General - Redeemable Non controlling Interest (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Dec. 31, 2020
Temporary Equity [Line Items]
Redeemable Noncontrolling Interest, Equity, Carrying Amount	$ 33,303	$ 33,062
Aurelia Health, LLC
Temporary Equity [Line Items]
Noncontrolling Interest, Ownership Percentage by Parent	70.00%
Threshold percentage of the remaining shares to be purchased on exercise the right to put options	33.30%
Period from the redemption date	30 days
Percentage of the remaining shares that can be purchased by the company under the call option	33.30%
Period of EBITDA at the redemption date of redeemable non-controlling interest, used in the calculation of redemption price for put and call option	12 months
Redeemable Noncontrolling Interest, Equity, Carrying Amount	$ 33,300	$ 33,100