10-K Filing

LIFESTANCE HEALTH GROUP, INC. CIK: 1845257 FY 2024

Filing Information

Form Type	10-K
Accession Number	`0000950170-25-029100`
Period End Date	20241231
Filing Date	20250227
Fiscal Year	2024
Fiscal Period	FY
XBRL Instance	lfst-20241231_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 162 Income Statement 126 Cash Flow Statement 214 Stockholders Equity 44

Balance Sheet 162 line items

Line Item	Tag	Value	Unit	Period
Preferred Stock, par value	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Preferred Stock, par value	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Preferred Stock, par value	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Preferred Stock, par value	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$154.57M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$154.57M	USD	Point-in-time
Preferred Stock, Shares Authorized	`PreferredStockSharesAuthorized`	25.00M	shares	Point-in-time
Preferred Stock, Shares Authorized	`PreferredStockSharesAuthorized`	25.00M	shares	Point-in-time
Preferred Stock, Shares Authorized	`PreferredStockSharesAuthorized`	25.00M	shares	Point-in-time
Preferred Stock, Shares Authorized	`PreferredStockSharesAuthorized`	25.00M	shares	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$78.82M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$78.82M	USD	Point-in-time
Preferred Stock, Shares Issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Preferred Stock, Shares Issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Patient accounts receivable, net	`AccountsReceivableNetCurrent`	$131.80M	USD	Point-in-time
Patient accounts receivable, net	`AccountsReceivableNetCurrent`	$131.80M	USD	Point-in-time
Patient accounts receivable, net	`AccountsReceivableNetCurrent`	$125.41M	USD	Point-in-time
Patient accounts receivable, net	`AccountsReceivableNetCurrent`	$125.41M	USD	Point-in-time
Preferred Stock, Shares Issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Preferred Stock, Shares Issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$26.14M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$26.14M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$21.50M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$21.50M	USD	Point-in-time
Preferred Stock, Shares Outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Preferred Stock, Shares Outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Preferred Stock, Shares Outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Preferred Stock, Shares Outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Total current assets	`AssetsCurrent`	$225.73M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$225.73M	USD	Point-in-time
Common Stock, par value	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Common Stock, par value	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Common Stock, par value	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Common Stock, par value	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Total current assets	`AssetsCurrent`	$312.51M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$312.51M	USD	Point-in-time
Common Stock, Shares Authorized	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Common Stock, Shares Authorized	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Common Stock, Shares Authorized	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Common Stock, Shares Authorized	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$166.04M	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$166.04M	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$188.22M	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$188.22M	USD	Point-in-time
Common Stock, Shares, Issued	`CommonStockSharesIssued`	382.74M	shares	Point-in-time
Common Stock, Shares, Issued	`CommonStockSharesIssued`	382.74M	shares	Point-in-time
Common Stock, Shares, Issued	`CommonStockSharesIssued`	378.73M	shares	Point-in-time
Common Stock, Shares, Issued	`CommonStockSharesIssued`	378.73M	shares	Point-in-time
Right-of-use assets	`OperatingLeaseRightOfUseAsset`	$170.70M	USD	Point-in-time
Right-of-use assets	`OperatingLeaseRightOfUseAsset`	$170.70M	USD	Point-in-time
Common Stock, Shares, Outstanding	`CommonStockSharesOutstanding`	378.73M	shares	Point-in-time
Common Stock, Shares, Outstanding	`CommonStockSharesOutstanding`	378.73M	shares	Point-in-time
Right-of-use assets	`OperatingLeaseRightOfUseAsset`	$147.88M	USD	Point-in-time
Right-of-use assets	`OperatingLeaseRightOfUseAsset`	$147.88M	USD	Point-in-time
Common Stock, Shares, Outstanding	`CommonStockSharesOutstanding`	382.74M	shares	Point-in-time
Common Stock, Shares, Outstanding	`CommonStockSharesOutstanding`	382.74M	shares	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$221.07M	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$221.07M	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$190.80M	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$190.80M	USD	Point-in-time
Goodwill	`Goodwill`	$1.27B	USD	Point-in-time
Goodwill	`Goodwill`	$1.27B	USD	Point-in-time
Goodwill	`Goodwill`	$1.29B	USD	Point-in-time
Goodwill	`Goodwill`	$1.29B	USD	Point-in-time
Goodwill	`Goodwill`	$1.29B	USD	Point-in-time
Goodwill	`Goodwill`	$1.29B	USD	Point-in-time
Other noncurrent assets	`OtherAssetsNoncurrent`	$10.89M	USD	Point-in-time
Other noncurrent assets	`OtherAssetsNoncurrent`	$10.89M	USD	Point-in-time
Other noncurrent assets	`OtherAssetsNoncurrent`	$7.72M	USD	Point-in-time
Other noncurrent assets	`OtherAssetsNoncurrent`	$7.72M	USD	Point-in-time
Total noncurrent assets	`AssetsNoncurrent`	$1.81B	USD	Point-in-time
Total noncurrent assets	`AssetsNoncurrent`	$1.81B	USD	Point-in-time
Total noncurrent assets	`AssetsNoncurrent`	$1.88B	USD	Point-in-time
Total noncurrent assets	`AssetsNoncurrent`	$1.88B	USD	Point-in-time
Total assets	`Assets`	$2.12B	USD	Point-in-time
