100000 - Document - Document and Entity Information
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100010 - Statement - CONSOLIDATED BALANCE SHEETS
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100020 - Disclosure - Goodwill and Intangible Assets, Net - Summary of Changes in Intangible Assets (Details) 2
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100030 - Disclosure - Leases - Schedule of Components of Lease Cost (Details) 2
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100040 - Disclosure - Leases - Schedule of Maturities of Operating Lease Liabilities (Details) 2
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100050 - Statement - CONSOLIDATED BALANCE SHEETS (Parenthetical)
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100060 - Disclosure - Long-Term Obligations - Schedule of Long-Term Obligations and Notes Payable (Details) 2
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100070 - Statement - CONSOLIDATED STATEMENTS OF OPERATIONS
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100080 - Statement - CONSOLIDATED STATEMENTS OF STOCKHOLDERS' DEFICIT
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100090 - Statement - CONSOLIDATED STATEMENTS OF CASH FLOWS
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995457 - Disclosure - Cybersecurity Risk Management, Strategy, and Governance
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995467 - Disclosure - Description of Business
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995477 - Disclosure - Summary of Significant Accounting Policies
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995487 - Disclosure - Revenue
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995497 - Disclosure - Goodwill and Intangible Assets, Net
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995507 - Disclosure - Details of Certain Balance Sheet Accounts
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995517 - Disclosure - Long-Term Obligations
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995527 - Disclosure - Securitization Facility
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995537 - Disclosure - Fair Value Measurements
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995547 - Disclosure - Derivative Financial Instruments
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995557 - Disclosure - Income Taxes
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995567 - Disclosure - Share-Based Compensation
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995577 - Disclosure - Leases
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995587 - Disclosure - Commitments and Contingencies
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995597 - Disclosure - Employee Benefit Plans
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995607 - Disclosure - Related Party Transactions
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995617 - Disclosure - Segment Information
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995627 - Disclosure - Net Loss Per Share
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995637 - Disclosure - Condensed Financial Information of Registrant (Parent Company Only)
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995647 - Disclosure - Summary of Significant Accounting Policies (Policies)
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995657 - Disclosure - Summary of Significant Accounting Policies (Tables)
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995667 - Disclosure - Revenue (Tables)
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995677 - Disclosure - Goodwill and Intangible Assets, Net (Tables)
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995687 - Disclosure - Details of Certain Balance Sheet Accounts (Tables)
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995697 - Disclosure - Long-Term Obligations (Tables)
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995707 - Disclosure - Fair Value Measurements (Tables)
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995717 - Disclosure - Derivative Financial Instruments (Tables)
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995727 - Disclosure - Income Taxes (Tables)
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995737 - Disclosure - Share-Based Compensation (Tables)
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995747 - Disclosure - Leases (Tables)
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995757 - Disclosure - Segment Information (Tables)
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995767 - Disclosure - Net Loss Per Share (Tables)
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995777 - Disclosure - Condensed Financial Information of Registrant (Tables)
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995787 - Disclosure - Description of Business - Additional Information (Details)
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995797 - Disclosure - Summary of Significant Accounting Policies - Additional Information (Details)
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995807 - Disclosure - Summary of Significant Accounting Policies - Summary of Estimated Useful Life of Property and Equipment (Details)
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995817 - Disclosure - Summary of Significant Accounting Policies - Summary of Property and Equipment, Net (Details)
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995827 - Disclosure - Revenue - Additional Information (Detail)
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995837 - Disclosure - Revenue - Schedule of Revenue as Percentage of Total Revenue (Detail)
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995847 - Disclosure - Goodwill and Intangible Assets, Net - Summary of Changes in Goodwill by Segment (Details)
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995857 - Disclosure - Goodwill and Intangible Assets, Net - Summary of Changes in Goodwill by Segment (Parenthetical) (Details)
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995867 - Disclosure - Goodwill and Intangible Assets, Net - Additional Information (Details)
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995877 - Disclosure - Goodwill and Intangible Assets, Net - Summary of Changes in Intangible Assets (Details)
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995887 - Disclosure - Goodwill and Intangible Assets, Net - Summary of Estimated Aggregate Amortization Expense Related to Intangible Assets (Details)
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995897 - Disclosure - Details of Certain Balance Sheet Accounts - Schedule of Balance Sheet Accounts (Details)
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995907 - Disclosure - Long-Term Obligations - Schedule of Long-Term Obligations and Notes Payable (Details)
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995917 - Disclosure - Long-Term Obligations - Schedule of Long-Term Obligations and Notes Payable (Parenthetical) (Details)
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995927 - Disclosure - Long-Term Obligations - Schedule of Future Maturities of Term Loans (Details)
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995937 - Disclosure - Long-Term Obligations - Additional Information (Details)
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995947 - Disclosure - Securitization Facility - Additional Information (Details)
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995957 - Disclosure - Fair Value Measurements - Summary of Other Assets Measured at Fair Value (Details)
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995967 - Disclosure - Fair Value Measurements - Additional Information (Details)
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995977 - Disclosure - Derivative Financial Instruments - Additional Information (Details)
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995987 - Disclosure - Derivative Financial Instruments - Schedule of Mark-to-Market Gains (Losses) from Derivatives (Details)
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995997 - Disclosure - Income Taxes - Additional Information (Detail)
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996007 - Disclosure - Income Taxes - Components of Income Taxes (Details)
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996017 - Disclosure - Income Taxes - Reconciliation of Difference Between Federal Statutory Tax Rate and Company's Effective Tax Rate (Details)
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996027 - Disclosure - Income Taxes - Significant Components of Deferred Tax Assets and Liabilities (Details)
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996037 - Disclosure - Income Taxes - Summary of Changes in Valuation Allowance (Details)
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996047 - Disclosure - Income Taxes - Summary of Changes in Uncertain Tax Positions (Details)
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996057 - Disclosure - Share-Based Compensation - Additional Information (Details)
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996067 - Disclosure - Share-Based Compensation - Schedule of Assumptions used to Value Time-Vesting Options Granted (Details)
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996077 - Disclosure - Share-Based Compensation - Schedule Of Options Activity (Details)
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996087 - Disclosure - Share-Based Compensation - Schedule of Restricted Stock Units Activity (Details)
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996097 - Disclosure - Leases - Additional Information (Details)
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996107 - Disclosure - Leases - Schedule of Consolidated Balance Sheets for Operating Leases (Details)
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996117 - Disclosure - Leases - Schedule of Components of Lease Cost (Details)
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996127 - Disclosure - Leases - Schedule of Supplemental Information (Details)
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996137 - Disclosure - Leases - Schedule of Maturities of Operating Lease Liabilities (Details)
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996147 - Disclosure - Commitments and Contingencies - Additional Information (Details)
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996157 - Disclosure - Employee Benefit Plans - Additional Information (Details)
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996167 - Disclosure - Related Party Transactions - Additional Information (Details)
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996177 - Disclosure - Segment Information - Additional Information (Details)
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996187 - Disclosure - Segment Information - Summary of Segment Information (Details)
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996197 - Disclosure - Segment Information - Summary of Segment Reconciliation (Details)
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996207 - Disclosure - Net Loss Per Share - Summary of Computation of Basic and Diluted Net Loss Per Share (Detail)
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996217 - Disclosure - Condensed Financial Information of Registrant (Parent Company Only) - Condensed Balance Sheets (Details)
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996227 - Disclosure - Condensed Financial Information of Registrant (Parent Company Only) - Condensed Balance Sheets (Parenthetical) (Details)
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996237 - Disclosure - Condensed Financial Information of Registrant (Parent Company Only) - Consolidated Statements of Operations (Details)
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996247 - Disclosure - Condensed Financial Information of Registrant (Parent Company Only) - Additional Information (Details)
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Statement [Line Items]
Statement [Line Items]
Notes Payable, Current
Notes payable
Notes Payable, Current, Total
Professional Malpractice Liability Insurance [Member]
Professional Malpractice Claims
Debt Instrument [Axis]
Debt Instrument
Cybersecurity Risk Board of Directors Oversight [Text Block]
Increase (Decrease) in Accounts Receivable
Patient accounts receivable
Plan Name [Domain]
Debt instrument due date month and year.
Debt Instrument Due Date Month And Year
Stated Maturity Date
Debt instrument due date, month and year
Revenue disclosure.
