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Commitments and Contingencies (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Oct. 01, 2013
Oct. 31, 2013
USD ($)
Sep. 30, 2020
facility
Sep. 30, 2019
Sep. 30, 2020
facility
Sep. 30, 2019
Dec. 31, 2019
Oct. 26, 2020
USD ($)
Commitments and Contingencies Disclosure [Abstract]                
Facilities under Medicare probe reviews | facility     0   0      
Payments for legal settlements   $ 48,000            
Agreement term 5 years              
Subsequent Event                
Concentration Risk [Line Items]                
Cash, uninsured amount               $ 998
Customer Concentration Risk | Revenue Benchmark                
Concentration Risk [Line Items]                
Concentration risk     100.00% 100.00% 100.00% 100.00%    
Customer Concentration Risk | Total Medicaid and Medicare | Accounts Receivable                
Concentration Risk [Line Items]                
Concentration risk         59.70%   57.30%  
Customer Concentration Risk | Total Medicaid and Medicare | Revenue Benchmark                
Concentration Risk [Line Items]                
Concentration risk     75.10% 70.20% 73.50% 70.30%