Total assets	`Assets`	$2.12B	USD	Point-in-time
Total assets	`Assets`	$2.11B	USD	Point-in-time
Total assets	`Assets`	$2.11B	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$7.24M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$7.24M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$7.05M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$7.05M	USD	Point-in-time
Accrued payroll expenses	`EmployeeRelatedLiabilitiesCurrent`	$117.46M	USD	Point-in-time
Accrued payroll expenses	`EmployeeRelatedLiabilitiesCurrent`	$117.46M	USD	Point-in-time
Accrued payroll expenses	`EmployeeRelatedLiabilitiesCurrent`	$102.48M	USD	Point-in-time
Accrued payroll expenses	`EmployeeRelatedLiabilitiesCurrent`	$102.48M	USD	Point-in-time
Other accrued expenses	`OtherAccruedLiabilitiesCurrent`	$35.01M	USD	Point-in-time
Other accrued expenses	`OtherAccruedLiabilitiesCurrent`	$35.01M	USD	Point-in-time
Other accrued expenses	`OtherAccruedLiabilitiesCurrent`	$46.94M	USD	Point-in-time
Other accrued expenses	`OtherAccruedLiabilitiesCurrent`	$46.94M	USD	Point-in-time
Contingent consideration	`BusinessCombinationContingentConsiderationLiabilityCurrent`	$8.17M	USD	Point-in-time
Contingent consideration	`BusinessCombinationContingentConsiderationLiabilityCurrent`	$8.17M	USD	Point-in-time
Contingent consideration	`BusinessCombinationContingentConsiderationLiabilityCurrent`	-	USD	Point-in-time
Contingent consideration	`BusinessCombinationContingentConsiderationLiabilityCurrent`	-	USD	Point-in-time
Operating lease liabilities, current	`OperatingLeaseLiabilityCurrent`	$49.45M	USD	Point-in-time
Operating lease liabilities, current	`OperatingLeaseLiabilityCurrent`	$49.45M	USD	Point-in-time
Operating lease liabilities, current	`OperatingLeaseLiabilityCurrent`	$46.48M	USD	Point-in-time
Operating lease liabilities, current	`OperatingLeaseLiabilityCurrent`	$46.48M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$3.69M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$3.69M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$7.79M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$7.79M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$228.89M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$228.89M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$202.87M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$202.87M	USD	Point-in-time
Long-term debt, net	`LongTermDebtNoncurrent`	$280.29M	USD	Point-in-time
Long-term debt, net	`LongTermDebtNoncurrent`	$280.29M	USD	Point-in-time
Long-term debt, net	`LongTermDebtNoncurrent`	$279.79M	USD	Point-in-time
Long-term debt, net	`LongTermDebtNoncurrent`	$279.79M	USD	Point-in-time
Operating lease liabilities, noncurrent	`OperatingLeaseLiabilityNoncurrent`	$148.70M	USD	Point-in-time
Operating lease liabilities, noncurrent	`OperatingLeaseLiabilityNoncurrent`	$148.70M	USD	Point-in-time
Operating lease liabilities, noncurrent	`OperatingLeaseLiabilityNoncurrent`	$181.36M	USD	Point-in-time
Operating lease liabilities, noncurrent	`OperatingLeaseLiabilityNoncurrent`	$181.36M	USD	Point-in-time
Deferred tax liability, net	`DeferredIncomeTaxLiabilitiesNet`	$15.57M	USD	Point-in-time
Deferred tax liability, net	`DeferredIncomeTaxLiabilitiesNet`	$15.57M	USD	Point-in-time
Deferred tax liability, net	`DeferredIncomeTaxLiabilitiesNet`	$14.33M	USD	Point-in-time
Deferred tax liability, net	`DeferredIncomeTaxLiabilitiesNet`	$14.33M	USD	Point-in-time
Other noncurrent liabilities	`OtherLiabilitiesNoncurrent`	$952.00K	USD	Point-in-time
Other noncurrent liabilities	`OtherLiabilitiesNoncurrent`	$952.00K	USD	Point-in-time
Other noncurrent liabilities	`OtherLiabilitiesNoncurrent`	$309.00K	USD	Point-in-time
Other noncurrent liabilities	`OtherLiabilitiesNoncurrent`	$309.00K	USD	Point-in-time
Total noncurrent liabilities	`LiabilitiesNoncurrent`	$478.17M	USD	Point-in-time
Total noncurrent liabilities	`LiabilitiesNoncurrent`	$478.17M	USD	Point-in-time
Total noncurrent liabilities	`LiabilitiesNoncurrent`	$443.13M	USD	Point-in-time
Total noncurrent liabilities	`LiabilitiesNoncurrent`	$443.13M	USD	Point-in-time
Total liabilities	`Liabilities`	$672.01M	USD	Point-in-time
Total liabilities	`Liabilities`	$672.01M	USD	Point-in-time
Total liabilities	`Liabilities`	$681.04M	USD	Point-in-time
Total liabilities	`Liabilities`	$681.04M	USD	Point-in-time
COMMITMENT AND CONTINGENCIES (see Note 13)	`CommitmentsAndContingencies`	-	USD	Point-in-time
COMMITMENT AND CONTINGENCIES (see Note 13)	`CommitmentsAndContingencies`	-	USD	Point-in-time
COMMITMENT AND CONTINGENCIES (see Note 13)	`CommitmentsAndContingencies`	-	USD	Point-in-time
COMMITMENT AND CONTINGENCIES (see Note 13)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Preferred stock - par value $0.01 per share; 25,000 shares authorized as of December 31, 2024 and December 31, 2023; 0 shares issued and outstanding as of December 31, 2024 and December 31, 2023	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock - par value $0.01 per share; 25,000 shares authorized as of December 31, 2024 and December 31, 2023; 0 shares issued and outstanding as of December 31, 2024 and December 31, 2023	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock - par value $0.01 per share; 25,000 shares authorized as of December 31, 2024 and December 31, 2023; 0 shares issued and outstanding as of December 31, 2024 and December 31, 2023	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock - par value $0.01 per share; 25,000 shares authorized as of December 31, 2024 and December 31, 2023; 0 shares issued and outstanding as of December 31, 2024 and December 31, 2023	`PreferredStockValue`	-	USD	Point-in-time
Common stock - par value $0.01 per share; 800,000 shares authorized as of December 31, 2024 and December 31, 2023; 382,735 and 378,725 shares issued and outstanding as of December 31, 2024 and December 31, 2023 ,respectively	`CommonStockValue`	$3.79M	USD	Point-in-time