Revenue Disclosure [Line Items]
Revenue Disclosure [Line Items]
Increase (Decrease) in Other Operating Assets and Liabilities, Net
Increase (Decrease) in Other Operating Assets and Liabilities, Net, Total
Other current and long-term liabilities
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Summary of Changes in Valuation Allowance
Summary of Valuation Allowance [Table Text Block]
Business Combinations
Business Combinations Policy [Policy Text Block]
Cybersecurity Risk Board Committee or Subcommittee Responsible for Oversight [Text Block]
Other
Other Sundry Liabilities, Current
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Business Combination, Acquisition Related Costs
Acquisition-related costs
Interest Paid, Excluding Capitalized Interest, Operating Activities
Cash paid for interest
Subsidiary or Equity Method Investee, Sale of Stock, Type [Table]
Condensed Financial Statements [Table]
Share-Based Payment Arrangement, Nonvested Award, Excluding Option, Cost Not yet Recognized, Amount
Unrecognized compensation expense
Number of Operating Segments
Number of operating segments
Finite-Lived Intangible Asset, Expected Amortization, Year Four
Definitive-lived, December 30, 2028
Tax credits
Effective Income Tax Rate Reconciliation, Tax Credit, Percent
Effective Income Tax Rate Reconciliation, Tax Credit, Percent, Total
Tax credits
Weighted Average Exercise Price, Ending Balance
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Exercise Price
Weighted Average Exercise Price, Exercisable at December 28, 2024
Estimated contractual adjustments
Deferred Tax Assets Estimated Contractual Adjustments
Deferred tax assets estimated contractual adjustments.
Fair value assets level 2 to level 1 transfer amount.
Fair Value Assets Level 2 To Level 1 Transfer Amount
Fair Value, Assets, Level 2 to Level 1 Transfers
Beginning Balance (shares)
Shares, Outstanding
Ending Balance (in shares)
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV
Amended Two Thousand Seventeen Plan and Two Thousand And Twenty One Omnibus Incentive Plan [Member]
Amended 2017 Plan and 2021 Omnibus Incentive Plan
Amended 2017 plan and 2021 omnibus incentive plan.
Impairment, Intangible Asset, Statement of Income or Comprehensive Income [Extensible Enumeration]
Auditor Name
Auditor Name
Federal
Deferred Federal Income Tax Expense (Benefit)
Fair Value, Inputs, Level 2 [Member]
Level 2
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Operating lease description
Lessee, Operating Lease, Description
Non-compete Agreements
Noncompete Agreements [Member]
Long-Term Debt, Type [Domain]
Long-term Debt, Type
Long-Term Debt, Maturity, Year Five
December 29, 2029
Current Federal, State and Local, Tax Expense (Benefit) [Abstract]
Current income tax expense (benefit):
ASU 2020-04
Accounting Standards Update Two Thousand Twenty Four Zero Four [Member]
Accounting standards update two thousand twenty four zero four.
Unrecognized tax benefits resulting from statute expirations
Lapse of limitations
Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations
Long-Term Debt, Current Maturities
Long-term Debt, Current Maturities, Total
Less: current portion of long-term obligations
Fair Value Asset Transfers Into Level 3
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset Transfers Into Level 3
Commitments and Contingencies Disclosure [Text Block]
Commitments and Contingencies
Interest Rate Swap [Member]
Interest Rate Swap Agreement
Interest Rate Swap Agreements
Stock Issued During Period, Value, Restricted Stock Award, Net of Forfeitures, Total
Stock Issued During Period, Value, Restricted Stock Award, Net of Forfeitures
Issuance of vested restricted shares
Derivative, Cap Interest Rate
Derivative, cap interest rate
Derivative, cap interest rate
Product and Service [Axis]
Product and Service
Derivative Financial Instruments
Derivatives, Policy [Policy Text Block]
Deferred Income Tax Liabilities, Net
Deferred income taxes
Deferred Income Tax Liabilities, Net, Total
Indefinite-lived intangible assets, Total
Indefinite-Lived Intangible Assets (Excluding Goodwill)
Indefinite-lived Intangible Assets (Excluding Goodwill), Ending Balance
Indefinite-lived Intangible Assets (Excluding Goodwill), Beginning Balance
Finite-Lived Intangible Assets by Major Class [Axis]
Base Rate [Member]
Annual Base Rate
Summary of operating lease Right of Use Assets and Related Lease Liabilities
Summary of Operating Lease Right of Use Assets and Related Liabilities [Table text block]
Summary of operating lease right of use assets and related liabilities.
Vesting percentage
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Rights, Percentage
Goodwill [Table]
Employee Stock Purchase Plan
Employee Stock [Member]
Related Party Transaction [Line Items]
Related Party Transaction [Line Items]
Cybersecurity Risk Management Processes Integrated [Text Block]
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark
Title and Position [Axis]
Tax cuts and jobs act, transition tax for R&E expenditures
Tax cuts and jobs act, transition tax for research and development expenses
Tax Cuts And Jobs Act Transition Tax For Research And Development Expenses
Derivative, term
Derivative, Term of Contract
Revenue from Contract with Customer [Text Block]
Revenue
Sale of Stock [Domain]
Sale of Stock
Outstanding balance
Total
Long-Term Debt, Gross
Total principal amount of long-term obligations
Intangible assets, estimated useful life
Finite-Lived Intangible Asset, Useful Life
Malpractice Insurance, Maximum Coverage Per Incident
Professional malpractice claims, per claim and annual aggregate limits
Entity Central Index Key
Entity Central Index Key
Finance Leverage Covenant Minimum Percentage Utilization of Commitment
Finance leverage covenant minimum percentage utilization of commitment
Finance Leverage Covenant Minimum Percentage Utilization Of Commitment
Collateral Held [Domain]
Collateral Held
Number of Shares, Forfeited
Number of Shares, Forfeited
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures in Period
Auditor Opinion [Text Block]
Auditor Opinion
Increase (Decrease) in Operating Capital [Abstract]
Changes in operating assets and liabilities, net of impact of acquisitions:
Common stock, issued
Common Stock, Shares, Issued
Common Stock, Shares, Issued, Total
Reduction to operating lease right of use assets resulting from reduction to operating lease liabilities
Reduction to operating lease right of use assets resulting from reduction to operating lease liabilities
Operating Lease, Payments, Use
Risk-free interest rate, minimum
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate, Minimum
Other Long-Term Assets
Other Noncurrent Assets [Member]
Long-Term Debt, Maturity, Year Four
December 30, 2028
Income Statement [Abstract]
Entity Address, State or Province
Entity Address, State or Province
Employee stock purchase plan
Stock Issued During Period, Value, Employee Stock Purchase Plan
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest
Income (Loss) before income taxes
Percentage of debt held by shareholders.
Percentage Of Debt Held By Shareholders
Shareholders ownership percentage
Bloomberg Short-term Bank Yield Index
Bloomberg Short-term Bank Yield Index [Member]
Bloomberg short-term bank yield index.
Concentration Risk Type [Domain]
Concentration Risk Type
Loss Contingencies [Table]
Loss Contingencies [Table]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Customer [Axis]
Customer
Customer Concentration Risk [Member]
Customer Concentration Risk
Finite-Lived Intangible Asset, Expected Amortization, Year Three
Definitive-lived, January 1, 2028
Medicare.
Medicare [Member]
Medicare
Repayment of securitization obligation
Repayments of Accounts Receivable Securitization
Payments of Debt Issuance Costs
Payment of debt issuance costs
Number of States in which Entity Operates
Number of states in which entity locations
Amortization of Debt Issuance Costs
Amortization of deferred debt issuance costs
Fair Value, Liability, Transfers Into Level 3
Fair Value, Liability, Transfers Into Level 3
Gross margin percentage.
Gross Margin Percentage
Gross margin percentage
Cover
Cover [Abstract]
Condensed Balance Sheet Statement [Table]
Comprehensive Loss
Comprehensive Income, Policy [Policy Text Block]
Earnings Per Share, Basic
Earnings Per Share, Basic, Total
Net loss per share, basic
Net income (loss) per share, basic
Increase in Valuation allowance
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount
Decrease in valuation allowance
Revolving Credit Facility Tranche Two [Member]
Revolving credit facility tranche two.
Revolving Credit Facility from April 29, 2026 through Amended Maturity Date
Advisory services expense outstanding.
Advisory Services Expense Outstanding
Amounts owed in connection with advisory services agreements
Accounts Receivable, Allowance for Credit Loss, Writeoff
Bad debt expense
Document Annual Report
Document Annual Report
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Derivative Financial Instruments
Unused letters of credit
Debt Instrument, Unused Borrowing Capacity, Amount
Ownership interest in revenue cycle vendor eligibility and clearing house billing services outstanding.
Ownership Interest In Revenue Cycle Vendor Eligibility And Clearing House Billing Services Outstanding
Amount owed to revenue cycle vendor
Share-Based Payment Arrangement, Expense
Compensation expense
Interest Rate Derivatives, at Fair Value, Net, Total
Interest Rate Derivatives, at Fair Value, Net
Fair value of interest rate swaps
Long-Term Debt
Total amount of long-term obligations, net of unamortized debt issuance costs
Retained Earnings (Accumulated Deficit)
Retained Earnings (Accumulated Deficit), Ending Balance
Retained Earnings (Accumulated Deficit), Beginning Balance
Accumulated deficit
Retained Earnings (Accumulated Deficit), Total
Increase decrease in operating lease liabilities.
