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Pay vs Performance Disclosure - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure          
Pay vs Performance Disclosure, Table
Principal Executive Officers (“PEOs”)(1)
Value of Initial Fixed
 $100 Investment
 Based on:
Net
 Income(5)
($MM)
Company
 Selected
 Measure:
 Adj.
 EBITDA(6)
($MM)
Summary Compensation
 Table Total
Compensation Actually
 Paid Total(3)
Average Other
 Non-PEO NEOs(2)
Fiscal
Year
Current:
 Suzanne
 Foster
Former:
Richard Barasch
Former:
 Stephen
 Griggs
Former:
 Luke
 McGee
Current:
 Suzanne
 Foster
Former:
 Richard
 Barasch
Former:
 Stephen
 Griggs
Former:
 Luke
 McGee
Summary
 Comp
 Table
 Total
Comp
 Actually
 Paid
 Total(3)
Company
 TSR(4)
Peer
 Group
 TSR(4)
2024$8,391,752 $2,074,106 n/an/a$8,347,867 $2,060,486 n/an/a$4,122,211 $2,675,520 $87 $124 $95 $689 
2023n/a$2,265,183 $10,437,819 n/an/a$2,048,248 $1,893,765 n/a$2,440,283 $(238,940)$66 $122 $(675)$671 
2022n/an/a$4,724,344 n/an/an/a$4,296,449 n/a$2,823,510 $1,841,864 $175 $117 $73 $594 
2021n/an/a$3,935,883 $8,061,871 n/an/a$2,710,254 $(21,022,257)$3,348,903 $(523,574)$223 $146 $158 $566 
2020n/an/an/a$1,009,533 n/an/an/a$45,324,179 $1,560,590 $5,644,394 $342 $133 $(194)$206 
       
Company Selected Measure Name Adjusted EBITDA        
Named Executive Officers, Footnote
(1)For 2024, our PEOs included both our current CEO, Ms. Foster, and our former interim CEO, Mr. Barasch. For 2023, our PEOs included both our former interim CEO, Mr. Barasch, and our former CEO, Mr. Griggs. For 2022, our PEO
was Mr. Griggs. For 2021, our PEOs included both Mr. Griggs and our former CEO, Mr. McGee. For 2020, our PEO was Mr. McGee.
For 2024, our non-PEO NEOs were Messrs. Clemens, Prast, Barnhart, Parnes and Rietkerk, and Ms. Archbold. For 2023, our non-PEO NEOs were Messrs. Parnes, Clemens, Prast and Rietkerk. For 2022, our non-PEO NEOs were Messrs. Parnes, Clemens, Joyce and Prast. For 2021, our non-PEO NEOs were Messrs. Parnes, Clemens, Prast and Bunting.
       