Common stock - par value $0.01 per share; 800,000 shares authorized as of December 31, 2024 and December 31, 2023; 382,735 and 378,725 shares issued and outstanding as of December 31, 2024 and December 31, 2023 ,respectively	`CommonStockValue`	$3.79M	USD	Point-in-time
Common stock - par value $0.01 per share; 800,000 shares authorized as of December 31, 2024 and December 31, 2023; 382,735 and 378,725 shares issued and outstanding as of December 31, 2024 and December 31, 2023 ,respectively	`CommonStockValue`	$3.83M	USD	Point-in-time
Common stock - par value $0.01 per share; 800,000 shares authorized as of December 31, 2024 and December 31, 2023; 382,735 and 378,725 shares issued and outstanding as of December 31, 2024 and December 31, 2023 ,respectively	`CommonStockValue`	$3.83M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$2.18B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$2.18B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$2.26B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$2.26B	USD	Point-in-time
Accumulated other comprehensive income	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$929.00K	USD	Point-in-time
Accumulated other comprehensive income	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$929.00K	USD	Point-in-time
Accumulated other comprehensive income	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$2.30M	USD	Point-in-time
Accumulated other comprehensive income	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$2.30M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-818.29M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-818.29M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-760.85M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-760.85M	USD	Point-in-time
Total stockholders' equity	`StockholdersEquity`	$1.45B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquity`	$1.45B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquity`	$1.43B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquity`	$1.43B	USD	Point-in-time
Total liabilities and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$2.11B	USD	Point-in-time
Total liabilities and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$2.11B	USD	Point-in-time
Total liabilities and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$2.12B	USD	Point-in-time
Total liabilities and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$2.12B	USD	Point-in-time

Income Statement 126 line items

Line Item	Tag	Value	Unit	Period
TOTAL REVENUE	`Revenues`	$1.06B	USD	Annual
TOTAL REVENUE	`Revenues`	$1.06B	USD	Annual
TOTAL REVENUE	`Revenues`	$1.25B	USD	Annual
TOTAL REVENUE	`Revenues`	$1.25B	USD	Annual
TOTAL REVENUE	`Revenues`	$859.54M	USD	Annual
TOTAL REVENUE	`Revenues`	$859.54M	USD	Annual
Center costs, excluding depreciation and amortization shown separately below	`CostOfGoodsAndServiceExcludingDepreciationAndAmortization`	$622.52M	USD	Annual
Center costs, excluding depreciation and amortization shown separately below	`CostOfGoodsAndServiceExcludingDepreciationAndAmortization`	$622.52M	USD	Annual
Center costs, excluding depreciation and amortization shown separately below	`CostOfGoodsAndServiceExcludingDepreciationAndAmortization`	$848.57M	USD	Annual
Center costs, excluding depreciation and amortization shown separately below	`CostOfGoodsAndServiceExcludingDepreciationAndAmortization`	$848.57M	USD	Annual
Center costs, excluding depreciation and amortization shown separately below	`CostOfGoodsAndServiceExcludingDepreciationAndAmortization`	$753.57M	USD	Annual
Center costs, excluding depreciation and amortization shown separately below	`CostOfGoodsAndServiceExcludingDepreciationAndAmortization`	$753.57M	USD	Annual
General and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$410.79M	USD	Annual
General and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$410.79M	USD	Annual
General and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$363.06M	USD	Annual
General and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$363.06M	USD	Annual
General and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$377.99M	USD	Annual
General and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$377.99M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$69.20M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$69.20M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$80.44M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$80.44M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$70.95M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$70.95M	USD	Annual
Total operating expenses	`OperatingExpenses`	$1.24B	USD	Annual
Total operating expenses	`OperatingExpenses`	$1.24B	USD	Annual
Total operating expenses	`OperatingExpenses`	$1.07B	USD	Annual
Total operating expenses	`OperatingExpenses`	$1.07B	USD	Annual
Total operating expenses	`OperatingExpenses`	$1.28B	USD	Annual
Total operating expenses	`OperatingExpenses`	$1.28B	USD	Annual
LOSS FROM OPERATIONS	`OperatingIncomeLoss`	$-210.17M	USD	Annual
LOSS FROM OPERATIONS	`OperatingIncomeLoss`	$-210.17M	USD	Annual
LOSS FROM OPERATIONS	`OperatingIncomeLoss`	$-31.61M	USD	Annual
LOSS FROM OPERATIONS	`OperatingIncomeLoss`	$-31.61M	USD	Annual
LOSS FROM OPERATIONS	`OperatingIncomeLoss`	$-189.13M	USD	Annual
LOSS FROM OPERATIONS	`OperatingIncomeLoss`	$-189.13M	USD	Annual
Gain (loss) on remeasurement of contingent consideration	`BusinessCombinationRemeasurementGainLossOnContingentConsideration`	$1.73M	USD	Annual
Gain (loss) on remeasurement of contingent consideration	`BusinessCombinationRemeasurementGainLossOnContingentConsideration`	$1.73M	USD	Annual
Gain (loss) on remeasurement of contingent consideration	`BusinessCombinationRemeasurementGainLossOnContingentConsideration`	$-1.69M	USD	Annual
