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Income Taxes (Tables)

12 Months Ended

Dec. 31, 2024

Income Tax Disclosure [Abstract]

Summary of Components of Income Tax Provision

The components of the income tax (benefit) provision are as follows (in thousands):

		December 31,
		2024				2023				2022
Federal:
Current		$	(1,286	)		$	8,040			$	38,877
Deferred			(880	)			1,467				(19,679	)
			(2,166	)			9,507				19,198
State:
Current			1,144				770				2,700
Deferred			(1,250	)			1,772				(3,092	)
			(106	)			2,542				(392	)
Total		$	(2,272	)		$	12,049			$	18,806

Schedule of Differences Between Effective Rate and United States Federal Income Tax Statutory Rate

The differences between the effective rate and the United States federal income tax statutory rate are as follows:

		December 31,
		2024				2023				2022
Tax at statutory rate			21.00	%			21.00	%			21.00	%
State income tax, net of federal benefit			3.26				2.79				1.53
Non-deductible expenses			(1.39	)			(4.43	)			1.48
Equity compensation adjustments			(1.80	)			(3.98	)			1.35
Change in accrual estimates relating to    uncertain tax positions			(0.22	)			0.67				(3.28	)
Change in valuation allowance			(6.35	)			(13.82	)			1.72
Goodwill impairment			(12.38	)			(26.67	)		─
Other, net			0.12				(0.48	)			(0.69	)
Effective tax rate			2.24	%			(24.92	)%			23.11	%

Significant Components of Deferred Income Tax Assets and Liabilities

All of the Company’s deferred tax assets and liabilities are classified as long-term. The significant components of deferred income tax assets and liabilities are as follows (in thousands):

		December 31,
		2024				2023
Allowance for uncollectible accounts		$	122,742			$	139,998
Reserves and accruals			68,128				59,218
Stock-based compensation			1,691				3,022
Operating loss and other carryforwards			47,869				34,739
Capital loss carryforwards			412,392				422,809
Operating lease assets			12,332				19,133
Property and equipment			2,734				2,056
Other			914				5,520
Deferred tax assets before valuation    allowance			668,802				686,495
Less: Valuation allowance			(425,395	)			(435,940	)
Deferred tax assets, net of valuation    allowance			243,407				250,555
Gross deferred tax liabilities:
Amortization			(161,983	)			(162,538	)
Operating lease liabilities			(9,687	)			(17,342	)
Other			(2,128	)			(2,131	)
Total deferred tax liabilities			(173,798	)			(182,011	)
Net deferred tax assets		$	69,609			$	68,544

Schedule of Activity Related to Gross Unrecognized Tax Benefits

The following table summarizes the activity related to the Company’s liability for uncertain tax positions for the years ended December 31, 2024, 2023 and 2022 (in thousands):

		Years Ended December 31,
		2024				2023				2022
Balance at beginning of year		$	2,449			$	2,838			$	4,928
(Decreases) increases related to prior year tax positions			(47	)			70				379
Increases related to current year tax    positions			—				200				800
Decreases related to lapse of statutes    of limitation			—				(659	)			(3,269	)
Balance at end of year		$	2,402			$	2,449			$	2,838

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Tabular disclosure of the components of income tax expense attributable to continuing operations for each year presented including, but not limited to: current tax expense (benefit), deferred tax expense (benefit), investment tax credits, government grants, the benefits of operating loss carryforwards, tax expense that results from allocating certain tax benefits either directly to contributed capital or to reduce goodwill or other noncurrent intangible assets of an acquired entity, adjustments of a deferred tax liability or asset for enacted changes in tax laws or rates or a change in the tax status of the entity, and adjustments of the beginning-of-the-year balances of a valuation allowance because of a change in circumstances that causes a change in judgment about the realizability of the related deferred tax asset in future years.

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Tabular disclosure of the components of net deferred tax asset or liability recognized in an entity's statement of financial position, including the following: the total of all deferred tax liabilities, the total of all deferred tax assets, the total valuation allowance recognized for deferred tax assets.

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Tabular disclosure of the reconciliation using percentage or dollar amounts of the reported amount of income tax expense attributable to continuing operations for the year to the amount of income tax expense that would result from applying domestic federal statutory tax rates to pretax income from continuing operations.

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Tabular disclosure of the change in unrecognized tax benefits.

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