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receivable, net Accounts receivable Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables Proceeds from stock option exercises Proceeds from Stock Options Exercised Related Party Transaction [Axis] Related Party Transaction [Axis] Weighted Average Exercise Price (in dollars per share) Share-based Payment Arrangement, Option, Exercise Price Range, Outstanding, Weighted Average Exercise Price Derivative term of contract Derivative, Term of Contract Finite-Lived Intangible Assets by Major Class [Axis] Finite-Lived Intangible Assets by Major Class [Axis] INCOME TAX (BENEFIT) EXPENSE Total income tax (benefit) expense Income Tax Expense (Benefit) Accounts receivable, net Accounts Receivable, after Allowance for Credit Loss, Current Amendment Flag Amendment Flag Equity Components [Axis] Equity Components [Axis] Entity Tax Identification Number Entity Tax Identification Number Fair Value Disclosures [Abstract] Fair Value Disclosures [Abstract] Antidilutive Securities [Axis] Antidilutive Securities [Axis] Document Fiscal Period Focus Document Fiscal Period Focus Total current assets Assets, Current Summary of Outstanding Options by Exercise Price Range Share-based Payment Arrangement, Option, Exercise Price Range [Table Text Block] Sale of Stock [Domain] Sale of Stock [Domain] Total lease payments Lessee, Operating Lease, Liability, to be Paid Disaggregation of Revenue [Table] Disaggregation of Revenue [Table] Concentration Risk Type [Domain] Concentration Risk Type [Domain] Accounts Receivable Accounts Receivable [Member] Forfeited and expired (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeited in Period Inventories Inventory, Net Stock Based Incentive Compensation Share-based Payment Arrangement [Policy Text Block] Deferred Deferred Federal Income Tax Expense (Benefit) Consolidated balance sheet data: Statement of Financial Position [Abstract] 2027 and beyond Lessee, Operating Lease, Liability, to be Paid, after Year Five Management Notes Receivable Management Notes Receivable [Member] Management Notes Receivable [Member] Deferred tax asset, additions Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount Fair Value Measurements Fair Value Measurement, Policy [Policy Text Block] Unrecognized compensation expense Share-based Payment Arrangement, Nonvested Award, Option, Cost Not yet Recognized, Amount Current portion of long-term debt Less: current portion Long-term Debt, Current Maturities Product and Service [Axis] Product and Service [Axis] Property, Plant and Equipment, Type [Domain] Long-Lived Tangible Asset [Domain] $24.76 - $33.00 Option Exercise Price, Range Four [Member] Option Exercise Price, Range Four [Member] Deferred tax liabilities: Deferred Tax Liabilities, Deferred Expense [Abstract] Preferred stock, par value (in dollars per share) Preferred Stock, Par or Stated Value Per Share Entity Public Float Entity Public Float Non-deductible compensation Effective Income Tax Rate Reconciliation, Nondeductible Expense, Share-based Payment Arrangement, Percent Documents Incorporated by Reference Documents Incorporated by Reference [Text Block] Revenue Benchmark Revenue Benchmark [Member] Weighted-average grant-date fair value per share (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value Equity Component [Domain] Equity Component [Domain] 2022 Lessee, Operating Lease, Liability, to be Paid, Year One Shares issued pursuant to acquisition (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Shares Issued in Period Debt issuance costs and third party fees Debt Issuance Costs, Gross Statement [Line Items] Statement [Line Items] Restricted Stock Award Restricted Stock Award [Member] Restricted Stock Award [Member] Four Vendors Four Vendors [Member] Four Vendors Weighted Average Exercise Price Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract] Federal Domestic Tax Authority [Member] Schedule of Estimated Fair Values of Debt Obligations Schedule of Carrying Values and Estimated Fair Values of Debt Instruments [Table Text Block] Number of service locations Number Of Service Locations Number Of Service Locations Valuation allowance Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Percent 2025 Lessee, Operating