Peer Group Issuers, Footnote (4)The Company Total Shareholder Return (“TSR”) and the Company’s Peer Group TSR reflected in these columns for each applicable fiscal year are calculated based on a fixed investment of $100 at the applicable measurement point on the same cumulative basis as is used in Item 201(e) of Regulation S-K. The peer group used to determine the Company’s Peer Group TSR for each applicable fiscal year is the S&P Healthcare Services Select Industry Index, which is included in the Company’s TSR performance graph in this Proxy Statement.        
Adjustment To PEO Compensation, Footnote
(3)In calculating the “Compensation Actually Paid” (“CAP”) amounts reflected in these columns, the fair value or change in fair value, as applicable, of the equity award adjustments included in such calculations were computed in accordance with FASB ASC Topic 718. Stock option grant date fair values are calculated based on the Black-Scholes option pricing model as of date of grant. Adjustments have been made using stock option fair values as of each measurement date using the stock price as of the measurement date and updated assumptions as of the measurement date. Time-vested restricted stock/unit grant date fair values are calculated using the stock price as of date of grant. Adjustments have been made using the stock price as of year-end and as of each vesting date. Performance-vested restricted stock unit fair values are calculated based on the Monte Carlo valuation model as of the date of grant. Adjustments have been made using performance-vested restricted stock unit fair values as of each measurement date using the stock price as of the measurement date and updated Monte Carlo assumptions. The assumptions used to calculate the fair value for purposes of determining CAP are consistent with the methodology used for calculating the grant date fair value for financial reporting purposes. There are no dividends or other earnings paid on stock or option awards in the applicable year prior to the vesting date that are not otherwise included in the CAP amounts for the applicable year.
In the calculation of CAP presented in the table, the following amounts were deducted and added:
Reconciliation of Summary Compensation Table (“SCT”) total to Compensation Actually Paid (“CAP”)
FY2024FY2023FY2022FY2021FY2020
Description of Elements Added / Subtracted to SCT Total to Calculate CAPCurrent
 PEO
 Foster
Former
 PEO
 Barasch
Average
 Other
 NEOs
Current
 PEO
 Barasch
Former
 PEO
 Griggs
Average
 Other
 NEOs
Former
 PEO
 Griggs
Average
 Other
 NEOs
Former
 PEO
 Griggs
Former
 PEO
 McGee
Average
 Other
 NEOs
Former
 PEO
 McGee
Average
 Other
 NEOs
Summary Compensation Table (“SCT”) Total$8,391,752 $2,074,106 $4,122,211 $2,265,183 $10,437,819 $2,440,283 $4,724,344 $2,823,510 $3,935,883 $8,061,871 $3,348,903 $1,009,533 $1,560,590 
-Pension and equity amounts reported in SCT$6,592,784 $474,408 $2,914,398 $743,274 $7,257,900 $1,372,050 $3,698,882 $1,963,262 $2,795,498 $5,808,758 $2,474,283 $— $1,068,278 
+Fair value of equity compensation granted in current year and outstanding at year end$6,548,899 $— $1,618,903 $186,726 $294,606 $434,705 $3,950,263 $2,096,688 $1,569,869 $— $1,646,856 $— $2,297,808 
+Change in fair value of equity granted in prior years that remains outstanding at current year end; reflects fair value at current year end - fair value at prior year end$— $— $12,040 $— $(2,179,990)$(1,729,450)$(504,103)$(357,484)$— $— $(1,549,939)$29,273,031 $1,908,284 
-Fair value of awards forfeited in current year valued at prior year end$— $— $184,256 $— $— $— $— $— $— $20,840,650 $— $— $— 
+Fair value of equity compensation granted and vested in current year$— $391,375 $— $471,798 $948,505 $— $— $— $— $— $— $— $— 
+Change in fair value of equity granted in prior years and vested in current year$— $69,413 $21,020 $(132,185)$(349,275)$(12,428)$(175,173)$(757,588)$— $(2,434,720)$(1,495,111)$15,041,615 $945,990 
Compensation Actually Paid (“CAP”)$8,347,867 $2,060,486 $2,675,520 $2,048,248 $1,893,765 $(238,940)$4,296,449 $1,841,864 $2,710,254 $(21,022,257)$(523,574)$45,324,179 $5,644,394 
       
