10-Q Filing

Aveanna Healthcare Holdings, Inc. CIK: 1832332 Q3 2023

Filing Information

Form Type	10-Q
Accession Number	`0000950170-23-061484`
Period End Date	20230930
Filing Date	20231109
Fiscal Year	2023
Fiscal Period	Q3
XBRL Instance	avah-20230930_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 94 Income Statement 74 Cash Flow Statement 85 Stockholders Equity 22

Balance Sheet 94 line items

Line Item	Tag	Value	Unit	Period
Preferred stock, par value	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Preferred stock, par value	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Preferred stock, authorized	`PreferredStockSharesAuthorized`	5.00M	shares	Point-in-time
Preferred stock, authorized	`PreferredStockSharesAuthorized`	5.00M	shares	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$48.29M	USD	Point-in-time
Preferred stock, issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$19.22M	USD	Point-in-time
Preferred stock, issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Patient accounts receivable	`AccountsReceivableNetCurrent`	$221.24M	USD	Point-in-time
Preferred stock,outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Patient accounts receivable	`AccountsReceivableNetCurrent`	$235.67M	USD	Point-in-time
Preferred stock,outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsCurrent`	$4.39M	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsCurrent`	$10.72M	USD	Point-in-time
Common stock, par value	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Common stock, par value	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$15.09M	USD	Point-in-time
Common stock, authorized	`CommonStockSharesAuthorized`	1.00B	shares	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$12.35M	USD	Point-in-time
Common stock, authorized	`CommonStockSharesAuthorized`	1.00B	shares	Point-in-time
Common stock, issued	`CommonStockSharesIssued`	190.73M	shares	Point-in-time
Common stock, issued	`CommonStockSharesIssued`	188.86M	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$11.21M	USD	Point-in-time
Other current assets	`OtherAssetsCurrent`	$9.81M	USD	Point-in-time
Common stock, outstanding	`CommonStockSharesOutstanding`	188.86M	shares	Point-in-time
Common stock, outstanding	`CommonStockSharesOutstanding`	190.73M	shares	Point-in-time
Total current assets	`AssetsCurrent`	$318.25M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$269.75M	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$22.00M	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$22.75M	USD	Point-in-time
Operating lease right of use assets	`OperatingLeaseRightOfUseAsset`	$54.60M	USD	Point-in-time
Operating lease right of use assets	`OperatingLeaseRightOfUseAsset`	$51.79M	USD	Point-in-time
Goodwill	`Goodwill`	$1.16B	USD	Point-in-time
Goodwill	`Goodwill`	$1.05B	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$95.86M	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$95.19M	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsNoncurrent`	$23.19M	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsNoncurrent`	$22.86M	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$86.24M	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$89.74M	USD	Point-in-time
Total assets	`Assets`	$1.71B	USD	Point-in-time
Total assets	`Assets`	$1.65B	USD	Point-in-time
Accounts payable and other accrued liabilities	`AccountsPayableAndOtherAccruedLiabilitiesCurrent`	$36.53M	USD	Point-in-time
Accounts payable and other accrued liabilities	`AccountsPayableAndOtherAccruedLiabilitiesCurrent`	$44.62M	USD	Point-in-time
Accrued payroll and employee benefits	`AccruedPayrollAndEmployeeBenefits`	$43.84M	USD	Point-in-time
Accrued payroll and employee benefits	`AccruedPayrollAndEmployeeBenefits`	$75.59M	USD	Point-in-time
Current portion of insurance reserves - insured programs	`CurrentPortionOfInsuranceReservesInsuredPrograms`	$4.39M	USD	Point-in-time
Current portion of insurance reserves - insured programs	`CurrentPortionOfInsuranceReservesInsuredPrograms`	$10.72M	USD	Point-in-time
Current portion of insurance reserves	`CurrentPortionOfInsuranceReserves`	$27.53M	USD	Point-in-time