Lease, Liability, to be Paid, Year Four Debt Disclosure [Abstract] Debt Disclosure [Abstract] INCOME (LOSS) BEFORE INCOME TAXES Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest Significant Other Observable Inputs (Level 2) Fair Value, Inputs, Level 2 [Member] Percentage of outstanding common stock Common Stock, Outstanding, Percentage Common Stock, Outstanding, Percentage Property, Plant and Equipment, Type [Axis] Long-Lived Tangible Asset [Axis] Schedule of Error Corrections and Prior Period Adjustments Schedule of Error Corrections and Prior Period Adjustments [Table Text Block] Valuation allowance Valuation allowance Balance at Beginning of Period Balance at End Period Deferred Tax Assets, Valuation Allowance Auditor Location Auditor Location Total gain (loss) on derivatives Derivative, Gain (Loss) on Derivative, Net Intangible asset useful life (in years) Finite-Lived Intangible Asset, Useful Life Compensation and benefits Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits Customer [Axis] Customer [Axis] Accounts payable Increase (Decrease) in Accounts Payable, Trade Options granted in period (in shares) Granted (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross Schedule of Basic and Diluted Earnings (Loss) Per Share Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] Schedule of Business Acquisitions, by Acquisition [Table] Schedule of Business Acquisitions, by Acquisition [Table] Document Annual Report Document Annual Report Vesting [Axis] Vesting [Axis] State income tax expense State and Local Income Tax Expense (Benefit), Continuing Operations Title of 12(b) Security Title of 12(b) Security Net proceeds from issuance of common stock Proceeds from Issuance of Common Stock TOTAL ASSETS Assets Loss on interest rate swaps upon discontinuing hedge accounting Loss On Discontinuance Of Cash Flow Hedge Derivative Loss On Discontinuance Of Cash Flow Hedge Derivative Second Lien Term Loan Junior Lien [Member] Adjustment Revision of Prior Period, Adjustment [Member] Investment, Name [Domain] Investment, Name [Domain] Plan Name [Domain] Plan Name [Domain] Director Director [Member] Sale of management notes receivable Proceeds From Sale Of Management Notes Receivable Proceeds From Sale Of Management Notes Receivable Common stock, shares authorized (in shares) Common Stock, Shares Authorized Number of credit arrangements Debt Instrument, Number Of Credit Arrangements Debt Instrument, Number Of Credit Arrangements Cash paid for interest Interest Paid, Excluding Capitalized Interest, Operating Activities Notes redeemed Repayments of Notes Payable Title of Individual [Axis] Title of Individual [Axis] Patients Patient Customer [Member] Patient Customer [Member] Document Type Document Type Credit Agreements, Entered Into 2019 Credit Agreements, Entered Into 2019 [Member] Credit Agreements, Entered Into 2019 [Member] Product and Service [Domain] Product and Service [Domain] The 2018 Plan 2018 Plan [Member] 2018 Plan [Member] Derivative Contract [Domain] Derivative Contract [Domain] Notes Payable Notes Payable [Member] Notes Payable Total noncurrent liabilities Liabilities, Noncurrent Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Revolving Credit Facility Revolving Credit Facility [Member] Inventories Asset Acquisition, Inventory Asset Acquisition, Inventory Summary of Significant Accounting Policies Significant Accounting Policies [Text Block] Cash paid for operating leases Operating Lease, Payments, Use Net cash provided by operating activities Net Cash Provided by (Used in) Operating Activities Share-based Payment Arrangement, Option, Exercise Price Range [Table] Share-based Payment Arrangement, Option, Exercise Price Range [Table] Summary of Debt Schedule of Debt [Table Text Block] Schedule of Long-term Debt Instruments [Table] Schedule of Long-term Debt Instruments [Table] Tax Credit Carryforward [Axis] Tax Credit Carryforward [Axis] Assets under development Asset under Construction [Member] Non-deductible expenses Effective Income Tax Rate Reconciliation, Nondeductible Expense, Percent Weighted average common shares outstanding, basic (in shares) Weighted average number of common shares outstanding (in shares) Weighted Average Number of Shares Outstanding, Basic Earnings (loss) per share, diluted (in dollars per share) Earnings Per Share, Diluted State State and Local Jurisdiction [Member] Government Healthcare Programs Government Healthcare Programs [Member] Government Healthcare Programs Amortization of deferred financing costs Amortization of Debt Issuance Costs and Discounts Non-cash operating lease costs Operating Lease, Right-of-Use Asset, Amortization Expense Vesting [Domain] Vesting [Domain] Effect of dilutive securities (in shares) Weighted Average Number Diluted Shares Outstanding Adjustment Hedging Relationship [Axis] Hedging Relationship [Axis] Cash paid for income taxes Income Taxes Paid, Net Supplier [Domain] Supplier [Domain] Interest expense Interest Expense [Member] Subsequent Events Subsequent Events [Text Block] NET COMPREHENSIVE INCOME (LOSS) Comprehensive Income (Loss), Net of Tax, Attributable to Parent Net cash (used in) provided by financing activities Cash outflow from financing activities Net Cash Provided by (Used in) Financing Activities OTHER COMPREHENSIVE INCOME (LOSS), NET OF TAX: Other Comprehensive Income (Loss), Net of Tax [Abstract] Treasury stock; 383,722 shares outstanding, at cost, as of December 31, 2021 and 2020, respectively. Treasury Stock, Value Deferred income taxes Deferred Income Tax Liabilities, Net Related Party Transaction [Line Items] Related Party Transaction [Line Items] Vesting period Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period OTHER INCOME (EXPENSE): Other Expense, Nonoperating [Abstract] HC Group Holdings I, LLC HC Group Holdings I, LLC [Member] HC Group Holdings I, LLC Equity in earnings of joint ventures Proportionate share of earnings in equity-method investees Income (Loss) from Equity Method Investments Debt Instrument, Changes In Long-Term Debt [Roll Forward] Debt Instrument, Changes In Long-Term Debt [Roll Forward] Debt Instrument, Changes In Long-Term Debt [Roll Forward] Business Acquisition, Acquiree [Domain] Business Acquisition, Acquiree [Domain] Property and equipment, net Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment Summary of Restricted Stock Award Activity Share-based Payment Arrangement, Restricted Stock and Restricted Stock Unit, Activity [Table Text Block] Prepayment penalty Financing Receivable, Prepayment Penalty Financing Receivable, Prepayment Penalty Operating lease right-of-use asset Deferred Tax Liabilities, Operating Lease Right-Of-Use Asset Deferred Tax Liabilities, Operating Lease Right-Of-Use Asset Loss on sale of assets Gain (Loss) on Disposition of Other Assets Fair Value Measurements Fair Value Disclosures [Text Block] Maturities of Lease Liabilities, Financing Finance Lease, Liability, Fiscal Year Maturity [Table Text Block] Schedule of Effective Income Tax Rate Reconciliation Schedule of Effective Income Tax Rate Reconciliation [Table Text Block] Rebate receivable Contract with Customer, Receivable, after Allowance for Credit Loss Accounts payable Accounts Payable, Current Change in Deferred Tax Asset Valuation Allowance Change in Deferred Tax Asset Valuation Allowance [Roll Forward] Change in Deferred Tax Asset Valuation Allowance [Roll Forward] Concentration Risk Type [Axis] Concentration Risk Type [Axis] Depreciation and amortization expense Depreciation, Depletion and Amortization 2024 Finite-Lived Intangible Asset, Expected Amortization, Year Three Additional interest expense charge Paid-In-Kind Interest, Additional Interest Expense Paid-In-Kind Interest, Additional Interest Expense Business Acquisitions Business Combinations Policy [Policy Text Block] Accumulated Other Comprehensive Income (Loss) AOCI Attributable to Parent [Member] Inventories Increase (Decrease) in Inventories Common stock, shares, outstanding (in shares) Common Stock, Shares, Outstanding New Senior Unsecured Notes New Senior Unsecured Notes [Member] New Senior Unsecured Notes [Member] Accounts payable Accounts payable and other assumed liabilities Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable Medical Supply Vendors Supplier Concentration Risk [Member] Derivative [Table] Derivative [Table] COST OF REVENUE Cost of Goods and Services Sold Computer Software Computer Software, Intangible Asset [Member] Document Period End Date Document Period End Date Entity Central