Increase Decrease In Operating Lease Liabilities
Operating lease liabilities
Subordinated Debt [Member]
Subordinated Term Loan
Plan Name [Axis]
Non-cash gain on acquisition
Non-cash gain on acquisition
Non Cash Gain On Acquisition
Non-cash gain on acquisition.
Segment Reporting [Abstract]
Number of Outstanding Shares, Ending Balance
Number of Outstanding Shares, Beginning Balance
Grants awarded
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Number
Condensed Financial Statements, Captions [Line Items]
Current leases expiration year.
Current Leases Expiration Year
Current leases expiration year.
Assets, Current [Abstract]
Current assets:
Interest Rate Cap [Member]
Interest Rate Cap Agreements
Long term insurance reserves.
Long Term Insurance Reserves
Long-term insurance reserves
Malpractice Insurance, Deductible
Insurance, per claims deductible
Net deferred tax assets (liabilities
Deferred Tax Liabilities, Net
Net deferred tax liabilities
Goodwill, accumulated impairment losses
Goodwill, Impaired, Accumulated Impairment Loss
Net Cash Provided by (Used in) Operating Activities
Net cash provided by operating activities
Weighted Average Grant Date Fair Value, Forfeited
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value
Product and Service [Domain]
Product and Service
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Deferred Compensation Arrangement with Individual, Shares Issued
Shares awarded
Net operating loss carryforwards
Operating Loss Carryforwards
Operating Loss Carryforwards, Total
Total
Property, Plant and Equipment, Net
Property, Plant and Equipment, Net, Ending Balance
Property, Plant and Equipment, Net, Beginning Balance
Property and equipment, net
Lessee, Operating Lease, Liability, to be Paid, Year Four
December 30, 2028
Net Cash Provided by (Used in) Operating Activities [Abstract]
Cash Flows From Operating Activities:
Summary of Changes in Intangible Assets
Schedule of Impaired Intangible Assets [Table Text Block]
Not Designated as Hedging Instrument [Member]
Not Designated as Hedging Instruments
Common Stock, Par or Stated Value Per Share
Common stock, par value
Accounts Payable and Other Accrued Liabilities, Current
Accounts payable and other accrued liabilities
Cybersecurity Risk Management Positions or Committees Responsible [Text Block]
Principal payments on notes payable
Repayments of Notes Payable
Management
Management [Member]
Patient Accounts Receivable
Accounts Receivable [Policy Text Block]
Statement of Cash Flows [Abstract]
Antidilutive Securities, Name [Domain]
Investment in subsidiaries
Equity Method Investments
Cash collateral.
Cash Collateral [Member]
Cash Collateral
Indefinite lived interest expense carryovers.
Indefinite-lived interest expense carryovers
Indefinite Lived Interest Expense Carryovers
Fair value of long-term obligations
Long-Term Debt, Fair Value
Litigation Status [Axis]
Intangible assets and goodwill
Deferred Tax Assets, Goodwill and Intangible Assets
Other
Deferred Tax Assets, Other
Derivative, Gain (Loss) on Derivative, Net
Derivative, Gain (Loss) on Derivative, Net, Total
Derivative gain (loss)
Fair value adjustments on interest rate derivatives
Equity Components [Axis]
Equity Components
Entity Address, Address Line One
Entity Address, Address Line One
Summary of Computation of Basic and Diluted Net Loss Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Related Party Transaction [Table]
Schedule Of Related Party Transactions By Related Party [Table]
Number of Shares, Granted
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
Shares granted
Cybersecurity Risk Process for Informing Board Committee or Subcommittee Responsible for Oversight [Text Block]
Intangible Asset, Finite-Lived [Table]
Hedging Designation [Domain]
Hedging Designation
SOFR and CSA
SOFR and CSA [Member]
SOFR and CSA.
Property, Plant and Equipment [Line Items]
Loss Contingency, Damages Paid, Value
Litigation settlement, garnishment of cash
Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract]
Deferred income tax expense:
Line of Credit Facility, Maximum Borrowing Capacity
Line of credit facility, maximum borrowing capacity
Risk free rate
Risk-free interest rate
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate
Unamortized Debt Issuance Expense
Debt issuance costs
Less: unamortized debt issuance costs
Number of Outstanding Shares, Ending Balance
Number of Outstanding Shares, Beginning Balance
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Entity Voluntary Filers
Entity Voluntary Filers
Amended first lien credit agreement.
Amended First Lien Credit Agreement [Member]
Amended First Lien Credit Agreement
Finite-Lived Intangible Asset, Expected Amortization, Year Two
Definitive-lived, January 2, 2027
Amendment Flag
Amendment Flag
Operating Loss Carryforwards [Table]
Total Current
Current Income Tax Expense (Benefit)
Federal
Current Federal Tax Expense (Benefit)
Operating Lease, Liability, Noncurrent
Operating lease liabilities, less current portion
Other Current Liabilities
Other Current Liabilities [Member]
Leases
Lessee Operating and Finance Leases [Text Block]
Lessee operating and finance leases
Federal
Domestic Tax Jurisdiction [Member]
Debt Instrument, Name [Domain]
Debt Instrument, Name
Additional Paid in Capital, Common Stock
Additional Paid in Capital, Common Stock, Ending Balance
Additional Paid in Capital, Common Stock, Beginning Balance
Additional paid-in capital
Property and equipment
Property and equipment
Deferred Tax Liabilities, Property, Plant and Equipment
SOFR
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member]
Net loss
Net loss
Lessee, Lease, Description [Table]
Stock option exercise (shares)
Number of Shares, Exercised
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Number
Number of Shares, Exercisable at December 28, 2024
Variable Rate [Domain]
Variable Rate
Customer [Domain]
Customer
Debt Instrument, Interest Rate Terms
Contractual Interest Rate
Contractual Interest Rate
Loans Payable, Current
Current portion of long-term obligations
Loans Payable, Current, Total
Debt Instrument, Maturity Date Range, Start
Earliest maturity date
Equity Component [Domain]
Equity Component
Statistical Measurement [Domain]
Statistical Measurement
Principal payments on financing lease obligations
Payments of financing lease obligations.
Payments Of Financing Lease Obligations
Document Financial Statement Error Correction [Flag]
Senior Management Retention Plan
Senior Management Retention Plan [Member]
Senior Management Retention Plan [Member]
Details of Certain Balance Sheet Accounts
Supplemental Balance Sheet Disclosures [Text Block]
Interest Expense, Debt
Interest expense related to amortization of debt issuance costs
Interest Expense, Debt, Total
Other Nonoperating Income (Expense)
Other income
Other Nonoperating Income (Expense), Total
Other income
State and local
Deferred State and Local Income Tax Expense (Benefit)
Cybersecurity Risk Materially Affected or Reasonably Likely to Materially Affect Registrant [Text Block]
Furniture and Fixtures
Furniture and Fixtures [Member]
Deferred tax (liabilities):
Components of Deferred Tax Liabilities [Abstract]
Disaggregation of Revenue [Table]
Disaggregation Of Revenue [Table]
Cybersecurity Risk Management Processes Integrated [Flag]
Net loss
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest, Total
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration]
Preferred Stock, Shares Issued
Preferred stock, issued
Preferred Stock, Shares Issued, Total
Cash payments of operating lease liabilities
Cash payments of operating lease liabilities
Operating Lease, Payments
Cost of Goods and Service, Excluding Depreciation, Depletion, and Amortization
Cost of revenue, excluding depreciation and amortization
Cost of Goods and Service, Excluding Depreciation, Depletion, and Amortization, Total
Employee Benefit Plans
Retirement Benefits [Text Block]
Other
Other
Deferred Tax Liabilities, Other
Corporate Expenses and Branch and Regional Administrative Expenses
Corporate Expenses and Branch and Regional Administrative Expenses [Member]
Corporate expenses and branch and regional administrative expenses.
Employee stock purchase plan (shares)
Stock Issued During Period, Shares, Employee Stock Purchase Plans
Operating Lease, Expense
Operating lease cost
Risk-free interest rate, maximum
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate, Maximum
Weighted Average Exercise Price, Forfeited
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Insurance Type and Tier Identifier [Axis]
Insurance Type and Tier Identifier
Financing Lease Assets
Financing Lease Obligations [Member]
Financing lease obligations.
Increase (Decrease) in Self Insurance Reserve
Insurance reserves
Revenue from Contract with Customer, Product and Service Benchmark [Member]
Total revenue
Accelerator-Vesting Options
Awards Accelerator-Vesting Options [Member]
Awards accelerator-vesting options.
Common Stock, Shares, Outstanding
Common Stock, Shares, Outstanding, Ending Balance
Common Stock, Shares, Outstanding, Beginning Balance
Common stock, outstanding
Finite-Lived Intangible Assets, Major Class Name [Domain]
Components of Income Taxes
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Preferred Stock, Par or Stated Value Per Share
Preferred stock, par value
Net operating loss carryforwards, expiration start year
Operating loss carryforwards, expiration start period.
