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REVENUE - Net Revenue Earned by Category of Payer (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Disaggregation of Revenue [Line Items]        
Net revenue $ 615,880 $ 493,928 $ 1,589,638 $ 1,434,061
Commercial payers        
Disaggregation of Revenue [Line Items]        
Net revenue 525,927 428,873 1,373,481 1,256,109
Government payers        
Disaggregation of Revenue [Line Items]        
Net revenue 80,280 56,511 194,875 160,939
Patients        
Disaggregation of Revenue [Line Items]        
Net revenue $ 9,673 $ 8,544 $ 21,282 $ 17,013