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Summary of Significant Accounting Policies Schedule of Revenue (Details) - Revenue
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Concentration Risk [Line Items]      
Composition of patient care service revenue 100.00% 100.00% 100.00%
Medicare and Medicare Advantage      
Concentration Risk [Line Items]      
Composition of patient care service revenue 68.00% 66.00% 61.00%
Commercial and other      
Concentration Risk [Line Items]      
Composition of patient care service revenue 27.00% 30.00% 35.00%
Medicaid and Managed Medicaid      
Concentration Risk [Line Items]      
Composition of patient care service revenue 4.00% 4.00% 3.00%
Other      
Concentration Risk [Line Items]      
Composition of patient care service revenue 1.00% 0.00% 1.00%