Current portion of insurance reserves	`CurrentPortionOfInsuranceReserves`	$18.94M	USD	Point-in-time
Securitization obligations	`SecuritizationObligations`	$140.00M	USD	Point-in-time
Securitization obligations	`SecuritizationObligations`	$155.00M	USD	Point-in-time
Current portion of long-term obligations	`LoansPayableCurrent`	$9.20M	USD	Point-in-time
Current portion of long-term obligations	`LoansPayableCurrent`	$9.20M	USD	Point-in-time
Current portion of operating lease liabilities	`OperatingLeaseLiabilityCurrent`	$13.97M	USD	Point-in-time
Current portion of operating lease liabilities	`OperatingLeaseLiabilityCurrent`	$13.07M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$44.35M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$43.84M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$326.50M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$364.30M	USD	Point-in-time
Long-term obligations, less current portion	`LongTermNotesAndLoans`	$1.28B	USD	Point-in-time
Long-term obligations, less current portion	`LongTermNotesAndLoans`	$1.28B	USD	Point-in-time
Long-term insurance reserves - insured programs	`LongTermInsuranceReservesInsuredPrograms`	$23.19M	USD	Point-in-time
Long-term insurance reserves - insured programs	`LongTermInsuranceReservesInsuredPrograms`	$22.86M	USD	Point-in-time
Long-term insurance reserves	`LongTermInsuranceReserves`	$35.47M	USD	Point-in-time
Long-term insurance reserves	`LongTermInsuranceReserves`	$44.29M	USD	Point-in-time
Operating lease liabilities, less current portion	`OperatingLeaseLiabilityNoncurrent`	$42.60M	USD	Point-in-time
Operating lease liabilities, less current portion	`OperatingLeaseLiabilityNoncurrent`	$45.82M	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxLiabilitiesNet`	$4.42M	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxLiabilitiesNet`	$3.84M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$359.00K	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$1.90M	USD	Point-in-time
Total liabilities	`Liabilities`	$1.72B	USD	Point-in-time
Total liabilities	`Liabilities`	$1.76B	USD	Point-in-time
Commitments and contingencies (Note 11)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies (Note 11)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Deferred restricted stock units	`DeferredRestrictedStockUnits`	$2.13M	USD	Point-in-time
Deferred restricted stock units	`DeferredRestrictedStockUnits`	$2.13M	USD	Point-in-time
Preferred stock, $0.01 par value as of April 1, 2023 and December 31, 2022 5,000,000 shares authorized; none issued or outstanding	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.01 par value as of April 1, 2023 and December 31, 2022 5,000,000 shares authorized; none issued or outstanding	`PreferredStockValue`	-	USD	Point-in-time
Common stock, $0.01 par value, 1,000,000,000 shares authorized; 190,733,153 and 188,859,165 issued and outstanding, respectively	`CommonStockValue`	$1.89M	USD	Point-in-time
Common stock, $0.01 par value, 1,000,000,000 shares authorized; 190,733,153 and 188,859,165 issued and outstanding, respectively	`CommonStockValue`	$1.91M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$1.24B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$1.23B	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-1.35B	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-1.24B	USD	Point-in-time
Total stockholders' deficit	`StockholdersEquity`	$-105.71M	USD	Point-in-time
Total stockholders' deficit	`StockholdersEquity`	$-6.74M	USD	Point-in-time
Total stockholders' deficit	`StockholdersEquity`	$-6.31M	USD	Point-in-time
Total stockholders' deficit	`StockholdersEquity`	$227.95M	USD	Point-in-time
Total stockholders' deficit	`StockholdersEquity`	$635.82M	USD	Point-in-time
Total stockholders' deficit	`StockholdersEquity`	$200.14M	USD	Point-in-time
Total liabilities, deferred restricted stock units, and stockholders' deficit	`LiabilitiesAndStockholdersEquity`	$1.65B	USD	Point-in-time
Total liabilities, deferred restricted stock units, and stockholders' deficit	`LiabilitiesAndStockholdersEquity`	$1.71B	USD	Point-in-time

