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Assets Held for Sale and Discontinued Operations - Schedule of Discontinued Operations (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Discontinued Operations and Disposal Groups [Abstract]    
Net revenue $ 51,222 $ 56,089
Operating expenses:    
Cost of service salaries and benefits 25,928 27,876
Cost of service supplies and other operating expenses 5,567 5,969
General and administrative expenses 11,023 11,226
Depreciation and amortization 7,262 6,249
Transaction costs 1,100  
Loss on classification as held for sale 321,556  
Total operating expenses 372,436 51,320
(Loss) income from operations (321,214) 4,769
Non-operating expenses, net (16) (9)
(Loss) income from operations (321,230) 4,760
Income tax benefit (provision) 36,705 (1,339)
Net (loss) income $ (284,525) $ 3,421