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Revenue - Narrative (Details) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Jun. 30, 2020
Revenue from Contract with Customer [Abstract]      
Advance Medicare payments to provide relief from economic impacts of COVID-19     $ 29,700,000
Revenue, remaining performance obligation $ 11,200,000    
Revenue increase (decrease) due to changes in estimated transaction price due to contractual adjustments 5,300,000    
Revenue recognized due to expanded local coverage determination for which revenue was previously constrained 6,800,000    
Capitalized costs incurred to obtain or fulfill contract $ 0    
Performance obligation estimate      
Revenue and Concentration Risk [Line Items]      
Change in earnings (loss) per share (dollars per share) $ 0.07    
Revenues | Medicare      
Revenue and Concentration Risk [Line Items]      
Concentration risk (percent) 19.00% 16.00%