10-Q Filing

Aveanna Healthcare Holdings, Inc. CIK: 1832332 Q3 2025

Filing Information

Form Type	10-Q
Accession Number	`0001193125-25-267978`
Period End Date	20250930
Filing Date	20251106
Fiscal Year	2025
Fiscal Period	Q3
XBRL Instance	avah-20250927_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 188 Income Statement 152 Cash Flow Statement 164 Stockholders Equity 54

Balance Sheet 188 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, 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
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`	$84.29M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$84.29M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$145.87M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$145.87M	USD	Point-in-time
Preferred stock, issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Preferred stock, issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Preferred stock, issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Preferred stock, issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Patient accounts receivable	`AccountsReceivableNetCurrent`	$265.19M	USD	Point-in-time
Patient accounts receivable	`AccountsReceivableNetCurrent`	$265.19M	USD	Point-in-time
Patient accounts receivable	`AccountsReceivableNetCurrent`	$312.83M	USD	Point-in-time
Patient accounts receivable	`AccountsReceivableNetCurrent`	$312.83M	USD	Point-in-time
Preferred stock,outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Preferred stock,outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Preferred stock,outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Preferred stock,outstanding	`PreferredStockSharesOutstanding`	0.00	shares	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
Common stock, par value	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Common stock, par value	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsCurrent`	$12.46M	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsCurrent`	$12.46M	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsCurrent`	$4.66M	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsCurrent`	$4.66M	USD	Point-in-time
Common stock, authorized	`CommonStockSharesAuthorized`	1.00B	shares	Point-in-time
Common stock, authorized	`CommonStockSharesAuthorized`	1.00B	shares	Point-in-time
Common stock, authorized	`CommonStockSharesAuthorized`	1.00B	shares	Point-in-time
Common stock, authorized	`CommonStockSharesAuthorized`	1.00B	shares	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$17.48M	USD	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$17.48M	USD	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$14.49M	USD	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$14.49M	USD	Point-in-time
Common stock, issued	`CommonStockSharesIssued`	193.23M	shares	Point-in-time
Common stock, issued	`CommonStockSharesIssued`	193.23M	shares	Point-in-time
Common stock, issued	`CommonStockSharesIssued`	208.91M	shares	Point-in-time
Common stock, issued	`CommonStockSharesIssued`	208.91M	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$13.25M	USD	Point-in-time
Other current assets	`OtherAssetsCurrent`	$13.25M	USD	Point-in-time
Other current assets	`OtherAssetsCurrent`	$24.76M	USD	Point-in-time
Other current assets	`OtherAssetsCurrent`	$24.76M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$392.67M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$392.67M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$502.60M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$502.60M	USD	Point-in-time
Common stock, outstanding	`CommonStockSharesOutstanding`	193.23M	shares	Point-in-time
Common stock, outstanding	`CommonStockSharesOutstanding`	193.23M	shares	Point-in-time
Common stock, outstanding	`CommonStockSharesOutstanding`	208.91M	shares	Point-in-time
Common stock, outstanding	`CommonStockSharesOutstanding`	208.91M	shares	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$17.37M	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$17.37M	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$17.40M	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$17.40M	USD	Point-in-time
Operating lease right of use assets	`OperatingLeaseRightOfUseAsset`	$41.28M	USD	Point-in-time
Operating lease right of use assets	`OperatingLeaseRightOfUseAsset`	$41.28M	USD	Point-in-time
Operating lease right of use assets	`OperatingLeaseRightOfUseAsset`	$37.85M	USD	Point-in-time
Operating lease right of use assets	`OperatingLeaseRightOfUseAsset`	$37.85M	USD	Point-in-time
Goodwill	`Goodwill`	$1.05B	USD	Point-in-time
Goodwill	`Goodwill`	$1.05B	USD	Point-in-time
Goodwill	`Goodwill`	$1.12B	USD	Point-in-time
Goodwill	`Goodwill`	$1.12B	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$89.57M	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$89.57M	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$93.87M	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$93.87M	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsNoncurrent`	$22.43M	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsNoncurrent`	$22.43M	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsNoncurrent`	$22.11M	USD	Point-in-time
Receivables under insured programs	`ReceivablesUnderInsuredProgramsNoncurrent`	$22.11M	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$45.53M	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$45.53M	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$20.26M	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$20.26M	USD	Point-in-time