Income Statement 74 line items

Line Item	Tag	Value	Unit	Period
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$1.42B	USD	3 Qtrs
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$1.34B	USD	3 Qtrs
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$443.01M	USD	1 Quarter
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$478.01M	USD	1 Quarter
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$969.38M	USD	3 Qtrs
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$308.43M	USD	1 Quarter
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$912.05M	USD	3 Qtrs
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$330.75M	USD	1 Quarter
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$273.97M	USD	3 Qtrs
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$89.54M	USD	1 Quarter
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$91.00M	USD	1 Quarter
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$267.28M	USD	3 Qtrs
Corporate expenses	`CorporateExpenses`	$33.22M	USD	1 Quarter
Corporate expenses	`CorporateExpenses`	$27.45M	USD	1 Quarter
Corporate expenses	`CorporateExpenses`	$105.98M	USD	3 Qtrs
Corporate expenses	`CorporateExpenses`	$84.73M	USD	3 Qtrs
Goodwill impairment	`GoodwillImpairmentLoss`	$105.14M	USD	3 Qtrs
Goodwill impairment	`GoodwillImpairmentLoss`	$470.21M	USD	3 Qtrs
Goodwill impairment	`GoodwillImpairmentLoss`	$105.14M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$10.49M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$16.77M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$2.96M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$4.92M	USD	1 Quarter
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$69.00K	USD	3 Qtrs
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$466.00K	USD	3 Qtrs
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$428.00K	USD	1 Quarter
Other operating (income) expense	`OtherOperatingIncomeExpenseNet`	$-1.95M	USD	3 Qtrs
Other operating (income) expense	`OtherOperatingIncomeExpenseNet`	$6.59M	USD	3 Qtrs
Other operating (income) expense	`OtherOperatingIncomeExpenseNet`	$3.36M	USD	1 Quarter
Other operating (income) expense	`OtherOperatingIncomeExpenseNet`	$-2.12M	USD	1 Quarter
Operating (loss) income	`OperatingIncomeLoss`	$-76.35M	USD	1 Quarter
Operating (loss) income	`OperatingIncomeLoss`	$-21.22M	USD	3 Qtrs
Operating (loss) income	`OperatingIncomeLoss`	$-437.82M	USD	3 Qtrs
Operating (loss) income	`OperatingIncomeLoss`	$4.79M	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$238.00K	USD	3 Qtrs
Interest income	`InvestmentIncomeInterest`	$164.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$369.00K	USD	3 Qtrs
Interest income	`InvestmentIncomeInterest`	$50.00K	USD	1 Quarter
Interest expense	`InterestExpense`	$73.75M	USD	3 Qtrs
Interest expense	`InterestExpense`	$28.46M	USD	1 Quarter
Interest expense	`InterestExpense`	$113.54M	USD	3 Qtrs
Interest expense	`InterestExpense`	$39.60M	USD	1 Quarter
Other income	`OtherNonoperatingIncomeExpense`	$45.14M	USD	1 Quarter
Other income	`OtherNonoperatingIncomeExpense`	$14.14M	USD	1 Quarter
Other income	`OtherNonoperatingIncomeExpense`	$86.52M	USD	3 Qtrs
Other income	`OtherNonoperatingIncomeExpense`	$27.12M	USD	3 Qtrs
(Loss) income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$21.63M	USD	1 Quarter
(Loss) income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-107.40M	USD	3 Qtrs
(Loss) income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-101.76M	USD	1 Quarter
(Loss) income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-424.67M	USD	3 Qtrs
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$1.39M	USD	3 Qtrs
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$-2.67M	USD	1 Quarter
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$631.00K	USD	1 Quarter
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$-416.00K	USD	3 Qtrs
Net (loss) income	`NetIncomeLoss`	$24.30M	USD	1 Quarter
Net (loss) income	`NetIncomeLoss`	$-108.79M	USD	3 Qtrs
Net (loss) income	`NetIncomeLoss`	$-102.39M	USD	1 Quarter
Net (loss) income	`NetIncomeLoss`	$-424.25M	USD	3 Qtrs
Net (loss) income per share, basic	`EarningsPerShareBasic`	$-0.57	USD	3 Qtrs
Net (loss) income per share, basic	`EarningsPerShareBasic`	$0.13	USD	1 Quarter
Net (loss) income per share, basic	`EarningsPerShareBasic`	$-0.54	USD	1 Quarter
Net (loss) income per share, basic	`EarningsPerShareBasic`	$-2.29	USD	3 Qtrs
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	189.63M	shares	3 Qtrs
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	189.14M	shares	1 Quarter
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	186.11M	shares	1 Quarter
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	185.33M	shares	3 Qtrs
Net (loss) income per share, diluted	`EarningsPerShareDiluted`	$-0.57	USD	3 Qtrs
Net (loss) income per share, diluted	`EarningsPerShareDiluted`	$-0.54	USD	1 Quarter
Net (loss) income per share, diluted	`EarningsPerShareDiluted`	$-2.29	USD	3 Qtrs
Net (loss) income per share, diluted	`EarningsPerShareDiluted`	$0.13	USD	1 Quarter
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	186.17M	shares	1 Quarter
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	189.14M	shares	1 Quarter
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	189.63M	shares	3 Qtrs
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	185.33M	shares	3 Qtrs

