75000 - Document - Document and Entity Information
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75010 - Statement - CONSOLIDATED BALANCE SHEETS
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75020 - Statement - CONSOLIDATED BALANCE SHEETS (Parenthetical)
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75030 - Statement - CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited)
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75040 - Statement - CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT)
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75050 - Statement - CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
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995455 - Disclosure - Description of Business
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995465 - Disclosure - Summary of Significant Accounting Policies
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995475 - Disclosure - Revenue
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995485 - Disclosure - Acquisition
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995495 - Disclosure - Long-Term Obligations
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995505 - Disclosure - Securitization Facility
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995515 - Disclosure - Fair Value Measurements
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995525 - Disclosure - Derivative Financial Instruments
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995535 - Disclosure - Income Taxes
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995545 - Disclosure - Share-Based Compensation
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995555 - Disclosure - Commitments and Contingencies
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995565 - Disclosure - Related Party Transactions
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995575 - Disclosure - Segment Information
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995585 - Disclosure - Net Income Per Share
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995595 - Disclosure - Subsequent Event
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995605 - Disclosure - Summary of Significant Accounting Policies (Policies)
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995615 - Disclosure - Revenue (Tables)
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995625 - Disclosure - Acquisition (Tables)
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995635 - Disclosure - Long-Term Obligations (Tables)
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995645 - Disclosure - Fair Value Measurements (Tables)
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995655 - Disclosure - Derivative Financial Instruments (Tables)
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995665 - Disclosure - Segment Information (Tables)
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995675 - Disclosure - Net Income Per Share (Tables)
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995685 - Disclosure - Description of Business - Additional Information (Details)
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995695 - Disclosure - Revenue - Additional Information (Details)
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995705 - Disclosure - Revenue - Schedule of Revenue as Percentage of Total Revenue (Details)
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995715 - Disclosure - Acquisition - Additional Information (Details)
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995725 - Disclosure - Acquisition - Purchase Price Allocation as of Acquisition Date (Details)
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995735 - Disclosure - Acquisition - Preliminary Goodwill and Measurement Adjustments from Merger Allocated to Segments (Details)
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995745 - Disclosure - Acquisition - Preliminary Goodwill and Measurement Adjustments from Merger Allocated to Segments (Parenthetical) (Details)
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995755 - Disclosure - Long-Term Obligations - Schedule of Long-Term Obligations and Notes Payable (Details)
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995765 - Disclosure - Long-Term Obligations - Schedule of Long-Term Obligations and Notes Payable (Details) 2
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995775 - Disclosure - Long-Term Obligations - Schedule of Long-Term Obligations and Notes Payable (Parenthetical) (Details)
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995785 - Disclosure - Long-Term Obligations - Additional Information (Details)
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995795 - Disclosure - Securitization Facility - Additional Information (Details)
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995805 - Disclosure - Fair Value Measurements - Summary of Other Assets Measured at Fair Value (Details)
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995815 - Disclosure - Derivative Financial Instruments - Additional Information (Details)
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995825 - Disclosure - Derivative Financial Instruments - Schedule of Losses and Gains from Derivatives (Details)
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995835 - Disclosure - Income Taxes - Additional Information (Details)
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995845 - Disclosure - Share-Based Compensation - Additional Information (Details)
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995855 - Disclosure - Commitments and Contingencies - Additional Information (Details)
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995865 - Disclosure - Related Party Transactions - Additional Information (Details)
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995875 - Disclosure - Segment Information - Additional Information (Details)
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995885 - Disclosure - Segment Information - Summary of Segment Information (Details)
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995895 - Disclosure - Segment Information - Summary of Segment Reconciliation (Details)
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995905 - Disclosure - Net Income Per Share - Summary of Computation of Basic and Diluted Net Income Per Share (Details)
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995915 - Disclosure - Subsequent Event - Additional Information (Details)
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Business Combination, Acquisition-Related Cost, Expense
Acquisition-related costs
Segments
Segments [Domain]
Concentration Risk Type [Axis]
Concentration Risk Type
Debt instrument due date month and year.
Debt Instrument Due Date Month And Year
Stated Maturity Date
Debt instrument due date, month and year
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Preferred Stock, Shares Issued, Total
Preferred Stock, Shares Issued
Preferred stock, issued
Statement of Financial Position Location, Balance [Domain]
Balance Sheet Location
Revenue disclosure.
Revenue Disclosure [Line Items]
Revenue Disclosure [Line Items]
Long-term Debt, Excluding Current Maturities, Total
Long-Term Debt, Excluding Current Maturities
Total amount of long-term obligations, net of unamortized debt issuance costs, less current portion
Schedule of Long-Term Debt Instruments [Table Text Block]
Schedule of Long-Term Obligations
Plan Name [Axis]
Entity Current Reporting Status
Entity Current Reporting Status
Fair Value, Inputs, Level 2 [Member]
Level 2
Commitments and Contingencies Disclosure [Text Block]
Commitments and Contingencies
Common Stock, Shares Authorized
Common stock, authorized
Product and Service [Axis]
Product and Service
Document Fiscal Period Focus
Document Fiscal Period Focus
Other Noncurrent Liabilities [Member]
Other Long-Term Liabilities
Debt instrument, interest Rate
Debt Instrument, Interest Rate, Stated Percentage
Revenue from Contract with Customer [Abstract]
Entity Shell Company
Entity Shell Company
Cash and Cash Equivalents, at Carrying Value, Beginning Balance
Cash and Cash Equivalents, at Carrying Value, Total
Cash and Cash Equivalents, at Carrying Value, Ending Balance
Cash and Cash Equivalent
Cash and cash equivalents
Period of Shares Held in Escrow
Period of shares held in escrow.