Total assets	`Assets`	$1.66B	USD	Point-in-time
Total assets	`Assets`	$1.66B	USD	Point-in-time
Total assets	`Assets`	$1.81B	USD	Point-in-time
Total assets	`Assets`	$1.81B	USD	Point-in-time
Accounts payable and other accrued liabilities	`AccountsPayableAndOtherAccruedLiabilitiesCurrent`	$36.44M	USD	Point-in-time
Accounts payable and other accrued liabilities	`AccountsPayableAndOtherAccruedLiabilitiesCurrent`	$36.44M	USD	Point-in-time
Accounts payable and other accrued liabilities	`AccountsPayableAndOtherAccruedLiabilitiesCurrent`	$27.09M	USD	Point-in-time
Accounts payable and other accrued liabilities	`AccountsPayableAndOtherAccruedLiabilitiesCurrent`	$27.09M	USD	Point-in-time
Accrued payroll and employee benefits	`AccruedPayrollAndEmployeeBenefits`	$87.67M	USD	Point-in-time
Accrued payroll and employee benefits	`AccruedPayrollAndEmployeeBenefits`	$87.67M	USD	Point-in-time
Accrued payroll and employee benefits	`AccruedPayrollAndEmployeeBenefits`	$109.49M	USD	Point-in-time
Accrued payroll and employee benefits	`AccruedPayrollAndEmployeeBenefits`	$109.49M	USD	Point-in-time
Current portion of insurance reserves - insured programs	`CurrentPortionOfInsuranceReservesInsuredPrograms`	$12.46M	USD	Point-in-time
Current portion of insurance reserves - insured programs	`CurrentPortionOfInsuranceReservesInsuredPrograms`	$12.46M	USD	Point-in-time
Current portion of insurance reserves - insured programs	`CurrentPortionOfInsuranceReservesInsuredPrograms`	$4.66M	USD	Point-in-time
Current portion of insurance reserves - insured programs	`CurrentPortionOfInsuranceReservesInsuredPrograms`	$4.66M	USD	Point-in-time
Current portion of insurance reserves	`CurrentPortionOfInsuranceReserves`	$18.44M	USD	Point-in-time
Current portion of insurance reserves	`CurrentPortionOfInsuranceReserves`	$18.44M	USD	Point-in-time
Current portion of insurance reserves	`CurrentPortionOfInsuranceReserves`	$17.85M	USD	Point-in-time
Current portion of insurance reserves	`CurrentPortionOfInsuranceReserves`	$17.85M	USD	Point-in-time
Securitization obligations	`SecuritizationObligations`	$168.75M	USD	Point-in-time
Securitization obligations	`SecuritizationObligations`	$168.75M	USD	Point-in-time
Securitization obligations	`SecuritizationObligations`	$165.00M	USD	Point-in-time
Securitization obligations	`SecuritizationObligations`	$165.00M	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 long-term obligations	`LoansPayableCurrent`	$13.25M	USD	Point-in-time
Current portion of long-term obligations	`LoansPayableCurrent`	$13.25M	USD	Point-in-time
Current portion of operating lease liabilities	`OperatingLeaseLiabilityCurrent`	$15.50M	USD	Point-in-time
Current portion of operating lease liabilities	`OperatingLeaseLiabilityCurrent`	$15.50M	USD	Point-in-time
Current portion of operating lease liabilities	`OperatingLeaseLiabilityCurrent`	$15.91M	USD	Point-in-time
Current portion of operating lease liabilities	`OperatingLeaseLiabilityCurrent`	$15.91M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$53.70M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$53.70M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$56.44M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$56.44M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$402.17M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$402.17M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$409.69M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$409.69M	USD	Point-in-time
Long-term obligations, less current portion	`LongTermNotesAndLoans`	$1.27B	USD	Point-in-time
Long-term obligations, less current portion	`LongTermNotesAndLoans`	$1.27B	USD	Point-in-time
Long-term obligations, less current portion	`LongTermNotesAndLoans`	$1.29B	USD	Point-in-time
Long-term obligations, less current portion	`LongTermNotesAndLoans`	$1.29B	USD	Point-in-time
Long-term insurance reserves - insured programs	`LongTermInsuranceReservesInsuredPrograms`	$22.43M	USD	Point-in-time
Long-term insurance reserves - insured programs	`LongTermInsuranceReservesInsuredPrograms`	$22.43M	USD	Point-in-time
Long-term insurance reserves - insured programs	`LongTermInsuranceReservesInsuredPrograms`	$22.11M	USD	Point-in-time
Long-term insurance reserves - insured programs	`LongTermInsuranceReservesInsuredPrograms`	$22.11M	USD	Point-in-time
Long-term insurance reserves	`LongTermInsuranceReserves`	$44.51M	USD	Point-in-time
Long-term insurance reserves	`LongTermInsuranceReserves`	$44.51M	USD	Point-in-time
Long-term insurance reserves	`LongTermInsuranceReserves`	$45.55M	USD	Point-in-time
Long-term insurance reserves	`LongTermInsuranceReserves`	$45.55M	USD	Point-in-time
Operating lease liabilities, less current portion	`OperatingLeaseLiabilityNoncurrent`	$31.72M	USD	Point-in-time
Operating lease liabilities, less current portion	`OperatingLeaseLiabilityNoncurrent`	$31.72M	USD	Point-in-time
Operating lease liabilities, less current portion	`OperatingLeaseLiabilityNoncurrent`	$26.59M	USD	Point-in-time
Operating lease liabilities, less current portion	`OperatingLeaseLiabilityNoncurrent`	$26.59M	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxLiabilitiesNet`	$5.89M	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxLiabilitiesNet`	$5.89M	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxLiabilitiesNet`	$6.50M	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxLiabilitiesNet`	$6.50M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$7.12M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$7.12M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$800.00K	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$800.00K	USD	Point-in-time
