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Accounts Receivable, Net - (Details) - USD ($)
$ in Thousands
Jun. 30, 2019
Dec. 31, 2018
Accounts Receivable, net    
Accounts receivable, before allowances $ 214,574 $ 206,880
Allowances for estimated implicit price concessions arising from:    
Payor disallowances (55,900) (53,378)
Patient non-payments (8,066) (7,244)
Accounts receivable, gross 150,608 146,258
Allowance for doubtful accounts (2,333) (2,272)
Accounts receivable, net 148,275 143,986
Patient Care    
Accounts Receivable, net    
Accounts receivable, before allowances 186,959 182,338
Allowances for estimated implicit price concessions arising from:    
Payor disallowances (55,900) (53,378)
Patient non-payments (8,066) (7,244)
Accounts receivable, gross 122,993 121,716
Accounts receivable, net 122,993 121,716
Products & Services    
Accounts Receivable, net    
Accounts receivable, before allowances 27,615 24,542
Allowances for estimated implicit price concessions arising from:    
Accounts receivable, gross 27,615 24,542
Allowance for doubtful accounts (2,333) (2,272)
Accounts receivable, net $ 25,282 $ 22,270