Period of shares held in escrow
Amended Two Thousand Twenty Six Term Loan [Member]
Amended two thousand twenty five term loan.
2026 Term Loans
Common stock, issued
Common Stock, Shares, Issued, Total
Common Stock, Shares, Issued
Short-Term Debt [Table]
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Current Assets Prepaid Expenses
Business combination recognized identifiable assets acquired and liabilities assumed current assets prepaid expenses.
Prepaid expenses
Statement [Table]
Statement [Table]
Two Thousand Twenty Five Refinancing Term Facility [Member]
Two Thousand Twenty Five Refinancing Term Facility.
2025 Refinancing Term Facility
Increase (Decrease) in Prepaid Expense
Prepaid expenses
Weighted average grant date fair value of options granted
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value
Cash consideration
Payments to Acquire Businesses, Gross
Purchase price
Proceeds from Debt, Net of Issuance Costs
Proceeds from issuance of term loans, net of debt issuance costs
Proceeds from Accounts Receivable Securitization
Proceeds from securitization obligation
Statement [Line Items]
Statement [Line Items]
Business Combination [Domain]
Entity Filer Category
Entity Filer Category
Derivative, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration]
Liabilities and Equity
Total liabilities, deferred restricted stock units, and stockholders' equity
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Long-term Debt, Current Maturities, Total
Long-Term Debt, Current Maturities
Less: current portion of long-term obligations
Increase (Decrease) in Employee Related Liabilities, Total
Increase (Decrease) in Employee Related Liabilities
Accrued payroll and employee benefits
Fair Value, by Balance Sheet Grouping [Table Text Block]
Summary of Other Assets Measured at Fair Value
Business Combination, Voting Equity Interest Acquired, Percentage
Percentage of equity interests acquired
Trade Names [Member]
Trade Names
Derivative [Line Items]
Derivative [Line Items]
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent
Statutory tax rate
Subsequent Event [Line Items]
Goodwill, Total
Goodwill
Goodwill
Beginning balance, net
Ending balance, net
Effective Income Tax Rate Reconciliation, Percent, Total
Effective Income Tax Rate Reconciliation, Percent
Effective tax rate
Two Thousand Twenty Six Refinancing Revolving Credit Facility [Member]
2026 Refinancing Revolving Credit Facility
Two thousand twenty six refinancing revolving credit facility.
Stock Options
Investment Income, Interest
Interest income
Finance leverage covenant minimum percentage utilization of commitment
Finance Leverage Covenant Minimum Percentage Utilization of Commitment
Finance Leverage Covenant Minimum Percentage Utilization of Commitment
Additional Paid in Capital, Common Stock, Ending Balance
Additional Paid in Capital, Common Stock, Beginning Balance
Additional Paid in Capital, Common Stock
Additional paid-in capital
Non-Rule 10b5-1 Arr Modified [Flag]
Non-Rule 10b5-1 arr modified.
Non-Rule 10b5-1 Arrangement Modified
Debt Issuance Costs, Net, Total
Debt Issuance Costs, Net
Debt issuance costs
Significant Accounting Policies [Text Block]
Summary of Significant Accounting Policies
Share-Based Compensation Arrangement by Share-Based Payment Award, Terms of Award
Term of award
Rule 10b5-1 Arr Modified [Flag]
Rule 10b5-1 arr modified.
Rule 10b5-1 Arrangement Modified
Percentage of debt held by shareholders.
Percentage Of Debt Held By Shareholders
Shareholders ownership percentage
Disaggregation of Revenue [Table]
Disaggregation Of Revenue [Table]
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Summary of Computation of Basic and Diluted Net Income Per Share
Increase (Decrease) in Other Operating Assets and Liabilities, Net, Total
Increase (Decrease) in Other Operating Assets and Liabilities, Net
Other current and long-term liabilities
Earnings Per Share, Basic
Earnings Per Share, Basic, Total
Net income (loss) per share, basic
Net income per share, basic
Revolving Credit Facility [Member]
Revolving Credit Facility
Liabilities, Current
Total current liabilities
Cash held in Escrow for Customary Purchase Price Adjustments
Cash held in escrow for customary purchase price adjustments.
Cash held in escrow for customary purchase price adjustments
Increase (Decrease) in Accounts Receivable
Patient accounts receivable
Adjustment to Reconcile Net Income to Cash Provided by (Used in) Operating Activity [Abstract]
Adjustments to reconcile net income to net cash from operating activities:
Hedging Designation [Domain]
Hedging Designation
Medicare.
Medicare [Member]
Medicare
Gross margin percentage.
Gross Margin Percentage
Gross margin percentage
Payment of debt issuance costs
Payments of Debt Issuance Costs
Equity, Attributable to Parent [Abstract]
Stockholders' equity:
Entity Small Business
Entity Small Business
Hedging Designation [Axis]
Hedging Designation
Accumulated deficit
Retained Earnings (Accumulated Deficit), Ending Balance
Retained Earnings (Accumulated Deficit), Beginning Balance
Retained Earnings (Accumulated Deficit), Total
Retained Earnings (Accumulated Deficit)
Nature of Operations [Text Block]
Description of Business
Share-Based Payment Arrangement [Text Block]
Share-Based Compensation
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Shares awarded
Deferred Compensation Arrangement with Individual, Shares Issued
Cost of Goods and Service, Excluding Depreciation, Depletion, and Amortization, Total
Cost of Goods and Service, Excluding Depreciation, Depletion, and Amortization
Cost of revenue, excluding depreciation and amortization
Amendment Flag
Amendment Flag
Increase decrease in operating lease liabilities.
