Accounts Receivable, Net - (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Dec. 31, 2019
Accounts Receivable, net
Gross charges before estimates for implicit price concessions	$ 177,175	$ 229,683
Less estimates for implicit price concessions:
Payor disallowances	(49,926)	(58,094)
Patient non-payments	(8,119)	(9,589)
Accounts receivable, gross	119,130	162,000
Allowance for doubtful accounts	(3,555)	(2,641)
Accounts receivable, net	115,575	159,359
Additional allowance for doubtful account	900
Patient Care
Accounts Receivable, net
Gross charges before estimates for implicit price concessions	156,641	202,132
Less estimates for implicit price concessions:
Payor disallowances	(49,926)	(58,094)
Patient non-payments	(8,119)	(9,589)
Accounts receivable, gross	98,596	134,449
Accounts receivable, net	98,596	134,449
Products & Services
Accounts Receivable, net
Gross charges before estimates for implicit price concessions	20,534	27,551
Less estimates for implicit price concessions:
Accounts receivable, gross	20,534	27,551
Allowance for doubtful accounts	(3,555)	(2,641)
Accounts receivable, net	$ 16,979	$ 24,910