Index Key Entity Central Index Key $0.00 - $8.24 Option Exercise Price, Range One [Member] Option Exercise Price, Range One [Member] Concentration Risk Benchmark [Domain] Concentration Risk Benchmark [Domain] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Interest Rate Cap Interest Rate Cap [Member] Options Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward] State and local income taxes net of federal tax benefit Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent Deferred Deferred State and Local Income Tax Expense (Benefit) Schedule of Property and Equipment Property, Plant and Equipment [Table Text Block] Income Statement Location [Domain] Income Statement Location [Domain] Upper range limit (in dollars per share) Share-based Payment Arrangement, Option, Exercise Price Range, Upper Range Limit Largest Payer Largest Payer [Member] Largest Payer STOCKHOLDERS’ EQUITY: Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest [Abstract] Interest Limitation Carryforwards Interest Limitation Carryforwards [Member] Interest Limitation Carryforwards [Member] HC Group Holdings I, LLC Majority Shareholder [Member] Property and equipment, net Property and equipment, net Property, Plant and Equipment, Net Property and Equipment Property, Plant and Equipment Disclosure [Text Block] BioCure BioCure [Member] BioCure Total operating expenses Operating Expenses Cash distributions Distribution Made to Limited Liability Company (LLC) Member, Cash Distributions Paid Other noncurrent liabilities Other Liabilities, Noncurrent Granted Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Intrinsic Value Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Intrinsic Value Payments of debt issuance costs, operating activities Payments Of Debt Issuance Costs, Operating Activities Payments Of Debt Issuance Costs, Operating Activities Schedule of Future Amortization Expense for Intangible Assets Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block] Debt Instrument [Line Items] Debt Instrument [Line Items] Trading Symbol Trading Symbol Earnings Per Share [Abstract] Earnings Per Share [Abstract] Allowance for doubtful accounts Allowance for Doubtful Accounts, Premiums and Other Receivables Redemptions to related parties Repayments of Related Party Debt Madison Dearborn Partners VI-B, L.P. Madison Dearborn Partners VI-B, L.P. [Member] Madison Dearborn Partners VI-B, L.P. [Member] Net revenue Business Acquisition, Pro Forma Revenue Property and equipment, gross Property, Plant and Equipment, Gross Related Party Transaction [Domain] Related Party Transaction [Domain] Revenue from Contract with Customer Benchmark Revenue from Contract with Customer Benchmark [Member] Other Deferred Tax Liabilities, Other Exercise price of warrants (in dollars per share) Class of Warrant or Right, Exercise Price of Warrants or Rights Equipment Equipment [Member] Accrued expenses and other current liabilities Accrued Expenses and Other Current Liabilities [Member] Accrued Expenses and Other Current Liabilities [Member] Available borrowing capacity Line of Credit Facility, Current Borrowing Capacity Business combination purchase price Asset Acquisition, Consideration Transferred Beginning balance (in dollars per share) Ending balance (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price Warrant Warrant [Member] Sale of management notes receivable Proceeds from Sale of Notes Receivable Term of warrants Warrants and Rights Outstanding, Term Long-term debt, net of discount, deferred financing costs and current portion Total long-term debt Long-term Debt, Excluding Current Maturities Schedule of Related Party Transactions, by Related Party [Table] Schedule of Related Party Transactions, by Related Party [Table] Share-based compensation expense Share-based Payment Arrangement, Expense Payment in settlement of debt Business Combination, Consideration Transferred, Liabilities Incurred Cost of Revenue Cost of Goods and Service [Policy Text Block] Weighted Average Remaining Contractual Life Exercisable at December 31, 2020 Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term Entity Current Reporting Status Entity Current Reporting Status Accrued expenses and other current liabilities Increase (Decrease) in Other Accounts