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Acquisitions - Geneva (Details) - USD ($)
12 Months Ended
Mar. 01, 2019
Dec. 31, 2019
Mar. 31, 2020
Fair value of liabilities assumed:      
Goodwill   $ 301,321,000 $ 301,150,000
Geneva Healthcare, Inc.      
Acquisitions      
Cash consideration $ 45,900,000    
Aggregate Estimated Present Value of Additional Consideration 32,000,000.0    
Total additional consideration to be transferred 20,000,000.0    
Future value of additional consideration to be paid in cash 11,100,000    
Fair value of additional cash consideration at acquistion date 9,700,000    
Estimated fair value of common stock to be issued as part of additional consideration 9,100,000    
Fair value of assets acquired:      
Cash and cash equivalents 1,376,000    
Healthcare accounts receivable 1,500,000    
Prepaid expenses and other current assets 234,000    
Identifiable intangible assets:      
Total identifiable intangible assets 14,900,000    
Deferred tax assets 1,013,000    
Total assets acquired 19,023,000    
Fair value of liabilities assumed:      
Accounts payable 215,000    
Accrued liabilities 872,000    
Total liabilities assumed 1,087,000    
Total identifiable net assets 17,936,000    
Net assets acquired 77,880,000    
Geneva Healthcare, Inc. | Customer relationships      
Identifiable intangible assets:      
Total identifiable intangible assets $ 3,500,000    
Weighted Average Life (Years) 12 years    
Geneva Healthcare, Inc. | Technology      
Identifiable intangible assets:      
Total identifiable intangible assets $ 8,900,000    
Weighted Average Life (Years) 7 years    
Geneva Healthcare, Inc. | Trade Names      
Identifiable intangible assets:      
Total identifiable intangible assets $ 2,500,000    
Weighted Average Life (Years) 15 years    
Healthcare      
Fair value of liabilities assumed:      
Goodwill   276,014,000 $ 275,843,000
Healthcare | Geneva Healthcare, Inc.      
Acquisitions      
Measurement period adjustment - change in consideration   (2,200,000)  
Measurement period adjustment - increase in net deferred tax assets   (2,900,000)  
Business Combination, Acquisition Related Costs   $ 1,400,000  
Goodwill, amount deductible $ 0    
Fair value of liabilities assumed:      
Goodwill $ 59,944,000    
Common Stock | Geneva Healthcare, Inc.      
Acquisitions      
Consideration in common stock (in shares) 131,594