Non-PEO NEO Average Total Compensation Amount $ 4,122,211 $ 2,440,283 $ 2,823,510 $ 3,348,903 $ 1,560,590
Non-PEO NEO Average Compensation Actually Paid Amount $ 2,675,520 (238,940) 1,841,864 (523,574) 5,644,394
Adjustment to Non-PEO NEO Compensation Footnote
(3)In calculating the “Compensation Actually Paid” (“CAP”) amounts reflected in these columns, the fair value or change in fair value, as applicable, of the equity award adjustments included in such calculations were computed in accordance with FASB ASC Topic 718. Stock option grant date fair values are calculated based on the Black-Scholes option pricing model as of date of grant. Adjustments have been made using stock option fair values as of each measurement date using the stock price as of the measurement date and updated assumptions as of the measurement date. Time-vested restricted stock/unit grant date fair values are calculated using the stock price as of date of grant. Adjustments have been made using the stock price as of year-end and as of each vesting date. Performance-vested restricted stock unit fair values are calculated based on the Monte Carlo valuation model as of the date of grant. Adjustments have been made using performance-vested restricted stock unit fair values as of each measurement date using the stock price as of the measurement date and updated Monte Carlo assumptions. The assumptions used to calculate the fair value for purposes of determining CAP are consistent with the methodology used for calculating the grant date fair value for financial reporting purposes. There are no dividends or other earnings paid on stock or option awards in the applicable year prior to the vesting date that are not otherwise included in the CAP amounts for the applicable year.
In the calculation of CAP presented in the table, the following amounts were deducted and added:
Reconciliation of Summary Compensation Table (“SCT”) total to Compensation Actually Paid (“CAP”)
FY2024FY2023FY2022FY2021FY2020
Description of Elements Added / Subtracted to SCT Total to Calculate CAPCurrent
 PEO
 Foster
Former
 PEO
 Barasch
Average
 Other
 NEOs
Current
 PEO
 Barasch
Former
 PEO
 Griggs
Average
 Other
 NEOs
Former
 PEO
 Griggs
Average
 Other
 NEOs
Former
 PEO
 Griggs
Former
 PEO
 McGee
Average
 Other
 NEOs
Former
 PEO
 McGee
Average
 Other
 NEOs
Summary Compensation Table (“SCT”) Total$8,391,752 $2,074,106 $4,122,211 $2,265,183 $10,437,819 $2,440,283 $4,724,344 $2,823,510 $3,935,883 $8,061,871 $3,348,903 $1,009,533 $1,560,590 
-Pension and equity amounts reported in SCT$6,592,784 $474,408 $2,914,398 $743,274 $7,257,900 $1,372,050 $3,698,882 $1,963,262 $2,795,498 $5,808,758 $2,474,283 $— $1,068,278 
+Fair value of equity compensation granted in current year and outstanding at year end$6,548,899 $— $1,618,903 $186,726 $294,606 $434,705 $3,950,263 $2,096,688 $1,569,869 $— $1,646,856 $— $2,297,808 
+Change in fair value of equity granted in prior years that remains outstanding at current year end; reflects fair value at current year end - fair value at prior year end$— $— $12,040 $— $(2,179,990)$(1,729,450)$(504,103)$(357,484)$— $— $(1,549,939)$29,273,031 $1,908,284 
-Fair value of awards forfeited in current year valued at prior year end$— $— $184,256 $— $— $— $— $— $— $20,840,650 $— $— $— 
+Fair value of equity compensation granted and vested in current year$— $391,375 $— $471,798 $948,505 $— $— $— $— $— $— $— $— 
+Change in fair value of equity granted in prior years and vested in current year$— $69,413 $21,020 $(132,185)$(349,275)$(12,428)$(175,173)$(757,588)$— $(2,434,720)$(1,495,111)$15,041,615 $945,990 
Compensation Actually Paid (“CAP”)$8,347,867 $2,060,486 $2,675,520 $2,048,248 $1,893,765 $(238,940)$4,296,449 $1,841,864 $2,710,254 $(21,022,257)$(523,574)$45,324,179 $5,644,394 
       
Compensation Actually Paid vs. Total Shareholder Return
44992
       
Compensation Actually Paid vs. Net Income
44994
       
Compensation Actually Paid vs. Company Selected Measure
44996
       
Total Shareholder Return Vs Peer Group
44992
       
Tabular List, Table
Pay Versus Performance Tabular List
The following table lists our most important financial performance measures used to link CAP to our NEOs to company performance for fiscal year 2024.
Most Important Performance Measures
Adjusted EBITDA
Free Cash Flow
Relative Total Shareholder Return
       