Total liabilities	`Liabilities`	$1.79B	USD	Point-in-time
Total liabilities	`Liabilities`	$1.79B	USD	Point-in-time
Total liabilities	`Liabilities`	$1.80B	USD	Point-in-time
Total liabilities	`Liabilities`	$1.80B	USD	Point-in-time
Commitments and contingencies (Note 11)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies (Note 11)	`CommitmentsAndContingencies`	-	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`	$1.46M	USD	Point-in-time
Deferred restricted stock units	`DeferredRestrictedStockUnits`	$1.46M	USD	Point-in-time
Deferred restricted stock units	`DeferredRestrictedStockUnits`	$730.00K	USD	Point-in-time
Deferred restricted stock units	`DeferredRestrictedStockUnits`	$730.00K	USD	Point-in-time
Preferred stock, $0.01 par value as of September 27, 2025 and December 28, 2024 5,000,000 shares authorized; none issued or outstanding	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.01 par value as of September 27, 2025 and December 28, 2024 5,000,000 shares authorized; none issued or outstanding	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.01 par value as of September 27, 2025 and December 28, 2024 5,000,000 shares authorized; none issued or outstanding	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.01 par value as of September 27, 2025 and December 28, 2024 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; 208,911,373 and 193,225,177 issued and outstanding, respectively	`CommonStockValue`	$1.93M	USD	Point-in-time
Common stock, $0.01 par value, 1,000,000,000 shares authorized; 208,911,373 and 193,225,177 issued and outstanding, respectively	`CommonStockValue`	$1.93M	USD	Point-in-time
Common stock, $0.01 par value, 1,000,000,000 shares authorized; 208,911,373 and 193,225,177 issued and outstanding, respectively	`CommonStockValue`	$2.09M	USD	Point-in-time
Common stock, $0.01 par value, 1,000,000,000 shares authorized; 208,911,373 and 193,225,177 issued and outstanding, respectively	`CommonStockValue`	$2.09M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$1.26B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$1.26B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$1.34B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$1.34B	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-1.38B	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-1.38B	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-1.34B	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-1.34B	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$-129.57M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$-129.57M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$-118.97M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$-118.97M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$-156.44M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$-156.44M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$-123.55M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$-123.55M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$-11.99M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$-11.99M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$9.18M	USD	Point-in-time
Total stockholders' equity (deficit)	`StockholdersEquity`	$9.18M	USD	Point-in-time
Total liabilities, deferred restricted stock units, and stockholders' equity (deficit)	`LiabilitiesAndStockholdersEquity`	$1.66B	USD	Point-in-time
Total liabilities, deferred restricted stock units, and stockholders' equity (deficit)	`LiabilitiesAndStockholdersEquity`	$1.66B	USD	Point-in-time
Total liabilities, deferred restricted stock units, and stockholders' equity (deficit)	`LiabilitiesAndStockholdersEquity`	$1.81B	USD	Point-in-time
Total liabilities, deferred restricted stock units, and stockholders' equity (deficit)	`LiabilitiesAndStockholdersEquity`	$1.81B	USD	Point-in-time

Income Statement 152 line items

Line Item	Tag	Value	Unit	Period
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$509.02M	USD	1 Quarter
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$509.02M	USD	1 Quarter
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$1.50B	USD	3 Qtrs
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$1.50B	USD	3 Qtrs
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$621.94M	USD	1 Quarter
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$621.94M	USD	1 Quarter
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$1.77B	USD	3 Qtrs
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$1.77B	USD	3 Qtrs
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$349.32M	USD	1 Quarter
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$349.32M	USD	1 Quarter
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$1.04B	USD	3 Qtrs
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$1.04B	USD	3 Qtrs
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$419.12M	USD	1 Quarter
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$419.12M	USD	1 Quarter
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$1.17B	USD	3 Qtrs
Cost of revenue, excluding depreciation and amortization	`CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization`	$1.17B	USD	3 Qtrs
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$88.18M	USD	1 Quarter
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$88.18M	USD	1 Quarter
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$264.07M	USD	3 Qtrs
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$264.07M	USD	3 Qtrs
