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Stock-Based Compensation - Equity Grants, Assumptions and Activity (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Total stock‑based compensation $ 4,745 $ 5,721 $ 15,872
Income tax benefit 1,234 1,493 6,349
Patient care costs      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Total stock‑based compensation 694 714 2,773
General and administrative      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Total stock‑based compensation $ 4,051 $ 5,007 $ 13,099