Operating Loss Carryforwards, Expiration Start Period
Sublimit for letters of credit
Letter of Credit Sublimit
Letter of credit sublimit.
Antidilutive Securities [Axis]
Cybersecurity Risk Process for Informing Management or Committees Responsible [Text Block]
Schedule of Restricted Stock Units Activity
Share-Based Payment Arrangement, Restricted Stock Unit, Activity [Table Text Block]
Finite-Lived Intangible Assets [Line Items]
Whitney Funds
Whitney Funds [Member]
Whitney Funds.
Entity Interactive Data Current
Entity Interactive Data Current
Cost of equity
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions Cost of Equity
Share-based compensation arrangement by share-based payment award, fair value assumptions cost of equity.
Derivative [Table]
Derivative [Table]
Accounting Standards Update [Domain]
Accounting Standards Update
Goodwill [Line Items]
Consolidated Entities [Axis]
Weighted Average Grant Date Fair Value, Vested
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value
Related Party Transactions Disclosure [Text Block]
Related Party Transactions
Statement of Financial Position Location, Balance [Axis]
Balance Sheet Location
Statistical Measurement [Axis]
Statistical Measurement
Debt instrument minimum floor rate percentage
Debt Instrument Minimum Floor Rate Percentage
Debt instrument minimum floor rate percentage.
Finite-Lived Intangible Asset, Expected Amortization, Year Five
Definitive-lived, December 29, 2029
Condensed Financial Information Disclosure [Abstract]
Unrecognized tax positions
Settlements
Settlements
Unrecognized Tax Benefits, Decrease Resulting from Settlements with Taxing Authorities
Total operating lease costs
Operating Lease, Cost
Total operating lease costs
Balance Sheet Account [Abstract]
Balance Sheet Account [Abstract]
Parent Company
Parent Company [Member]
Total lease cost
Lease, Cost
Schedule of Maturities of Operating Lease Liabilities
Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block]
Operating Lease Costs:
Income and Expenses, Lessee [Abstract]
Fair value liabilities level 1 to level 2 transfer amount.
Fair Value Liabilities Level 1 To Level 2 Transfer Amount
Fair Value, Liabilities, Level 1 to Level 2 Transfers
Director
Director [Member]
Definitive-lived intangible assets, Gross Carrying Amount
Finite-Lived Intangible Assets, Gross
Finite-Lived Intangible Assets, Gross, Total
Derivative [Line Items]
Derivative [Line Items]
Weighted Average Grant Date Fair Value, Granted
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 period for recognition of unrecognized compensation expense
Remaining requisite service period recognized
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Increase (Decrease) in Prepaid Expense
Prepaid expenses
Statement of Income Location, Balance [Axis]
Purchase of certificates of need
Purchase of certificates of need
Purchase of Certificates of Need
Purchase of certificates of need.
Change in valuation allowance due to leases
Valuation Allowance, Deferred Tax Asset, Increase (Decrease) Due to Leases
Valuation allowance, deferred tax asset, increase (decrease) due to leases.
Assets
Total assets
Expected term (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Term
Fair value of shares remaining measurement period
Schedule of Long-Term Debt Instruments [Table]
Debt Instrument [Table]
Impairment of long-lived assets
Impairment of Long-Lived Assets to be Disposed of
Proceeds from Long-Term Lines of Credit
Proceeds from revolving credit facility
Number of Interest Rate Derivatives Held
Number of interest rate swap agreement
Gross deferred tax (liabilities)
Gross deferred tax (liabilities)
Deferred Tax Liabilities, Gross
Number of Shares, Vested
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period
Condensed Income Statements, Captions [Line Items]
Recently Adopted Accounting Pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Entity Address, City or Town
Entity Address, City or Town
Segments [Axis]
Other current liabilities:
Other Liabilities, Current [Abstract]
Other
Effective Income Tax Rate Reconciliation, Other Adjustments, Percent
Other
Estimated contractual adjustments and price concessions
Estimated Contractual Adjustments and Price Concessions
Estimated contractual adjustments and price concessions.
Auditor Location
Auditor Location
Assets, Fair Value Disclosure [Abstract]
Assets:
Schedule of Future Maturities of Term Loans
Schedule of Maturities of Long-Term Debt [Table Text Block]
Cybersecurity Risk Materially Affected or Reasonably Likely to Materially Affect Registrant [Flag]
Number of Shares, Forfeited
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Debt Instrument, Face Amount
Aggregate principal amount
Condensed Balance Sheets
Condensed Balance Sheet [Table Text Block]
Depreciation expense
Depreciation
Depreciation, Total
Strike price
Share Price
Weighted average price
Deferred Charges, Policy [Policy Text Block]
Deferred Offering Costs
Schedule of Segment Reporting Information, by Segment [Table]
Schedule Of Segment Reporting Information By Segment [Table]
Computer Hardware and software
Internal-use Software
Computer Software, Intangible Asset [Member]
Interest Rate Derivative Assets, at Fair Value
Fair value of interest rate swaps
Cybersecurity Risk Third Party Oversight and Identification Processes [Flag]
Share-Based Compensation
Share-Based Payment Arrangement [Text Block]
Cybersecurity Risk Management Positions or Committees Responsible Report to Board [Flag]
Construction in Progress
Construction in Progress [Member]
Licenses
Licensing Agreements [Member]
State and local
Current State and Local Tax Expense (Benefit)
Weighted average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
Accrued interest and penalties
Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued
Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued, Total
Measurement adjustments
Goodwill, Translation and Measurement Period Adjustments
Segment Reporting, CODM, Individual Title and Position or Group Name [Extensible Enumeration]
Consolidated Statements of Operations
Condensed Income Statement [Table Text Block]
Fair Value Disclosures [Abstract]
Proceeds from securitization obligation
Proceeds from Accounts Receivable Securitization
Entity Public Float
Entity Public Float
Receivables under insured programs current.
Receivables Under Insured Programs Current
Receivables under insured programs
Financial Instruments, Owned, at Fair Value, Total
Financial Instruments, Owned, at Fair Value
Collaterals
Net deferred tax assets
Deferred Tax Assets, Net of Valuation Allowance
Fair value liabilities level 2 To level 1 transfer amount.
Fair Value Liabilities Level 2 To Level 1 Transfer Amount
Fair Value, Liabilities, Level 2 to Level 1 Transfers
Finance lease description
Lessee, Finance Lease, Description
Lessee, Lease, Description [Line Items]
Liabilities, Current [Abstract]
Current liabilities:
Summary of significant accounting policies.
Summary Of Significant Accounting Policies [Table]
Summary Of Significant Accounting Policies [Table]
Income Taxes Paid, Net
Cash paid for income taxes, net of refunds received
Income Taxes Paid, Net, Total
Document Type
Document Type
Accounting Standards Update [Axis]
Accounting Standards Update
Self-pay customer.
Self Pay Customer [Member]
Self-pay
Title of 12(b) Security
Title of 12(b) Security
Cash and Cash Equivalents, at Carrying Value
Cash and Cash Equivalents, at Carrying Value, Ending Balance
Cash and Cash Equivalents, at Carrying Value, Beginning Balance
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value, Total
Amended delayed draw term loan facility.
Amended Delayed Draw Term Loan Facility Member
Delayed Draw Term Loan Facility
Statement of Financial Position Location, Balance [Domain]
Balance Sheet Location
Other Noncurrent Liabilities [Member]
Other Long-Term Liabilities
Goodwill
Goodwill and Intangible Assets, Goodwill, Policy [Policy Text Block]
Lessee, Operating Lease, Liability, to be Paid, Year Five
December 29, 2029
Summary of Components of Lease Cost
Lease, Cost [Table Text Block]
Cybersecurity Risk Management, Strategy, and Governance [Line Items]
Statement of Stockholders' Equity [Abstract]
Document Fiscal Period Focus
Document Fiscal Period Focus
Long-Term Debt, Excluding Current Maturities
Long-term Debt, Excluding Current Maturities, Total
Total amount of long-term obligations, net of unamortized debt issuance costs, less current portion
Options awarded
Number of Shares, Granted
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Gross
Summary of Changes in Goodwill by Segment
Schedule of Goodwill [Table Text Block]
Indefinite-Lived Intangible Assets [Axis]
Property and equipment, gross
Property, Plant and Equipment, Gross
Property, Plant and Equipment, Gross, Ending Balance
Property, Plant and Equipment, Gross, Beginning Balance
Property, Plant and Equipment, Gross, Total
Consolidation, Policy [Policy Text Block]
Principles of Consolidation
Acquisition of property and equipment under financing lease obligations
Acquisition Of Property And Equipment Under Financing Lease Obligations
Acquisition of property and equipment under financing lease obligations.
