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Contingent Consideration Payable - Payable Balance (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2020
Jun. 30, 2019
Contingent Consideration Payable Rollforward:      
Related party payable, beginning balance $ 18,050 $ 17,327 $ 28,840
Payment of related party payable (2,279) (4,344) (6,707)
Fair value adjustments   3,831 2,114
Disposition of the Hospital Business (14,900) (14,900)  
Related party payable, ending balance $ 1,914 $ 1,914 $ 24,247