Increase Decrease In Operating Lease Liabilities
Operating lease liabilities
Product and Service [Domain]
Product and Service
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Senior Secured Revolving Credit Facility
Senior Secured Revolving Credit Facility
Senior secured revolving credit facility
Long term insurance reserves.
Long Term Insurance Reserves
Long-term insurance reserves
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Cash Provided by (Used in) Operating Activity, Including Discontinued Operation
Net cash provided by operating activities
Segment Reporting, CODM, Profit (Loss) Measure, How Used, Description
Segment Reporting, CODM, Profit (Loss) Measure, How Used, Description
Common Stock [Member]
Common Stock
Common Stock
Reduction to applicable interest rate margins
Reduction to Applicable Interest Rate Margins
Reduction to applicable interest rate margins.
Other Operating Income (Expense), Net
Other operating expense
Other operating expense
Debt Instrument, Interest Rate, Effective Percentage
Interest Rate
Entity Address, Address Line One
Entity Address, Address Line One
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV
Financial Instruments, Owned, at Fair Value
Collaterals
Financial Instruments, Owned, at Fair Value, Total
Earnings Per Share [Abstract]
Net income (loss) per share:
Net income per share:
Supplemental Cash Flow Information [Abstract]
Supplemental Disclosures of Cash Flow Information:
Derivative Asset, Total
Derivative Asset
Assets
Total derivative assets
Cash Collateral
Cash collateral.
Cash Collateral [Member]
Payment for interest rate cap
Payments for Derivative Instrument, Investing Activities
Payment for interest rate cap premium
Statement of Financial Position Location, Balance [Axis]
Balance Sheet Location
Operating Lease, Right-of-Use Asset
Operating lease right of use assets
Accrued payroll and employee benefits
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Current Liabilities Accrued Payroll and Employee Benefits
Business combination recognized identifiable assets acquired and liabilities assumed current liabilities accrued payroll and employee benefits.
Business Combination, Recognized Asset Acquired, Other Asset, Current
Other current assets
Document Type
Document Type
Income Taxes Paid, Net, Total
Income Taxes Paid, Net
Cash paid for income taxes, net of refunds received
Gross Profit
Total segment gross margin
Gross margin
Collaborative Arrangement and Arrangement Other than Collaborative [Axis]
Collaborative Arrangement and Arrangement Other than Collaborative [Domain]
Entity Central Index Key
Entity Central Index Key
Cash, Cash Equivalent, Restricted Cash, and Restricted Cash Equivalent, Period Increase (Decrease), Including Exchange Rate Effect and Discontinued Operation
Net change in cash and cash equivalents
Subsequent Event Type [Domain]
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Dilutive securities outstanding not included in the computation of diluted net income per share, as their effect is antidilutive:
Amended first lien credit agreement.
Amended First Lien Credit Agreement [Member]
Amended First Lien Credit Agreement
Transaction cost
Business combination, acquisition related transaction costs.
Business Combination Acquisition Related Transaction Costs
Common Stock, Par or Stated Value Per Share
Common stock, par value
Operating Lease, Right-of-Use Asset, Periodic Reduction
Reduction in carrying amount of operating lease right of use assets
Annual Base Rate
Base Rate [Member]
Goodwill [Line Items]
Goodwill [Line Items]
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period
Stock option exercise (shares)
Debt Disclosure [Abstract]
Decrease First Lien Net Leverage Ratio Percentage
Decrease First Lien Net Leverage Ratio Percentage
Decrease first lien net leverage ratio percentage
Derivative [Table]
Derivative [Table]
Principal payments on financing lease obligations
Payments of financing lease obligations.
Payments Of Financing Lease Obligations
Senior Management Retention Plan [Member]
Senior Management Retention Plan [Member]
Senior Management Retention Plan
Derivative, Notional Amount
Aggregate notional amount
Current Fiscal Year End Date
Current Fiscal Year End Date
Schedule of Long-Term Debt Instruments [Table]
Debt Instrument [Table]
Two Thousand Twenty Five Incremental Term Loans [Member]
Two Thousand Twenty Five Incremental Term Loans.
2025 Incremental Term Loans
Document Quarterly Report
Document Quarterly Report
Business Combination, Recognized Asset Acquired, Other Asset, Noncurrent
Other long-term assets
Fair Value, by Balance Sheet Grouping [Table]
Fair Value By Balance Sheet Grouping [Table]
Entity Address, State or Province
Entity Address, State or Province
First lien net leverage ratio
First Lien Net Leverage Ratio
First lien net leverage ratio.
