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Basis of Presentation - Contributions to Revenue and Receivables by Payor (Details) | 3 Months Ended | 6 Months Ended | 12 Months Ended
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Jun. 30, 2019 | Jun. 30, 2018 | Jun. 30, 2019 | Jun. 30, 2018 | Dec. 31, 2018
Net Revenue | Payor A |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |
Concentration risk | 13.70% | 11.30% | 15.80% |  |
Net Revenue | Payor B |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |
Concentration risk | 12.60% | 16.60% | 14.30% | 15.70% |
Net Revenue | Payor C |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |
Concentration risk | 10.50% | 11.60% | 11.70% | 13.30% |
Net Revenue | Payor D |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |
Concentration risk | 13.70% | 17.90% |  | 14.90% |
Accounts Receivable | Payor E |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |
Concentration risk |  |  | 29.00% |  | 34.10%
Accounts Receivable | Payor F |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |
Concentration risk |  |  | 34.00% |  | 42.20%

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