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Business Combinations (Narrative) (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Jan. 06, 2019
Nov. 13, 2018
Jul. 06, 2018
Sep. 30, 2019
Sep. 30, 2018
Jun. 30, 2019
Oct. 15, 2018
Business Combinations [Line Items]              
Income (loss) from operations       $ 150,587 $ 138,881    
MatrixCare [Member]              
Business Combinations [Line Items]              
Percentage of acquisition shares   100.00%          
Total purchase price of acquisition   $ 750,000          
Healthcarefirst [Member]              
Business Combinations [Line Items]              
Percentage of acquisition shares     100.00%        
Total purchase price of acquisition     $ 126,300        
HB Healthcare [Member]              
Business Combinations [Line Items]              
Percentage of acquisition shares             100.00%
Propeller Health [Member]              
Business Combinations [Line Items]              
Total purchase price of acquisition $ 242,900            
Income (loss) from operations           $ 1,900