Income Taxes - Significant Components of Deferred Tax Assets and Liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Jun. 30, 2019	Dec. 31, 2018
Deferred Tax Assets:
Accrued other and prepaid expenses	$ 1,557		$ 2,734
Allowance for doubtful accounts	624		607
Intangible assets	28,889		11,300
Net operating loss carryforwards	19,796		15,717
Accrued professional liability claims	1,794		1,952
Accrued workers’ compensation claims	2,839		2,729
Share-based compensation	381		646
Operating lease liabilities	6,108		0
Credit carryforwards	188		188
Other	128		542
Gross deferred tax assets	62,304		36,415
Valuation allowance	(37,345)	$ (36,000)	(1,189)
Deferred tax assets	24,959		35,226
Deferred Tax Liabilities:
Depreciation	(224)		(52)
Indefinite intangibles	(27,609)		(11,136)
Operating lease right-of-use assets	(4,312)		0
Tax on unrepatriated earnings	(337)		(383)
Deferred tax liabilities	(32,482)		(11,571)
Net deferred taxes	$ (7,523)		(95)
Net deferred taxes			$ 23,655