Cash Flow Statement 85 line items

Line Item	Tag	Value	Unit	Period
Net loss	`ProfitLoss`	$-108.79M	USD	3 Qtrs
Net loss	`ProfitLoss`	$-424.25M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$10.49M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$16.77M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$2.96M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$4.92M	USD	1 Quarter
Amortization of deferred debt issuance costs	`AmortizationOfFinancingCosts`	$5.22M	USD	3 Qtrs
Amortization of deferred debt issuance costs	`AmortizationOfFinancingCosts`	$3.98M	USD	3 Qtrs
Amortization and impairment of operating lease right of use assets	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$12.72M	USD	3 Qtrs
Amortization and impairment of operating lease right of use assets	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$12.49M	USD	3 Qtrs
Non-cash share-based compensation	`ShareBasedCompensation`	$10.14M	USD	3 Qtrs
Non-cash share-based compensation	`ShareBasedCompensation`	$14.11M	USD	3 Qtrs
Goodwill impairment	`GoodwillImpairmentLoss`	$105.14M	USD	3 Qtrs
Goodwill impairment	`GoodwillImpairmentLoss`	$470.21M	USD	3 Qtrs
Goodwill impairment	`GoodwillImpairmentLoss`	$105.14M	USD	1 Quarter
Loss (gain) on disposal or impairment of licenses, property and equipment, and software	`GainLossOnDispositionOrImpairmentOfLicensesPropertyAndEquipmentAndInternalUseSoftware`	$-2.09M	USD	3 Qtrs
Loss (gain) on disposal or impairment of licenses, property and equipment, and software	`GainLossOnDispositionOrImpairmentOfLicensesPropertyAndEquipmentAndInternalUseSoftware`	$-1.81M	USD	3 Qtrs
Fair value adjustments on interest rate derivatives	`DerivativeGainLossOnDerivativeNet`	$2.58M	USD	3 Qtrs
Fair value adjustments on interest rate derivatives	`DerivativeGainLossOnDerivativeNet`	$89.63M	USD	3 Qtrs
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$575.00K	USD	3 Qtrs
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-293.00K	USD	3 Qtrs
Non-cash gain on acquisition	`NonCashGainOnAcquisition`	$5.09M	USD	3 Qtrs
Patient accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$14.43M	USD	3 Qtrs
Patient accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$921.00K	USD	3 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$-5.25M	USD	3 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$-6.83M	USD	3 Qtrs
Other current and long-term assets	`IncreaseDecreaseInOtherOperatingAssets`	$12.66M	USD	3 Qtrs
Other current and long-term assets	`IncreaseDecreaseInOtherOperatingAssets`	$1.88M	USD	3 Qtrs
Accounts payable and other accrued liabilities	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$-7.86M	USD	3 Qtrs
Accounts payable and other accrued liabilities	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$-2.40M	USD	3 Qtrs
Accrued payroll and employee benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$31.75M	USD	3 Qtrs
Accrued payroll and employee benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$-4.57M	USD	3 Qtrs
Insurance reserves	`IncreaseDecreaseInSelfInsuranceReserve`	$229.00K	USD	3 Qtrs
Insurance reserves	`IncreaseDecreaseInSelfInsuranceReserve`	$5.88M	USD	3 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-11.99M	USD	3 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-15.85M	USD	3 Qtrs
Other current and long-term liabilities	`IncreaseDecreaseInOtherOperatingCapitalNet`	$-6.94M	USD	3 Qtrs
Other current and long-term liabilities	`IncreaseDecreaseInOtherOperatingCapitalNet`	$1.93M	USD	3 Qtrs
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$-8.17M	USD	3 Qtrs
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$25.68M	USD	3 Qtrs
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$2.03M	USD	3 Qtrs
Proceeds from sale of businesses	`ProceedsFromDivestitureOfBusinesses`	$460.00K	USD	3 Qtrs
Payment for interest rate cap	`PaymentsForDerivativeInstrumentInvestingActivities`	$11.72M	USD	3 Qtrs
Purchase of certificates of need	`PurchaseOfCertificatesOfNeed`	$2.68M	USD	3 Qtrs
Purchases of property and equipment, and software	`PaymentsToAcquirePropertyPlantAndEquipmentAndInternalUseSoftware`	$4.55M	USD	3 Qtrs
Purchases of property and equipment, and software	`PaymentsToAcquirePropertyPlantAndEquipmentAndInternalUseSoftware`	$8.80M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-7.23M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-22.09M	USD	3 Qtrs
Proceeds from employee stock purchase plan	`ProceedsFromStockPlans`	$945.00K	USD	3 Qtrs
Proceeds from employee stock purchase plan	`ProceedsFromStockPlans`	$2.28M	USD	3 Qtrs
Proceeds from securitization obligation	`ProceedsFromAccountsReceivableSecuritization`	$45.00M	USD	3 Qtrs