Gain (loss) on remeasurement of contingent consideration	`BusinessCombinationRemeasurementGainLossOnContingentConsideration`	$-1.69M	USD	Annual
Gain (loss) on remeasurement of contingent consideration	`BusinessCombinationRemeasurementGainLossOnContingentConsideration`	$3.97M	USD	Annual
Gain (loss) on remeasurement of contingent consideration	`BusinessCombinationRemeasurementGainLossOnContingentConsideration`	$3.97M	USD	Annual
Transaction costs	`TransactionCosts`	$722.00K	USD	Annual
Transaction costs	`TransactionCosts`	$722.00K	USD	Annual
Transaction costs	`TransactionCosts`	$827.00K	USD	Annual
Transaction costs	`TransactionCosts`	$827.00K	USD	Annual
Transaction costs	`TransactionCosts`	$89.00K	USD	Annual
Transaction costs	`TransactionCosts`	$89.00K	USD	Annual
Interest expense, net	`InterestExpenseNonoperating`	$19.93M	USD	Annual
Interest expense, net	`InterestExpenseNonoperating`	$19.93M	USD	Annual
Interest expense, net	`InterestExpenseNonoperating`	$26.54M	USD	Annual
Interest expense, net	`InterestExpenseNonoperating`	$26.54M	USD	Annual
Interest expense, net	`InterestExpenseNonoperating`	$21.22M	USD	Annual
Interest expense, net	`InterestExpenseNonoperating`	$21.22M	USD	Annual
Other expense	`OtherExpenses`	$363.00K	USD	Annual
Other expense	`OtherExpenses`	$363.00K	USD	Annual
Other expense	`OtherExpenses`	$112.00K	USD	Annual
Other expense	`OtherExpenses`	$112.00K	USD	Annual
Other expense	`OtherExpenses`	$218.00K	USD	Annual
Other expense	`OtherExpenses`	$218.00K	USD	Annual
Total other expense	`NonoperatingIncomeExpense`	$-17.45M	USD	Annual
Total other expense	`NonoperatingIncomeExpense`	$-17.45M	USD	Annual
Total other expense	`NonoperatingIncomeExpense`	$-22.56M	USD	Annual
Total other expense	`NonoperatingIncomeExpense`	$-22.56M	USD	Annual
Total other expense	`NonoperatingIncomeExpense`	$-26.00M	USD	Annual
Total other expense	`NonoperatingIncomeExpense`	$-26.00M	USD	Annual
LOSS BEFORE INCOME TAXES	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-57.61M	USD	Annual
LOSS BEFORE INCOME TAXES	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-57.61M	USD	Annual
LOSS BEFORE INCOME TAXES	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-206.58M	USD	Annual
LOSS BEFORE INCOME TAXES	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-206.58M	USD	Annual
LOSS BEFORE INCOME TAXES	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-232.73M	USD	Annual
LOSS BEFORE INCOME TAXES	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-232.73M	USD	Annual
INCOME TAX BENEFIT	`IncomeTaxExpenseBenefit`	$-170.00K	USD	Annual
INCOME TAX BENEFIT	`IncomeTaxExpenseBenefit`	$-170.00K	USD	Annual
INCOME TAX BENEFIT	`IncomeTaxExpenseBenefit`	$-17.17M	USD	Annual
INCOME TAX BENEFIT	`IncomeTaxExpenseBenefit`	$-17.17M	USD	Annual
INCOME TAX BENEFIT	`IncomeTaxExpenseBenefit`	$-20.32M	USD	Annual
INCOME TAX BENEFIT	`IncomeTaxExpenseBenefit`	$-20.32M	USD	Annual
NET LOSS	`NetIncomeLoss`	$-57.44M	USD	Annual
NET LOSS	`NetIncomeLoss`	$-57.44M	USD	Annual
NET LOSS	`NetIncomeLoss`	$-215.56M	USD	Annual
NET LOSS	`NetIncomeLoss`	$-215.56M	USD	Annual
NET LOSS	`NetIncomeLoss`	$-186.26M	USD	Annual
NET LOSS	`NetIncomeLoss`	$-186.26M	USD	Annual
NET LOSS PER SHARE, BASIC	`IncomeLossFromContinuingOperationsPerBasicShare`	$-0.61	USD	Annual
NET LOSS PER SHARE, BASIC	`IncomeLossFromContinuingOperationsPerBasicShare`	$-0.61	USD	Annual
NET LOSS PER SHARE, BASIC	`IncomeLossFromContinuingOperationsPerBasicShare`	$-0.15	USD	Annual
NET LOSS PER SHARE, BASIC	`IncomeLossFromContinuingOperationsPerBasicShare`	$-0.15	USD	Annual
NET LOSS PER SHARE, BASIC	`IncomeLossFromContinuingOperationsPerBasicShare`	$-0.51	USD	Annual
NET LOSS PER SHARE, BASIC	`IncomeLossFromContinuingOperationsPerBasicShare`	$-0.51	USD	Annual
NET LOSS PER SHARE, DILUTED	`IncomeLossFromContinuingOperationsPerDilutedShare`	$-0.15	USD	Annual
NET LOSS PER SHARE, DILUTED	`IncomeLossFromContinuingOperationsPerDilutedShare`	$-0.15	USD	Annual
NET LOSS PER SHARE, DILUTED	`IncomeLossFromContinuingOperationsPerDilutedShare`	$-0.61	USD	Annual
NET LOSS PER SHARE, DILUTED	`IncomeLossFromContinuingOperationsPerDilutedShare`	$-0.61	USD	Annual
NET LOSS PER SHARE, DILUTED	`IncomeLossFromContinuingOperationsPerDilutedShare`	$-0.51	USD	Annual
NET LOSS PER SHARE, DILUTED	`IncomeLossFromContinuingOperationsPerDilutedShare`	$-0.51	USD	Annual
Weighted-average shares used to compute basic net loss per share	`WeightedAverageNumberOfSharesOutstandingBasic`	367.46M	shares	Annual
Weighted-average shares used to compute basic net loss per share	`WeightedAverageNumberOfSharesOutstandingBasic`	367.46M	shares	Annual
Weighted-average shares used to compute basic net loss per share	`WeightedAverageNumberOfSharesOutstandingBasic`	379.15M	shares	Annual
Weighted-average shares used to compute basic net loss per share	`WeightedAverageNumberOfSharesOutstandingBasic`	379.15M	shares	Annual
Weighted-average shares used to compute basic net loss per share	`WeightedAverageNumberOfSharesOutstandingBasic`	355.28M	shares	Annual
Weighted-average shares used to compute basic net loss per share	`WeightedAverageNumberOfSharesOutstandingBasic`	355.28M	shares	Annual
Weighted-average shares used to compute diluted net loss per share	`WeightedAverageNumberOfDilutedSharesOutstanding`	379.15M	shares	Annual
Weighted-average shares used to compute diluted net loss per share	`WeightedAverageNumberOfDilutedSharesOutstanding`	379.15M	shares	Annual
Weighted-average shares used to compute diluted net loss per share	`WeightedAverageNumberOfDilutedSharesOutstanding`	367.46M	shares	Annual
Weighted-average shares used to compute diluted net loss per share	`WeightedAverageNumberOfDilutedSharesOutstanding`	367.46M	shares	Annual
Weighted-average shares used to compute diluted net loss per share	`WeightedAverageNumberOfDilutedSharesOutstanding`	355.28M	shares	Annual
