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Summary of Significant Accounting Policies - Schedule of Changes in Contractual Allowance (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Dec. 31, 2019
Changes In The Contractual Allowance      
Balance, beginning of period $ 15,433 $ 9,205 $ 9,205
Add: provision for contractual allowances 4,592 3,396 15,518
Less: realized contractual adjustments (3,477) (1,435) (9,290)
Balance, end of period $ 16,548 $ 11,166 $ 15,433