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Acquisitions (Details)
3 Months Ended 9 Months Ended
Jul. 14, 2017
USD ($)
Jan. 01, 2017
USD ($)
Jun. 18, 2016
USD ($)
Jan. 05, 2016
USD ($)
customer
Sep. 29, 2017
USD ($)
Sep. 30, 2016
USD ($)
Sep. 29, 2017
USD ($)
Sep. 30, 2016
USD ($)
Dec. 30, 2016
USD ($)
Acquisitions                  
Revenues         $ 194,302,000 $ 160,421,000 $ 596,347,000 $ 470,114,000  
Operating income         7,587,000 11,109,000 25,133,000 28,553,000  
Approximate fair value estimates of the assets acquired and liabilities assumed                  
Goodwill         390,552,000   390,552,000   $ 305,476,000
Assets held for sale         3,800,000   3,800,000    
Sellers Notes         12,761,000   12,761,000   $ 12,500,000
LTS                  
Approximate fair value estimates of the assets acquired and liabilities assumed                  
Interest acquired (as a percent)       100.00%          
Concentrations (as a percent)       74.00%          
Number of customers | customer       2          
Purchase price       $ 37,000,000          
Bayonne                  
Approximate fair value estimates of the assets acquired and liabilities assumed                  
Purchase price       $ 4,100,000          
The Wisconsin acquisition                  
Approximate fair value estimates of the assets acquired and liabilities assumed                  
Accounts receivable     $ 0            
Purchase price     $ 6,100,000            
Community Health Systems Inc.                  
Acquisitions                  
Revenues             145,800,000 138,800,000  
Operating income             24,000,000 9,800,000  
Deal and transition costs incurred             4,500,000    
Approximate fair value estimates of the assets acquired and liabilities assumed                  
Accounts receivable         21,444,000   21,444,000    
Prepaids and other assets         705,000   705,000    
Property, plant & equipment         7,301,000   7,301,000    
Goodwill         84,213,000   84,213,000    
Intangibles         61,570,000   61,570,000    
Assets acquired         175,233,000   175,233,000    
Liabilities assumed         (14,262,000)   (14,262,000)    
Non-controlling interest         (32,042,000)   (32,042,000)    
Net assets acquired         128,929,000   128,929,000    
Interest acquired (as a percent)   80.00%              
Purchase price $ 1,200,000 $ 128,900,000              
Sellers Notes $ 300,000                
Healthcare Innovations                  
Acquisitions                  
Revenues         6,490,000 $ 10,308,000 16,890,000 $ 20,344,000  
Approximate fair value estimates of the assets acquired and liabilities assumed                  
Goodwill         $ 36,649,000   $ 36,649,000    
Interest acquired (as a percent)         72.00% 61.50% 72.00% 61.50%