Weighted-average shares used to compute diluted net loss per share	`WeightedAverageNumberOfDilutedSharesOutstanding`	355.28M	shares	Annual
Net Income (Loss)	`NetIncomeLoss`	$-57.44M	USD	Annual
Net Income (Loss)	`NetIncomeLoss`	$-57.44M	USD	Annual
Net Income (Loss)	`NetIncomeLoss`	$-215.56M	USD	Annual
Net Income (Loss)	`NetIncomeLoss`	$-215.56M	USD	Annual
Net Income (Loss)	`NetIncomeLoss`	$-186.26M	USD	Annual
Net Income (Loss)	`NetIncomeLoss`	$-186.26M	USD	Annual
Unrealized (losses) gains on cash flow hedge, net of tax	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax`	$3.27M	USD	Annual
Unrealized (losses) gains on cash flow hedge, net of tax	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax`	$3.27M	USD	Annual
Unrealized (losses) gains on cash flow hedge, net of tax	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax`	$-971.00K	USD	Annual
Unrealized (losses) gains on cash flow hedge, net of tax	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax`	$-971.00K	USD	Annual
Unrealized (losses) gains on cash flow hedge, net of tax	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax`	$-1.37M	USD	Annual
Unrealized (losses) gains on cash flow hedge, net of tax	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax`	$-1.37M	USD	Annual
COMPREHENSIVE LOSS	`ComprehensiveIncomeNetOfTax`	$-212.29M	USD	Annual
COMPREHENSIVE LOSS	`ComprehensiveIncomeNetOfTax`	$-212.29M	USD	Annual
COMPREHENSIVE LOSS	`ComprehensiveIncomeNetOfTax`	$-58.82M	USD	Annual
COMPREHENSIVE LOSS	`ComprehensiveIncomeNetOfTax`	$-58.82M	USD	Annual
COMPREHENSIVE LOSS	`ComprehensiveIncomeNetOfTax`	$-187.23M	USD	Annual
COMPREHENSIVE LOSS	`ComprehensiveIncomeNetOfTax`	$-187.23M	USD	Annual

Cash Flow Statement 214 line items

Line Item	Tag	Value	Unit	Period
Net loss	`ProfitLoss`	$-57.44M	USD	Annual
Net loss	`ProfitLoss`	$-57.44M	USD	Annual
Net loss	`ProfitLoss`	$-215.56M	USD	Annual
Net loss	`ProfitLoss`	$-215.56M	USD	Annual
Net loss	`ProfitLoss`	$-186.26M	USD	Annual
Net loss	`ProfitLoss`	$-186.26M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$69.20M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$69.20M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$80.44M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$80.44M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$70.95M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$70.95M	USD	Annual
Non-cash operating lease costs	`NonCashOperatingLeaseCosts`	$39.99M	USD	Annual
Non-cash operating lease costs	`NonCashOperatingLeaseCosts`	$39.99M	USD	Annual
Non-cash operating lease costs	`NonCashOperatingLeaseCosts`	$39.50M	USD	Annual
Non-cash operating lease costs	`NonCashOperatingLeaseCosts`	$39.50M	USD	Annual
Non-cash operating lease costs	`NonCashOperatingLeaseCosts`	$38.16M	USD	Annual
Non-cash operating lease costs	`NonCashOperatingLeaseCosts`	$38.16M	USD	Annual
Stock-based compensation	`ShareBasedCompensation`	$99.39M	USD	Annual
Stock-based compensation	`ShareBasedCompensation`	$99.39M	USD	Annual
Stock-based compensation	`ShareBasedCompensation`	$76.17M	USD	Annual
Stock-based compensation	`ShareBasedCompensation`	$76.17M	USD	Annual
Stock-based compensation	`ShareBasedCompensation`	$187.43M	USD	Annual
Stock-based compensation	`ShareBasedCompensation`	$187.43M	USD	Annual
Deferred income taxes	`IncreaseDecreaseInOtherDeferredLiability`	$-21.92M	USD	Annual
Deferred income taxes	`IncreaseDecreaseInOtherDeferredLiability`	$-21.92M	USD	Annual
Deferred income taxes	`IncreaseDecreaseInOtherDeferredLiability`	$-16.73M	USD	Annual
Deferred income taxes	`IncreaseDecreaseInOtherDeferredLiability`	$-16.73M	USD	Annual
Deferred income taxes	`IncreaseDecreaseInOtherDeferredLiability`	$-958.00K	USD	Annual
Deferred income taxes	`IncreaseDecreaseInOtherDeferredLiability`	$-958.00K	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-5.03M	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-5.03M	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-3.38M	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-3.38M	USD	Annual
Amortization of discount and debt issue costs	`AmortizationOfFinancingCosts`	$1.67M	USD	Annual
Amortization of discount and debt issue costs	`AmortizationOfFinancingCosts`	$1.67M	USD	Annual
Amortization of discount and debt issue costs	`AmortizationOfFinancingCosts`	$1.95M	USD	Annual
Amortization of discount and debt issue costs	`AmortizationOfFinancingCosts`	$1.95M	USD	Annual
Amortization of discount and debt issue costs	`AmortizationOfFinancingCosts`	$2.10M	USD	Annual
Amortization of discount and debt issue costs	`AmortizationOfFinancingCosts`	$2.10M	USD	Annual
(Gain) loss on remeasurement of contingent consideration	`LossGainOnRemeasurementOfContingentConsideration`	$-1.69M	USD	Annual
(Gain) loss on remeasurement of contingent consideration	`LossGainOnRemeasurementOfContingentConsideration`	$-1.69M	USD	Annual
(Gain) loss on remeasurement of contingent consideration	`LossGainOnRemeasurementOfContingentConsideration`	$1.73M	USD	Annual
(Gain) loss on remeasurement of contingent consideration	`LossGainOnRemeasurementOfContingentConsideration`	$1.73M	USD	Annual
(Gain) loss on remeasurement of contingent consideration	`LossGainOnRemeasurementOfContingentConsideration`	$3.97M	USD	Annual
(Gain) loss on remeasurement of contingent consideration	`LossGainOnRemeasurementOfContingentConsideration`	$3.97M	USD	Annual
Other, net	`OtherNoncashIncomeExpense`	$-7.08M	USD	Annual
Other, net	`OtherNoncashIncomeExpense`	$-7.08M	USD	Annual
Other, net	`OtherNoncashIncomeExpense`	$-1.43M	USD	Annual
Other, net	`OtherNoncashIncomeExpense`	$-1.43M	USD	Annual
Other, net	`OtherNoncashIncomeExpense`	$-218.00K	USD	Annual
Other, net	`OtherNoncashIncomeExpense`	$-218.00K	USD	Annual
Patient accounts receivable, net	`IncreaseDecreaseInAccountsReceivable`	$24.18M	USD	Annual
Patient accounts receivable, net	`IncreaseDecreaseInAccountsReceivable`	$24.18M	USD	Annual