Schedule of Restricted Stock Units Activity
Share-Based Payment Arrangement, Activity [Table Text Block]
Finance lease assets
Finance Lease, Right-of-Use Asset, after Accumulated Amortization
Finance Lease, Right-of-Use Asset, after Accumulated Amortization, Total
Corporate expenses.
Corporate Expenses
Corporate expenses
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments Gain Loss [Line Items]
Leases
Lessee, Leases [Policy Text Block]
Schedule of Assumptions used to Value Time-Vesting Options Granted
Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]
Payroll related accruals
Deferred Tax Assets, Payroll Related Accruals
Deferred tax assets, payroll related accruals.
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]
Asset impairment charges
Impairment of Intangible Assets (Excluding Goodwill)
Impairment of Intangible Assets (Excluding Goodwill), Total
License impairment
Thereafter
Long-Term Debt, Maturity, after Year Five
Financial Instruments [Domain]
Financial Instruments
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period
Revenue, performance obligation, expected timing of satisfaction, period
Type and Tier Identifier [Domain]
Type and Tier Identifier
Sale of Stock [Axis]
Sale of Stock
Net Cash Provided by (Used in) Investing Activities [Abstract]
Cash Flows From Investing Activities:
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]
Earnings Per Share Basic [Line Items]
Revenue from Contract with Customer, Excluding Assessed Tax
Revenue
Revenue from Contract with Customer, Excluding Assessed Tax, Total
Total revenue
Income Tax Disclosure [Text Block]
Income Taxes
Reductions from prior years
Unrecognized Tax Benefits, Decrease Resulting from Prior Period Tax Positions
Reconciliation of Difference Between Federal Statutory Tax Rate and Company's Effective Tax Rate
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Cybersecurity Risk Management, Strategy, and Governance [Abstract]
Consolidated Entities [Domain]
Commercial.
Commercial [Member]
Commercial
Selling, General and Administrative Expense
Branch and regional administrative expenses
Selling, General and Administrative Expense, Total
Time-Vesting Options
Time Vesting Options [Member]
Time vesting options.
Credit Facility [Domain]
Credit Facility
Accounting Standards Update 2023-07 [Member]
ASU 2023-07
Definitive-lived intangible assets, Total
Finite-Lived Intangible Assets, Net
Finite-Lived Intangible Assets, Net, Ending Balance
Finite-Lived Intangible Assets, Net, Beginning Balance
Trade Names [Member]
Trade Names
Depreciation, Depletion and Amortization, Nonproduction
Depreciation and amortization
Depreciation, Depletion and Amortization, Nonproduction, Total
Marketing Costs
Marketing Costs [Policy Text Block]
Marketing costs.
Gain from sale of derivative
Derivative, Gain on Derivative
Summary of Estimated Useful Life of Property and Equipment
Property Plant And Equipment Useful Life [Table Text Block]
Property plant and equipment useful life.
Long term insurance reserves insured programs.
Long Term Insurance Reserves Insured Programs
Long-term insurance reserves - insured programs
Document Period End Date
Document Period End Date
Net Cash Provided by (Used in) Financing Activities
Net cash provided by financing activities
Other nondeductible expenses
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Other, Percent
Other nondeductible expenses
Settlements with interest rate swap counterparties
Payments for (Proceeds from) Derivative Instrument, Financing Activities
Payments for (Proceeds from) Derivative Instrument, Financing Activities, Total
Settlements with interest rate swap counterparties
Liability balance
Deferred Compensation Share-Based Arrangements, Liability, Current and Noncurrent
ICFR Auditor Attestation Flag
ICFR Auditor Attestation Flag
Effective Income Tax Rate Reconciliation, Percent
Effective tax rate
Effective tax rate
Effective tax rate
Litigation Settlement, Amount Awarded to Other Party
Litigation Settlement, Amount
Stock options
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Dilutive securities outstanding not included in the computation of diluted net loss per share as their effect is antidilutive
APIC, Share-Based Payment Arrangement, Increase for Cost Recognition
APIC, Share-based Payment Arrangement, Increase for Cost Recognition, Total
Non-cash share-based compensation
Terminated Remaining Delayed Draw Loan Facility
Terminated remaining delayed draw loan facility.
Terminated remaining delayed draw loan facility
Thereafter
Lessee, Operating Lease, Liability, to be Paid, after Year Five
Underlying price per share
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Exercise Price
Management Fee Expense
Management fees and expenses
Income Tax Expense (Benefit)
Income tax benefit (expense)
Income tax expense (benefit)
Total income tax (benefit) expense
Income tax (expense) benefit
Total income tax expense (benefit)
Deferred tax assets:
Components of Deferred Tax Assets [Abstract]
Trading Symbol
Trading Symbol
Cash Flow, Operating Activities, Lessee [Abstract]
Variable Rate [Axis]
Variable Rate
Total stockholders' deficit
Equity, Attributable to Parent
Ending Balance
Beginning Balance
Debt Instrument, Description of Variable Rate Basis
Debt instrument, description of contractual interest rate
Debt instrument, interest rate, basis spread terms
Current portion of insurance reserves.
Current Portion Of Insurance Reserves
Current portion of insurance reserves
2021 Omnibus Incentive Plan
Two Thousand and Twenty One Omnibus Incentive Plan [Member]
2021 omnibus incentive plan.
Gross deferred tax assets
Deferred Tax Assets, Gross
Long-Lived Tangible Asset [Axis]
Other Liabilities, Noncurrent
Other long-term liabilities
Other Liabilities, Noncurrent, Total
Share-Based Compensation
Share-Based Payment Arrangement [Policy Text Block]
Derivative Instrument [Axis]
Derivative Instrument
Restricted Stock Units
Restricted Stock Units (RSUs) [Member]
RSUs
Related Party Transactions [Abstract]
Schedule of Balance Sheet Accounts
Schedule of Balance Sheet Accounts [Table Text Block]
Schedule of balance sheet accounts.
Variable lease costs
Variable Lease, Cost
Property, Plant and Equipment [Table]
Cybersecurity Risk Management, Strategy, and Governance [Table]
Long-Term Debt, Percentage Bearing Variable Interest, Percentage Rate
Debt instruments, variable interest rate
Goodwill, ending balance
Goodwill, beginning balance
Goodwill
Goodwill
Goodwill, Total
Change in Accounting Principle, Accounting Standards Update, Adopted [true false]
Change in accounting principle, accounting standards update, adopted [true false]
Unrecognized compensation expense
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount, Total
Second lien term loan.
Second Lien Term Loan [Member]
Second Lien Term Loan
Cybersecurity Risk Management Expertise of Management Responsible [Text Block]
Nature of Operations [Text Block]
Description of Business
Defined contribution plan employer discretionary contribution amount
Defined Contribution Plan, Employer Discretionary Contribution Amount
Total Deferred
Deferred Income Tax Expense (Benefit)
Deferred income taxes
Leases [Abstract]
Use of Estimates, Policy [Policy Text Block]
Use of Estimates
Intangible assets, Accumulated Impairment
Intangible Assets Accumulated Impairment
Intangible assets accumulated impairment.
Other Operating Income (Expense), Net
Other operating expense (income)
Concentration Risk, Percentage
Percentage of total revenue
Cash and Cash Equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
Lease right of use assets
Lease right of use assets
Deferred Tax Liabilities, Leasing Arrangements
Expected volatility, minimum
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Volatility Rate, Minimum
Condensed Balance Sheet Statements, Captions [Line Items]
Scenario [Axis]
Scenario
Assumed dividend yield
Expected dividend yield
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Finance Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]
Security Exchange Name
Security Exchange Name
Operating Loss Carryforwards [Line Items]
Tax credits
Deferred Tax Assets, Tax Credit Carryforwards
Deferred Tax Assets, Tax Credit Carryforwards, Total
Amended two thousand twenty one extended term loan.
Amended Two Thousand Twenty One Extended Term Loan Member
2021 Extended Term Loan
Home Health & Hospice.
Home Health And Hospice [Member]
HHH
Long-Lived Tangible Asset [Domain]
Less accumulated depreciation
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment, Ending Balance
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment, Beginning Balance
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment, Total
Line of Credit [Member]
Credit Facilities
Derivative, Contract End Date
Derivative expiration date
Fair Value Disclosures [Text Block]
Fair Value Measurements
Lessee, Operating Lease, Liability, to be Paid, Year Three
January 1, 2028
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
Computer Hardware and Software
Computer Hardware and Software [Member]
Computer hardware and software.
Maximum [Member]
Maximum
Total liabilities, deferred restricted stock units, and stockholders' deficit
Liabilities and Equity
Intangible assets, Gross
Intangible Assets, Gross (Excluding Goodwill)
Intangible Assets, Gross (Excluding Goodwill), Total
Uncertain tax positions
Effective Income Tax Rate Reconciliation Uncertain Tax Positions
Effective income tax rate reconciliation uncertain tax positions.