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$95.40M	USD	1 Quarter
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$95.40M	USD	1 Quarter
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$276.86M	USD	3 Qtrs
Branch and regional administrative expenses	`SellingGeneralAndAdministrativeExpense`	$276.86M	USD	3 Qtrs
Corporate expenses	`CorporateExpenses`	$31.89M	USD	1 Quarter
Corporate expenses	`CorporateExpenses`	$31.89M	USD	1 Quarter
Corporate expenses	`CorporateExpenses`	$91.98M	USD	3 Qtrs
Corporate expenses	`CorporateExpenses`	$91.98M	USD	3 Qtrs
Corporate expenses	`CorporateExpenses`	$52.00M	USD	1 Quarter
Corporate expenses	`CorporateExpenses`	$52.00M	USD	1 Quarter
Corporate expenses	`CorporateExpenses`	$124.03M	USD	3 Qtrs
Corporate expenses	`CorporateExpenses`	$124.03M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$2.59M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$2.59M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$8.33M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$8.33M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$2.60M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$2.60M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$7.81M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$7.81M	USD	3 Qtrs
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$150.00K	USD	1 Quarter
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$150.00K	USD	1 Quarter
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$150.00K	USD	3 Qtrs
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$150.00K	USD	3 Qtrs
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$-1.18M	USD	1 Quarter
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$-1.18M	USD	1 Quarter
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$2.33M	USD	3 Qtrs
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$2.33M	USD	3 Qtrs
Other operating expense	`OtherOperatingIncomeExpenseNet`	$-2.86M	USD	1 Quarter
Other operating expense	`OtherOperatingIncomeExpenseNet`	$-2.86M	USD	1 Quarter
Other operating expense	`OtherOperatingIncomeExpenseNet`	$-5.27M	USD	3 Qtrs
Other operating expense	`OtherOperatingIncomeExpenseNet`	$-5.27M	USD	3 Qtrs
Other operating expense	`OtherOperatingIncomeExpenseNet`	$-418.00K	USD	1 Quarter
Other operating expense	`OtherOperatingIncomeExpenseNet`	$-418.00K	USD	1 Quarter
Other operating expense	`OtherOperatingIncomeExpenseNet`	$-734.00K	USD	3 Qtrs
Other operating expense	`OtherOperatingIncomeExpenseNet`	$-734.00K	USD	3 Qtrs
Operating income	`OperatingIncomeLoss`	$34.02M	USD	1 Quarter
Operating income	`OperatingIncomeLoss`	$34.02M	USD	1 Quarter
Operating income	`OperatingIncomeLoss`	$94.02M	USD	3 Qtrs
Operating income	`OperatingIncomeLoss`	$94.02M	USD	3 Qtrs
Operating income	`OperatingIncomeLoss`	$53.58M	USD	1 Quarter
Operating income	`OperatingIncomeLoss`	$53.58M	USD	1 Quarter
Operating income	`OperatingIncomeLoss`	$185.42M	USD	3 Qtrs
Operating income	`OperatingIncomeLoss`	$185.42M	USD	3 Qtrs
Interest income	`InvestmentIncomeInterest`	$100.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$100.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$297.00K	USD	3 Qtrs
Interest income	`InvestmentIncomeInterest`	$297.00K	USD	3 Qtrs
Interest income	`InvestmentIncomeInterest`	$826.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$826.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$1.09M	USD	3 Qtrs
Interest income	`InvestmentIncomeInterest`	$1.09M	USD	3 Qtrs
Interest expense	`InterestExpense`	$39.24M	USD	1 Quarter
Interest expense	`InterestExpense`	$39.24M	USD	1 Quarter
Interest expense	`InterestExpense`	$118.50M	USD	3 Qtrs
Interest expense	`InterestExpense`	$118.50M	USD	3 Qtrs
Interest expense	`InterestExpense`	$35.13M	USD	1 Quarter
Interest expense	`InterestExpense`	$35.13M	USD	1 Quarter
Interest expense	`InterestExpense`	$107.47M	USD	3 Qtrs
Interest expense	`InterestExpense`	$107.47M	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-5.86M	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-5.86M	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-5.86M	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-5.86M	USD	3 Qtrs
Other (expense) income	`OtherNonoperatingIncomeExpense`	$-22.21M	USD	1 Quarter
Other (expense) income	`OtherNonoperatingIncomeExpense`	$-22.21M	USD	1 Quarter
Other (expense) income	`OtherNonoperatingIncomeExpense`	$2.33M	USD	3 Qtrs
Other (expense) income	`OtherNonoperatingIncomeExpense`	$2.33M	USD	3 Qtrs
Other (expense) income	`OtherNonoperatingIncomeExpense`	$-3.00K	USD	1 Quarter
Other (expense) income	`OtherNonoperatingIncomeExpense`	$-3.00K	USD	1 Quarter
Other (expense) income	`OtherNonoperatingIncomeExpense`	$-5.47M	USD	3 Qtrs
Other (expense) income	`OtherNonoperatingIncomeExpense`	$-5.47M	USD	3 Qtrs
Income (loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-27.33M	USD	1 Quarter
Income (loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-27.33M	USD	1 Quarter
Income (loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-21.86M	USD	3 Qtrs
Income (loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-21.86M	USD	3 Qtrs
Income (loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$13.42M	USD	1 Quarter
Income (loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$13.42M	USD	1 Quarter
Income (loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$67.70M	USD	3 Qtrs
Income (loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$67.70M	USD	3 Qtrs
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$15.51M	USD	1 Quarter
