Accounts Receivable, Net (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2020	Dec. 31, 2019
Accounts Receivable, net
Gross charges before estimates for implicit price concessions	$ 178,956	$ 229,683
Less estimates for implicit price concessions:
Payor disallowances	(47,314)	(58,094)
Patient non-payments	(6,916)	(9,589)
Accounts receivable, gross	124,726	162,000
Allowance for doubtful accounts	(3,317)	(2,641)
Accounts receivable, net	121,409	159,359
Additional allowance for doubtful account	700
Patient Care
Accounts Receivable, net
Gross charges before estimates for implicit price concessions	157,191	202,132
Less estimates for implicit price concessions:
Payor disallowances	(47,314)	(58,094)
Patient non-payments	(6,916)	(9,589)
Accounts receivable, gross	102,961	134,449
Accounts receivable, net	102,961	134,449
Products & Services
Accounts Receivable, net
Gross charges before estimates for implicit price concessions	21,765	27,551
Less estimates for implicit price concessions:
Accounts receivable, gross	21,765	27,551
Allowance for doubtful accounts	(3,317)	(2,641)
Accounts receivable, net	$ 18,448	$ 24,910