Total Shareholder Return Amount $ 87 66 175 223 342
Peer Group Total Shareholder Return Amount 124 122 117 146 133
Net Income (Loss) $ 95,000,000 $ (675,000,000) $ 73,000,000 $ 158,000,000 $ (194,000,000)
Company Selected Measure Amount 689,000,000 671,000,000 594,000,000 566,000,000 206,000,000
Additional 402(v) Disclosure Represents the amount of net income (loss), as reported in the Company’s audited GAAP financial statements for all years included in this table.        
Measure:: 1          
Pay vs Performance Disclosure          
Name Adjusted EBITDA        
Non-GAAP Measure Description (6)We have selected Adjusted EBITDA as our most important financial measure (that is not otherwise required to be disclosed in the table) used to link compensation actually paid to our NEOs to Company performance for fiscal year 2024. Our Compensation Committee determined the 2024 annual bonus outcome for eligible NEOs primarily based on the achievement of this measure. See the section titled "Year in Review and Alignment of Company Performance with Pay" on page 22 of this Proxy Statement for additional information.        
Measure:: 2          
Pay vs Performance Disclosure          
Name Free Cash Flow        
Measure:: 3          
Pay vs Performance Disclosure          
Name Relative Total Shareholder Return        
Ms. Suzanne Foster [Member]          
Pay vs Performance Disclosure          
PEO Total Compensation Amount $ 8,391,752        
PEO Actually Paid Compensation Amount $ 8,347,867        
PEO Name Ms. Foster        
Mr. Richard Barasch [Member]          
Pay vs Performance Disclosure          
PEO Total Compensation Amount $ 2,074,106 $ 2,265,183      
PEO Actually Paid Compensation Amount $ 2,060,486 $ 2,048,248      
PEO Name Mr. Barasch Mr. Barasch      
Mr. Stephen Griggs [Member]          
Pay vs Performance Disclosure          
PEO Total Compensation Amount   $ 10,437,819 $ 4,724,344 $ 3,935,883  
PEO Actually Paid Compensation Amount   $ 1,893,765 $ 4,296,449 $ 2,710,254  
PEO Name   Mr. Griggs Mr. Griggs Mr. Griggs  
Mr. Luke McGee [Member]          
Pay vs Performance Disclosure          
PEO Total Compensation Amount       $ 8,061,871 $ 1,009,533
PEO Actually Paid Compensation Amount       $ (21,022,257) 45,324,179
PEO Name       Mr. McGee  
PEO | Ms. Suzanne Foster [Member] | Aggregate Pension Adjustments Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ (6,592,784)        
PEO | Ms. Suzanne Foster [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 6,548,899        
PEO | Ms. Suzanne Foster [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0        
PEO | Ms. Suzanne Foster [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0        
PEO | Ms. Suzanne Foster [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0        
PEO | Ms. Suzanne Foster [Member] | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0        
PEO | Mr. Richard Barasch [Member] | Aggregate Pension Adjustments Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (474,408) $ (743,274)      
PEO | Mr. Richard Barasch [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 186,726      
PEO | Mr. Richard Barasch [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0      
PEO | Mr. Richard Barasch [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 391,375 471,798      
PEO | Mr. Richard Barasch [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 69,413 (132,185)      
PEO | Mr. Richard Barasch [Member] | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0      
PEO | Mr. Stephen Griggs [Member] | Aggregate Pension Adjustments Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   (7,257,900) $ (3,698,882) $ (2,795,498)  
PEO | Mr. Stephen Griggs [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   294,606 3,950,263 1,569,869  
PEO | Mr. Stephen Griggs [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   (2,179,990) (504,103) 0  
PEO | Mr. Stephen Griggs [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   948,505 0 0  
PEO | Mr. Stephen Griggs [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   (349,275) (175,173) 0  
PEO | Mr. Stephen Griggs [Member] | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   0 0 0  
PEO | Mr. Luke McGee [Member] | Aggregate Pension Adjustments Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount       (5,808,758) 0
PEO | Mr. Luke McGee [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount       0 0
PEO | Mr. Luke McGee [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount       0 29,273,031
PEO | Mr. Luke McGee [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount       0 0
PEO | Mr. Luke McGee [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount       (2,434,720) 15,041,615
PEO | Mr. Luke McGee [Member] | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount       (20,840,650) 0
Non-PEO NEO | Aggregate Pension Adjustments Service Cost          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (2,914,398) (1,372,050) (1,963,262) (2,474,283) (1,068,278)
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 1,618,903 434,705 2,096,688 1,646,856 2,297,808
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 12,040 (1,729,450) (357,484) (1,549,939) 1,908,284
Non-PEO NEO | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0 0 0 0
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 21,020 (12,428) (757,588) (1,495,111) 945,990
Non-PEO NEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ (184,256) $ 0 $ 0 $ 0 $ 0