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$15.51M	USD	1 Quarter
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$18.25M	USD	3 Qtrs
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$18.25M	USD	3 Qtrs
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$-647.00K	USD	1 Quarter
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$-647.00K	USD	1 Quarter
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$21.42M	USD	3 Qtrs
Income tax (expense) benefit	`IncomeTaxExpenseBenefit`	$21.42M	USD	3 Qtrs
Net income (loss)	`NetIncomeLoss`	$-42.84M	USD	1 Quarter
Net income (loss)	`NetIncomeLoss`	$-42.84M	USD	1 Quarter
Net income (loss)	`NetIncomeLoss`	$-40.11M	USD	3 Qtrs
Net income (loss)	`NetIncomeLoss`	$-40.11M	USD	3 Qtrs
Net income (loss)	`NetIncomeLoss`	$14.06M	USD	1 Quarter
Net income (loss)	`NetIncomeLoss`	$14.06M	USD	1 Quarter
Net income (loss)	`NetIncomeLoss`	$46.28M	USD	3 Qtrs
Net income (loss)	`NetIncomeLoss`	$46.28M	USD	3 Qtrs
Net income (loss) per share, basic	`EarningsPerShareBasic`	$-0.22	USD	1 Quarter
Net income (loss) per share, basic	`EarningsPerShareBasic`	$-0.22	USD	1 Quarter
Net income (loss) per share, basic	`EarningsPerShareBasic`	$-0.21	USD	3 Qtrs
Net income (loss) per share, basic	`EarningsPerShareBasic`	$-0.21	USD	3 Qtrs
Net income (loss) per share, basic	`EarningsPerShareBasic`	$0.07	USD	1 Quarter
Net income (loss) per share, basic	`EarningsPerShareBasic`	$0.07	USD	1 Quarter
Net income (loss) per share, basic	`EarningsPerShareBasic`	$0.23	USD	3 Qtrs
Net income (loss) per share, basic	`EarningsPerShareBasic`	$0.23	USD	3 Qtrs
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	193.36M	shares	1 Quarter
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	193.36M	shares	1 Quarter
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	192.73M	shares	3 Qtrs
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	192.73M	shares	3 Qtrs
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	208.95M	shares	1 Quarter
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	208.95M	shares	1 Quarter
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	201.53M	shares	3 Qtrs
Weighted average shares of common stock outstanding, basic	`WeightedAverageNumberOfSharesOutstandingBasic`	201.53M	shares	3 Qtrs
Net income (loss) per share, diluted	`EarningsPerShareDiluted`	$-0.22	USD	1 Quarter
Net income (loss) per share, diluted	`EarningsPerShareDiluted`	$-0.22	USD	1 Quarter
Net income (loss) per share, diluted	`EarningsPerShareDiluted`	$-0.21	USD	3 Qtrs
Net income (loss) per share, diluted	`EarningsPerShareDiluted`	$-0.21	USD	3 Qtrs
Net income (loss) per share, diluted	`EarningsPerShareDiluted`	$0.06	USD	1 Quarter
Net income (loss) per share, diluted	`EarningsPerShareDiluted`	$0.06	USD	1 Quarter
Net income (loss) per share, diluted	`EarningsPerShareDiluted`	$0.22	USD	3 Qtrs
Net income (loss) per share, diluted	`EarningsPerShareDiluted`	$0.22	USD	3 Qtrs
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	193.36M	shares	1 Quarter
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	193.36M	shares	1 Quarter
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	192.73M	shares	3 Qtrs
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	192.73M	shares	3 Qtrs
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	222.23M	shares	1 Quarter
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	222.23M	shares	1 Quarter
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	211.92M	shares	3 Qtrs
Weighted average shares of common stock outstanding, diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	211.92M	shares	3 Qtrs

Cash Flow Statement 164 line items

Line Item	Tag	Value	Unit	Period
Net income	`ProfitLoss`	$-40.11M	USD	3 Qtrs
Net income	`ProfitLoss`	$-40.11M	USD	3 Qtrs
Net income	`ProfitLoss`	$46.28M	USD	3 Qtrs
Net income	`ProfitLoss`	$46.28M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$2.59M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$2.59M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$8.33M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$8.33M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$2.60M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$2.60M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$7.81M	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$7.81M	USD	3 Qtrs
Amortization of deferred debt issuance costs	`AmortizationOfFinancingCosts`	$3.80M	USD	3 Qtrs
Amortization of deferred debt issuance costs	`AmortizationOfFinancingCosts`	$3.80M	USD	3 Qtrs
Amortization of deferred debt issuance costs	`AmortizationOfFinancingCosts`	$4.84M	USD	3 Qtrs
Amortization of deferred debt issuance costs	`AmortizationOfFinancingCosts`	$4.84M	USD	3 Qtrs
Reduction in carrying amount of operating lease right of use assets	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$15.63M	USD	3 Qtrs
Reduction in carrying amount of operating lease right of use assets	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$15.63M	USD	3 Qtrs
Reduction in carrying amount of operating lease right of use assets	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$13.23M	USD	3 Qtrs
Reduction in carrying amount of operating lease right of use assets	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$13.23M	USD	3 Qtrs
Non-cash share-based compensation	`ShareBasedCompensation`	$12.48M	USD	3 Qtrs
Non-cash share-based compensation	`ShareBasedCompensation`	$12.48M	USD	3 Qtrs
Non-cash share-based compensation	`ShareBasedCompensation`	$21.11M	USD	3 Qtrs
Non-cash share-based compensation	`ShareBasedCompensation`	$21.11M	USD	3 Qtrs
