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Financial Information for the Company and Its Subsidiaries - Summary of Condensed Consolidating Statement of Operations (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Condensed Financial Statements, Captions [Line Items]                      
Revenue before provision for doubtful accounts $ 189,999 $ 184,702 $ 177,494 $ 161,213 $ 114,252 $ 103,116 $ 100,530 $ 89,563 $ 735,109 $ 413,850 $ 219,704
Provision for doubtful accounts                 (21,701) (6,389) (3,206)
Revenue                 713,408 407,461 216,498
Salaries, wages and benefits                 407,962 239,639 152,609
Professional fees                 37,171 19,019 8,896
Supplies                 37,569 19,496 11,349
Rents and leases                 10,049 7,838 5,576
Other operating expenses                 80,572 42,777 20,171
Depreciation and amortization                 17,090 7,982 4,278
Interest expense, net                 37,250 29,769 9,191
Debt extinguishment costs       (9,500)         9,350    
Sponsor management fees                     1,347
Transaction-related expenses                 7,150 8,112 41,547
Total expenses                 644,163 374,632 254,964
(Loss) income from continuing operations before income taxes 19,935 22,287 20,291 6,732 7,506 10,311 10,020 4,992 69,245 32,829 (38,466)
(Benefit from) provision for income taxes                 25,975 12,325 (5,272)
Income (loss) from continuing operations                 43,270 20,504 (33,194)
Loss from discontinued operations, net of income taxes                 (691) (101) (1,698)
Net income (loss) 12,280 14,364 12,197 3,738 4,365 6,450 5,909 3,679 42,579 20,403 (34,892)
Parent [Member]
                     
Condensed Financial Statements, Captions [Line Items]                      
Salaries, wages and benefits                 5,249 2,267 17,320
Interest expense, net                 35,327 29,512 9,191
Debt extinguishment costs                 9,350    
Total expenses                 49,926 31,779 26,511
(Loss) income from continuing operations before income taxes                 (49,926) (31,779) (26,511)
Equity in earnings of subsidiaries                 73,538 40,251 (12,014)
(Benefit from) provision for income taxes                 (18,967) (11,931) (3,633)
Income (loss) from continuing operations                 42,579 20,403 (34,892)
Net income (loss)                 42,579 20,403 (34,892)
Combined Subsidiary Guarantors [Member]
                     
Condensed Financial Statements, Captions [Line Items]                      
Revenue before provision for doubtful accounts                 700,407 412,161 219,704
Provision for doubtful accounts                 (20,700) (6,389) (3,206)
Revenue                 679,707 405,772 216,498
Salaries, wages and benefits                 388,749 236,182 135,289
Professional fees                 34,149 18,806 8,896
Supplies                 35,686 19,382 11,349
Rents and leases                 9,282 7,816 5,576
Other operating expenses                 72,626 42,121 20,171
Depreciation and amortization                 15,882 7,874 4,278
Interest expense, net                 22    
Sponsor management fees                     1,347
Transaction-related expenses                 6,716 8,112 41,547
Total expenses                 563,112 340,293 228,453
(Loss) income from continuing operations before income taxes                 116,595 65,479 (11,955)
(Benefit from) provision for income taxes                 44,294 24,583 (1,639)
Income (loss) from continuing operations                 72,301 40,896 (10,316)
Loss from discontinued operations, net of income taxes                 (691) (101) (1,698)
Net income (loss)                 71,610 40,795 (12,014)
Combined Non-Guarantors [Member]
                     
Condensed Financial Statements, Captions [Line Items]                      
Revenue before provision for doubtful accounts                 34,702 1,689  
Provision for doubtful accounts                 (1,001)    
Revenue                 33,701 1,689  
Salaries, wages and benefits                 13,964 1,190  
Professional fees                 3,022 213  
Supplies                 1,883 114  
Rents and leases                 767 22  
Other operating expenses                 7,946 656  
Depreciation and amortization                 1,208 108  
Interest expense, net                 1,901 257  
Transaction-related expenses                 434    
Total expenses                 31,125 2,560  
(Loss) income from continuing operations before income taxes                 2,576 (871)  
(Benefit from) provision for income taxes                 648 (327)  
Income (loss) from continuing operations                 1,928 (544)  
Net income (loss)                 1,928 (544)  
Consolidating Adjustments [Member]
                     
Condensed Financial Statements, Captions [Line Items]                      
Equity in earnings of subsidiaries                 (73,538) (40,251) 12,014
Income (loss) from continuing operations                 (73,538) (40,251) 12,014
Net income (loss)                 $ (73,538) $ (40,251) $ 12,014