Payable and Accrued Liabilities EARNINGS (LOSS) PER COMMON SHARE Earnings (loss) per common share: Earnings Per Share, Basic and Diluted [Abstract] Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract] Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract] Effective income tax rate Effective Income Tax Rate Reconciliation, Percent Lien Category [Axis] Lien Category [Axis] $8.24 - $16.52 Option Exercise Price, Range Two [Member] Option Exercise Price, Range Two [Member] Class of Warrant or Right [Axis] Class of Warrant or Right [Axis] Cash and cash equivalents - beginning of the period CASH AND CASH EQUIVALENTS - END OF PERIOD Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents Base rate Debt Instrument, Base Rate Debt Instrument, Base Rate Tax Credit Carryforward, Name [Domain] Tax Credit Carryforward, Name [Domain] Common stock, par value (in dollars per share) Common Stock, Par or Stated Value Per Share CURRENT ASSETS: Assets, Current [Abstract] Total gross intangible assets Finite-Lived Intangible Assets, Gross Total other expense Interest Income (Expense), Nonoperating, Net Leases [Abstract] Leases [Abstract] Valuation Allowance by Deferred Tax Asset [Axis] Valuation Allowance by Deferred Tax Asset [Axis] Government Government payers Government Customer [Member] Government Customer [Member] Income Taxes Income Tax, Policy [Policy Text Block] LIBOR London Interbank Offered Rate (LIBOR) [Member] Derivative liability Derivative Liability, Fair Value, Gross Liability Including Not Subject to Master Netting Arrangement Entity Address, Postal Zip Code Entity Address, Postal Zip Code Equity Interest Type [Axis] Equity Interest Type [Axis] Exercised (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period Interest rate swaps that discontinued hedge accounting Other Comprehensive Income (Loss), Cash Flow Hedge, Discontinuance Before Reclassification And Tax Other Comprehensive Income (Loss), Cash Flow Hedge, Discontinuance Before Reclassification And Tax Revenue Recognition Revenue from Contract with Customer [Policy Text Block] Weighted average common shares outstanding, diluted (in shares) Weighted average common shares outstanding, diluted (in shares) Weighted Average Number of Shares Outstanding, Diluted Fair value of warrants Warrants and Rights Outstanding Exercise Price Range [Domain] Exercise Price Range [Domain] OTHER COMPREHENSIVE INCOME (LOSS) Other comprehensive income (loss) Other Comprehensive Income (Loss), Net of Tax Income Taxes Income Tax Disclosure [Text Block] Related Party [Domain] Related Party [Domain] Long-term Debt, Type [Axis] Long-term Debt, Type [Axis] Summary of Stock Option Activity Share-based Payment Arrangement, Option, Activity [Table Text Block] Schedule of Carrying Amount and Accumulated Amortization of Intangible Assets Schedule of Acquired Finite-Lived Intangible Assets by Major Class [Table Text Block] Stockholders' redemptions Adjustments To Additional Paid In Capital, Stockholders' Redemption Adjustments To Additional Paid In Capital, Stockholders' Redemption Basis spread on variable rate Debt Instrument, Basis Spread on Variable Rate Stockholders' Equity Stockholders' Equity Note Disclosure [Text Block] Other noncurrent assets and liabilities Increase (Decrease) in Other Noncurrent Assets and Liabilities, Net $16.52 - $24.76 Option Exercise Price, Range Three [Member] Option Exercise Price, Range Three [Member] 2026 Finite-Lived Intangible Asset, Expected Amortization, Year Five Statement of Cash Flows [Abstract] Statement of Cash Flows [Abstract] Auditor Firm ID Auditor Firm ID Operating lease liability Business Combination, Recognized Identifiable Asset Acquired and Liability Assumed, Lease Obligation Not Designated as Hedging Instrument Not Designated as Hedging Instrument [Member] Credit Facility [Axis] Credit Facility [Axis] Finite-Lived Intangible Assets, Major Class Name [Domain] Finite-Lived Intangible Assets, Major Class Name [Domain] Entity Address, Address Line One Entity Address, Address Line One Net cash used in investing activities Net Cash Provided by (Used in) Investing Activities Entity Address, Address Line Two Entity Address, Address Line Two Changes in operating assets and liabilities: Increase (Decrease) in Operating