair value of equity compensation granted in current year and outstanding at year end$6,815,203 $2,012,341 $6,548,899 $— $1,618,903 $186,726 $294,606 $434,705 $3,950,263 $2,096,688 $1,569,869 $— $1,646,856 
+Change in fair value of equity granted in prior years that remains outstanding at current year end; reflects fair value at current year end - fair value at prior year end$94,912 $(5,647)$— $— $12,040 $— $(2,179,990)$(1,729,450)$(504,103)$(357,484)$— $— $(1,549,939)
-Fair value of awards forfeited in current year valued at prior year end$— $— $— $— $184,256 $— $— $— $— $— $— $20,840,650 $— 
+Fair value of equity compensation granted and vested in current year$— $— $— $391,375 $— $471,798 $948,505 $— $— $— $— $— $— 
+Change in fair value of equity granted in prior years and vested in current year$(33,336)$9,157 $— $69,413 $21,020 $(132,185)$(349,275)$(12,428)$(175,173)$(757,588)$— $(2,434,720)$(1,495,111)
Compensation Actually Paid (“CAP”)$9,602,139 $3,219,184 $8,347,867 $2,060,486 $2,675,520 $2,048,248 $1,893,765 $(238,940)$4,296,449 $1,841,864 $2,710,254 $(21,022,257)$(523,574)
       
Compensation Actually Paid vs. Total Shareholder Return
67992
       
Compensation Actually Paid vs. Net Income
67994
       
Compensation Actually Paid vs. Company Selected Measure
67997
       
Total Shareholder Return Vs Peer Group
67992
       
Tabular List, Table
Pay Versus Performance Tabular List
The following table lists our most important financial performance measures used to link CAP to our NEOs to company performance for fiscal year 2025.
Most Important Performance Measures
Adjusted EBITDA
Free Cash Flow
Relative Total Shareholder Return
Net Revenue
       
Total Shareholder Return Amount $ 27 25 19 51 65
Peer Group Total Shareholder Return Amount 110 93 92 87 109
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest $ (66,000,000) $ 95,000,000 $ (675,000,000) $ 73,000,000 $ 158,000,000
Company Selected Measure Amount 631,000,000 689,000,000 671,000,000 594,000,000 566,000,000
Additional 402(v) Disclosure Represents the amount of net income (loss), as reported in the Company’s audited GAAP financial statements for all years included in this table.        
Measure:: 1          
Pay vs Performance Disclosure          
Name Adjusted EBITDA        
Non-GAAP Measure Description
(6)We have selected Adjusted EBITDA as our most important financial measure (that is not otherwise required to be disclosed in the table) used to link compensation actually paid to our NEOs to Company performance for fiscal year 2025. Our Compensation Committee determined the 2025 annual bonus outcome for eligible NEOs partially based on the achievement of this measure, which was adjusted for a litigation settlement expense that was approved by the Committee for purposes of determining Adjusted EBITDA for payment of the 2025 annual incentive for the
Company's NEOs. See the section titled "Year in Review and Alignment of Company Performance with Pay" on page 23 of this Proxy Statement for additional information.
       
Measure:: 2          
Pay vs Performance Disclosure          
Name Free Cash Flow        
Measure:: 3          
Pay vs Performance Disclosure          
Name Relative Total Shareholder Return        
Measure:: 4          
Pay vs Performance Disclosure          
Name Net Revenue        
Ms. Suzanne Foster [Member]          
Pay vs Performance Disclosure          
PEO Total Compensation Amount $ 10,256,240 $ 8,391,752      
PEO Actually Paid Compensation Amount $ 9,602,139 $ 8,347,867      
PEO Name Ms. Foster Ms. Foster      
Mr. Richard Barasch [Member]          
Pay vs Performance Disclosure          
PEO Total Compensation Amount   $ 2,074,106 $ 2,265,183    
PEO Actually Paid Compensation Amount   $ 2,060,486 $ 2,048,248    
PEO Name   Mr. Barasch Mr. Barasch    
Mr. Stephen Griggs [Member]          
Pay vs Performance Disclosure          
PEO Total Compensation Amount     $ 10,437,819 $ 4,724,344 $ 3,935,883
PEO Actually Paid Compensation Amount     $ 1,893,765 $ 4,296,449 $ 2,710,254
PEO Name     Mr. Griggs Mr. Griggs Mr. Griggs
Mr. Luke McGee [Member]          
Pay vs Performance Disclosure          
PEO Total Compensation Amount         $ 8,061,871
PEO Actually Paid Compensation Amount         $ (21,022,257)
PEO Name         Mr. McGee
PEO | Ms. Suzanne Foster [Member] | Aggregate Pension Adjustments Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ (7,530,880) $ (6,592,784)      
PEO | Ms. Suzanne Foster [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 6,815,203 6,548,899      
PEO | Ms. Suzanne Foster [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 94,912 0      
PEO | Ms. Suzanne Foster [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0      
PEO | Ms. Suzanne Foster [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (33,336) 0      
PEO | Ms. Suzanne Foster [Member] | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0      
PEO | Mr. Richard Barasch [Member] | Aggregate Pension Adjustments Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   (474,408) $ (743,274)    
PEO | Mr. Richard Barasch [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   0 186,726    
PEO | Mr. Richard Barasch [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   0 0    
PEO | Mr. Richard Barasch [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   391,375 471,798    
PEO | Mr. Richard Barasch [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   69,413 (132,185)    
PEO | Mr. Richard Barasch [Member] | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   0 0    
PEO | Mr. Stephen Griggs [Member] | Aggregate Pension Adjustments Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount     (7,257,900) $ (3,698,882) $ (2,795,498)
PEO | Mr. Stephen Griggs [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount     294,606 3,950,263 1,569,869
PEO | Mr. Stephen Griggs [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount     (2,179,990) (504,103) 0
PEO | Mr. Stephen Griggs [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount     948,505 0 0
PEO | Mr. Stephen Griggs [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount     (349,275) (175,173) 0
PEO | Mr. Stephen Griggs [Member] | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount     0 0 0
PEO | Mr. Luke McGee [Member] | Aggregate Pension Adjustments Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         (5,808,758)
PEO | Mr. Luke McGee [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         0
PEO | Mr. Luke McGee [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         0
PEO | Mr. Luke McGee [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         0
PEO | Mr. Luke McGee [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         (2,434,720)
PEO | Mr. Luke McGee [Member] | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         (20,840,650)
Non-PEO NEO | Aggregate Pension Adjustments Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (2,221,309) (2,914,398) (1,372,050) (1,963,262) (2,474,283)
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 2,012,341 1,618,903 434,705 2,096,688 1,646,856
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (5,647) 12,040 (1,729,450) (357,484) (1,549,939)
Non-PEO NEO | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0 0 0 0
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 9,157 21,020 (12,428) (757,588) (1,495,111)
Non-PEO NEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ 0 $ (184,256) $ 0 $ 0 $ 0