Preferred Stock, Shares Outstanding, Ending Balance
Preferred Stock, Shares Outstanding, Beginning Balance
Preferred Stock, Shares Outstanding
Preferred stock,outstanding
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Deferred Income Taxes
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Deferred Income Taxes
Deferred income taxes
License [Member]
Licenses
Stock option exercise
Stock Issued During Period, Value, Stock Options Exercised
Deferred income taxes
Deferred Income Tax Assets, Net
Long-Term Debt, Fair Value
Fair value of long-term obligations
Subsequent Event [Member]
Subsequent Event
Other Assets, Noncurrent
Other long-term assets
Other Assets, Noncurrent, Total
Segment Reconciliation [Abstract]
Segment Reconciliation:
Antidilutive Securities [Axis]
Interest Expense, Debt, Total
Interest Expense, Debt
Interest expense related to amortization of debt issuance costs
Customer [Domain]
Customer
Derivative Liability, Total
Derivative Liability
Liabilities
Total derivative liabilities
Goodwill, Impairment Loss
Goodwill impairment
Goodwill, accumulated impairment losses
Interest Rate Derivatives, at Fair Value, Net, Total
Interest Rate Derivatives, at Fair Value, Net
Fair value of interest rate swaps
Interest Rate Derivative Assets, at Fair Value
Fair value of interest rate cap
Fair value of interest rate swaps
Business Combination, Consideration Transferred
Total
Consideration paid
Preferred Stock, Value, Issued, Ending Balance
Preferred Stock, Value, Issued, Beginning Balance
Preferred Stock, Value, Issued, Total
Preferred Stock, Value, Issued
Preferred stock, $0.01 par value as of September 27, 2025 and December 28, 2024 5,000,000 shares authorized; none issued or outstanding
Preferred stock, $0.01 par value as of July 4, 2026 and January 3, 2026 5,000,000 shares authorized; none issued or outstanding
Intangible assets
Business Combination, Recognized Asset Acquired, Identifiable Intangible Asset, Excluding Goodwill
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill, Total
Selling, General and Administrative Expense, Total
Selling, General and Administrative Expense
Branch and regional administrative expenses
Debt Instrument, Maturity Date
Maturity date
Termination date
Minimum
Minimum [Member]
Minimum [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value
Fair value of shares granted
Weighted average grant date per share fair value
Financial Instrument [Axis]
Financial Instrument
Assets, Current [Abstract]
Current assets:
Accounts payable and other accrued liabilities
Accounts Payable and Other Accrued Liabilities, Current
Liabilities, Fair Value Disclosure [Abstract]
Liabilities:
Segment Reporting [Abstract]
Liabilities, Current [Abstract]
Current liabilities:
Loans Payable, Current, Total
Loans Payable, Current
Current portion of long-term obligations
Matthew Buckhalter [Member]
Matthew Buckhalter
Matthew Buckhalter
Malpractice Insurance, Deductible
Insurance, per claims deductible
Payments For Employee Repurchase Of Restricted Stock
Payments for employee repurchase of restricted stock.
Payment for shares withheld to cover employee taxes on vesting of restricted stock
Related Party Transactions [Abstract]
Shares, Outstanding
Ending Balance (in shares)
Beginning Balance (shares)
Accounts Receivable, after Allowance for Credit Loss, Current, Total
Accounts Receivable, after Allowance for Credit Loss, Current
Patient accounts receivable
Proceeds from Stock Plans
Proceeds from employee stock purchase plan
Commitments and Contingencies
Commitments and contingencies (Note 11)
Goodwill, Measurement Period Adjustment
Measurement adjustments
Estimated contractual adjustments and price concessions.
Estimated Contractual Adjustments and Price Concessions
Estimated contractual adjustments and price concessions
Interest rate margin on borrowings
Debt Instrument, Basis Spread on Variable Rate
Interest rate under facility
Edwin C Reisz [Member]
Edwin C. Reisz
Edwin C. Reisz
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark
Net (loss) income
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest, Total
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Net income
Net loss
Cash collateralized
Cash Collateral for Borrowed Securities
Business Combination, Recognized Asset Acquired, Cash and Cash Equivalent
Cash and cash equivalents
Loss Contingencies [Table]
Loss Contingencies [Table]
Weighted Average Number of Shares Outstanding, Basic
Weighted average shares of common stock outstanding, basic
Weighted Average Number of Shares Outstanding, Basic, Total
Weighted average shares of common stock outstanding, basic
Goodwill, Acquired During Period
Addition
Amended Credit Agreement
Amended Credit Agreement [Member]
Amended Credit Agreement.
Segment Reporting, Expense Information Used by CODM, Description
Other working capital, net
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Other Working Capital, Net
Business combination recognized identifiable assets acquired and liabilities assumed other working capital, net.
Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table]
Segments
Segments [Axis]
Receivables under insured programs current.
Receivables Under Insured Programs Current
Receivables under insured programs
Subsequent Events [Text Block]
Subsequent Event
2025 Refinancing Revolving Credit Facility
Two Thousand Twenty Five Refinancing Revolving Credit Facility [Member]
Two thousand twenty five refinancing revolving credit facility member.
Long-Term Debt
Total amount of long-term obligations, net of unamortized debt issuance costs
Related Party Transactions Disclosure [Text Block]
Related Party Transactions
APIC, Share-based Payment Arrangement, Increase for Cost Recognition, Total
APIC, Share-Based Payment Arrangement, Increase for Cost Recognition
Non-cash share-based compensation
Contractual Interest Rate
Debt Instrument, Interest Rate Terms
Contractual Interest Rate
Variable Rate [Domain]
Variable Rate
Estimated Insurance Programs Receivable
Estimated insurance programs receivable.
Estimated insurance programs receivable
Beginning Balance
Equity, Attributable to Parent
Ending Balance
Total stockholders' equity
Preferred stock, par value
Preferred Stock, Par or Stated Value Per Share
Basis of Accounting, Policy [Policy Text Block]
Basis of Presentation
Statement of Stockholders' Equity [Abstract]
Self-pay
Self-pay customer.
Self Pay Customer [Member]
Use of Estimates, Policy [Policy Text Block]
Use of Estimates
Business Combination, Recognized Asset Acquired, Property, Plant, and Equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment, Total
Property and equipment
Debt Modification Expense
Debt modification expense.
Debt modification expense
Fair Value Disclosures [Text Block]
Fair Value Measurements
Debt Instrument, Name
Debt Instrument, Name [Domain]
Other Assets, Current
Other current assets
Effective date of acquisition
Business Combination, Effective Date of Acquisition
Corporate expenses.
