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Allowance for Uncollectible Accounts - Additional Information (Details)
Jun. 30, 2017
Dec. 31, 2016
Valuation of Qualifying Accounts [Abstract]    
Allowance for Uncollectible Accounts Percent of Accounts Receivable 16.60% 18.90%
Days sales outstanding for receivables over 180 days old 46 49
Minimum age of patient accounts receivable used to calculate days sales outstanding 180