Uncertain tax positions
Gain (Loss) on Extinguishment of Debt
Gain on debt extinguishment
Gain (Loss) on Extinguishment of Debt, Total
Loss on debt extinguishment
Loss on debt extinguishment
Operating Lease, Right-of-Use Asset
Operating lease right of use assets
Prepaid Expense, Current
Prepaid expenses
Prepaid Expense, Current, Total
Supplemental Cash Flow Information [Abstract]
Supplemental Disclosures of Cash Flow Information:
Retirement Benefits [Abstract]
Earnings Per Share, Diluted, Total
Earnings Per Share, Diluted
Net loss per share, diluted
Net income (loss) per share, diluted
Leasehold Improvements
Leasehold Improvements [Member]
Liabilities
Total liabilities
Deficit in net loss of subsidiaries
Income (Loss) from Subsidiaries, Net of Tax
Income (Loss) from Subsidiaries, Net of Tax, Total
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV
Assets, Current
Total current assets
Net Cash Provided by (Used in) Investing Activities
Net cash used in investing activities
Deferred restricted stock units
Deferred Restricted Stock Units [Member]
Deferred Restricted Stock Units
Segment Reconciliation [Abstract]
Segment Reconciliation:
Share Based Compensation Arrangement By Share Based Payment Award Equity Instrument Other Than Option Expected To Vest Number
Share based compensation arrangement by share based payment award equity instrument other than option expected to vest number.
Number of Shares ,Expected to vest at December 28, 2024
Derivative, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration]
Forecast [Member]
Scenario Forecast
Stock Issued During Period, Shares, New Issues
Issuance of common stock, net of underwriters' discounts and commissions (shares)
Stock issued, shares
End of year balance
Beginning of year balance
Total unrecognized tax benefits
Unrecognized Tax Benefits
Valuation Allowance
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Percent
Valuation allowance
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period
Vesting period
Increase (Decrease) Deferred Tax Assets Valuation Allowances
Increase (Decrease) deferred tax assets valuation allowances.
Changes in valuation allowance
Net operating loss carryforwards, expiration end year
Operating Loss Carryforwards, Expiration End Period
Operating loss carryforwards, expiration end period.
Entity Filer Category
Entity Filer Category
Goodwill and Intangible Assets, Net
Goodwill and Intangible Assets Disclosure [Text Block]
Deferred restricted stock units.
Deferred Restricted Stock Units
Deferred restricted stock units
Securitization facility.
Securitization Facility [Member]
Securitization Facility
Goodwill impairment
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Impairment Losses, Percent
Goodwill impairment
Unrecognized tax benefit that would impact overall effective tax rate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Fair value assets level 1 to level 2 transfer amount.
Fair Value Assets Level 1 To Level 2 Transfer Amount
Fair Value, Assets, Level 1 to Level 2 Transfers
Derivative, Notional Amount
Aggregate notional amount
Current Fiscal Year End Date
Current Fiscal Year End Date
Medical solutions.
Medical Solutions [Member]
MS
Property and Equipment, Net
Property, Plant and Equipment, Policy [Policy Text Block]
Fair value of options vested
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested in Period, Fair Value
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate Percentage
Effective income tax rate reconciliation at federal statutory income tax rate percentage.
U.S. Federal statutory income tax rate
Less: Imputed Interest
Less: Imputed Interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Lease liabilities
Deferred Tax Assets, Lease Liabilities
Deferred tax assets, lease liabilities.
Self Insurance Reserve
Insurance reserves
Non-cash share-based compensation
Share-Based Payment Arrangement, Noncash Expense
Share-based Payment Arrangement, Noncash Expense, Total
Total Intrinsic Value, Outstanding
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Intrinsic Value
Time-Vesting, Accelerator-Vesting, and Performance-Vesting Options
Time Vesting, Accelerator Vesting And Performance Vesting Options [Member]
Time vesting, accelerator vesting and performance vesting options.
Entity Registrant Name
Entity Registrant Name
Indefinite-Lived Intangible Assets, Major Class Name [Domain]
Gross Profit
Total segment gross margin
Gross margin
Number of Reportable Segments
Number of reportable segments
Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table]
Net Loss Per Share
Earnings Per Share [Text Block]
Maturity date
Debt Instrument, Maturity Date
Debt instrument, maturity date
Entity Emerging Growth Company
Entity Emerging Growth Company
Total other current liabilities
Other current liabilities
Other Liabilities, Current
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
Amended revolving credit facility.
Amended Revolving Credit Facility [Member]
Amended Revolving Credit Facility
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Finance lease liability noncurrent
Increase in prior period tax positions
Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions
Lessee, Operating Lease, Liability, to be Paid [Abstract]
Lessee, Operating Lease, Liability, to be Paid, Fiscal Year Maturity [Abstract]
Earnings Per Share, Basic, by Common Class, Including Two-Class Method [Table]
Schedule Of Earnings Per Share Basic By Common Class [Table]
Expected volatility, maximum
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Volatility Rate, Maximum
Common Stock, Shares Authorized
Common stock, authorized
Interest Payable, Current
Accrued interest
Property and equipment, estimated useful life
Property, Plant and Equipment, Useful Life
Schedule of Long-Term Debt Instruments [Table Text Block]
Schedule of Long-Term Obligations
Concentration Risk Type [Axis]
Concentration Risk Type
Aggregate intrinsic value, vested
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Aggregate Intrinsic Value, Vested
Interest expense limitation
Deferred Tax Asset, Interest Carryforward
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Accounts payable and other accrued liabilities
Increase (Decrease) in Accounts Payable and Accrued Liabilities, Total
Debt Disclosure [Abstract]
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Exercise Price
Weighted Average Exercise Price, Vested and expected to vest at December 28, 2024
Documents Incorporated by Reference
Documents Incorporated by Reference [Text Block]
Litigation Status [Domain]
Weighted Average Exercise Price, Granted
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Amortization expense related to intangible assets
Amortization of Intangible Assets
Amortization of Intangible Assets, Total
Derivative Instruments, Gain (Loss) [Table]
Derivative Instruments Gain Loss By Hedging Relationship By Income Statement Location By Derivative Instrument Risk [Table]
Financial Instrument [Axis]
Financial Instrument
Branch and Regional Administrative Expenses
Administrative Expenses [Policy Text Block]
Administrative expenses.
Weighted Average Remaining Contractual Term (in years), Outstanding
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Net Loss per Share
Earnings Per Share, Policy [Policy Text Block]
Derivative Asset, Statement of Financial Position [Extensible Enumeration]
Debt Issuance Costs
Debt, Policy [Policy Text Block]
Offering costs included in accounts payable and other accrued liabilities.
Offering Costs Included In Accounts Payable And Other Accrued Liabilities
Offering costs included in accounts payable and other accrued liabilities
Share-Based Payment Arrangement [Abstract]
Long-Lived Assets
Impairment or Disposal of Long-Lived Assets, Policy [Policy Text Block]
Term loan.
Term Loan [Member]
Term Loan
Common stock reserved for settlement of deferred restricted stock units
Deferred Compensation Arrangement with Individual, Common Stock Reserved for Future Issuance
Goodwill impairment charge
Impairments
Goodwill, Impairment Loss
Goodwill impairment
Transaction costs
Deferred Tax Assets, Transaction Costs
Deferred tax assets, transaction costs.
Cybersecurity Risk Role of Management [Text Block]
Accounting Policies [Abstract]
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]
Principal payments on term loans
Repayment of Term Loans
Repayment of term loans.
Schedule of Options Activity
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
Long-Term Line of Credit
Issued letter of credit
Long-term Line of Credit, Total
Borrowings under facility
Income Tax Disclosure [Abstract]
Increase in current period tax positions
Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions
Stockholders' deficit:
Equity, Attributable to Parent [Abstract]
Amended 2017 Plan
Amended Two Thousand Seventeen Plan [Member]
Amended Two Thousand Seventeen Plan.
Ownership interest in revenue cycle vendor eligibility and clearing house billing services.
Ownership Interest In Revenue Cycle Vendor Eligibility And Clearing House Billing Services
Fees for revenue cycle vendor eligibility and clearing house billing services
Statement [Table]
Statement [Table]
Segments
Segment Reporting, Policy [Policy Text Block]
Summary of Property and Equipment, Net
Property, Plant and Equipment [Table Text Block]
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Remaining Contractual Term
Weighted Average Remaining Contractual Term (in years), Vested and expected to vest at December 28, 2024
Condensed Income Statement [Table]
Preferred Stock, Shares Authorized
Preferred stock, authorized
Entity File Number
Entity File Number
Segment Reporting Disclosure [Text Block]
Segment Information
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration]
Net change in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Amended Interest Rate Swap Agreements Member
Amended interest rate swap agreements.