Patient accounts receivable, net	`IncreaseDecreaseInAccountsReceivable`	$21.66M	USD	Annual
Patient accounts receivable, net	`IncreaseDecreaseInAccountsReceivable`	$21.66M	USD	Annual
Patient accounts receivable, net	`IncreaseDecreaseInAccountsReceivable`	$6.40M	USD	Annual
Patient accounts receivable, net	`IncreaseDecreaseInAccountsReceivable`	$6.40M	USD	Annual
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$3.33M	USD	Annual
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$3.33M	USD	Annual
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$3.07M	USD	Annual
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$3.07M	USD	Annual
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$3.43M	USD	Annual
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$3.43M	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$-5.61M	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$-5.61M	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$501.00K	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$501.00K	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$7.67M	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$7.67M	USD	Annual
Accrued payroll expenses	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$12.10M	USD	Annual
Accrued payroll expenses	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$12.10M	USD	Annual
Accrued payroll expenses	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$26.48M	USD	Annual
Accrued payroll expenses	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$26.48M	USD	Annual
Accrued payroll expenses	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$14.98M	USD	Annual
Accrued payroll expenses	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$14.98M	USD	Annual
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-13.17M	USD	Annual
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-13.17M	USD	Annual
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-37.56M	USD	Annual
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-37.56M	USD	Annual
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-46.75M	USD	Annual
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-46.75M	USD	Annual
Other accrued expenses	`IncreaseDecreaseInOtherAccruedLiabilities`	$13.62M	USD	Annual
Other accrued expenses	`IncreaseDecreaseInOtherAccruedLiabilities`	$13.62M	USD	Annual
Other accrued expenses	`IncreaseDecreaseInOtherAccruedLiabilities`	$1.56M	USD	Annual
Other accrued expenses	`IncreaseDecreaseInOtherAccruedLiabilities`	$1.56M	USD	Annual
Other accrued expenses	`IncreaseDecreaseInOtherAccruedLiabilities`	$10.21M	USD	Annual
Other accrued expenses	`IncreaseDecreaseInOtherAccruedLiabilities`	$10.21M	USD	Annual
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$-16.88M	USD	Annual
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$-16.88M	USD	Annual
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$52.79M	USD	Annual
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$52.79M	USD	Annual
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$107.26M	USD	Annual
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$107.26M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$79.25M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$79.25M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$21.57M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$21.57M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$40.52M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$40.52M	USD	Annual
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$60.21M	USD	Annual
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$60.21M	USD	Annual
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	-	USD	Annual
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	-	USD	Annual
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$19.82M	USD	Annual
Acquisitions of businesses, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$19.82M	USD	Annual
Net cash provided by (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-139.46M	USD	Annual
Net cash provided by (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-139.46M	USD	Annual
Net cash provided by (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-21.57M	USD	Annual
Net cash provided by (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-21.57M	USD	Annual
Net cash provided by (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-60.34M	USD	Annual
Net cash provided by (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-60.34M	USD	Annual
Proceeds from long-term debt, net of discount	`ProceedsFromIssuanceOfLongTermDebt`	$287.81M	USD	Annual
Proceeds from long-term debt, net of discount	`ProceedsFromIssuanceOfLongTermDebt`	$287.81M	USD	Annual
Proceeds from long-term debt, net of discount	`ProceedsFromIssuanceOfLongTermDebt`	$257.32M	USD	Annual
Proceeds from long-term debt, net of discount	`ProceedsFromIssuanceOfLongTermDebt`	$257.32M	USD	Annual
Proceeds from long-term debt, net of discount	`ProceedsFromIssuanceOfLongTermDebt`	$57.75M	USD	Annual
Proceeds from long-term debt, net of discount	`ProceedsFromIssuanceOfLongTermDebt`	$57.75M	USD	Annual
Payments of debt issue costs	`PaymentsOfDebtIssuanceCosts`	$188.00K	USD	Annual
Payments of debt issue costs	`PaymentsOfDebtIssuanceCosts`	$188.00K	USD	Annual
Payments of debt issue costs	`PaymentsOfDebtIssuanceCosts`	$7.27M	USD	Annual
Payments of debt issue costs	`PaymentsOfDebtIssuanceCosts`	$7.27M	USD	Annual
Payments of debt issue costs	`PaymentsOfDebtIssuanceCosts`	$1.82M	USD	Annual
Payments of debt issue costs	`PaymentsOfDebtIssuanceCosts`	$1.82M	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$187.77M	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$187.77M	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$2.47M	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$2.47M	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$289.49M	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$289.49M	USD	Annual