Corporate Expenses
Corporate expenses
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Segment Reporting, CODM, Individual Title and Position or Group Name [Extensible Enumeration]
Plan Name [Domain]
Rule 10B51 Trading Plan Two [Member]
Rule 10b5-1 trading plan two.
Rule 10b5-1 Trading Plan Two
Increase (Decrease) in Other Operating Assets, Total
Increase (Decrease) in Other Operating Assets
Other current and long-term assets
Gain (Loss) On Disposition Or Impairment Of Licenses, Property And Equipment, And Internal-use Software
Gain (loss) on disposition or impairment of licenses, property and equipment, and internal-use software.
Loss on disposal or impairment of licenses, property and equipment, and software
Revenue disclosure.
Revenue Disclosure [Table]
Revenue Disclosure [Table]
Interest Expense, Operating and Nonoperating
Interest expense
Interest Expense, Total
Credit Facility [Axis]
Credit Facility
Other Noncurrent Assets [Member]
Other Long-Term Assets
Business Combination, Goodwill, Reportable Segment Assignment [Line Items]
Collateral Held [Axis]
Collateral Held
Entity Address, City or Town
Entity Address, City or Town
Number of Reportable Segments
Number of reportable segments
Security Exchange Name
Security Exchange Name
Number of Interest Rate Derivatives Held
Number of interest rate swap agreement
Credit Facility [Domain]
Credit Facility
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration]
Commercial.
Commercial [Member]
Commercial
Business Combination, Date of Acquisition Agreement
Date of acquisition agreement
Long-Term Debt, Gross
Total principal amount of long-term obligations
Outstanding balance
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest
Loss before income taxes
Income before income taxes
Concentration Risk Type [Domain]
Concentration Risk Type
Long term insurance reserves insured programs.
Long Term Insurance Reserves Insured Programs
Long-term insurance reserves - insured programs
Antidilutive Securities, Name [Domain]
Interest Paid, Excluding Capitalized Interest, Operating Activity
Cash paid for interest
Statistical Measurement
Statistical Measurement [Domain]
Assets, Current
Total current assets
Compensation expense
Share-Based Payment Arrangement, Expense
Document Period End Date
Document Period End Date
Title and Position [Axis]
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV
Share-Based Compensation Arrangement by Share-Based Payment Award, Shares Purchased for Award
ESPP shares purchased
Debt instrument, interest rate, basis spread terms
Debt Instrument, Description of Variable Rate Basis
Debt instrument, description of contractual interest rate
Statement of Financial Position [Abstract]
RSUs
Restricted Stock Units (RSUs) [Member]
Restricted Stock Units
Current portion of insurance reserves.
Current Portion Of Insurance Reserves
Current portion of insurance reserves
Shares held in Escrow for Customary Purchase Price Adjustments
Shares held in escrow for customary purchase price adjustments.
Shares held in escrow for customary purchase price adjustments
Two Thousand and Twenty One Omnibus Incentive Plan [Member]
2021 omnibus incentive plan.
2021 Omnibus Incentive Plan
Not Designated as Hedging Instrument [Member]
Not Designated as Hedging Instruments
Liabilities
Total liabilities
Increase (Decrease) in Borrowings under Securitization Facility
Increase (decrease) in borrowings under securitization facility.
Increased borrowings under securitization facility
Financial Instruments [Domain]
Financial Instruments
Second lien term loan.
Second Lien Term Loan [Member]
Second Lien Term Loan
Derivative Liability, Statement of Financial Position [Extensible Enumeration]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments Gain Loss [Line Items]
Variable Rate [Axis]
Variable Rate
Indefinite-Lived Intangible Assets, Major Class Name [Domain]
Repayments of Accounts Receivable Securitization
Repayment of securitization obligation
Settlements with interest rate swap counterparties
Payments for (Proceeds from) Derivative Instrument, Financing Activities
Payments for (Proceeds from) Derivative Instrument, Financing Activities, Total
Weighted Average Number of Shares Outstanding, Diluted, Total
Weighted Average Number of Shares Outstanding, Diluted
Weighted average shares of common stock outstanding, diluted
Weighted average shares of common stock outstanding, diluted
Securities Act File Number
Entity File Number
Schedule of Losses and Gains from Derivatives
Derivative Instruments, Gain (Loss) [Table Text Block]
Cover [Abstract]
Increase (Decrease) in Accounts Payable and Accrued Liabilities, Total
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Accounts payable and other accrued liabilities
Current portion of operating lease liabilities
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Operating Lease Liabilities Current
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Operating Lease Liabilities Current
Business Combination, Recognized Liability Assumed, Other Liability, Current
Other identifiable liabilities, net
Other identifiable assets and liabilities, net
Derivative, Gain (Loss) on Derivative, Net, Total
Derivative, Gain (Loss) on Derivative, Net
Derivative gain (loss)
Fair value adjustments on interest rate derivatives
Number of Operating Segments
Number of operating segments
Sale of Stock [Domain]
Sale of Stock
Long-term insurance reserves
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Noncurrent Liabilities Long Term Insurance Reserves
Business combination recognized identifiable assets acquired and liabilities assumed noncurrent liabilities long term insurance reserves.
Segment Reporting Disclosure [Text Block]
Segment Information
Business Combination, Asset Acquisition, Transaction between Entities under Common Control, and Joint Venture Formation [Abstract]
Home Health & Hospice.
