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Revenue Recognition - Schedule of Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Disaggregation of Revenue [Line Items]        
Total revenues $ 428,064 $ 228,772 $ 940,739 $ 677,592
Services        
Disaggregation of Revenue [Line Items]        
Total revenues 382,498 181,139 804,309 538,488
Healthcare insurers        
Disaggregation of Revenue [Line Items]        
Total revenues 136,531 104,020 319,763 315,227
Government payers        
Disaggregation of Revenue [Line Items]        
Total revenues 21,537 28,206 64,322 87,243
Client payers        
Disaggregation of Revenue [Line Items]        
Total revenues 207,886 43,750 388,078 120,309
Patients        
Disaggregation of Revenue [Line Items]        
Total revenues $ 16,544 $ 5,163 $ 32,146 $ 15,709