Prepayment for debt paydown	`PaymentsOfDebtExtinguishmentCosts`	-	USD	Annual
Prepayment for debt paydown	`PaymentsOfDebtExtinguishmentCosts`	-	USD	Annual
Prepayment for debt paydown	`PaymentsOfDebtExtinguishmentCosts`	-	USD	Annual
Prepayment for debt paydown	`PaymentsOfDebtExtinguishmentCosts`	-	USD	Annual
Prepayment for debt paydown	`PaymentsOfDebtExtinguishmentCosts`	$1.61M	USD	Annual
Prepayment for debt paydown	`PaymentsOfDebtExtinguishmentCosts`	$1.61M	USD	Annual
Payments of contingent consideration	`PaymentForContingentConsiderationLiabilityFinancingActivities`	$6.44M	USD	Annual
Payments of contingent consideration	`PaymentForContingentConsiderationLiabilityFinancingActivities`	$6.44M	USD	Annual
Payments of contingent consideration	`PaymentForContingentConsiderationLiabilityFinancingActivities`	$7.67M	USD	Annual
Payments of contingent consideration	`PaymentForContingentConsiderationLiabilityFinancingActivities`	$7.67M	USD	Annual
Payments of contingent consideration	`PaymentForContingentConsiderationLiabilityFinancingActivities`	$12.52M	USD	Annual
Payments of contingent consideration	`PaymentForContingentConsiderationLiabilityFinancingActivities`	$12.52M	USD	Annual
Taxes related to net share settlement of equity awards	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	-	USD	Annual
Taxes related to net share settlement of equity awards	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	-	USD	Annual
Taxes related to net share settlement of equity awards	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	-	USD	Annual
Taxes related to net share settlement of equity awards	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	-	USD	Annual
Taxes related to net share settlement of equity awards	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$904.00K	USD	Annual
Taxes related to net share settlement of equity awards	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$904.00K	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$47.43M	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$47.43M	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$47.26M	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$47.26M	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-9.95M	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-9.95M	USD	Annual
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-39.41M	USD	Annual
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-39.41M	USD	Annual
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-29.80M	USD	Annual
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-29.80M	USD	Annual
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$75.75M	USD	Annual
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$75.75M	USD	Annual
Cash and Cash Equivalents - Beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$148.03M	USD	Point-in-time
Cash and Cash Equivalents - Beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$148.03M	USD	Point-in-time
Cash and Cash Equivalents - Beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$154.57M	USD	Point-in-time
Cash and Cash Equivalents - Beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$154.57M	USD	Point-in-time
Cash and Cash Equivalents - Beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$108.62M	USD	Point-in-time
Cash and Cash Equivalents - Beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$108.62M	USD	Point-in-time
Cash and Cash Equivalents - Beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$78.82M	USD	Point-in-time
Cash and Cash Equivalents - Beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$78.82M	USD	Point-in-time
CASH AND CASH EQUIVALENTS END OF PERIOD	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$148.03M	USD	Point-in-time
CASH AND CASH EQUIVALENTS END OF PERIOD	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$148.03M	USD	Point-in-time
CASH AND CASH EQUIVALENTS END OF PERIOD	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$154.57M	USD	Point-in-time
CASH AND CASH EQUIVALENTS END OF PERIOD	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$154.57M	USD	Point-in-time
CASH AND CASH EQUIVALENTS END OF PERIOD	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$108.62M	USD	Point-in-time
CASH AND CASH EQUIVALENTS END OF PERIOD	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$108.62M	USD	Point-in-time
CASH AND CASH EQUIVALENTS END OF PERIOD	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$78.82M	USD	Point-in-time
CASH AND CASH EQUIVALENTS END OF PERIOD	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$78.82M	USD	Point-in-time
Cash paid for interest, net	`InterestPaidNet`	$14.37M	USD	Annual
Cash paid for interest, net	`InterestPaidNet`	$14.37M	USD	Annual
Cash paid for interest, net	`InterestPaidNet`	$21.04M	USD	Annual
Cash paid for interest, net	`InterestPaidNet`	$21.04M	USD	Annual
Cash paid for interest, net	`InterestPaidNet`	$24.99M	USD	Annual
Cash paid for interest, net	`InterestPaidNet`	$24.99M	USD	Annual
Cash paid for taxes, net of refunds	`IncomeTaxesPaidNet`	$57.00K	USD	Annual
Cash paid for taxes, net of refunds	`IncomeTaxesPaidNet`	$57.00K	USD	Annual
Cash paid for taxes, net of refunds	`IncomeTaxesPaidNet`	$2.24M	USD	Annual
Cash paid for taxes, net of refunds	`IncomeTaxesPaidNet`	$2.24M	USD	Annual
Cash paid for taxes, net of refunds	`IncomeTaxesPaidNet`	$80.00K	USD	Annual
Cash paid for taxes, net of refunds	`IncomeTaxesPaidNet`	$80.00K	USD	Annual
Equipment financed through finance leases	`CapitalLeaseObligationsIncurred`	$363.00K	USD	Annual
Equipment financed through finance leases	`CapitalLeaseObligationsIncurred`	$363.00K	USD	Annual
Equipment financed through finance leases	`CapitalLeaseObligationsIncurred`	-	USD	Annual
Equipment financed through finance leases	`CapitalLeaseObligationsIncurred`	-	USD	Annual