Home Health And Hospice [Member]
HHH
Stock Issued During Period, Shares, Acquisitions
Issuance of shares in connection with acquisition (shares)
Subsequent Event [Table]
Gain (Loss) on Extinguishment of Debt
Gain (Loss) on Extinguishment of Debt, Total
Loss on debt extinguishment
Loss on debt extinguishment
Loss on debt extinguishment
New Accounting Pronouncements, Policy [Policy Text Block]
Recently Issued Accounting Pronouncements
Derivative Instruments, Gain (Loss) [Table]
Derivative Instruments Gain Loss By Hedging Relationship By Income Statement Location By Derivative Instrument Risk [Table]
Unrecognized compensation expense
Share-Based Payment Arrangement, Nonvested Award, Excluding Option, Cost Not yet Recognized, Amount
Common Stock, Shares, Outstanding, Ending Balance
Common Stock, Shares, Outstanding, Beginning Balance
Common Stock, Shares, Outstanding
Common stock, outstanding
Operating Lease, Liability, Current
Current portion of operating lease liabilities
Document Transition Report
Document Transition Report
Deferred restricted stock units.
Deferred Restricted Stock Units
Deferred restricted stock units
Securitization facility.
Securitization Facility [Member]
Securitization Facility
Statement of Cash Flows [Abstract]
Assets, Fair Value Disclosure [Abstract]
Assets:
Receivables under insured programs - long term
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Receivables Under Insured Programs Noncurrent
Business combination recognized identifiable assets acquired and liabilities assumed receivables under insured programs noncurrent.
Derivative Asset, Statement of Financial Position [Extensible Enumeration]
Payments to Acquire Businesses, Net of Cash Acquired, Total
Payments to Acquire Businesses, Net of Cash Acquired
Acquisitions of businesses, net of cash acquired
Interest Rate Swap [Member]
Interest Rate Swap Agreement
Interest Rate Swap Agreements
Earnings Per Share [Text Block]
Net Income Per Share
Medical solutions.
Medical Solutions [Member]
MS
Net income
Net income
Workers' Compensation Insurance [Member]
Workers Compensation Insurance
Derivative, Floor Interest Rate
Derivative, floor interest rate
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]
Earnings Per Share Basic [Line Items]
Intangible Assets, Net (Excluding Goodwill), Total
Intangible Assets, Net (Excluding Goodwill)
Intangible assets, net
Litigation Settlement, Amount
Litigation Settlement, Amount Awarded to Other Party
Professional Malpractice Liability Insurance [Member]
Professional Malpractice Claims
Assets [Abstract]
ASSETS
Operating lease right of use assets
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Operating Lease Right of Use Asset
Business combination recognized identifiable assets acquired and liabilities assumed operating lease right of use asset.
Document Fiscal Year Focus
Document Fiscal Year Focus
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period
Revenue, performance obligation, expected timing of satisfaction, period
Cash Provided by (Used in) Investing Activity, Including Discontinued Operation [Abstract]
Cash Flows From Investing Activities:
Derivative, Contract End Date
Derivative expiration date
Proceeds from exercise of options
Proceeds from Stock Options Exercised
Fair Value Disclosures [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Stock Issued During Period, Value, Acquisitions
Issuance of shares in connection with acquisition
Total identifiable net assets
Business Combination, Recognized Asset Acquired to Liability Assumed, Excess (Less)
Long-term Line of Credit, Total
Long-Term Line of Credit
Issued letter of credit
Borrowings under facility
Debt Instrument [Axis]
Debt Instrument
Derivative Instrument [Axis]
Derivative Instrument
Share-Based Payment Arrangement [Abstract]
Notes and Loans, Noncurrent, Total
Notes and Loans, Noncurrent
Long-term obligations, less current portion
Term loan.
Term Loan [Member]
Term Loan
Sale of Stock [Axis]
Sale of Stock
Concentration Risk, Percentage
Percentage of total revenue
Cash Provided by (Used in) Investing Activity, Including Discontinued Operation
Net cash used in investing activities
Rule 10B51 Trading Plan One [Member]
Rule 10b5-1 trading plan one.
Rule 10b5-1 Trading Plan One
Title of 12(b) Security
Title of 12(b) Security
Schedule of Segment Reporting Information, by Segment [Table]
Schedule Of Segment Reporting Information By Segment [Table]
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Derivative Financial Instruments
Insurance Type and Tier Identifier [Axis]
Insurance Type and Tier Identifier
Repayment of term loans.
Repayment of Term Loans
Principal payments on term loans
Income Tax Disclosure [Text Block]
Income Taxes
Other long-term liabilities
Other Liabilities, Noncurrent, Total
Other Liabilities, Noncurrent
Consolidated Entities [Axis]
Settlement of restricted shares for share of common stock upon vesting
Settlement of Restricted Shares for Share of Common Stock Upon Vesting
Settlement of restricted shares for share of common stock upon vesting.
Adjustment to Reconcile Net Income to Cash Provided by (Used in) Operating Activity, Increase (Decrease) in Operating Capital [Abstract]
Changes in operating assets and liabilities, net of impact of acquisitions:
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price, Beginning Balance
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price, Ending Balance
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Common stock weighted average price
Income Tax Disclosure [Abstract]
Acquisition
Business Combination [Text Block]
Additional Paid-in Capital [Member]
Additional Paid-in Capital
Trading Symbol
Trading Symbol
Related Party Transaction [Table]
Schedule Of Related Party Transactions By Related Party [Table]
Amended interest rate swap agreements.
Amended Interest Rate Swap Agreements Member
Amended Interest Rate Swap Agreements
Director [Member]
Director
Subsequent Event Type [Axis]
Accrued payroll and employee benefits.
Accrued Payroll And Employee Benefits
Accrued payroll and employee benefits
Payments to acquire property, plant, and equipment and internal-use software.