Loss on disposal or impairment of licenses, property and equipment, and software	`GainLossOnDispositionOrImpairmentOfLicensesPropertyAndEquipmentAndInternalUseSoftware`	$-3.21M	USD	3 Qtrs
Loss on disposal or impairment of licenses, property and equipment, and software	`GainLossOnDispositionOrImpairmentOfLicensesPropertyAndEquipmentAndInternalUseSoftware`	$-3.21M	USD	3 Qtrs
Loss on disposal or impairment of licenses, property and equipment, and software	`GainLossOnDispositionOrImpairmentOfLicensesPropertyAndEquipmentAndInternalUseSoftware`	$-721.00K	USD	3 Qtrs
Loss on disposal or impairment of licenses, property and equipment, and software	`GainLossOnDispositionOrImpairmentOfLicensesPropertyAndEquipmentAndInternalUseSoftware`	$-721.00K	USD	3 Qtrs
Fair value adjustments on interest rate derivatives	`DerivativeGainLossOnDerivativeNet`	$-26.87M	USD	3 Qtrs
Fair value adjustments on interest rate derivatives	`DerivativeGainLossOnDerivativeNet`	$-26.87M	USD	3 Qtrs
Fair value adjustments on interest rate derivatives	`DerivativeGainLossOnDerivativeNet`	$-23.73M	USD	3 Qtrs
Fair value adjustments on interest rate derivatives	`DerivativeGainLossOnDerivativeNet`	$-23.73M	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-5.86M	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-5.86M	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-5.86M	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-5.86M	USD	3 Qtrs
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$527.00K	USD	3 Qtrs
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$527.00K	USD	3 Qtrs
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$607.00K	USD	3 Qtrs
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$607.00K	USD	3 Qtrs
Patient accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$28.89M	USD	3 Qtrs
Patient accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$28.89M	USD	3 Qtrs
Patient accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$25.02M	USD	3 Qtrs
Patient accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$25.02M	USD	3 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$-5.63M	USD	3 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$-5.63M	USD	3 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$-5.55M	USD	3 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$-5.55M	USD	3 Qtrs
Other current and long-term assets	`IncreaseDecreaseInOtherOperatingAssets`	$15.68M	USD	3 Qtrs
Other current and long-term assets	`IncreaseDecreaseInOtherOperatingAssets`	$15.68M	USD	3 Qtrs
Other current and long-term assets	`IncreaseDecreaseInOtherOperatingAssets`	$15.32M	USD	3 Qtrs
Other current and long-term assets	`IncreaseDecreaseInOtherOperatingAssets`	$15.32M	USD	3 Qtrs
Accounts payable and other accrued liabilities	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$11.92M	USD	3 Qtrs
Accounts payable and other accrued liabilities	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$11.92M	USD	3 Qtrs
Accounts payable and other accrued liabilities	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$-11.24M	USD	3 Qtrs
Accounts payable and other accrued liabilities	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$-11.24M	USD	3 Qtrs
Accrued payroll and employee benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$17.82M	USD	3 Qtrs
Accrued payroll and employee benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$17.82M	USD	3 Qtrs
Accrued payroll and employee benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$17.50M	USD	3 Qtrs
Accrued payroll and employee benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$17.50M	USD	3 Qtrs
Insurance reserves	`IncreaseDecreaseInSelfInsuranceReserve`	$6.94M	USD	3 Qtrs
Insurance reserves	`IncreaseDecreaseInSelfInsuranceReserve`	$6.94M	USD	3 Qtrs
Insurance reserves	`IncreaseDecreaseInSelfInsuranceReserve`	$-644.00K	USD	3 Qtrs
Insurance reserves	`IncreaseDecreaseInSelfInsuranceReserve`	$-644.00K	USD	3 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-14.59M	USD	3 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-14.59M	USD	3 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-14.52M	USD	3 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-14.52M	USD	3 Qtrs
Other current and long-term liabilities	`IncreaseDecreaseInOtherOperatingCapitalNet`	$-5.33M	USD	3 Qtrs
Other current and long-term liabilities	`IncreaseDecreaseInOtherOperatingCapitalNet`	$-5.33M	USD	3 Qtrs
Other current and long-term liabilities	`IncreaseDecreaseInOtherOperatingCapitalNet`	$4.37M	USD	3 Qtrs
Other current and long-term liabilities	`IncreaseDecreaseInOtherOperatingCapitalNet`	$4.37M	USD	3 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$19.23M	USD	3 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$19.23M	USD	3 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$76.14M	USD	3 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$76.14M	USD	3 Qtrs
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	-	USD	3 Qtrs
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	-	USD	3 Qtrs
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$14.85M	USD	3 Qtrs
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$14.85M	USD	3 Qtrs
Purchases of property and equipment, and software	`PaymentsToAcquirePropertyPlantAndEquipmentAndInternalUseSoftware`	$4.79M	USD	3 Qtrs
Purchases of property and equipment, and software	`PaymentsToAcquirePropertyPlantAndEquipmentAndInternalUseSoftware`	$4.79M	USD	3 Qtrs
Purchases of property and equipment, and software	`PaymentsToAcquirePropertyPlantAndEquipmentAndInternalUseSoftware`	$5.50M	USD	3 Qtrs