Amended Interest Rate Swap Agreements
Revenue from Contract with Customer [Abstract]
Net loss per share:
Earnings Per Share [Abstract]
Definitive-lived, Thereafter
Finite-Lived Intangible Asset, Expected Amortization, after Year Five
Indefinite-lived intangible assets, Gross Carrying Amount
Indefinite Lived Intangible Assets Gross Excluding Goodwill
Indefinite lived intangible assets gross excluding goodwill.
Insurance Programs
Self Insurance Reserve [Policy Text Block]
Accrued payroll and employee benefits.
Accrued Payroll And Employee Benefits
Accrued payroll and employee benefits
Stock compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-Based Compensation Cost
State income taxes, net of federal tax benefits
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent
State income taxes, net of federal tax benefits
Payments to acquire property, plant, and equipment and internal-use software.
Payments To Acquire Property, Plant, And Equipment And Internal-use Software
Purchases of property and equipment, and software
Statement of Financial Position [Abstract]
Interest Expense, Operating and Nonoperating
Interest Expense, Total
Interest expense
Interest Rate Derivative Liabilities, at Fair Value
Fair value of interest rate swaps
IPO [Member]
Initial Public Offering
Operating Income (Loss)
Operating income
Long-Term Debt, Maturity, Year One
January 3, 2026
Expected volatility
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Volatility Rate
Derivative Asset, Total
Derivative Asset
Total derivative assets
Letter of Credit [Member]
Letter of Credit
Letters of Credit
Condensed Financial Information of Registrant (Parent Company Only)
Condensed Financial Information of Parent Company Only Disclosure [Text Block]
Maximum percentage of taxpayers adjusted taxable income under 2017 Tax Act
Maximum Percentage Of Taxpayers Adjusted Taxable Income Under Cares Act
Maximum percentage of taxpayers adjusted taxable income under Cares Act.
Entity Shell Company
Entity Shell Company
RSUs outstanding
Share Based Compensation Arrangement By Share Based Payment Award Other than Options Outstanding Number
Share-based compensation arrangement by share-based payment award other than options outstanding number.
Debt Instrument, Interest Rate, Effective Percentage
Interest Rate
Entity Tax Identification Number
Entity Tax Identification Number
Assets:
Assets [Abstract]
ASSETS
Refunds payable
Customer Refund Liability, Current
Fair Values of Financial Instruments
Fair Value of Financial Instruments, Policy [Policy Text Block]
Cash Collateral for Borrowed Securities
Cash collateralized
Entity Current Reporting Status
Entity Current Reporting Status
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term
Weighted Average Remaining Contractual Term (in years), Exercisable at December 28, 2024
Aggregate buffer retention
Malpractice Insurance Aggregate Buffer Retention
Malpractice Insurance Aggregate Buffer Retention
Long-Term Debt, Type [Axis]
Long-term Debt, Type
Proceeds from sale of interest rate cap
Proceeds from Derivative Instrument, Investing Activities
Effective Income Tax Rate Reconciliation Deferred Tax Adjustments Percent
Effective income tax rate reconciliation deferred tax adjustments
Deferred tax adjustments
Deferred tax adjustments
Document Fiscal Year Focus
Document Fiscal Year Focus
Private duty services.
Private Duty Services [Member]
PDS
Corporate Expenses
Corporate Expenses [Policy Text Block]
Corporate expenses.
Change in Accounting Principle, Accounting Standards Update, Adoption Date
Change in accounting principle, accounting standards update, adoption date
TEXAS
Texas
Preferred Stock, Value, Issued
Preferred Stock, Value, Issued, Ending Balance
Preferred Stock, Value, Issued, Beginning Balance
Preferred stock, $0.01 par value, 5,000,000 shares authorized; none issued or outstanding
Preferred Stock, Value, Issued, Total
Preferred stock, $0.01 par value as of December 28, 2024 and December 30, 2023 5,000,000 shares authorized; none issued or outstanding
Capital Expenditures Incurred but Not yet Paid
Acquisition of property and equipment on accrual
Definitive-lived intangible assets, Accumulated Amortization
Definitive-lived intangible assets, Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Summary of Changes in Uncertain Tax Positions
Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]
Cash
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Including Disposal Group and Discontinued Operations
Cash and cash equivalents at end of period
Cash and cash equivalents at beginning of period
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Including Disposal Group and Discontinued Operations, Total
Proceeds from Issuance Initial Public Offering
Net proceeds from IPO
City Area Code
City Area Code
Medicaid.
Medicaid [Member]
Medicaid
Liabilities, Current
Total current liabilities
Derivative Contract [Domain]
Derivative Contract
Corporate income tax rate
U.S. Federal statutory income tax rate
U.S. Federal statutory income tax rate
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent
Long-term incentive plan
Long-Term Incentive Plan [Member]
Long-Term Incentive Plan
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Local Phone Number
Local Phone Number
Operating Lease, Impairment Loss
Impairment of operating lease right of use assets
Preferred Stock, Shares Outstanding
Preferred Stock, Shares Outstanding, Ending Balance
Preferred Stock, Shares Outstanding, Beginning Balance
Preferred stock,outstanding
Number of reporting units require goodwill impairment testing
Number Of Reporting Units Require Goodwill Impairment Testing
Number of reporting units require goodwill impairment testing.
Hedging Designation [Axis]
Hedging Designation
One-time premium paid
One-time Premium Paid
One-time premium paid.
Income Tax Jurisdiction [Axis]
Income Tax Authority
Income Taxes
Income Tax, Policy [Policy Text Block]
Subsidiary, Sale of Stock [Line Items]
Commitments and Contingencies Disclosure [Abstract]
First lien term loan amendment.
First Lien Term Loan Amendment [Member]
Term loan - First Lien Term Loan Amendment
Federal Funds Effective Rate
Fed Funds Effective Rate Overnight Index Swap Rate [Member]
Schedule of Revenue as Percentage [Table Text Block]
Schedule of revenue as percentage.
Schedule of Revenue as Percentage of Total Revenue
Fair Value, by Balance Sheet Grouping [Table]
Fair Value By Balance Sheet Grouping [Table]
Outstanding balance
Debt Issuance Costs, Net
Debt issuance costs
Debt Issuance Costs, Net, Total
Derivative, Fixed Interest Rate
Derivative, fixed interest rate
Significant Components of Deferred Tax Assets and Liabilities
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Operating Lease, Liability, Current
Current portion of operating lease liabilities
Fair Value Asset, Transfers out of Level 3
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Transfers out of Level 3
Marketing expense
Marketing Expense
First lien term loan.
First Lien Term Loan [Member]
Term loan - First Lien Term Loan
First Lien Term Loan
Income Tax Jurisdiction [Domain]
Income Tax Authority
Debt Instrument, Interest Rate, Stated Percentage
Debt instrument, interest Rate
Retained Earnings [Member]
Accumulated Deficit
Over-Allotment Option [Member]
Underwriters Overallotment Option
Share Based Compensation Arrangement By Share Based Payment Award Equity Instrument Other Than Option Expected To Vest Weighted Average Grant Date Fair Value
Share based compensation arrangement by share based payment award equity instrument other than option expected to vest weighted average grant date fair value.
Weighted Average Grant Date Fair Value, Expected to vest at December 28, 2024
Document Transition Report
Document Transition Report
Increase (Decrease) in Other Operating Assets
Increase (Decrease) in Other Operating Assets, Total
Other current and long-term assets
Deferred Tax Liabilities, Derivatives
Interest rate swap
Interest rate derivatives
Purchase price, as percentage of closing price of common stock
Share-Based Compensation Arrangement by Share-Based Payment Award, Purchase Price of Common Stock, Percent
Lessee, Operating Lease, Liability, to be Paid, Year Two
January 2, 2027
Proceeds from employee stock purchase plan
Proceeds from Stock Plans
Weighted Average Exercise Price, Exercised
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Accrued expenses
Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Accrued Liabilities
Concentration of Credit Risk
Concentration Risk, Credit Risk, Policy [Policy Text Block]
Auditor Firm ID
Auditor Firm ID
Minimum [Member]
Minimum [Member]
Minimum
Common Stock [Member]
Common Stock
Common Stock
Long-Term Debt, Maturity, Year Two
January 2, 2027
Weighted Average Grant Date Fair Value, Ending Balance
Weighted Average Grant Date Fair Value, Beginning Balance
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value
Operating Lease, Right-of-Use Asset, Periodic Reduction
Amortization and impairment of operating lease right of use assets
Additional Paid-in Capital [Member]
Additional Paid-in Capital
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
Amended two thousand twenty one extended term loan and delayed draw term loan facility.