Purchases of property and equipment, and software
Payments To Acquire Property, Plant, And Equipment And Internal-use Software
Cash Provided by (Used in) Financing Activity, Including Discontinued Operation [Abstract]
Cash Flows From Financing Activities:
Business Combination, Goodwill, Reportable Segment Assignment [Table]
Equity Components [Axis]
Equity Components
Pre-IPO options and management restricted units.
Pre-IPO Options and Management Restricted Units [Member]
Pre-IPO Options and Management Restricted Units
Patrick A. Cunningham [Member]
Patrick A. Cunningham.
Patrick A. Cunningham
Equity Component [Domain]
Equity Component
Goodwill and Intangible Assets Disclosure [Abstract]
Aggregate buffer retention
Malpractice Insurance Aggregate Buffer Retention
Malpractice Insurance Aggregate Buffer Retention
Business Combination, Recognized Asset Acquired and Liability Assumed [Table Text Block]
Purchase Price Allocation as of Acquisition Date
Business Combination [Axis]
Private duty services.
Private Duty Services [Member]
PDS
Issuance of vested restricted shares (shares)
Stock Issued During Period, Shares, Restricted Stock Award, Net of Forfeitures
Stock Issued During Period, Shares, Restricted Stock Award, Net of Forfeitures, Total
Stock Issued During Period, Shares, Employee Stock Purchase Plans
Employee stock purchase plan (shares)
Customer
Customer [Axis]
Subsidiaries [Member]
Depreciation, Depletion and Amortization, Nonproduction, Total
Depreciation, Depletion and Amortization, Nonproduction
Depreciation and amortization
Maximum [Member]
Maximum
Business Combination, Goodwill, Reportable Segment Assignment [Table Text Block]
Preliminary Goodwill and Measurement Adjustments from Merger Allocated to Segments
Increase (Decrease) in Self Insurance Reserve
Insurance reserves
Medicaid [Member]
Medicaid.
Medicaid
Malpractice Insurance, Maximum Coverage Per Incident
Professional malpractice claims, per claim and annual aggregate limits
Statistical Measurement [Axis]
Statistical Measurement
Prepaid Expense, Current
Prepaid Expense, Current, Total
Prepaid expenses
Common Stock, Value, Issued, Ending Balance
Common Stock, Value, Issued, Beginning Balance
Common Stock, Value, Issued, Total
Common Stock, Value, Issued
Common stock, $0.01 par value, 1,000,000,000 shares authorized; 217,510,046 and 210,996,359 issued and outstanding, respectively
Number of states in which entity locations
Number of States in which Entity Operates
Derivative, fixed interest rate
Derivative, Fixed Interest Rate
Estimated Price Concession.
Estimated Price Concession
Estimated price concession
Consolidation, Policy [Policy Text Block]
Principles of Consolidation
Long-term incentive plan
Long-Term Incentive Plan [Member]
Long-Term Incentive Plan
Amortization of Debt Issuance Costs
Amortization of deferred debt issuance costs
One-time Premium Paid
One-time premium paid.
One-time premium paid
Net Reduction in Cost of Revenue, Excluding Depreciation and Amortization
Net reduction in cost of revenue, excluding depreciation and amortization.
Net reduction in cost of revenue, excluding depreciation and amortization
Preferred Stock, Shares Authorized
Preferred stock, authorized
Schedule of Revenue as Percentage [Table Text Block]
Schedule of revenue as percentage.
Schedule of Revenue as Percentage of Total Revenue
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Related Party Transaction [Line Items]
Related Party Transaction [Line Items]
Employee Stock Purchase Plan
Employee Stock [Member]
Revenue from Contract with Customer [Text Block]
Revenue
Business Combination [Table]
Entity Registrant Name
Entity Registrant Name
Debt Disclosure [Text Block]
Long-Term Obligations
Debbie Stewart [Member]
Debbie Stewart
Debbie Stewart
Operating lease liabilities, less current portion
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Operating Lease Liabilities Noncurrent
Business combination recognized identifiable assets acquired and liabilities assumed operating lease liabilities Noncurrent.
Customer Concentration Risk [Member]
Customer Concentration Risk
Other Nonoperating Income (Expense), Total
Other Nonoperating Income (Expense)
Other (expense) income
Other income (expense)
Subsequent Events [Abstract]
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member]
SOFR
Consolidated Entities [Domain]
Income tax expense (benefit)
Income Tax Expense (Benefit), Total
Income Tax Expense (Benefit)
Income tax benefit (expense)
Income tax expense
Income tax expense
Current portion of insurance reserves
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Current Liabilities Insurance Reserves Insured Programs
Business combination recognized identifiable assets acquired and liabilities assumed current liabilities insurance reserves insured programs.
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Accounts Receivable, Allowance for Credit Loss, Writeoff
Bad debt expense
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
Shares granted
Assets
Total assets
Income Statement [Abstract]
Equity Interest Purchase Agreement [Member]
Equity interest purchase agreement.
Interest Rate Cap Agreements
Interest Rate Cap [Member]
Preferred stock, no par value
Preferred Stock, No Par Value
Deferred Income Tax Expense (Benefit), Total
Deferred Income Tax Expense (Benefit)
Deferred income taxes
Business Combination [Abstract]
Earnings Per Share, Diluted, Total
Earnings Per Share, Diluted
Net income (loss) per share, diluted
Net income per share, diluted
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Summary of Segment Information
Title and Position [Domain]
City Area Code
City Area Code
Securitization obligations.
Securitization Obligations
Securitization obligations
Total revenue
Revenue from Contract with Customer, Product and Service Benchmark [Member]
Aggregate principal amount
Debt Instrument, Face Amount
Securitization facility.
