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Business Combinations (Narrative) (Details) - USD ($)
3 Months Ended 6 Months Ended 12 Months Ended
Jan. 06, 2019
Nov. 13, 2018
Jul. 06, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Jun. 30, 2019
Oct. 15, 2018
Business Combinations [Line Items]                  
Income (loss) from operations       $ 178,752,000 $ 146,273,000 $ 329,339,000 $ 285,155,000    
Amortization of intangible assets       $ 12,052,000 9,199,000 25,488,000 16,154,000    
Acquisition related expenses         $ 6,123,000 $ 0 $ 6,123,000    
MatrixCare [Member]                  
Business Combinations [Line Items]                  
Percentage of acquisition shares   100.00%              
Total purchase price of acquisition   $ 750,000,000              
Healthcarefirst [Member]                  
Business Combinations [Line Items]                  
Percentage of acquisition shares     100.00%            
Total purchase price of acquisition     $ 126,300,000            
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 $ 242,900,000                
Income (loss) from operations               $ 1,900,000