Amended Two Thousand Twenty One Extended Term Loan and Delayed Draw Term Loan Facility Member
2021 Extended Term Loan and Delayed Draw Term Loan Facility
Line of Credit Facility, Maximum Amount Outstanding During Period
Amount borrowed
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Adjustments to reconcile net loss to net cash from operating activities:
Property and Equipment
Property, Plant and Equipment [Member]
Statement of Income Location, Balance [Domain]
Lessee, Operating Lease, Liability, to be Paid, Year One
January 3, 2026
Other Assets, Noncurrent
Other long-term assets
Other Assets, Noncurrent, Total
Valuation allowance recorded through purchase accounting
Deferred Tax Assets, Valuation Allowance Recorded through Purchase Accounting
Deferred tax assets, valuation allowance recorded through purchase accounting.
Segments [Domain]
Fair Value, Liability, Transfers out of Level 3
Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers out of Level 3
Deferred tax asset, indefinite-lived interest expense carryovers
Deferred Tax Asset, Interest Carryforward, Not Subject to Expiration
Deferred tax asset, interest carryforward, not subject to expiration.
Schedule of Mark-to-Market Gains (Losses) from Derivatives
Derivative Instruments, Gain (Loss) [Table Text Block]
Performance Shares [Member]
Performance-Vesting Options
Other Assets, Current
Other current assets
Derivative, Gain, Statement of Income or Comprehensive Income [Extensible Enumeration]
Goodwill and Intangible Assets Disclosure [Abstract]
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Indefinite-lived intangible assets, Accumulated Impairment
Indefinite Lived Intangible Assets Accumulated Impairment
Indefinite lived intangible assets accumulated impairment.
Securitization obligations
Securitization Obligations
Securitization obligations.
Disaggregation of Revenue [Line Items]
Disaggregation Of Revenue [Line Items]
Additions
Goodwill, Acquired During Period
Property, Plant, and Equipment, Useful Life, Term, Description [Extensible Enumeration]
Basis of Accounting, Policy [Policy Text Block]
Basis of Presentation
Securitization Facility [Abstract]
Securitization facility.
Finite-Lived Intangible Asset, Expected Amortization, Year One
Definitive-lived, January 3, 2026
Scenario [Domain]
Scenario
Title and Position [Domain]
Segment Reporting, Expense Information Used by CODM, Description
Finance lease liability current
Swingline loan.
Swingline Loan
Swingline loans
Appellate bond.
Appellate Bond [Member]
Appellate Bond
Derivative, floor interest rate
Derivative, Floor Interest Rate
Common Stock, Value, Issued
Common Stock, Value, Issued, Ending Balance
Common Stock, Value, Issued, Beginning Balance
Common Stock, Value, Issued, Total
Common stock, $0.01 par value, 1,000,000,000 shares authorized; 193,225,177 and 190,733,153 issued and outstanding, respectively
Increase (Decrease) in Employee Related Liabilities
Accrued payroll and employee benefits
Increase (Decrease) in Employee Related Liabilities, Total
Home Care Equipment
Home Care Equipment [Member]
Home care equipment.
Investment Income, Interest
Interest income
Deferred tax assets, section 174 costs
Deferred Tax Assets Section 174 Costs
Section 174 costs
Summary of Estimated Aggregate Amortization Expense Related to Intangible Assets
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
Workers' Compensation Insurance [Member]
Workers Compensation Insurance
Long-Term Debt, Maturity, Year Three
January 1, 2028
SOFR One Month Plus CSA
SOFR One Month Plus Credit Spread Adjustment [Member]
SOFR one month plus credit spread adjustment.
Total operating lease liabilities
Operating Lease, Liability
Total operating lease liabilities
Accrued Payroll Taxes, Current
Current portion of deferred payroll taxes
NOL, federal and state
Deferred Tax Assets, Operating Loss Carryforwards
Deferred Tax Assets, Operating Loss Carryforwards, Total
Commitments and Contingencies
Commitments and contingencies (Note 10)
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
Significant Accounting Policies [Text Block]
Summary of Significant Accounting Policies
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Summary of Segment Information
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible Enumeration]
Accounts Receivable, after Allowance for Credit Loss, Current
Patient accounts receivable
Accounts Receivable, after Allowance for Credit Loss, Current, Total
Operating lease renewal term
Lessee, Operating Lease, Renewal Term
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Outstanding, Number
Number of Shares, Vested and expected to vest at December 28, 2024
Total undiscounted lease payments
Lessee, Operating Lease, Liability, to be Paid
Cybersecurity Risk Management Third Party Engaged [Flag]
Share-based payment arrangement, expense net of forfeitures
Share-based Payment Arrangement, Expense Net Of Forfeitures
Compensation expense, net of forfeitures
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Denominator:
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark
Collateral Held [Axis]
Collateral Held
Entity Small Business
Entity Small Business
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Share-Based Compensation Arrangement by Share-Based Payment Award, Terms of Award
Term of award
Cybersecurity Risk Management Processes for Assessing, Identifying, and Managing Threats [Text Block]
Interest rate under facility
Interest rate margin on borrowings
LIBOR floor rate
Debt Disclosure [Text Block]
Long-Term Obligations
Deferred tax assets tax credit carryforwards expiration end year
Deferred Tax Assets Tax Credit Carryforwards Expiration End Period
Deferred tax assets tax credit carryforwards expiration end period.
ESPP shares purchased
ESPP shares purchased
Share-Based Compensation Arrangement by Share-Based Payment Award, Shares Purchased for Award
Repayments of Debt
Repayment of debt
First lien term loan fourth amendment.
First Lien Term Loan Fourth Amendment [Member]
Term loan - First Lien Term Loan Fourth Amendment
Receivables under insured programs noncurrent.
Receivables Under Insured Programs Noncurrent
Receivables under insured programs
Net Income (Loss) Available to Common Stockholders, Diluted [Abstract]
Numerator:
Fair Value, by Balance Sheet Grouping [Table Text Block]
Summary of Other Assets Measured at Fair Value
Reallocation of goodwill
Transfers
Goodwill, Transfers
Credit Facility [Axis]
Credit Facility
Revolving Credit Facility [Member]
Revolving Credit Facility
Issuance of vested restricted shares (shares)
Stock Issued During Period, Shares, Restricted Stock Award, Net of Forfeitures, Total
Stock Issued During Period, Shares, Restricted Stock Award, Net of Forfeitures
Accounting Standard Update 2020-04 [Member]
Accounting Standards Update 2020-04 Reference Rate Reform : Facilitation of the Effects of Reference Rate Reform on Financial Reporting.
ASU 2020-04
Medicaid M C O [Member]
Medicaid MCO.
Medicaid MCO
Debt Instrument, Maturity Date, Description
Debt instrument, maturity date, description
Summary of significant accounting policies.
Summary Of Significant Accounting Policies [Line Items]
Summary Of Significant Accounting Policies [Line Items]
Net Cash Provided by (Used in) Financing Activities [Abstract]
Cash Flows From Financing Activities:
Weighted Average Exercise Price, Ending Balance
Weighted Average Exercise Price, Beginning Balance
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Securitization Facility
Securitization Facility [Text Block]
Securitization facility.
Intangible Assets, Net
Intangible Assets other than Goodwill [Policy Text Block]
Intangible assets other than goodwill.
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Intangible assets, Total
Intangible Assets, Net (Excluding Goodwill)
Intangible assets, net
Notes and Loans, Noncurrent
Long-term obligations, less current portion
Notes and Loans, Noncurrent, Total
Maximum amount available under securitization facility.
Maximum Amount Available under Securitization Facility
Maximum amount available under securitization facility
State
State and Local Jurisdiction [Member]
Operating lease right of use assets obtained in exchange for new operating lease liabilities
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
CSA
Credit Spread Adjustment [Member]
Credit spread adjustment.
End of year balance
Beginning of year balance
Valuation allowance
Less: valuation allowance
Deferred Tax Assets, Valuation Allowance
Deferred Tax Assets, Valuation Allowance, Total
Current portion of insurance reserves insured programs.
Current Portion Of Insurance Reserves Insured Programs
Current portion of insurance reserves - insured programs
Weighted average remaining lease term
Operating Lease, Weighted Average Remaining Lease Term
Summary of operating leases
Summary of Operating Leases [Table text Block]
Summary of operating leases.
Revolving Credit Facility Tranche One [Member]
Revolving credit facility tranche one.
Revolving Credit Facility from September 30, 2024 through April 29, 2026
Cybersecurity Risk Management Positions or Committees Responsible [Flag]
Early Repayment of Subordinated Debt
Repayment of subordinated debt
Repayments of Long-Term Lines of Credit
Repayments on revolving credit facility
Change in Accounting Principle, Accounting Standards Update, Immaterial Effect [true false]
Change in accounting principle, accounting standards update, immaterial effect [true false]
Deferred tax assets tax credit carryforwards expiration start year
Deferred Tax Assets Tax Credit Carryforwards Expiration Start Year
Deferred tax assets tax credit carryforwards expiration start year.
Short-term lease costs
Short-Term Lease, Cost
Termination date of agreement.
Termination Date of Agreement
Termination date of agreement
Performance stock unit.
Performance Stock Unit [Member]
Performance Stock Units
PSUs