Purchases of property and equipment, and software	`PaymentsToAcquirePropertyPlantAndEquipmentAndInternalUseSoftware`	$5.50M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-4.79M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-4.79M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-20.35M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-20.35M	USD	3 Qtrs
Payments for shares withheld to cover employee taxes on vesting of restricted stock	`PaymentsForEmployeeRepurchaseOfRestrictedStock`	-	USD	3 Qtrs
Payments for shares withheld to cover employee taxes on vesting of restricted stock	`PaymentsForEmployeeRepurchaseOfRestrictedStock`	-	USD	3 Qtrs
Payments for shares withheld to cover employee taxes on vesting of restricted stock	`PaymentsForEmployeeRepurchaseOfRestrictedStock`	$6.29M	USD	3 Qtrs
Payments for shares withheld to cover employee taxes on vesting of restricted stock	`PaymentsForEmployeeRepurchaseOfRestrictedStock`	$6.29M	USD	3 Qtrs
Proceeds from employee stock purchase plan	`ProceedsFromStockPlans`	$3.09M	USD	3 Qtrs
Proceeds from employee stock purchase plan	`ProceedsFromStockPlans`	$3.09M	USD	3 Qtrs
Proceeds from employee stock purchase plan	`ProceedsFromStockPlans`	$3.94M	USD	3 Qtrs
Proceeds from employee stock purchase plan	`ProceedsFromStockPlans`	$3.94M	USD	3 Qtrs
Proceeds from securitization obligation	`ProceedsFromAccountsReceivableSecuritization`	$25.00M	USD	3 Qtrs
Proceeds from securitization obligation	`ProceedsFromAccountsReceivableSecuritization`	$25.00M	USD	3 Qtrs
Proceeds from securitization obligation	`ProceedsFromAccountsReceivableSecuritization`	-	USD	3 Qtrs
Proceeds from securitization obligation	`ProceedsFromAccountsReceivableSecuritization`	-	USD	3 Qtrs
Repayment of securitization obligation	`RepaymentsOfAccountsReceivableSecuritization`	$10.00M	USD	3 Qtrs
Repayment of securitization obligation	`RepaymentsOfAccountsReceivableSecuritization`	$10.00M	USD	3 Qtrs
Repayment of securitization obligation	`RepaymentsOfAccountsReceivableSecuritization`	$3.75M	USD	3 Qtrs
Repayment of securitization obligation	`RepaymentsOfAccountsReceivableSecuritization`	$3.75M	USD	3 Qtrs
Proceeds from issuance of term loans, net of debt issuance costs	`ProceedsFromDebtNetOfIssuanceCosts`	-	USD	3 Qtrs
Proceeds from issuance of term loans, net of debt issuance costs	`ProceedsFromDebtNetOfIssuanceCosts`	-	USD	3 Qtrs
Proceeds from issuance of term loans, net of debt issuance costs	`ProceedsFromDebtNetOfIssuanceCosts`	$1.32B	USD	3 Qtrs
Proceeds from issuance of term loans, net of debt issuance costs	`ProceedsFromDebtNetOfIssuanceCosts`	$1.32B	USD	3 Qtrs
Principal payments on term loans	`RepaymentOfTermLoans`	$4.60M	USD	3 Qtrs
Principal payments on term loans	`RepaymentOfTermLoans`	$4.60M	USD	3 Qtrs
Principal payments on term loans	`RepaymentOfTermLoans`	$1.31B	USD	3 Qtrs
Principal payments on term loans	`RepaymentOfTermLoans`	$1.31B	USD	3 Qtrs
Principal payments on notes payable	`RepaymentsOfNotesPayable`	$4.60M	USD	3 Qtrs
Principal payments on notes payable	`RepaymentsOfNotesPayable`	$4.60M	USD	3 Qtrs
Principal payments on notes payable	`RepaymentsOfNotesPayable`	$5.85M	USD	3 Qtrs
Principal payments on notes payable	`RepaymentsOfNotesPayable`	$5.85M	USD	3 Qtrs
Principal payments on financing lease obligations	`PaymentsOfFinancingLeaseObligations`	$198.00K	USD	3 Qtrs
Principal payments on financing lease obligations	`PaymentsOfFinancingLeaseObligations`	$198.00K	USD	3 Qtrs
Principal payments on financing lease obligations	`PaymentsOfFinancingLeaseObligations`	-	USD	3 Qtrs
Principal payments on financing lease obligations	`PaymentsOfFinancingLeaseObligations`	-	USD	3 Qtrs
Payment of debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$288.00K	USD	3 Qtrs
Payment of debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$288.00K	USD	3 Qtrs
Payment of debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$3.62M	USD	3 Qtrs
Payment of debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$3.62M	USD	3 Qtrs
Settlements with interest rate swap counterparties	`PaymentsForProceedsFromDerivativeInstrumentFinancingActivities`	$-11.68M	USD	3 Qtrs
Settlements with interest rate swap counterparties	`PaymentsForProceedsFromDerivativeInstrumentFinancingActivities`	$-11.68M	USD	3 Qtrs
Settlements with interest rate swap counterparties	`PaymentsForProceedsFromDerivativeInstrumentFinancingActivities`	$-9.17M	USD	3 Qtrs
Settlements with interest rate swap counterparties	`PaymentsForProceedsFromDerivativeInstrumentFinancingActivities`	$-9.17M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$20.08M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$20.08M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$5.79M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$5.79M	USD	3 Qtrs
Net change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$34.52M	USD	3 Qtrs
Net change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$34.52M	USD	3 Qtrs
Net change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$61.58M	USD	3 Qtrs
Net change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$61.58M	USD	3 Qtrs