Capital [Abstract] Less: accumulated depreciation Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment CASH FLOWS FROM OPERATING ACTIVITIES: Net Cash Provided by (Used in) Operating Activities [Abstract] Vested and issued (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value Principles of Consolidation Consolidation, Policy [Policy Text Block] Entity Shell Company Entity Shell Company Expected life of options Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term Total current liabilities Liabilities, Current Class of Stock [Domain] Class of Stock [Domain] Exercise of stock options, vesting of restricted stock, and related tax withholdings Payment, Tax Withholding, Share-based Payment Arrangement Cash paid Payments to Acquire Businesses, Gross Ownership retained by shareholders after merger Business Combination, Ownership Interest Retained Percentage of Company ownership shareholders retained after merger Lien Category [Domain] Lien Category [Domain] Commercial Commercial payers Commercial Customer [Member] Commercial Customer [Member] Shareholder redemptions Partners' Capital Account, Redemptions Charged (Benefit) to Other Accounts Charged To Other Accounts [Member] Charged To Other Accounts [Member] Summary of Valuation Allowance Summary of Valuation Allowance [Table Text Block] Employer matching contribution percent of employees' gross pay Defined Contribution Plan, Employer Matching Contribution, Percent of Employees' Gross Pay Current Fiscal Year End Date Current Fiscal Year End Date Debt Instrument, Name [Domain] Debt Instrument, Name [Domain] Governmental Programs Government Contracts Concentration Risk [Member] Statement [Table] Statement [Table] Referral sources Customer Lists [Member] Recently Issued Accounting Pronouncements New Accounting Pronouncements, Policy [Policy Text Block] Other Deferred Tax Assets, Other Operating lease right-of-use asset Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Operating Lease Right-Of-Use Assets Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Operating Lease Right-Of-Use Assets Goodwill Deferred Tax Liabilities, Goodwill $49.52 - $57.76 Option Exercise Price, Range Six [Member] Option Exercise Price, Range Six [Member] Statistical Measurement [Axis] Statistical Measurement [Axis] Accounts Receivable Accounts Receivable [Policy Text Block] Preferred Stock Preferred Stock and Certain Warrants Preferred Stock [Member] Total intangible assets, net Finite-Lived Intangible Assets, Net Goodwill Goodwill - net book value, begging of period Goodwill - net book value, end of period Goodwill Referral sources Finite Lived Customer Lists, Net Finite Lived Customer Lists, Net Number of contingent payments Business Combination, Number Of Contingent Payments Business Combination, Number Of Contingent Payments Accumulated comprehensive loss reclassified Gain (loss) location of derivative instruments Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax Options Outstanding (in shares) Share-based Payment Arrangement, Option, Exercise Price Range, Shares Outstanding Depreciation and amortization expense Depreciation, Amortization and Accretion, Net Depreciation expense in cost of revenue Cost of Sales [Member] Write off of deferred debt issuance cost Write off of Deferred Debt Issuance Cost Inventory Inventory, Policy [Policy Text Block] Schedule of the Carrying Amount of Goodwill Schedule of Goodwill [Table Text Block] Adjustments to reconcile net income (loss) to net cash provided by operations: Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Summary of Amount and Location of Derivatives in the Balance Sheet Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block] Related-Party Transactions Related Party Transactions Disclosure [Text Block] Concentration Risk Benchmark [Axis] Concentration Risk Benchmark [Axis] Fair value - Derivatives in liability position Derivative Liability, Fair Value, Gross Liability Including Not Subject to Master Netting Arrangement [Abstract] Discount Debt Instrument, Unamortized Discount Schedule of Finite-Lived Intangible Assets [Table] Schedule of Finite-Lived Intangible Assets [Table] Deferred Tax Asset [Domain] Deferred Tax Asset [Domain] Deferred income taxes - net Deferred Income Tax Expense (Benefit)