Goodwill and Other Intangible Assets, Net - Other Intangible Assets (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	$ (27,800)	$ (32,999)
Intangible Assets, Gross (Excluding Goodwill)	62,998	84,471
Intangible Assets, Net (Excluding Goodwill)		51,472
Amortization expense related to definite-lived intangible assets	1,800	3,100	$ 5,600
Health care licenses
Indefinite-lived Intangible Assets [Line Items]
Indefinite-lived Intangible Assets (Excluding Goodwill)		4,738
Trade names
Indefinite-lived Intangible Assets [Line Items]
Indefinite-lived Intangible Assets (Excluding Goodwill)	35,198	42,323
Trade names
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Gross	27,800	27,800
Finite-Lived Intangible Assets, Accumulated Amortization	(27,800)	(26,295)
Finite-Lived Intangible Assets, Net	0	1,505
Total
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Gross		9,610
Finite-Lived Intangible Assets, Accumulated Amortization		(6,704)
Finite-Lived Intangible Assets, Net		$ 2,906
Intangible Assets, Net (Excluding Goodwill)	$ 35,198