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Discontinued Operations - Schedule of Discontinued Operations (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Operating expenses:        
Net (loss) income $ (680,036) $ (28,292) $ (684,999) $ (293,710)
Discontinued Operations, Held-for-sale [Member]        
Net revenue 90,894 307,072 374,961 615,243
Operating expenses:        
Cost of service salaries and benefits 95,398 247,759 348,662 498,930
Cost of service supplies and other operating expenses 1,350 3,233 5,216 6,700
General and administrative expenses 13,287 19,321 30,964 39,571
Depreciation and amortization 2,034 6,030 6,308 12,258
Transformational and restructuring related expenses 16,771 9,616 28,634 10,721
Loss on sale, net 644,162 0 640,154 0
Total operating expenses 773,002 285,959 1,059,938 568,180
(Loss) income from operations (682,108) 21,113 (684,977) 47,063
Non-operating (expense) income, net (7) (14) 51 3
(Loss) income before income taxes (682,115) 21,099 (684,926) 47,066
Income tax benefit (provision) 5,111 (5,630) 5,561 (12,490)
Net (loss) income $ (677,004) $ 15,469 $ (679,365) $ 34,576