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$43.94M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$43.94M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$78.46M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$78.46M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$84.29M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$84.29M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$145.87M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$145.87M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$43.94M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$43.94M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$78.46M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$78.46M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$84.29M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$84.29M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$145.87M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations`	$145.87M	USD	Point-in-time
Cash paid for interest	`InterestPaidNet`	$114.95M	USD	3 Qtrs
Cash paid for interest	`InterestPaidNet`	$114.95M	USD	3 Qtrs
Cash paid for interest	`InterestPaidNet`	$113.21M	USD	3 Qtrs
Cash paid for interest	`InterestPaidNet`	$113.21M	USD	3 Qtrs
Cash paid for income taxes, net of refunds received	`IncomeTaxesPaidNet`	$5.65M	USD	3 Qtrs
Cash paid for income taxes, net of refunds received	`IncomeTaxesPaidNet`	$5.65M	USD	3 Qtrs
Cash paid for income taxes, net of refunds received	`IncomeTaxesPaidNet`	$24.29M	USD	3 Qtrs
Cash paid for income taxes, net of refunds received	`IncomeTaxesPaidNet`	$24.29M	USD	3 Qtrs

Stockholders Equity 54 line items

Line Item	Tag	Value	Unit	Period
Beginning Balance	`StockholdersEquity`	$-129.57M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-129.57M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-118.97M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-118.97M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-156.44M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-156.44M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-123.55M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-123.55M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-11.99M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$-11.99M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$9.18M	USD	Point-in-time
Beginning Balance	`StockholdersEquity`	$9.18M	USD	Point-in-time
Issuance of shares in connection with acquisition (Note 4)	`StockIssuedDuringPeriodValueAcquisitions`	$59.84M	USD	3 Qtrs
Issuance of shares in connection with acquisition (Note 4)	`StockIssuedDuringPeriodValueAcquisitions`	$59.84M	USD	3 Qtrs
Issuance of vested restricted shares	`StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures`	$675.00K	USD	3 Qtrs
Issuance of vested restricted shares	`StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures`	$675.00K	USD	3 Qtrs
Issuance of vested restricted shares	`StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures`	$-5.56M	USD	3 Qtrs
Issuance of vested restricted shares	`StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures`	$-5.56M	USD	3 Qtrs
Employee stock purchase plan	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$1.74M	USD	1 Quarter
Employee stock purchase plan	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$1.74M	USD	1 Quarter
Employee stock purchase plan	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$3.09M	USD	3 Qtrs
Employee stock purchase plan	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$3.09M	USD	3 Qtrs
Employee stock purchase plan	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$2.15M	USD	1 Quarter
Employee stock purchase plan	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$2.15M	USD	1 Quarter
Employee stock purchase plan	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$3.94M	USD	3 Qtrs
Employee stock purchase plan	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$3.94M	USD	3 Qtrs
Non-cash share-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$3.63M	USD	1 Quarter
Non-cash share-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$3.63M	USD	1 Quarter
Non-cash share-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$9.47M	USD	3 Qtrs
Non-cash share-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$9.47M	USD	3 Qtrs
Non-cash share-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$4.96M	USD	1 Quarter
Non-cash share-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$4.96M	USD	1 Quarter
Non-cash share-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$28.23M	USD	3 Qtrs
Non-cash share-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$28.23M	USD	3 Qtrs
Net income (loss)	`NetIncomeLoss`	$-42.84M	USD	1 Quarter
Net income (loss)	`NetIncomeLoss`	$-42.84M	USD	1 Quarter
Net income (loss)	`NetIncomeLoss`	$-40.11M	USD	3 Qtrs
Net income (loss)	`NetIncomeLoss`	$-40.11M	USD	3 Qtrs
Net income (loss)	`NetIncomeLoss`	$14.06M	USD	1 Quarter
Net income (loss)	`NetIncomeLoss`	$14.06M	USD	1 Quarter
Net income (loss)	`NetIncomeLoss`	$46.28M	USD	3 Qtrs
Net income (loss)	`NetIncomeLoss`	$46.28M	USD	3 Qtrs
Ending Balance	`StockholdersEquity`	$-129.57M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-129.57M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-118.97M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-118.97M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-156.44M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-156.44M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-123.55M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-123.55M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-11.99M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$-11.99M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$9.18M	USD	Point-in-time
Ending Balance	`StockholdersEquity`	$9.18M	USD	Point-in-time

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