CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 30, 2023	Dec. 31, 2022
Cash Flows From Operating Activities:
Net loss	$ (134,524)	$ (662,034)
Adjustments to reconcile net loss to net cash from operating activities:
Depreciation and amortization	13,778	21,313
Amortization of deferred debt issuance costs	5,179	7,780
Amortization of operating lease right of use assets	16,320	17,503
Non-cash share-based compensation	13,157	15,893
Goodwill impairment	105,136	675,346
Loss on disposal or impairment of licenses, property and equipment, and software	2,807	3,502
Fair value adjustments on interest rate derivatives	28,273	(85,367)
Deferred income taxes	1,015	(115)
Non-cash gain on acquisition	(5,073)
Changes in operating assets and liabilities, net of impact of acquisitions:
Patient accounts receivable	(15,321)	(3,227)
Prepaid expenses	6,988	9,365
Other current and long-term assets	(16,653)	(1,708)
Accounts payable and other accrued liabilities	(13,920)	(3,925)
Accrued payroll and employee benefits	23,324	(10,729)
Insurance reserves	(1,793)	18,154
Operating lease liabilities	(15,407)	(19,621)
Deferred payroll taxes		(25,523)
Other current and long-term liabilities	9,386	(5,009)
Net cash provided by (used in) operating activities	22,672	(48,402)
Cash Flows From Investing Activities:
Acquisitions of businesses, net of cash acquired		(2,013)
Proceeds from sale of businesses		460
Payment for interest rate cap		(11,725)
Purchase of certificates of need	(2,678)
Purchases of property and equipment, and software	(6,116)	(12,013)
Net cash used in investing activities	(8,794)	(25,291)
Cash Flows From Financing Activities:
Proceeds from employee stock purchase plan	945	4,015
Proceeds from securitization obligation	50,000	40,000
Repayment of securitization obligation	(35,000)	(20,000)
Proceeds from revolving credit facility	20,000	15,000
Repayments on revolving credit facility	(20,000)	(15,000)
Proceeds from issuance of term loans, net of debt issuance costs		59,700
Principal payments on term loans	(9,200)	(8,900)
Principal payments on notes payable	(9,818)	(9,852)
Principal payments on financing lease obligations	(665)	(799)
Payment of debt issuance costs	(1,047)	(218)
Settlements with interest rate swap counterparties	(15,632)	(1,526)
Net cash provided by financing activities	10,847	62,420
Net change in cash and cash equivalents	24,725	(11,273)
Cash and cash equivalents at beginning of period	19,217	30,490
Cash and cash equivalents at end of period	43,942	19,217
Supplemental Disclosures of Cash Flow Information:
Cash paid for interest	137,854	102,532
Cash paid for income taxes, net of refunds received	$ 1,137	$ 1,586