Basis of Presentation and Significant Events - COVID-19 (Details) - USD ($) $ in Thousands |
3 Months Ended | 9 Months Ended | ||||
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Sep. 30, 2020 |
Jun. 30, 2020 |
Sep. 30, 2019 |
Sep. 30, 2020 |
Sep. 30, 2019 |
Dec. 31, 2019 |
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| Adjustments Due to Legislation [Line Items] | ||||||
| Proceeds from Provider Relief Funds | $ 4,600 | $ 93,300 | ||||
| Government stimulus income (reversal) | (44,435) | $ 44,400 | $ 0 | 0 | $ 0 | |
| Government stimulus advance | 93,257 | 93,257 | $ 0 | |||
| Contract liabilities - deferred revenue | 317,938 | 317,938 | $ 0 | |||
| Net service revenue | 530,684 | $ 528,499 | 1,530,875 | $ 1,548,926 | ||
| Sequestration Payment Adjustment | ||||||
| Adjustments Due to Legislation [Line Items] | ||||||
| Net service revenue | 6,500 | 11,500 | ||||
| Suspension of LTACH | ||||||
| Adjustments Due to Legislation [Line Items] | ||||||
| Net service revenue | 6,400 | 11,100 | ||||
| Employee-related liabilities | $ 33,600 | $ 33,600 | ||||
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- Definition [Line Items] for Adjustments Due to Legislation [Table] No definition available.
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- Definition Government Stimulus Advance No definition available.
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- Definition Government Stimulus Income No definition available.
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- Definition Provider Relief Funds Received No definition available.
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- Definition Amount of obligation to transfer good or service to customer for which consideration has been received or is receivable, classified as current. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Total of the carrying values as of the balance sheet date of obligations incurred through that date and payable for obligations related to services received from employees, such as accrued salaries and bonuses, payroll taxes and fringe benefits. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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