Securitization Facility [Abstract]
Line of Credit Facility, Maximum Borrowing Capacity
Line of credit facility, maximum borrowing capacity
Business Combination [Line Items]
Swingline loan.
Swingline Loan
Swingline loans
Appellate bond.
Appellate Bond
Appellate Bond [Member]
Employee stock purchase plan
Stock Issued During Period, Value, Employee Stock Purchase Plan
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Letter of Credit [Member]
Letter of Credit
Letters of Credit
Debt instruments, variable interest rate
Long-Term Debt, Percentage Bearing Variable Interest, Percentage Rate
Business Combination, Consideration Transferred, Equity Interest
Share-based consideration
Property, Plant and Equipment, Net
Property and equipment, net
Property, Plant and Equipment, Net, Ending Balance
Property, Plant and Equipment, Net, Beginning Balance
Property, Plant and Equipment, Net, Total
Issuance of vested restricted shares
Stock Issued During Period, Value, Restricted Stock Award, Net of Forfeitures
Stock Issued During Period, Value, Restricted Stock Award, Net of Forfeitures, Total
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Including Disposal Group and Discontinued Operations, Total
Cash, Cash Equivalent, Restricted Cash, and Restricted Cash Equivalent, Including Discontinued Operation
Cash and cash equivalents at end of period
Cash and cash equivalents at beginning of period
Operating income
Operating Income (Loss)
Retained Earnings [Member]
Accumulated Deficit
Share-based Payment Arrangement, Noncash Expense, Total
Share-Based Payment Arrangement, Noncash Expense
Non-cash share-based compensation
Amended Two Thousand Twenty Five Refinancing Term Loan [Member]
Amended Two Thousand Twenty Five Refinancing Term Loan.
2025 Refinancing Term Loan
Operating Lease, Liability, Noncurrent
Operating lease liabilities, less current portion
Cash Provided by (Used in) Financing Activity, Including Discontinued Operation
Net cash used in financing activities
Collateral Held [Domain]
Collateral Held
Debt issuance costs
Less: unamortized debt issuance costs
Unamortized Debt Issuance Expense
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Receivables Under Insured Programs Current
Business combination recognized identifiable assets acquired and liabilities assumed receivables under insured programs current.
Receivables under insured programs
Share-based payment arrangement, expense net of forfeitures
Share-based Payment Arrangement, Expense Net Of Forfeitures
Compensation expense, net of forfeitures
Derivative Contract [Domain]
Derivative Contract
Schedule of Goodwill [Table]
Goodwill [Table]
Family First Holding LLC [Member]
Family First Holding LLC.
Patient accounts receivable
Business Combination, Recognized Asset Acquired, Receivable, Current
Jeff Shaner [Member]
Jeff Shaner
Jeff Shaner
Entity Interactive Data Current
Entity Interactive Data Current
Derivative, cap interest rate
Derivative, cap interest rate
Derivative, Cap Interest Rate
Cash Provided by (Used in) Operating Activity, Including Discontinued Operation [Abstract]
Cash Flows From Operating Activities:
Receivables under insured programs noncurrent.
Receivables Under Insured Programs Noncurrent
Receivables under insured programs
Share-based consideration, number of shares issued
Business Combination, Consideration Transferred, Equity Interest, Share Issued, Number of Shares
Medicaid MCO.
Medicaid MCO
Medicaid M C O [Member]
Entity Tax Identification Number
Entity Tax Identification Number
Financed Insurance Premiums
Financed insurance premiums.
Financed insurance premiums
Share price
Share price
Repayments of Notes Payable
Principal payments on notes payable
Type and Tier Identifier [Domain]
Type and Tier Identifier
Securitization facility.
Securitization Facility [Text Block]
Securitization Facility
Local Phone Number
Local Phone Number
Thrive Skilled Pediatric Care, LLC
Thrive Skilled Pediatric Care, LLC [Member]
Thrive skilled pediatric care, LLC.
Management [Member]
Management
2025 Term Loans
Two Thousand Twenty Five Term Loans [Member]
Two Thousand Twenty Five Term Loans.
Maximum amount available under securitization facility.
Maximum Amount Available under Securitization Facility
Maximum amount available under securitization facility
Other Liabilities, Current
Other current liabilities
Other Liabilities, Current, Total
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Denominator:
Current portion of insurance reserves insured programs.
Current Portion Of Insurance Reserves Insured Programs
Current portion of insurance reserves - insured programs
Accounting Policies [Abstract]
Disaggregation of Revenue [Line Items]
Disaggregation Of Revenue [Line Items]
Total revenue
Revenue from Contract with Customer, Excluding Assessed Tax, Total
Revenue from Contract with Customer, Excluding Assessed Tax
Revenue
Earnings Per Share, Basic, by Common Class, Including Two-Class Method [Table]
Schedule Of Earnings Per Share Basic By Common Class [Table]
Accounts payable and other accrued liabilities
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Current Liabilities Accounts Payable and Other Accrued Liabilities
Business combination recognized identifiable assets acquired and liabilities assumed current liabilities accounts payable and other accrued liabilities.
Numerator:
Net Income (Loss) Available to Common Stockholders, Diluted [Abstract]
Self Insurance Reserve
Insurance reserves
Entity Emerging Growth Company
Entity Emerging Growth Company
Indefinite-Lived Intangible Assets [Axis]
Performance stock unit.
Performance Stock Unit [Member]
Performance Stock Units
PSUs
Total
Business Combination, Recognized Asset Acquired to Liability Assumed, Excess (Less), and Goodwill