Proceeds from securitization obligation	`ProceedsFromAccountsReceivableSecuritization`	$40.00M	USD	3 Qtrs
Repayment of securitization obligation	`RepaymentsOfAccountsReceivableSecuritization`	$20.00M	USD	3 Qtrs
Repayment of securitization obligation	`RepaymentsOfAccountsReceivableSecuritization`	$30.00M	USD	3 Qtrs
Proceeds from revolving credit facility	`ProceedsFromLongTermLinesOfCredit`	$15.00M	USD	3 Qtrs
Proceeds from revolving credit facility	`ProceedsFromLongTermLinesOfCredit`	$20.00M	USD	3 Qtrs
Repayments on revolving credit facility	`RepaymentsOfLongTermLinesOfCredit`	$15.00M	USD	3 Qtrs
Repayments on revolving credit facility	`RepaymentsOfLongTermLinesOfCredit`	$20.00M	USD	3 Qtrs
Proceeds from issuance of term loans, net of debt issuance costs	`ProceedsFromDebtNetOfIssuanceCosts`	$59.70M	USD	3 Qtrs
Principal payments on term loans	`RepaymentOfTermLoans`	$6.90M	USD	3 Qtrs
Principal payments on term loans	`RepaymentOfTermLoans`	$6.60M	USD	3 Qtrs
Principal payments on notes payable	`RepaymentsOfNotesPayable`	$7.56M	USD	3 Qtrs
Principal payments on notes payable	`RepaymentsOfNotesPayable`	$7.29M	USD	3 Qtrs
Principal payments on financing lease obligations	`PaymentsOfFinancingLeaseObligations`	$581.00K	USD	3 Qtrs
Principal payments on financing lease obligations	`PaymentsOfFinancingLeaseObligations`	$521.00K	USD	3 Qtrs
Payment of debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$1.05M	USD	3 Qtrs
Payment of debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$218.00K	USD	3 Qtrs
Settlements with interest rate swap counterparties	`PaymentsForProceedsFromDerivativeInstrumentFinancingActivities`	$-10.44M	USD	3 Qtrs
Settlements with interest rate swap counterparties	`PaymentsForProceedsFromDerivativeInstrumentFinancingActivities`	$3.57M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$63.45M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$10.63M	USD	3 Qtrs
Net change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$33.19M	USD	3 Qtrs
Net change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$29.08M	USD	3 Qtrs
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$48.29M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$63.68M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$19.22M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$30.49M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$48.29M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$63.68M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$19.22M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$30.49M	USD	Point-in-time
Cash paid for interest	`InterestPaidNet`	$99.29M	USD	3 Qtrs
Cash paid for interest	`InterestPaidNet`	$69.57M	USD	3 Qtrs
Cash paid for income taxes, net of refunds received	`IncomeTaxesPaidNet`	$766.00K	USD	3 Qtrs
Cash paid for income taxes, net of refunds received	`IncomeTaxesPaidNet`	$1.41M	USD	3 Qtrs

Stockholders Equity 22 line items

Line Item	Tag	Value	Unit	Period
Beginning Balance	`StockholdersEquity`	$-105.71M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-6.74M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-6.31M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$227.95M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$635.82M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$200.14M	USD	Point-in-time
Employee stock purchase plan	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$2.28M	USD	3 Qtrs
Employee stock purchase plan	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$945.00K	USD	3 Qtrs
Non-cash compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$14.11M	USD	3 Qtrs
Non-cash compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$3.41M	USD	1 Quarter
Non-cash compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$8.44M	USD	3 Qtrs
Non-cash compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$3.51M	USD	1 Quarter
Net (loss) income	`NetIncomeLoss`	$24.30M	USD	1 Quarter
Net (loss) income	`NetIncomeLoss`	$-108.79M	USD	3 Qtrs
Net (loss) income	`NetIncomeLoss`	$-102.39M	USD	1 Quarter
Net (loss) income	`NetIncomeLoss`	$-424.25M	USD	3 Qtrs
Ending Balance	`StockholdersEquity`	$-105.71M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-6.74M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-6.31M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$227.95M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$635.82M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$200.14M	USD	Point-in-time

Data is extracted from SEC EDGAR XBRL filings. Values shown are as reported in the filing.