Equipment financed through finance leases	`CapitalLeaseObligationsIncurred`	-	USD	Annual
Equipment financed through finance leases	`CapitalLeaseObligationsIncurred`	-	USD	Annual
Contingent consideration incurred in acquisitions of businesses	`ContingentConsiderationIncurredInAcquisitionsOfBusinesses`	-	USD	Annual
Contingent consideration incurred in acquisitions of businesses	`ContingentConsiderationIncurredInAcquisitionsOfBusinesses`	-	USD	Annual
Contingent consideration incurred in acquisitions of businesses	`ContingentConsiderationIncurredInAcquisitionsOfBusinesses`	$11.22M	USD	Annual
Contingent consideration incurred in acquisitions of businesses	`ContingentConsiderationIncurredInAcquisitionsOfBusinesses`	$11.22M	USD	Annual
Contingent consideration incurred in acquisitions of businesses	`ContingentConsiderationIncurredInAcquisitionsOfBusinesses`	$1.99M	USD	Annual
Contingent consideration incurred in acquisitions of businesses	`ContingentConsiderationIncurredInAcquisitionsOfBusinesses`	$1.99M	USD	Annual
Acquisition of property and equipment included in liabilities	`PurchaseOfPropertyPlantAndEquipmentIncludedInAccountsPayableAndAccruedExpenses`	$1.47M	USD	Annual
Acquisition of property and equipment included in liabilities	`PurchaseOfPropertyPlantAndEquipmentIncludedInAccountsPayableAndAccruedExpenses`	$1.47M	USD	Annual
Acquisition of property and equipment included in liabilities	`PurchaseOfPropertyPlantAndEquipmentIncludedInAccountsPayableAndAccruedExpenses`	$7.89M	USD	Annual
Acquisition of property and equipment included in liabilities	`PurchaseOfPropertyPlantAndEquipmentIncludedInAccountsPayableAndAccruedExpenses`	$7.89M	USD	Annual
Acquisition of property and equipment included in liabilities	`PurchaseOfPropertyPlantAndEquipmentIncludedInAccountsPayableAndAccruedExpenses`	$3.83M	USD	Annual
Acquisition of property and equipment included in liabilities	`PurchaseOfPropertyPlantAndEquipmentIncludedInAccountsPayableAndAccruedExpenses`	$3.83M	USD	Annual
Surrender of common stock	`SurrenderOfCommonStock`	-	USD	Annual
Surrender of common stock	`SurrenderOfCommonStock`	-	USD	Annual
Surrender of common stock	`SurrenderOfCommonStock`	-	USD	Annual
Surrender of common stock	`SurrenderOfCommonStock`	-	USD	Annual
Surrender of common stock	`SurrenderOfCommonStock`	$982.00K	USD	Annual
Surrender of common stock	`SurrenderOfCommonStock`	$982.00K	USD	Annual

Stockholders Equity 44 line items

Line Item	Tag	Value	Unit	Period
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.45B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.45B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.52B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.52B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.55B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.55B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.43B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.43B	USD	Point-in-time
Net loss	`NetIncomeLoss`	$-57.44M	USD	Annual
Net loss	`NetIncomeLoss`	$-57.44M	USD	Annual
Net loss	`NetIncomeLoss`	$-215.56M	USD	Annual
Net loss	`NetIncomeLoss`	$-215.56M	USD	Annual
Net loss	`NetIncomeLoss`	$-186.26M	USD	Annual
Net loss	`NetIncomeLoss`	$-186.26M	USD	Annual
Adoption of ASU 2016-13	`AdoptionOfAsuTwoZeroOneSixToOneThree`	$-1.95M	USD	Annual
Adoption of ASU 2016-13	`AdoptionOfAsuTwoZeroOneSixToOneThree`	$-1.95M	USD	Annual
Issuance of common stock upon vesting of restricted stock units	`StockIssuedDuringPeriodValueRestrictedStockUnitsReleases`	$-463.00K	USD	Annual
Issuance of common stock upon vesting of restricted stock units	`StockIssuedDuringPeriodValueRestrictedStockUnitsReleases`	$-463.00K	USD	Annual
Forfeitures, value	`StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures`	$-3.40M	USD	Annual
Forfeitures, value	`StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures`	$-3.40M	USD	Annual
Forfeitures, value	`StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures`	$-1.36M	USD	Annual
Forfeitures, value	`StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures`	$-1.36M	USD	Annual
Surrender of common stock	`StockIssuedDuringPeriodValueShareBasedCompensationForfeited`	$982.00K	USD	Annual
Surrender of common stock	`StockIssuedDuringPeriodValueShareBasedCompensationForfeited`	$982.00K	USD	Annual
Other comprehensive loss	`OtherComprehensiveIncomeLossNetOfTax`	$-971.00K	USD	Annual
Other comprehensive loss	`OtherComprehensiveIncomeLossNetOfTax`	$-971.00K	USD	Annual
Other comprehensive loss	`OtherComprehensiveIncomeLossNetOfTax`	$3.27M	USD	Annual
Other comprehensive loss	`OtherComprehensiveIncomeLossNetOfTax`	$3.27M	USD	Annual
Other comprehensive loss	`OtherComprehensiveIncomeLossNetOfTax`	$-1.37M	USD	Annual
Other comprehensive loss	`OtherComprehensiveIncomeLossNetOfTax`	$-1.37M	USD	Annual
Stock-based compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$102.79M	USD	Annual
Stock-based compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$102.79M	USD	Annual
Stock-based compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$188.79M	USD	Annual
Stock-based compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$188.79M	USD	Annual
Stock-based compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$76.17M	USD	Annual
Stock-based compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$76.17M	USD	Annual
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.45B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.45B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.52B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.52B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.55B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.55B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.43B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.43B	USD	Point-in-time

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